HomeMy WebLinkAboutBuilding Permit 03-0709
QIerfifirafe uf (0rtupanrl!
CITY OF PRIOR LAKE
~rpartmrut nf ~uil~iuB Jfusprrtinu
~inal 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:
Use Classification
SINGLE FAMILY
Occupancy Type R3
Type Construction VN
Bldg. Permit No. 03-0709
Fire Zone N / A Zoning District _ R1
Legal Description
L36, B2, JEFFERS SOUTH
Owner of Building
Contractor's Name & AddrtWf:NSMANN
Site Address 3943 RASPBERRY RIDGE ROAD N. W.
HOM~895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
,1/ City Planner DON RYE
\J v
ROBERT D. HUTCHINS
Building Official
Date: 'l - 7()-0~
Date:
./'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3']43
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 1l::2/}.()~
-
~~(
CONTR.
PERMIT NO.
~ - o7Q1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.*LUMBING FINAL
~ MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
at-> (~)~D~
CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL.: 7:~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'11C[l.{'3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED Lilt Llm3
Y..c.-~I{()~V'I/f vl~J., e...
· l v
CONTR.
PERMIT NO.
~-7eCt
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
rI PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(04 /^)~ (Ar.~--cPbv t/~~ r;LyAL-Kf'~,M,
'}-II S~ +-- (AHve.- IA\~ I~~t
3l 5~€- ~1Jvv-\.j\ U-J. '
LL l ~I Vt~tJJ. ~\l~k.~~~.
V~V~
6.
~~
i
~ r;~lcY--q f~ll
- l
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
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 &-c2-Q.3
See Main File~e ~:;y
3. Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
3q43
~N'IA) R1~ ~
LEGAL DESCRIPTION (office use only)
LOT 310 BLOCK..2 ADDITION ..:r-"e~
OWNER
(Name) ~e.~
(Address)
\<ot;s
BUILDER
(Name)
(Contact Name)
~
~-
(Address)
TYPE OF WORK
o Misc.
l-'a~)~
Drive } ~J.Je
Pl~
as o.-\:-.ove
~~
'PSNew Construction
OLower Level Finish
DDeck
o Fireplace
tsW
~""'"'
PERMIT NO.
() 3 /' 7e4r-
ZONING (office use)
RI
PID .;JS - 3~S - ntSn -il
(Phone) ~! ) l-{oc. - '-14.00
~
~ (Y\tJ
J
55 L.2.'.2..
PROJECTCOST/VALUE (exc1udingland) $ qS )CY"'x1
(Phone)
(Phone) ~ I") "I~- 4'-I(J()
7 (ctS..2} 440 -4587
1458
~ontractor's License No.
I Park Support Fee
I SAC
I Water Meter Size~; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
Paid 5:.J--;rE-. e:; ~
Date /0 1 () ~()?
#
#
#
#
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections,
$
$
$
$
$
$
$
$
10"', - I
leo, - I
3.'), sol
L/o I --1
w~~ ~) rr<2
Signature ~ ~~
CfSi cJ 0 C>
qscg, 75
hJ :3. / q
4'7"5'0
x
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
This Application Becomes Your Building Permit When Approved
~y~
Building Official
~/Ito;;'_ ~
, Dat~
OPorch
ORe-Roofing
OAlteration
$
$
$
$
$
$
$
$
$ .!5~'1l./#q41
() ./
R.ecei(No. ~tf /
By < .
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V
,Cj /.:!?/f'1 ='
Date
IJ. 75.,-
;)SO-
q 5"'.--
/ ri.1J{),--
70().-
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
~P"""~~_C--:d;;:;::~md'-~-oo"see1\IaiiiFre="~
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
T
OAddition
See Main File
White - Building
Canary - ~nqineering
( fink --.:..!"lannin~
Tht" ('("nfer of the L.kt" COUnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W!/!4 ,~'/(>, ,J ~X-/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '__'.
-3 cf I / .3 - II ,tAt
//f).t/ )(J d
_/
~
i
i
Accepted
~
Accepted With Corrections
.
.
Denied
Reviewed By:
Comments:
~';I
~~~
Date: to!; r..,Ld.3
(
,..'"
.....
" 'j. , J 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."
-1
~~
See Main File
C .White --:~uhaln9J
Canary - Engineering
Pink - Planning
Tht" Cf'nll'r of Ih.. L.kf' Counl,)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
w~~ ~~
~ - ;;;:; -0'3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-;3CJL/3- 1?~~ fi?/J/J~ JGd
. , ~ ~
Accepted / Accepted With Corrections
Denied
Reviewed By:
~'D^
,..
r::}~
Date:
~hG,k3
f f
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."
