HomeMy WebLinkAboutBuilding Permit 03-0747
<tt~rfifitttf~ lIf @ttupttnt1J
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing c1Jnspttfinn
~Final Permitted 0 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:
Use Classification .
SINGLE FAMILY
Bldg. Permit No.
N/A
03-0747
R1
Occupancy Type
R3
Fire Zone
Zoning District
T C . VN
_ ype onstructlOn .
Legal Description _
L7, B3, REGAL CREST
Owner of Building
Contractor's Name & Address COLLEGE /~fY
ROBERT D. HUTCHINt I '. /
, \ ~ 1. \ _l/.~~ing Official U .
Date:
Site Address
15356 JEFFERS PASS
HOMES, 7920 LAKEVILLE BLVD., LAKEVILLE 55044
City Planner,
DON RYE
Date:
~t tl'l
. ..
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 153 S { n
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED u- \'1-5-
3J'fq~ p~~
CONTR.
PERMIT NO.
:3 - 'lC-{r"}
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..e('PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
l. ~........ t<><>~~
2. ('Lo~/, ~ Y'\ - ()
~ , G C-4..J.ft Q9.^... ~ -:k
4(117- <t!'~
o ~ SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORREr~O-BK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: , I Owner/Contr:
CALL 7~J.{FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
"'r
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED \\-2tt -c.~
ADDRESS }5~ .~ ~~
OWNER CONTR.
PHONE NO.
PERMIT NO.
-.3 -0147
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
;zr FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ON AND PROCEED
o CORRE W ,ALL FOR REINSPECTION BEFORE COVERING
Inspector: .
Owner/Contr:
CALL 50 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QU~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
./ INSNOTI
"T
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File~ ~i~~e ~::y
3. Yellow Applicant
(Please type or print and si2D- at bottom)
ADDRESS
/S3S~
::J~ f~s;.
&.s'S
Date Rec' d
~ . 9. 03
PERMIT NOO:i-7t.f7
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK -3 ADDITION R -€'yevl C e es -t-
OWNER
(Name)
(Address)
BUILDEReo 'I /1 .
(Name) Ife,t;~ L' '~
(Contact Name) cCJ c:::.I. " c::
(Address) 79;20 La. K'~ () ,'11 e
/kJ/h~
Blud.
TYPE OF WORK
~ New Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ ..2...3S <Is D
o Misc.
100.-
/00.-
3S.SD I
40,00 I
This Application Becomes Your Building Permit When Approved
~?~ 6/3tJ~7
Building Official ' Date
(Phone)
(Phone)
(Phone)
LaK..e r.J I '/ Ie
OPorch
ORe-Roofing
ZONING (office use)
101
PID?5 - .3'~ . 6 S'" 1-0
i/~7-~9LJO
{.,f.2- ~ gs - 3:207
650 l( L/
fY\.tJ
#---
#
#
#
Receipt No.
By
ORe-Siding
DUtility Connection
$
$
$
$
$
$(
$
$
$ C?'757), CJ~'
W4tKi.,a
F/ '
-
/cJ.. 76,-
?sO.-
4<'.-
t ;).1)0. I
!Jbo.---I
I
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
iss~ ?~p 'lstJ/o~ Spp ~lrn~_ -'.-
Planning Director Date s~-~~e
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
OAddition
OAlteration
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 age the above,. ~...,oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted Ria . I 1m aware at ~ building official can revoke this permit for just cause, Furthermore, Ih, ereby agree that the city Offijal or a designee may
enteru pro ~rtytop orm needed inspections. ../ / .)0 9 --- l & / 1/ / ~
. Sigr\a~ Contractor's License No. I Dat[
.// '-'
I PennltValuation ;;t 3S'J C}()D
I Permit Fee $ f'14!i., 15.
I Plan Check Fee $ I L 3 1~ 3 '-t.
I State Surcharge $ J J '7 /" ~ S- C .
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid t;p 76U' O~.
I Date .-; - '2.:)..- 3
... -
See Main Fi~.e
C-White - Buildj!ig::>
l,alli:ll y ::'1:ngineering
Pink - Planning
Tht" Ct"nlt"r of Iht" t.kr ('ounu)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT flolk~, rJJ.. ~
-- Vi 0-
APPLICATION RECEIVED ~ -9 - 0 '3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5BS"6 C)1fYA A1 ft~
Accepted,/' Accepted With Corrections
Denied
Reviewed By:
~~
7~
Date: ~/J>6'.A6J
.
