HomeMy WebLinkAboutBuilding Permit #03-0107
<tIerfifieafe nf @ernpaney
CITY OF PRIOR LAKE
~tpartttttnt of 2iuilbing Jf nsptttion
la'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 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
03-0107
R2
Use Classification
SINGLE FAJ1ILY
Bldg. Permit No._
Legal Description L51, Bl, MEADOWVIEW
Date:
ROBERT D. HUTCHINS
L Building Official
I - I.-I-{)~
Site Address ~370 STONECREST PATH N.W.
HOMES, 12400 ~~ITEWATER DR., SUTrE 120, MINNETONKA
;/if/ City Planner_DON RYE
Owner of Building
Contractor's Name & Address CENTEX
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/2-(..(-0-3
ADDRESS
~s7t)
~1r;I1cC.~.5+ ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
s-ltJ7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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.er-WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~K. C~OR REINSPECTION BEFORE COVERING
Inspector: Y ~ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
l/IISNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
2s7()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;f FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ,~~~~
~~~,
CONTR.
PERMIT NO.
3 ~L07
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
? MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~mntD, ~j~.J),. ...-c.-. OC~ '....L
rz~ ~7 ') y~~ ~~J~~~
f'J1/1~ Pi1A/~ ~~ ~
(TV C - ~. t, ;( ~ t . -. \. .. ~.~ I r '
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v-'l !f"; ~~ ~ l.t t'"'~
v'Z.._~~~~ (~/ (,!A13
'1 [V-V\l ~ 0 f9~L (63
o WORK SATISFACTORY, PROCEED
o 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
.
c,- ~
;<370 bbn eUts-f ,o~
C td-~)L .f.;1&Y'#1
&3-107
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
('/lIb OblW
'-
tJ-t--ed
GrUJ~'- f0t"
, -------
DATE TIME
~X/~ILLlNG
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f' fJO/t, / elf! \.
fvoSn
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORR~R REINSPECTION BEFORE COVERtNG
Inspector: Owner/Contr:
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IHSHOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I
ADDRESS
2--370
DATE
7-/&/e3
~~(>>'e.0
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ WATER HOOKUP
~ SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COM,ENTS:
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\
\
.
t,t'
.rt.
'-"
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~t4- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I .- j-Q ~
(Please type or print and sign at bv.Mu)
ADDRESS
07370 .5JOl1krtDSf ;OC;-/h
LEGAL DESCRIPTION (office use only)
LOTS I BLOCK I ADDITION h1 A::;,cl-/Ji),'P'(./
Ai" /;J .
OWNER /J /)
(Name) t'~.ll'l../;t /7Cln,L/S
(Address)//~.Wc 6/)q .JJI?tlc,!,or L>-R. #aC
BUILDER c
(N ame) ..-==::> Ct H7 ~
(Contact Name) gJ/ _ <,t'P/~
(Address) b- hJ f-'
TYPE OF WORK
~
~New Construction
OLower Level Finish
~eCk
')lFireplace
o Misc.
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. Q3 ~() / 07
ZONING (office use)
'k;;L
tJ5' J
PI!:b?S Sf<:'/-Odv.- 0
(Phone) 9s;/-~S3 -dS~3
/JJrlJl1;;;.41~C. htd ~~ ~ifS-
/
(Phone) ~t/1/?? .,0
(Phone)Qs:;> ;.;J~5 -d.5~3
, -
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
1%0. S170, an
, ./
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 that the buil . g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon, openy to perform n nspe .
~~ -
x
-rr ~(j77/iZ37
Contractor's License No.
