HomeMy WebLinkAboutBuilding Permit 03-0269
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CITY OF PRIOR LAKE
~rparfmruf of ~uil~iuB Jjusprrfiou
~Final Permitted 0 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
Bldg. Permit No.
Fire Zone _ N / A _ Zoning District
03-0269
Use Classification
SINGLE FAMILY
Legal Description
L7, B2, JEFFERS SOUTH
Owner of Building
Site Address
3791 RASPBERRY RIDGE ROAD NW
Contractor's Name &Address~ENSMANN H~~~~895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122;
ROBERT D. HUTCHINS r V r City Planner DON RYE
JJ-- ~O~~icial Date:
Date:
~
'~"
,.~
tI\~ ~~ .m
SCHEDULED ~
~lq I ~f\":>P>fR~ 1 ~ Ki)
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
""""-Rf FINAL
"'[J\SITE INSPECTION
COMMENTS:
G~~Of--~
nME
CONTR.
PERMIT NO.
()~-U'01
o ~1FILLlNG
D~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
L:~~ f,-1oPS - 0 \.(
,
1~~~
J
},.:)()X'Jf\
-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTi!; WRK, C LL rOR REINSPECTION BEFORE COVERING
Inspector: / ~ '\..., Owner/Contr:
CALL 447- 850 FQR, TH~ Nr:X;T INl)PEcnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
UtS/IOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
s7Q(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE nME
I ~-IO -03
~SV'~/"I e(dc<,~
CONTR.
PERMIT NO.
~ -- 2~ "l
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
5:ad- ,/ .~C-r'.5
~
I /' lor
\L/L ~L-
"--
-----
.~
F-:,r6 ~
./
~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CA~R REINSPECTION BEFORE COVERING
Inspector: 1/ ~/ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOn
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ?79/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
(o- Z(.p
~-f2,'l
CONTR.
PERMIT NO. 0 J .. '2 ~ 1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. h'~ G~
~~~~ b..t.~p ~
rr ~...;z/-tf)~
2. ~oA t--~NU
~~
~
~-I-07
/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
XCORRECT ALL FOR REINSPECTION BEFORE COVERING
>
Inspector: Owner/Contr:
CAL 447- FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFEIT!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3 t"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
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
~~(~
DATE TIME
a,-llJ '01
~
c:r
3 - '2.kli
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
hORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~ 4ALL FOR REINSPECTION BEFORE COVERING
Inspector I I j k Owner/Contr:
CAul44.)j8~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~REMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
"'-T
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
z,Z/-03
Main File
I. White File
2. Pink City
3 , Yellow Applicant
I PERMIT NO. 03 -oZktlI
I
ZONING (office use)
(Please type or print and sign at bottom)
ADDRESS
3,Q\
\t~'bef'N
J
RJJ.a~
"
RocA
tJw
LEGAL DESCRIPTION (office use only)
LOT I BLOCK ~ ADDITION
..:Je~
.So.A\\
PID .;;lS- .3QS -~l-O
OWNER
(Name) Wef\8MA.tf\.r/\
(Address)
l~qs
t-br'\"e~ ) ~c.. .
.p \c::Q.~ Dr-,,~
~~
~oo
(Phone) ( c..5 I) 46C? 4l/:JtJ
&-0 CU\ M &J .ss , ::2.:<.
cJ j
BUILDER
(Name) ~ o..e. ab:..~
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~ew Construction
OLower Level Finish
DDeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
o Alteration
OUtility Connection
o Misc,
PROJECTCOST/VALUE (excluding land) $ qo -,000
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,
X W~'MDJNA t-b~ - .:r '^-r l'-ISg ~)..;;t Ilo~
Signature , 'p~ Contractor's License No, Date
,
Permit Valuation "90, ()tJfJ, tJ() I Park Support Fee # $
Permit Fee $ 'eJ ~ 3. 7 S i I SAC # $ /,;1. 75,00
Plan Check Fee $ (,(Jd, ~L/ ~ I Water Meter ~;l"; $ r;25D, ()O
I State Surcharge $ "/5. ~ 0 . I I Pressure Reducer $ ~S.oo
I Penalty $ 1 City SAC and WAC # $ / ZL>O.IJt:)
I Plumbing Permit Fee $ /()('), 00 I Water Tower Fee # $ 7fJ(),. (J(J
I Mechanical Permit Fee $ 10/1,. {)O I I Builder's Deposit $ 1500.00
I Sewer & Water Permit Fee $ ,'s, t;"'o I lather $
I Gas Fireplace Permit Fee $ ~O.OO I I TOTAL DUE f/f' 81 ~ .1D7
This Application Becomes Your Building Permit When Approved Paid (; ,j / 9- ,'" ! Receipt bfo. O'r~cJ-
~1~ .1//1/ tJ :1 Date --=-J-11'p B(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
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
~ PI '? ~D~ ~ 3//1/ ()D:J ~ tJ.t.J's .'al d' "f "
annmg Irector ate pecl n ItlOns, 1 any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
Main File
White - Building
Canary - 1= .neering
C"Pink - Planning
Th. C.nl., of Ih. \.ok. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. /
II'
\. _..PJ~/t /lV'!/ I- ('( I L I L
/ -, .?