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."
See Main File
White - Building
Canary - Engineering
(""""l'mk - Plannmlt>
.... - .- --"~-'--
The C'f'nln of Ihe' t..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,1
j"
t~l
II
'.... Il..
/
"'-"....,..
0- (
) --
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~/25'1:.~
;". ;2--{'</-> I ,/.
/ ' .,' J
< / ~
.:-~--
Accepted
/
Accepted With Corrections
.
Denied
Reviewed By:
<2?~
-
7~~
Date:
~~~/o3
J
Comments:
..-,,,
f
':1
..'-"
,......
..4
'" .
"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"
r
"r".
See Main File
White - Building
~nary - t::ngmeenn9"::>
Pink - t'lanmng
The ("tnltr of the l.ake ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"f:c
-~ ,. ") ,,:...." ,"d ,-"' '. r~)
.... , _.,.....~_l',,~...,,'
'A/:;~r)I:
Ii :,.; , I
.~....
/ ,r, '2.
(.../7 -' :,-/ - , ~/ ,...;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I A/;,;?, C;'" l/"') " if /.:), ,
f-'.-- ,-/- b ! l .tZ.-.<,'!f-, .1' ,..: j
'~/,/} ()
",-I A _~'
Accepted X'
Accepted With Corrections
Denied
tTCfi
/ "." Date:
Drive" 6y Must a~e A Concrete Approach
1i1&!o~
Reviewed By:
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."
r
JIJI.i8. ~003 i~:4iPM
GEN2 RVAN PLUMBING AND HEATING
No.~76j P. i5 i8
CITY OF PRIOR LAKE
~ATING/A.lR CONDlI10NlNG/li'J.KEPLACE PERMIT
Date Rec'd
~ .
-i?,c .
~f!;~,::t ~;
(Pl~e: type: orp:r:mt and sil?;ll3.t bottom)
ADDRESS
/0 ~ 0-rlf-eIe-S
( ,
" ~:\~';~,.~~
y.. ~~. '"
I Pink
2, G<e...
). YoUow
. .0.,,'
- . '.. ..
"
{Jabs
ZONING (o~e:~i:
. . .
. .
". "f
... ':."
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK -3 ADDITION
(2gt/aL C ~cT
V
&:R ~,611 UiJ{ Giizj. i-i1wtl~ ) V)(~.
(AddJes~) 1 q W LeL/L{AI !lLp/ QNd, LtrJL{ V lit ,
APPLICANT n Itl
(Name) 11fYJ l- It U a//L
(Addr~s) jL/14S- ~\ Y!vD 0ffQ)- 'ftz). ,
(A~S) . . }
(ComactPerson) (JhxU~h' tcf II~ .
APPLlCANTSIGNATURE ('M.J~) ~
PID
(phone) qh1- - L/ Ifq -&;q1J!)
fh YJ I/j S{jZ/Lj"
(phone) r6';~LIa--3- (IL/L(
/0) W01tJU/Il:+ ! m n ~
(City) (Zip Code:)
(phone) (CS/ - Lf:?-3-- / l !jc.!
1-/~-{}3
DATE
(.
_ APPLICANT PLEASE COMPLETE BELOW
<, !]:NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FUllNACE MAKE ANb MODEl- U f7 no K 6J 2f:!,Q 3 -7 s/ll!$) FUEl. f7 fiT ~ b !JS -
FLUE SIZE RETITRN OPENINGS _,. _ INPUT '75:,1J7JD OUTIUT lAl'rJ}J2)
~ .
TYPE OF SYSTEM BEATING OR POWER PLANT
. gwann Air Plants
JGravity
Q,Mechanical
~ir Conditionmg
OVent, System
o Ste:un
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Unit::!
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multl-F:muly
FEESCF.IE:DULE
I ~.'o of job cost Residentlal? Gas Fireplace
$39.50 minimum
$9950 Rcsldential, AddItions &: Alteratlons
$64.50 Residential, AC Only
$39.50
Residential, He.atlng &; Ale (New Construchon)
Residential, Heating Only (New Construction)
$3950
$39.50
HEATING PERMIT FEE $.