, u--r
lr
r
See Main File
White - Building
~anarv - t::ngineern'rg;>
Pink - Planning
Thr ('tn.rr of fhr t.kl' Coun1ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/. )
I JL..; .://'(.1..'! A,";,/,<J /};!.../;rt/
~ .~.,._". .,."" -..~, .F,. .....tI:::..,
tx::./
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-" ~ ~ ~_.~ .....-.
~:~..ol
.'...... .,,) ..--.,
c><"'(:'- ...;:;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--> ~"..-,
-< {f 1/." "'"-\ -
(:~}' .,.-/
_ r,...."""
(~~! lIJ_e"l,./~~l
i
i
.: ("'; /" (' )
, . I iJ-""
"7'..
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1Y/;J-8
5~ ~ fY7 4 ,''''' f,l-r
Date:
ro.- 7-03
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."
--IT
~-
I
~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec
i ~ ~Il~. I PERMIT NO.:::> __ -]/.{;
). Ytllcrw ^ppllCAl't ! I ~f
[?lease: type or prine and sil?;I1 at bottom)
ADDRESS
'~qy~ R~ ~ t\oc:td
ZONING (office use)
LEGAL DESCRIPTION (office: 1Ue: only)
LOT
BLOCK
ADDITION
Pro
OWNE1) . .1_
(Name)..1..' )o^"~ \~ Dr-.
\
(Address) \')$ClS 'P~ Q.......l~;;K:o
(phone) (S 1- '-Ioro - i/C/CO
~ I (Y\n S51dci
'"
APPLICANT; ..L. ,
(Name1- h...J::om,li'\:..u'~ ~-rn.n..a.c'1-~ [)--irWl &~I:J:~o.~ (Phone) '1l ,,3-.3 is' 75CC
(Address)~IO LJl~CmA n~ OJ -e. D. e:,U'T~R-C' '~yY'\ R:,.,..J<., fhn s...Sl('L/.C;
t, r:Jddrr:sS) c:J (City) (Zip Cocie)
(Contact Person) 4< (:i"'. U. . (Phone) 'l~3-3[ 5-751 (p
-v __ / / -....
APPLICANT SIGNATURE /l. /{-<.>> ,0:F.-?1 ."1\..I;,.;-7-,a,~ DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ~
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air PlantS 0 Steam
o Grav ity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVcnL System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ~-+, ';.. . -:sqOOV Rf( "-J
V
Indusvia.1. Commercial &. Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
S64.50 Residential. AC Only
$39.50
Residential. Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
$39.50
539.50
Estimated Cost :b
Building Permit #
HEATING PERMIT FEE
5T A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
.::l, ~Q, PAID Wr"'u
..:Ju'&..(DIN,:" h
G PeRM,.r
[Office Use Only)
Building Omclal
Receipt No.
.-:.......1... . 'I
I p~~ O. ~y!
icJL CT 2 8 20Q3 ,: !,J
Jilt
2' hDur notice for all iOJpectionJ (952) 447-98r~,vrllX (952) 447-4145 ' j I
?;,31aIHd 3~VHV~ ::lIl.VWO.Ll1V '-. .---~(jLiJ!iL\;(;~d Cl:i:1
f
f1aid
This Applkation Becomes Your Building Penn it When Approved
Dac<:
<:001<:00 iii
CO/S<:IOl
~i
~.
J
.. .......-.- I 9
. II n . ,
200r 8: 30Al'~.'.'
.GENZ RVAN PLUMBING AND HEATING.......
. '-.N 0 ' 6 6 9 3.......p, 4 i 2 4 ""-.._-...,,"~U'
'"
Date Ret'd
LIlY OF PRIOR LAKE
SEWER AND WATER PERlVul
i. ~w ~!.t. I PERMIT NO. -::2_ -:7/"1.9
l, 0.:.14 I'PI'II_. J tu
(Pkll$<:: type: OT'Pnnt;P:}d siwt a.t b"'....J.Ll)
ADDR2SS '. .
30/43 f<tupbe~/2tj I&dfle R-d
, ZONING (office U!~)
LEGAL DESCRIPTION (office we only)
LOT'~LOCK ~ ADDmON u-effe,eJ
Pro
OWNER
(Name) Wensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(A~s)
Eagan, MN
( City)
55122
(Zip Code)
APPLICANT
(Name) Genz-Rvan Plumbin2 & Hea~ing
(phone) 651-423-1144
(Address) 14745 So Robe-rt Td
(~) ~
(Conmcr Persoo) _ tn ru <s 11 r
. .. Y_ICANTSIGNATURE (} A
R0~p;1Jl.Oll.nt. 'IN
(City)
55068
(Zlp Code)
(Phone) 651-4.7.3-1144
~OPATE ~/ft;/~
APPLICANT PLEASE COl\'u LETE 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) lj:lcated at feet from structure.