OIA~J
I Permit Valuation tli?o, ()OO, 00 I Park Support Fee # $ -
I Permit Fee $ 1'1'17, 75 SAC # $ 127$";1)0
-- ~
I Plan Check Fee $ ??5,5~ Water Meter Qie 5/8)1"; $ z...~O , 0 t:J
I State Surcharge $ 9s.ot!J Pressure Reducer $ 4-S. 0 i'J
I Penalty $ City SAC and WAC # $ J2L)O,. O~
I Plumbing Permit Fee $ IOD.O/) Water Tower Fee # $ 700,00
I Mechanical Permit Fee $ /tSo, tJO Builder's Deposit $ /500,00
I Sewer & Water Permit Fee $ . ~5' s-o I Other $
I Gas Fireplace Permit Fee $ ~(), tP I TOTAL DUE MM.e D I"'ZfJ 'OJ $ 'l fJ II. 7dJ
I ~-
I Paid d ,1 gl/, k'11~ {....., r7-. I
This Application Becomes Your Building Permit When Approved '/'1 Recei{lt No,?' J 1
~ t" Y~'3 I Date 1- ~t? - {)-:5 By rr
~f-/
Building Official 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 I
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
issU~ ~ l/.:J,r'h3 ~ ~
Planning 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
White - Building
Canary - enqineerinq
~mk - Plannina-:>
The Crn't'f of Ihl' take ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ 1 j (~;). '<'
~.../ f' !', . . /\
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. :)?~ lj ,r~'i
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Accepted
/
Accepted With Corrections
Denied
~
Reviewed By: ~ ~ Date: 1'p~3
It, A I'. r ~ A ~ 4- A. .. d __, .....17 _ 0
Comments: rt' '-' ~ ~ ~ "'__ ~~
U
4':I-~,
"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,"
--~'.'-~-~T"'" ...-.--- .....
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"... _.","~~- . '""'-"-"'I~
Canary .: ~neering
<!'ink - Plannin~
Th~ (""ft.fr of 'hr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~l ",...'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.../....--. .
.J ',.
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
!YJCJfS
Date:
I--..{ I-oJ
Comments: -.SAA ~r~A Side for Additional Information!
See Attachme]1t<<' 1) Grading Plan~ 2) Erosion Control Measures
liThe 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
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I
~~
~te _ - B~d~
Canary - t:.ngmeering
Pink - Planning
The {'entrr of Ihe Like ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~->>+ex
1- 7-(),3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: . s7'/-r1'
:J9iO ~T (j-~
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
R~~
7~~ Date: 1/~103
~~ ~-~,
Comments:
liThe 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."
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.Permit#
"Job Addr_-2 ~ 76 5f~V1~ (1~J' ,
"Hellling Contractor H E.;J ~G ~pb~ LNG TWO
"Testers/Signature r ~
Oat.
Time
Pounds
Pressure
"Gas Une
Pressurized
Inspected
.)'.
"Percent 02
PERFORMANCE TEST
r [) 7100 .Percent co --O..~
r@O "Stack Temp. JtoP
. Percent CO2
Final Inspection
Date
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APPUC.-\;'.'T PLEASE CO~\[PL[TE BELO';'"
T~p~ !J (l~i;trurc
Ea::1 Tul? \\itCl1 or wic!\'uuc 5:'C''''::-
Olsh'....~sh~:" -
Tvpc: rjf fi.:t::ur~
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I LJ.'/;J.ccr-I (8aOlrC<:1i.1 Srn!-.:l
LJ.unl.lry rrJ.~' ( I or: ,;c'r::c::.tr..r.tc:at ;;10:":
Showe:- SC:lll
,I Si~ks ;""i"~." .., .,' ,":;.",;:.., . :.;"l';,. "j ':.:;."'"
I Bar Sink
I W:J.re:-CloseqTtJiLc::~l
RJu:;i1-irt:i
WJ..r:::- r-:c::J.CC:-
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I SC::tnd P;r.~ ("VJ.:;~in~ .'-r~C!1I[':::1
r Se..v:J.g~ EjC:-':~Jr
I I BJ.ckrlow AssembLy
I,..:", .;..:i,'~';" ;.,;,...."., I 'B<1cktlow Assembly T o!st
I I lJ.wn Sprinkk:-
I I Oth~::, .',"....