STATE SURCHARGE $ .50
TOT At PERMIT FEE $
PAID WITIi
BUILDING PERMIT
Estimated Cost $ Building Permit #
Building Omcial
Dau:
~ i ~@ lE U
1\ D!YaL 2 2 Z003
Receipt No
'r, U~e Only)
'''-,
Jis Applicatio,Q Become!! Your Building Permit When Approved
By
/'
!f'
24 hour notice for all inspections (952) 44'~~O, fax (9S:n 447-124~
r
JIII.18. 2003 12:41PM
GENZ RVAN PLUMBING AND HEATING
No.2763 P.]4 18
Date Rec'd
CITY OF PRIOR Li\KE PLUJ.V[BlNG PERlVlll'
t#f'
.~.,,' '
,. .
C?lessc tV'Pc or -prin[ and sign !It bottOm)
ADDRESS
I '7'69.P \ f-fffe~ Pa&S
-,
LEG.AL DESCRIPTION (office use only)
LOT'7 BLOCK.3 ADDITION
I2e,Vlat (]/2l8r
v
Cll1111}u---&t& ti(JYnpj Lhr
I q ')C) (ttti/l i J {t} Po1 Vel. I Lalze.vlllf,
_~ (phone) liVj /- 4'2.3- I J~L-I
,}2.,o.CVYYlmAAIb4. 0/7 VI s~&J6
(City) (Zip Code:)
(phone) (cP5 1- U z-3-1 i Y l(
7~ ff-Oo
OWNER
(Name)
(Address)
APPUCANT n. (() II/', 1_
(Name) cJtIJ t;- YVV1JLLl.1 j
J
(Address) jL-l7L1~ <S. tzo1?fj'2~ T~.
, .
(Address)
(Contact Person) C h ie/So h' .-@J{ )
/~-;'fLJCANT SIGNAT1:JRE _Ctu..6fii) ~
~""
,\
...:....,
Quantity
I
I
I
-3
,
,
I
~
APPLICANT PLEASE COlYIPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 comp<u i.weDt sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
I
12 -J-
I
..= j'~' ~,.. '
-,~ ~l"i'~
.,
t. lUu~ filt'::
2. Gold City
J. Y 011011I ,o,-ppll"nl
, "
1<' ;
_~:;'I,r
.. ~''''''~~?);'
.?:;~f."
PERMff'N~.':' :~' ~.' .... .
. ~ _.,} ;" 0'7 ~7:. '
ZONING (O:ffiil:':,j~e)
...-.
. ..., ~ .
...~
PID
(Phone) q61-~LfJeg~lA'DD
Vh YI tJ5lJ1Lf
_'___~ DATE
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
! Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCJ::lX,uULE
Industrial, CommercIal & Multi-fanllly 1% of Job cost Wlth a $3950 minimum Residential. New One & l'wo-Famiiy $9950
Residential. Additions & Alterations $39 50
(Office U~e Ooly)
cstlInated Cost $
BuIlding PermlI #
PLUMBlNG PERrvIIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
I .....~is AppHcation Becomes Your Building Permit When Approved
-:~rr@ l{l1
, .pace
D3~ i \ J\JI 2 2 2003
24 hour notice for lllllnspections (952) 447-' '~5", fax (952) 447-4245
~---'---'- -:::.;"-'-"-'
Building Ofli.c:j:d
.50
PAID
8U/LoIN WliH
G PEFlMrr
-
, Receipt No.
~
\II.\BY (r
_..-I '1;'
JIII.i8. ~003 i~:41PM~" GEN2 RVAN PLUMBING AND HEATING'
No.~763 P. i3 i:j
I Gt",,~ Filoo
~', '. 2. YoUo'" Ctry..
3, G.>ld AWI!r.anl
"
...: ;
.~, --. ':,"';;.' if'
.:" ~ ", :~F
~~. ......'l
. " . :i~:,~;:i' .::.:"" "
PERMJT'Nob~~7f1~\: '
, . ,Date Rec'd
,\./~.
.(fi'~~
CITY OF PRIOR LAKE
SEWER AND WATER PE~lll
IPll"_'lSr: type or prinr and ~ign at bottom)
ADDRESS
/ U;85{JJ
. ~
~ J.t?'f1~K.\ Pa~s
ZONJNG (office'u.~.' '~'"
"",,,,\,:: .