ResIdential sewer and Water line connection
Sewer connection only
FEE SL.l::tEDULE
$35.50 Industria~ Com') & Multi-famjJy 1% of job cost with a $39.50 mmimum
$]7.50 Water coxmectio.n only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL rEKMIT FEE
$
$
$
.50
(Office Use Oaly)
This Application Becomes Your Building Pennit When Approved
Paid
Receipt No.
Dare
I By
Building Official
Date
24 hour notice for all iJlspeC'tions (952) 447-9850, fax (95.2) 4474245
Sep. 5. ~003 IO:37AM
GENZ RVAN PLUMBING AND HEATING
No.0181 p. 6 16
Date Rec'd
.
elT i OF PRIOR LAKE
SEWER AND WATER PERlVllT
i ~ ~~. I PERl\fiT NO.-2 _ //-/1'
l. Gold ~~cant .::-:; / L.r]
(Please ~e or PODt and siJm at bottom)
ADDRESS
!I1Lf3 !laSP~-teet ~{~
ZONING (o6ice IISe)
LEGAL DESCRlPTION (office we only)
LOT ~0eLOCK 01.. ADDITION '- P.H;'f./rZ~ S'D&(~~/,,-
OWNER
~~~ Wensmann Homes
(Address) 189.5 Plaza Dr Ste 200
(Address)
APPLIC.A.N'T
(Name) Genz-Ryan Pltlmbin~ ~J He.a.tinS/;
(Address) 1474'1 So Robert Trl
") (~ddres~) f'.., .
(Contact Person) _ CV1 WI-S: 11 . J1lL5--
. .... ':.ICANTSIGNATURE 01,~ "-*,,///\
. . . . \.......
'\~,~.:.,.
Pro
(Phone) 651-905-3709
Eagan, MN 55122
(aty) (Zip Code)
(phone) 651-423-1144
Rosemount. "1'1'
(City)
';')o6R
(Zip Code)
(Phone)
_.__ DATE
6';1-421-1144
q-F)-IJ?-)
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.
Residential sewer and water line connection
Sewer connection only
FEE SL.l::t.EDULE
$35.50 Industrial. Com'! & Multi-family 1% of Job cost wIth a $39..50 mmimwn
$1750 Water connection only $J750
Estimated Cost $
Building Permit #
ff~ u
\~ .
.UIJ SIP 0 5 Z003
U\
24 hour notice for :dllnspectlons (952) 447-9~ SO, fax (952) 447-4245
. \BY -----'
.------ J
SEWER AND WATER PERWT FEE
STATE SURCHARGE
TOTAL PElUfiT FEE
(Office Use Only)
This Application Becomes Your Buildjng Pe.rm,it When Approved
Building Official
Datt
I I
..
$
$
$
.50
lJU11. P~/D 111.
DING '1'1).,
P12~
'-'~i, \~eceipt No. ~
il 'i 1\ .1'1
\ ~y Ir
LJ. 1/
Sep. 5. 2003 10:38AM
GENZ RVAN PLUMBING AND HEAT!NG
No.0181 p. 1016
Date Rec'd
CiTY OF PRIOR LAKE PLUMBtNG PERlVul
1 Blu. file I PERMIT NO
2. Cold Cit\l . ':::2 _ ---, I'lC";
) Yella.. ~l_ ~ / \./ 7
(Please me or prine and si$:n lU bottOm)
I ADDRESS
<:3(/(LJ ~~
ZONJNG (ofliceuse)
T2a ~ p V)t/'2/U-J- (l) ~
, f-ffet€s ,\[{dZv
LEGAL DESCRIPTION (office use only)
LOT?(PBLOCK!) ADDITION
pm
OWNER
(Name) WenSl11ann Homes
(Phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, }IN 55122
APPLICANT
(Name.) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemount, MN 55068
(Address) C. (City) (Zip Code)
(ContactP=n) C VI rll.s-h Tuli \; '----.{:: (phone) 651-423-J.144
APPLICANTSIGNATURE rAA~il(l'/l DATE qrPj--rJ?J
,'..,..;-,:,.
