HomeMy WebLinkAboutBuilding Permit #03-0267
QIerfifirafe of @rntpanry
CITY OF PRIOR LAKE
~rpartm~nt nf ~uil~ing Jf nsprrtinn
~ Final Permitted
D Conditional e.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
03-0267
R2
Use Classification
SINGLE FAHILY
Bldg. Permit No._
Legal Description
L38, Bl, MEADOWVIEW
Owner of Building Site Address 2303 STONECREST PATH N.W.
Contractor'sName&Address CENTE XHOMES, 1~400 WHITEWATER DR., SUITE 120, MINNETONKA
ROBERT D. HUTCHINS ~ City Planner_ DON RYE
J Building Official
.l- L/ - O"? Date:
Date:
----....
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/)..-47) 3
ADDRESS
2'303 5"foll'k c~ +- f?q 1h
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-S-J..t7
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
o EX/GRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~c-I / ~~ "
..
~ ~
/ // r' ~
\ (J U:rc ({ i..e )
"--- ~
--- ---
---
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o 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!
lNSNOTl
.
DATE TIME
(Ql~1 ~
ADDRESS ~~ S-(()DE;.GR~'5'\ fA! H
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ffS-l{ 01
o EV~FILLlNG
o C~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
AFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
&l.~t.-~
A...~ G012..& e:o")<, fl.-LiSt--\: wi bftA/'Jf;.
,
J.-.)o -1'~ ~ oR.. Sol)
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: dr:fUl Owner/Contr:
,. H' . 1-
CALL 447- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
.
DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED ~L -t...'3 ~
ADDRESS . Z~ ~ .
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ja' FINAL
/[J SITE INSPECTION
CONTR.
PERMIT NO.
3.U7
o PLUMBING RI 0 EX/GRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
tA.~~~~
r..J~ . ~ - '~.J'CM,T rt- -<.~ ~
V .
~~ 2- -,--~~ ~~,
COMMENTS:
"~~AL () _{j 0 ~O i>oe(e03'..
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ M Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTl
.
DATE TIME
CITY OF PRIOR LAKE 1/ : ocJ
INSPECTION NOTICE SCHEDULED c-.lCD~)
ADDRESS ;230~ S~0~~
OWNER CONTR.
PHONE NO. PERMIT NO. 0'3 - 6'?..~ 7
o FOOTING o PLUMBING RI o EX/GRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP ~FIREPLACE FINAL
~ FINAL o PLUMBING FINAL G~T
o SITE INSPECTION ~ECH FINAL o , .
COMMENTS:
~ L- ~':\A.-~"'- ~ ~
2. ~CL\ \ ~o,. .~..,.,.J." ~ _ I~P'''~;,'''''''' __ ~l'4... ~J...
~. ~.~ ..L.-- l..\'""P,Q~ ~T ~ p_
~~ ~.~
'4 - .~ ~. L" '..,""~ , .~ -
S. ~~~~-~t-~+ '~i (?~ ~
(p, p~ ~~N' ~ ~
.:1.. .~~ \?~\/7\ ~r ;~ ~ ~6T-
( ~~,' tM
0'
o WORK SATISFACTORY, PROJEED ./
o CORRE TION AND PROCEED
XCORR :CT )RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector.~ / _ Owner/Contr:
/ -
CAL~ 7-- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOT'
.
ADDRESS
'J30.3
DATE TIME
SCHEDULED (p Jt.l lfJt 3
?,
~'owY)r"e~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
CONTR.
PERMIT NO. j" 1-&J?
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
l!. PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMM~TS:
V: ~~ v. ~~"\~
L-c ~ ('-:1(lc l~ \ ~ .
- ~.v
o )"ORK SATISFACTORY, PROCEED
\IZf CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /" ~
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
.
.}/Z.'Ve3
~'nt~ {~~ '
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'J-~~
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
A WATER HOOKUP
~ SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
8.-1.fc-7
o EX/GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
I
!-t{)US 1---
C~~
-
},l
~\1
(~~ ~I.L~
l
./' / i~)
""7//
/ /
r r/i>
~ ~~V~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/JtSIIOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
.