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ,3 ADDITION
f! tJll1~L CRL6+
V
~=Rl~l k:qe, r('Au1 rtrmt\e ~ ( Vl Q . (phone) t/(tJl-t,/{c4 - (aqW
(Address) 1 q W la;~J:/1 k- '61 vd.; lJ)j{f1 vj 1 ~cn,j Wl Yl - ~()4~;p M)
APPLICANT 11_ if) ( -, I r l/ I I
(Name) cffVrt. - reJJf(lh j (l'hODC)JI/) - LI ~ -I I LI
(Address) ILJ7YS- 8. J(P) m~ TId, 1 ~f)WiY2()UlJ'L1, VVJVl ~
(AddTess) r~. ' (City) . (Zip Code)
(G.onract Person) nn JQ r~:fj I' a ( I ~ (phone) (r;t/) f - 47-'3 -II Lf\j
(:.;.~UCANTSIGNA~ C!llJ;Ji..)~"o DATE 7-/(1)0.
PID
{~.~:~)
APPLICANT PLEASE COJY.lPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of se"ver pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SLtlEDULE
Residential sewer and water Ime connection $3550 Industrial.. Com'J & Multi-famiJy 1 % of Job cost with a $39.50 lIuuirnum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PEIDvUT FEE
STATE SURCHARGE
TOTAL PEDfiT FEE
$
$
$
.50
PAID
BUILDING 'lVrn.,
PERMrr
(OfficI: Use Only)
This Application Becomes Your Building Permit When Approved ~R I &ceipt No.
D'" : 1111 L, ~ ~ 0 I'IJ JiE ~ .&--
24 hour notice for aU inspections (952) 447-9~O, fax (95.2) 447-4245 uj/ l/(J
By
BuildiDR Offici.sl
--
'"
J
87/11/2883 89:58
5877445555
BADGER EXq,
PAGE 82
..... .. ,'lo..a 1,...,....., I ... , ..
'.... '.I.. f~\".t.;.' ....\1\'-
,-,--- .-.".-.,...,-.-.,
i
"C'J""""
Date Ree'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
)1' Ie Uf IY~..!!)) M I .r)d...J.il.a It boll'OlIl)
ADDRESS
1535"'- ~ (J~
; ~:. ~,~ I PERMIT NO. '/ -'-'7(/-J1).
I c..l4 .1.,...._ 0 I '1 I,
ZONING (<)-'ft....J
I LEGAL DESCRIP110N (O-tfict uS( only)
l LOr I BLOCk 0 ADDITION
~
PID
y:2.~c.-Q
\t' -
i OWNER
! (Name) (~if ~ ~
(MdJ~s) /C1 :u, L h-.~ 131 U(')
(Addn" 1
(Phone)
h~
(elM
QS-2. - 'I'IY'.~ i?~
~JvV
(ZitI C04.)
. . .'
I APPLICANT
: (Nlm~) ~~J.~~ &y CCo u~ (Phone) 5'ol-(<-((.j~~S6S-
I (' I '-
(Add1ess) ~(5 LV '70+7, ~~ ~CA'\.~J~ ..J::;>u<-fto
(Mr1rUJ) ("' eeiry) (Z~ Code)
(CAnt&C'C Pellon) ~ 0 I' ~ (Phone)..s c~
lEPLIcANTsrONATURE ~~.G.-, ~~ OATE "7-~_a"3
APPLICANT PLEASE COMPLETE BELOW
Si~ of W1.rer service.J inches.
Location of any couplings from ~trUcture --('eet.
Type of sewer pipe. 0 ABC !31'VC 0 Cut [ron
Estimated length of sewer line _SDfeet.
Clean out (ifrequlrcd) located at feet from structure.
FEE SCHEDULE
Rctld~nt.ill W,lIlr &no wmr lill<< cOMeotlon $3 ~ 50 Ind\Jslrial. Com'( & Multi.family I Y. of job eost with I $;9JO mitllmum
~v.lllr'Qnnectlononly SI750 Walcrconnectiononly SI7,lO
EstimatW Cost S
Buildiol fermil;t. ..- .