Quantity
I
\
\
rJ
;
I
I
~
APPLICANT PLEASE COMFLETE BELOW
I Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower I 3 I Rough-ins
Dishwasher I I I Water Heater
I Floor Drain I }l'. <.t" Water Softner
1 Lavatory (Bathroom Sink) I' Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compar1ment sink I I Sewage Ejector
Shower Stall I I Backflow Assembly
I Sinks I I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
, Water Closet (Toilet) I Other '
FEE SL..t:1J!;DULE
IndustrlaJ, CommCTC1al & Multi-family 1% of Job cost wIth a .$3950 minimum ResIdential, New One & Two-Farmly $9950
Residential. Additions & Alterations $39 50
(Offi~~ Ust Quly)
Estmlated Cost S
Butlcting Permit #
, PLUMBING PERMIT FEE $
STATE SURCfu\.RGE $
TOTAL PERL'\1lT FEE $
8(jll~JjID WI"".
~tvG p f""
~F/M/'r
50
This Application Becomes Your Building Permit When Approved F1 Paid;,- "_~ U ~ ! Receipt No.
I ' 'Dare . I By /Jr' ",
BuildingOffici:l1 Date \ :: 1St P 0 5 70 Wl j I j
24 nour notice for all inspections (.952) 441~9850, fax (952) 447-4245
Oy
, ,
2003 10:38AM GENZ RVAN PLUMBING AND HEATING No.0181
CITY OF PRIOR LAKE
.l:l.EATING/Am CONDITIONlNG/FlRE'PLACE PERl\'Ul
(ltd OjfJ.
"f{-feK~ .sbLL~
(Please !\'PI!: or DOOt and siml at bOtlDm)
, ADDRiS~q43
t2A/11J ~M
I U
LEGAL DESCRIPTION (office use onJy)
LOT"1t7BLOCI< ;} ADDITION
OWNER
~~~_Wp~~m~~n ~nmPQ
(Address) 1895 Plaza Dr S~e 200
APPUCANT
(Name) ~en7-~V~,I'l 1'11\1l).l:.;nz ~ H~.;,r:;Y1~
(Address) 14745 So Robert Trl
P, 14/16
Date Rec:'d
I Pink. File
2. Gn:al Ci'Y
3. YoI'- A~ll"ft(
PERlVITT NO.
3 ~70j1
ZONmG (offiCl:utl!)
PID
(Phone) _&''''-,Cl_nl:;,-,~
Eagan. MN
55122
(phone) he; 1 -L.. '':\-11 L..h.
Roeemount, }1N
55068
(Zip Code)
l (~S$) (~, (City)
(Conract Person) (--h J.e! ~ t7 1b< . ( L S .-c' (Phone) F, I:i 1 -h. ? ~ - 11/.> a
APPJ..lCANTSIGNAWRE rA .I I~; -~ eo,/\ DATE qA:7~
APPLICANT PLEASE COMPLETE BELOW
.. .., ;., ~w CONSTRUCTION
FURNACE MAKE AND MODEL I P.lLLtlCiL
FLUE SIZE RETURN OPENINGS
TYPE OF SySTEM
mrann All Plants
DGravity
o MechanIcal
~r ConditionIng
DVcot System
FIREPLACE M.AKE AND MODEL
)J. ~!LACEMENT 0 AL TERA nONS
t:tiDJ 1 H - :3lJ;Jd -1{) FUEL yJ J9f -t:J ~
z::s- WUT In / D[!J") OUTPUT ":J Ce (D/) t2
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of Job cost ResidcntJa~ Gas Fireplace
$3950 minimum
$99.50 ResidennaJ, Additions & Altel'3.t1ons
$64.50 Residential, AC Only
Jndu~tnlll, Commercial &. Multi~Famlly
ResldcntlaJ, Heating &. Ale (New Construction)
ReIlidemial, Heating Only (New ConstrUction)
Estunated Cost $
$3950
$3950
S3950
Building Pennit #
$
$
$
PAID
BUILOIN WitH
G PERM,.,.
REA TING PERMIT FEE
STA IE SURCHARGE
TOTAL PERlWT FEE
I('r".. U'C Ooly)
50
i
o 5 2003
: Receipt No.
t il
\ By
. ...Ii Application Becomes Your Building Permit When Approved
Bujlding Official
Daft
tl
24 hour notice for all inspections (952) 447- )850, fax (952) 447-4243
B '
Y ~C_"'~.._-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .39t./3 1i{a.S^)"l"ry ~~ I?J
NATURE OF WORK 1Ve,u) ~- I
USE OF BUILDIN~ 5 F D
PERMIT NO. U 3 - 7/)" DATE ISSUED
CONTRACTOR PHONE tlI./O.qS'l'l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
S. Ivl. ~.l
DEPA~TMENT OF ee . aID ~l e
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST M~~ ~..,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ /o-r)
f// /.?-" '!>
tf?P jI::<?
/p_ ,t'c7-(?
/'LY /0-'<1'
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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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FOR ALL INSPECTIONS (952) 447-9850