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Incu.::...~.:.i. Comm<:::'C::l.! .,f(; Multi-C'.:J-:lily 1% cfjob c:~:.'t wic..'t;t Sj9.S0 minimum .... RcSic!oti:l.l_ Ne:w One:.k. T....c-?:u:-tily
,> '. ,,~..,.. >..i.;:......~ R;sic!r::..tti:l.!.A.tlc!icicns ~ A!:=l:ioo:$
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. " . .'F'[.UMBI:NG PER."rrr.FEE :tl,S ....1<'~t,i'~~;~lOid.:;:;';..~,.;",/ ." '::PAID WITH
.' ......,i,:~~STATE.?URCHARGE~~~iiS,{~,~~~io"~~50 S" U.'LDING PERMIT
-'~1':O"T'"'-:';''P''''E.';;~rrr-''' .r..'.':,:.".,... ~. '. .... '.. ::'.,.: ... ;,.:-:....,',' ....
..' ~ .t'\.O..,u~.1'.J!.J!...;,.,... .....".:."....,.;.(- .,............. . ">,.c:. .I.'
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Thu co\.ppliccion B':l:OmCOf YOYf Btlildil1l~ Permit When Approvec1 ~1i:1 LS I:, :. Re:c::::pc r-;o.
Q'03' ) By .:J
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FROf1 : HEAT I tlG-COOL I t..1G- TtJO
FAX HO. :7634283682
i1a.r. 25 2003 10: i6Af1 Pi
CITY OF PRIOR LAKE
HEA TING/AIR CONDITl9NING/FIREPLACE PERMIT
Date Rcc'd
I. r,"k I'll.
2. a...n Chy
J. 'I'oIlDW A~rll""1
PERMIT NO.
.~ -lo?1
(PlelUC tv{!e or print and ~ism a.t bottOm)
. ADDRESS
d-3 7 0 -~~(\f- eUS }
ZONING (office u,e)
p~};.i , It! ul
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
. ~ YAJ'-~
'- /
AI:' M. J:, \"
(Phone)
. APPLICANT
(Name)
(Phone)
(Address)
lif(i!li,IG ~ C:00~1l~w TYl'(' I'::
(AIl~"!l'~ 0uUIII~ ("",u. l.> i
Maple Grove, MN 5536S-S',;:2.'i
nr(i' Li.??',0i~
,-~ Q 6"K
\
APPLICANT PLEASE COMPLETE BELOW
::gNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ,I?~~ ~ ~t1 t/Jaro FUEL
FLUE SIZE ~J C' _ RETURN OPENINGS l( INPUT rn OO"G OUTPUT
)
TYPE OF SYSTEM HEATING OR POWER PLANT
~rm Air Plants 0 Steam
OGravity 0 Hot Water
O)fechnnical 0 Radiation
0"ALr Conditioning 0 Special Devices
~nt. System . 0 Other Devices
(City)
(Phone) h I~ "' "1 ~...~ -, "I5 t:- .7
DATE .1-d~-(}....9
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE
'I ~ do 0
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Roquired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
1<EESCHEDULE
I % of job co!:t Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions: & Alterations
$64.50 Rcsidential. AC Only
$39.50
$39.50
$39.50
Residcntial. Heating & AlC (New Construction)
Residcntial, Heating Only (New Construction)
Estimated Cost S
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Vie Only)
Hllildinll OfficiAl
u~ l0 lE D lJj. LE ~'R~';:jPt No.
(f~AR 2 5 2003 Il ~ By (,f\
- LJ U
24 hour notice for Alllnllpllctions (952) 447 eRr. rax (952) 447-42.tS
DAtt:
This Application Beeomes Your Building PermIt When Approved
-.11
IT
I
DASEH CO~-lTRACTnlG PAGE 02
9524474245 P.01/01
Date R.ec'd
05/28/2003 07:15 9524512155
FEB-13-2003 09:06 CITY OF PRIOR L~KE
LIlY OF PRIOR LAKE
SEWER AND WATER P:ERMIT
i ~ol":.~: I pERMIT NO. -::2 - I () / !
3, ~ ^,plo_ J
CPk:ase ~ Of!X'in( 1In4 .Ie a.t bomllD)
ADDRESS
d310 ~mlC!LP4f /Jtfu.
ZONING (oftja, IISI:)
LEGAL DESCR.t.r uON (office use only)
LOT~I BLOCK J AODmON ~J.P/1&lw iicJ
Pnx:95-3t'-lOS/-o
(phont)
(ZlQ Code)
(ContaCt Person)
/) (phon!) C}f;p l)hJ/" G?!m
Ofii ltwLM ./ 6,~-
, (City) (J' h : (ZiP Code)
(phone) ~~ -CXJl../D
DATE, .-s:- rl:f43 .