(Please type or print and sign at bottom)
ADDRESS
d303
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.5 IO/JtfCCr~ j/C,)j1
LEGAL DESCRIPTION (office use only)
Date Rec' d
d-/t-3
~. ~i~~e ~:;y I PERMIT NO. o.'? " (J? I ~
3. Yellow Applicant !.? vIP I
~.?J'
ZONING (office use)
!(7J
I
Lor3t BLOCK I ADDITION 1?1 tdc.1C,la:/(// ~h'/
{)3g
PID,?l5>~-(/~"CL
~~e~R r~hl/~>I /*IY1~
(Address)/d~C<J C/j; 1~~x:.Ic,r- t2Je- 417,?JO
BUILDER
(Name)
(Contact Name)
(Address)
,;=5 Ct In f?
~,'/I
~ah1f7
..s1<~/?7N
/ -
~New Construction
~ower Level Finish
ptvt I'a I
TYPE OF WORK
o Misc.
ODeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
I~Cj_ 917V, no
t - ,-
(Phone)C;~-D233 -dsr/~
.mi'I)/} .;7"Q1/C '7
/lId
c:;-s- ~~3
(Phone)
(Phone)
q -S-d # 53 -d5~J
q~d-d_53-d5q'3
o Porch
ORe-Roofing
ORe-Siding
OUtility Connection
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 build' g 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;te< u'"'Z).:;;-= n<<<krl, dio~ ~ #;da:rZV 7 $7 J7 dJ //7 h:L
j/ Signa Contractor's Lfcense No. / Dati'
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
1'10 r-
I rr'L 1rJO, 01) I
1. 4Q7,7S.1
, q7! /S'f I
q {'. 00 I
I
100.00 I
100.00 I
lr.!)O I
I
..
'71ltl!l::. Ymg BuilWng P=;~;=d
Building Official Date
$1'1'1 /~ 7q
I~ l
R.~C~O. 9'376(/
BvL ~
o
OAddition
OAlteration
#
#
#
#
$
$
$
$
$
$
$
$
I). 7f 00
J.5D. Of)
41. 00
J J-OO ,00
700. Of)
I roo. dO
Park Support Fee
SAC
--
I WaterMeter Siz~l";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~-v J"'/J-o?
~7/l /, 77
~--IZ/I T
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 Cimer constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.11bf" f)~ J--),. 7-()J Q~ad cdl /1'~ ~ ~JKrt ~
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.
c-
-----::>
---
White - Building
~n..ry - Engineering
Pink - Pla~
The Center of Ihe take' ('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:
'/""
/ /
-;-
f
Accepted
A~ With Corrections
'5 ~ f;-. os
~
r11Jl ~~y: --,U . I
(,2... (C^,"",.l...en~r) ~c / cJ. , c:~\;j()
V'- ("(IC ~' ~IIII .
Date:
tld Ie '5
:s~ s--c:r3>
~ deli)
c:L.
"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".
T
, ---".,..-
Tho Coni.. of tho t.ko Counlry
<White - BUil~
Canary - t:nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~
s!-/Cj-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi is proposed at:
d303 ~ p~
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
(IU~
f2t2Pd a I{ rid k'5
Date: :{ --;-- () ?
c/- H <t.i1J ()r/Ii
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
<:'"t.;~nary . ~ngln~nng ')
PInk - f'tic........l:lO
TtH- Cf''''~r af ... I..k~ Cou..,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.--.- {
<:.,,;.? )( ,(.:-:>:L: ',,~.'\':l)i</:>:;~-;;;;;'-~"/
-j J." __ -:;,
.'~7" .. .-, f "___,,,)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whictl is proposed at:
~ . .'"'\ _ ' /~/ .. ri _,.i./,_',_-_.'..~"{'_ -":,_f--i"'I_,f",,/~~_,
,',-> -; [/ ,2;. .,...dL~::1--;:;::",:'" -:_.L.;::.:- . ... . - - ,
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By:
/IIl4{s
Date:
.::< -:2 Lj-03
Comments: See Reverse Side for Additional Information!