,,-
SlJIL~;~D Wr,,-/
G PEpJ 6
. rr'vil,
SEWER AND WATER PERMIT PEE
STATE SURCHARGE
TOT At PER.\1lT FEE
$
S
S
:so
l"f 0.1,,)
\'
'ulldi,.om",1
PIlt
-
.~ (I'i .~ W~ \~\ "ecei~l No,
I Date ~Bf' / L--
. JUI 1 4 2003 _J / r
50, ru e~l) 4~9""']~ 7
----
BY~---
....:',....., ,
'pplle.tion Recomel Your Bulldln2 Permit When Approved
:4 hQIH "0111'..1 ror.n InspectIon. (\)5~).
FIRESIDE CORNER
#2530 P.003/003
(J'Jc~e rype or prl,nt lInd si~ aT b"ttQm)
ADDRESS
CITY OF PD1&R LAKE
HEATING/Am CONDITI~ ;, GfFIREPLACE PERMIT
lfIRESIDE.:. ~~Ie."! I PERMIT NO.3 - /LJ r ~
Date Rec'd
-
HEARTH&HOME'"
15356 JEFFERS PASS
ZONING (office U~)
LEGAL DESCRlPTION (office u~c only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
COl..LEGJ~,) j i' HOM.l1<;
(Phone)
612-685-3209
(Ac1.d.rel;~ )
APPLICANT
(Name) ~.J4ED PlRESID);JJ...B.A.ElRESIDE l'U;AJ3,..TT-l' & HOM~
(Phone)
651-633.2561
(Add-ress)
2700 NORTH FAIRVIEW AVENUF
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Con,cact P.crson)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9-R-03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTTON 0 REPl..ACEMENT 0 AL rERA nONS
FURNACE MAKE AND MODEL l:UEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
T.YPE OF SYSTEM IfEAT.JNG OR POWER. PLANT
OW3rm Air PlIm1.$
OGravil,y
] McebaniCl)l
:lAir Conditioning
.:JVent. System
:I Steem
] Hol WlItcr
W R2diatiQn
o Spccial Devlccs
D Other Devices
PJ..EASE NOTE:
Air Conditioner fJni[S
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEr.
HEAT N GLD PTF.R-TRC
Jndu!lfrinl, Commercial & MIJJtj-Fllmily
FEE SCHEDULE
1% oCjob CO$[ ResidenT,llll. Gas Fireplace
$39.50 minimum
$99.50 Resfdenr.illl, Additions &. Alterotions
$64.50 Residenrial, ^C Only
$39.50
Re~identia', Heating & Ale (New Consm.1ction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATJNG PERMIT FEE
STATE SURCHARGE
TOTAl... PERMIT FEE
Building Permit #
$
$
$
.50
(Officc tJ$C Only)
This Application Bec()mcs Y()lIr Building r:;99MJr~l\fn1NAP1MIfI ,log ;/Samand Receipt No.
j.~'- Suilder Div;.~i() r! Date By
~ JJulldlnlE rJtD?iO Fairvicw Avenue North Ro!QNiile, MN 55113 Ihotc 651-633-2561 Fax 65J-633-8884
IIUI/.I)/;;;'5 CI.l'n, 3~50 Wcst Hi~hw!lY 13 Bumsvillc, MN 55337 Phone 952~890.0758 Fox 952-~90-S408
2lJ hour nl)tiec for llll Insp,ection' (952) 447-9~50't..rllX (952) 447-4245
~''''''.n,e~l~euaa"olll loiN o,n!r"~IJ)f' 1.1..n~. G lIJ(I9I1'lI'
:..'
ilIJiI.Dl'IS ^SSilr.Ii\TJ(l~
o. ,.. ,.,t_ ....,..
r
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS IS 3St. ~e,*F/'e)1-' PASS
NATURE OF WORK r
USE OF BUILDIN ~ '
PERMIT NO. ~ ~- "7 ~E ISSUED .
CONTRACTOR ..t:'.iIJ11 ~ .. l PHoN6...&l" ~~ ~ O~
NOTE: THIS IS NOT A pmlT FOR AN OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ee Main File
DEPARTMENT ~ . -
BUILDING AND INSPECTION
INSPECTOR
DATE
, 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 Uc;, ,r;t}wJ
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
em
~ ?, "-
- ,--"jl
7~/(
I}
W //-2~
?-'~c
J
9---2-7"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I if/)
V/
( {.~ ~\
-
(JP (j!i, -/ h
UNTIL AB~HAS
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.
1/- 7...LI
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850