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APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at. .. feet from strUcture,
FEE SCHEDULE
ResIdential $ewer and wllter line COMCCt!OD $35.50 Industrial, Com'l8t. Multi-family 1% of job colt wilb II S3Sl.S0 minimum
Sewer connection only S 17,50 WAter conneotion only $17.50
Estimated Cost S
Building Pennit 11
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
.$
.50
Bulldh'l( Oaici.,
Due
11 ()\),}
Paid D1 U~
Date IJ;" d-4>/ ~
Receipt No.
(OtIIu o.c Oily)
Thl. Application Becoml!t Your Building Permit When Approved
14 bOl.\r Ilotlce (or Dlllnspllctions (951) 441.9llS0, fll~ ('S~) ~7-4~4S
,BY~'
TOTAL P.01
11
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File PERM 3 I
i ~~~nw ;~~icant IT NO.. -I () ~1
(Please me or urint and si~ at bottom)
ADDRESS
ZONING (office use)
2370 STONE CREST PATH NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(Phone)
(Address)
APPLICANT
(N ame) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TR-C
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Building Permit #
$
$
$
ni rE r~ \~ II ~~ ~ ~\I
This Application Becomes Your Building Permit When Approved ~.! Paid ! I
~.'-'Ii1teP. '_I 7 2003 ~ - By
Date
24 hour notice for all inspections (952) 4~J, ~A ~J};:>., 't't 1-4.l4~ -
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
PAID WI
E3UILOING TN
PERMIT
Receipt No,
Building Official
(J;, r-
J(
J
.
PRIOR LAKE
INSPECTION RECORD
-5kJ/V~cZre.>1- /JaU
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS O? 3'10
NATURE OF WORK /!/(:: uJ
USE OF BUILDI~~ ,C:; P D
PERMIT NO. O~ - () I () 7 DATE ISSUED
CONTRACTOR (JeJ.J-fEx- J..k/J1~S PHONE 95)~ .;233- d-S9_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~1."" .
FOUNDATION (Prior to Backfill) I /lvr J I}. - )
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
'~
<~"""l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINAL~ q-'~) (~U6 0 B.{ t~3
GRADING (Prior to Sodding) f\/ f1 '/111
BUILDING . ~M r ~ f t, ttJ3
ELECTRICAL I'~, ~ _
PLUMBING 71.~ '
tfEATING \~ ;::A~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
J FOOTING
.
SEWER I WATER I SEPTIC
FRAMING tv !C(NY~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
I / '3 ( L 03 ,
J
y/t!{)t.f
tfl LI jf) t{
~
- ?
~~ ->f4-
ul / t If).~
4/1 /tJ.~
V; It /fJ3
,"/fV/~~
S-j21/GYJ
BEEN 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
.. T
If
I
PRIOR LAKE
INSPECTION RECORD
~~/VcC!-res--I- jJaH
DEPAH I MENT OF
BUILDING AND INSPECTION'
SITE ADDRESS c;? 3"10
NATURE OF WORK /I/e W
USE OF BUILDI~~ ,C:;'P D
PERMIT NO. 0;- () /0 7 DATE ISSUED
CONTRACTOR {Jej.JftX' ).k;/J1~S PHONE (j5J~ ;233- d-S~_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~"t'"' -
J FOUNDATION (Prior to Backfill) I IIvr J I}. - :;
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
;~
<:"~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS<r~) (~UP\O ~.lf().3
GRADING (Prior to Sodding) . ~J 17 6/v), . U -
BUILDING . ~M f ~ (t, I/)3
ELECTRICAL /'J\K. ~ _
PLUMBING 71.4. '
EATING \~ ~A
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
FOOTING
SEWER I WATER I SEPTIC
FRAMING tv !~~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
//3{/03
~t
4 ".
---?f4.-
y/t!tJ'-!
,-/1 L/. )tl!:I
L.;f / t If).~
4/{ /tX~
<fltlfJJ
,?/~/~~
S-j2:1 / eJ
BEEN 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
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