See Attachments. 1) Gr::lrlinE Phn _ ?) FmsioD rOl1trn! Me::lsllres
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."
.-J J
.
cO'd ltllOl
.. .......
/" P RiO "-'"
ro -~1' \
(t((I~\~<~\
\U { \, f1T I
, /
',."" - ~,. /
......:...~.~t: soy
CITY OF PRIOR LAKE PLUMBING PERMIT
Date H.ec'd
~lC;I~:.DJ": or Pr.!.!.!!-- '!:I_ct.. :in," :it oOCtOml_.__ __
ADDRESS I j
... /)/")1 (~ (J AJ /10 r ~
._._pI ,J {/ -::::.._,,__~ 1(' J() ( 1" I c.- ~ .
MIL
LEG.'\L DESCRIFTiON (Qtfice u:e (July)
LOT
ADDrTION
BLOCK
OvVNER /l It
(Name) -.L1..!f I!.f.f._._._
(Addrl:::I::J
~~:;~~~~Ua.l!t!i ~ \--
(Address) ___ft..tJ _.[fa/l!: \ we
(Address)
;.~;~ ~:,; I PERMIT NO. ""2r'l/1"'-..1j
J Vdlo.. A~pllell/ll ./ cr19
ZONING (,.,mc~ '.Il~)
PID
(Phone)
(Phone)
~/dlA
(City)
CJ52~ ~f2"ZI2J
,.,SJ',j-Q
(Zip Code)
(Contact Per.~on)
_.~!)PUCAf~E.~~~}NA'TURE _121~ #~_,t. . ) vi .lM.~
APPLICANT PLEASE COMPLETE BELOW
Qu:mtity Type ofFixtllre
=--=~.~:- -'B:\thTlIb with or \v~rliout shower
"",,_.___1--_ Disliwa:iher
/ Floor Drain'"
.J Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
/_... Shower Stall
I I Sinks
l . Bar Sink
L_~,,,___,_ Wate~..s:loset (Toilet) _____
Quantity
'1
FEE SCHEDULE
lndu~n'jal. Comrncl'd.d &. Ml.IltHJ.mlly 1% l)fjob r,;Co5t with <I :&39.50 minimum
(Phone)
I
)v1 add ci IL!:~_~.'~:_.
DATE
Type of Fixture
-'-----l
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-FJrnily $99.50
Residential. Additions & Altcration~ $39.50
Estimated Cost $
Building Permit It
PLUtv!BrNG PERMIT FEE $
ST ATE SURCHARGE $
TOT Al.PERMIT FEE $
rOnicc ;J'le O,'lyl
.50
ell/[. ~~'D I...
D'1\tG "Y/~
~s:
1141,.,.
ThIS Application Becomes Yuur Buildillg PCTmit When Approved Pa-rl Receipt No
o;~~ @ if B \IJ :&;:'
n"Udi",om'.i,1 _~ _1\ MAR 3 1-- - ,/}-J,., --"""--'-'-
!~ hour /I(ltic~ rorall inspections (952) 447.9850, [t.!<.952) 447_42'452003 LJ 7/
1.6200 F.agh~ Creek Ave., S.E., Prior L:lkc, ]'v N 55371-1714
By
8S:00 [OOc-8c-dtlW
I
JNIOJ8NIBWnldA3lltln
-
I
cO/cO'd
FR0I1 : HEAT I ~lG-COOL I ~~G- WO
FA>< ~n : 7634283682
Apr. 08 2003 03: 47pr1 Pi
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Pleue tV1?e or nrint and ,iRlll\t bottom)
ADDRESS
~: ::. ~~~. I PERMIT NO. /J '2_ '"""'l L 1
J. V.llo,", Ar~hOMI { / -J r-i-- V
d3()3
.3 \-oN:'. ULS-f. \\+\\ rJ. w.
ZONING (office' U~c:)
LEGAL DESCRIPTION (oIDce u!c only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
. C ~,i1~
I
ct\OMF\
(phone)
APPLICANT
(N ame)
(Phone)
(Contact Pcr~on)
~JF1ImIG a (:lOOUNG TWO HJ:~.
~A~f::;~~ (,"'UI ny ;",J. C:
a.t:!= 1:1. .. ')~r r..,",,'.
Ma ,Ie Grov_, MN ~5'Jo.;;.~,_;,.; I
t'i'p.~' 1.7P,. ~~~-
(City) (Zip Code)
(Phone) J /d "'. ~t... ~ -,cr..5//.' ?
4- r-~o3
DATE
(Address)
APPLICANT SIGNATURE
,---~ 0 c>(\K
\
APPLICANT PLEASE COMPLETE BELOW
.::gt-lEW CONSTRUCTION 0 REPLACEMENT .0 AL TERA nONS
FURNACE MAKE AND MODEL l< e.{1 iY~\- ,?)~ ifcfotl' 0 FUEL
FLUE SIZE ~V 0_ RETIJRN O~ENINGS'" ~ rNPUT &i OOl) OUTPUT
TYPE OF SYSTEM REA UNO OR POWER PLANT
~rm Air Plants 0 Stenm
DGravity 0 Hot Water
O}1echanical 0 Radiation
0"A~r Conditioning 0 Specinl Devices
~nt. System 0 Other Devices
71dd CJ
PLEASE NOTE:
Air Conditioner Unit~
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New CoO'.aruetion)
'FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39.S0
Industrlnl. Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Penn it #
DuildlnlJ Offidal
PAID WITH .
$ .50 BUILDING PERMIT
$ - - .- . .
- -m-~ l0 l~ IJ ill ~ 1iI./-'
,!paid I Receipt No.
J I APR 0 9 2003 Ii
[-o:\te u BY4--
1>att Cf7
24 hour notice for 1111 Inspections (952) 44/-~!~\J, ls-;(93.J ..../~"':ts-=~;:::::J f)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
(Omtf [IRe Only)
This Application Becomes Your Building Permit When Approved
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~::n ~:~ I PERMIT NO.3' ;;;;.&1
J . Yellow Apphcant
(Please type or print and sip at bottom)
ADDRESS ZONING (office use)
2303 STONECREST PATH
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(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
BRFNDA HUSTON
DATE
4/14/03
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
HEATmGORPO~RPLANT
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
REA TN 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
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 #
$
$
$
.50
PAID WITH
BUilDING PERMIT
(Office Use Only)
Building Official
Date
~~ ug ~ ~ ill ~ ~ {eceipt No.
-"tlat~PR 1 8 2003 3y
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-5 ~~. fax (952) 447-4245
I
.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~303 St.e~".e$.1' P..1'-t
NATURE OF WORK IIJ~.., ~"""S ""11.,1-, "^
USE OF BUILDING S.~.
PERMIT NO. C23-(J~b'7 DATE ISSUED ~"~7-0~
CONTRACTOR 1,~*t ""~1f '~"J PHONE%J-l.U-Zr-",
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
~<1
.,
3 /17 JfJ3
. \
SEWER I WATER I SEPTIC
FRAMING ~'/t/JorNp~
INSULATION
ELECTRICAL ML.
PLUMBING wi UN~ ~ t1;j ~1 J~~
HEATING (if required) ~ 4, / l--Z-/b'2,
FIREPLACE 6 ~<\ . Lllyu~
.~ASLlNEAIRTEST~ -" ((~ b-/v
- I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS ~ (A~ 0 {bt{LOj
(GRADING (Prior to Sodding) ~ t;.~? oj> -
BUILDING ~) Ie ~ bf$2.-~?o?
ELECTRICAL cLK._,./ -
PLUMBING ~~~'f-.~~\)An(~~~ ~I (,!~ ~~l~ c,lCVCoo
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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.
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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FOR ALL INSPECTIONS (952) 447-9850
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