~ - Z / - C-'
/11
\ l;_ ,"" .
'>/' i I/Ic~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-.-) -/"//"\.! I "t" .'. .... .(', L) ;to^' ./ . , ./ ) ,
"--', - , '/1u~-T..'.. ..L. '. '. ...('
" ,. - ..' '/'f . ~
,--. I / I r 'vi ~"j'{ , ....../ .~/;' ,{: I/i~ l '--- (I (II, .
J ~J
Accepted
Accepted With Corrections
I/"
Denied
Reviewed By:
Comments:
~
~
7~
a4~
(J
Date: .J/II /03
"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."
~
Main File
(w~te., - Building:)
\;anary - Engineering
Pink - Planning
Thf Cfnl.. of Ihf l..kf ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
q~~
2-z/-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
37q / ~A/U4 ~ 78n:td.
/ () tJ -
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~ :t~ Date: 3/1/ /OJ
~a-U ~~-~,
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."
Yfain ~ile
White - Buildina
<'~~nary . Enaineer.!!J.g)
Pink .; Planning
Tit. ('...,., of IIw I..... ("OUlltry,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~i /
,r <1/ . /1." !
" ..J) L-'fl~-1/ /.,-0-'1 f..... / '-
- /-
2-z/-C3
/4/
, ?
" ~~/,' '/] /'
\..'7' I i.- /'~'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..-.~j .1'/-; .. ? ~
,..---; -J /7 ;' .../.f-...../" .'/' ~. / / _
-< I '-"/ I r y",'; I' ,', ,; I 1\ " ---J- j .,'1:" ./'j I' ~ ' .J ~-""1 /"'lr"/'
,._~ - I -' / L,.,/,.:.t,'6::::";t" ~b.u";\.f.~ V /_~..~.'...,~ /l__....z.,......i/ t...-t..I...-<..--" / .,_/:/ t:t.-..- .A'-'
I ~ /1 .1
/, t,
v
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IiJ4l3
Date:
'3 -'-/-03
Comments: See Reverse Side for Additional Information!
;n c,"" h'le
See A tt~chments. 1) (Jradln~ Pl~nJ 2) Erosion ron..troLMIO'~.surpc:
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 tbis code or other
ordinances of the jurisdiction shall not be valid. II
.
Feb.24. 2003 4:24PM
GENZ RVAN PLUMBING AND HEATING
No.4431
p. 2 4
Date Ree'd
~
..~~~
)-..;,.,~~:'~~~,.:i.~.\":~'.' /ttNe s 00{....
CITY OF PRIOR LAKE
SEW-:ER A.1~ 'WATER PERMlT
1 GAOI1 Fil. PEnl\'fiT NO
2, YeUoUl wit. Ai" 1 .. J... "'\ J q
J,. c:;.,1<1 Applir..ont .} oL-lo
(plp.a.~p. type or ponr iind ~ at bottom)
ADDRESS3r;q J f?aSi)hev.rl1 Ridje red
~:;1:~:rr~=:::)O~ff6r~ SolliR
ZONING (afficeu.';c:)
Pro
OWNER
0NanJ~ ~ensmann Homes
(phone) 6.51-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, ~rn 55122
(City) (Zip Co&)
APPLICANT
ON~e) Geoz-Rvan Plumbin~ & Heatin~
(phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemount. "N 55068
_ Cbdd.ress) (Cicy) (Zip Code)
(ColJtactPe.rson) _ / aJYJ eve:<... . _ './'I /'I ~ . jEfone) 651-42)-1144
'rJICAt~TSIGNATlJ"Rj; 0gnVJ1-/ r~ d-fC)~/O~
~
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.
ReSldentlal sewer and water line connectlon
Sewer connection ollly
FEE S{;J:U!:DULE
$35 SO Industrial, Com'l & Multi-fumlly 1% of job cost with a $39.50 IDlUlInurn
$1750 Water connection only $17.50
Estimated Cost $
Budding Penult #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERlVUT FEE
$
$
$
.50 PAID WITH
BUILDING PERMIT
(Office U~C Oaly)
This ApplicatioD Becomes Your Building Permit Wbe:o Approved
-'..J!airl , Receipt No
~ ~ (r\J is n nn ~ :: '_
U)~ By
~.
U
Building OfficisJ
Dst!:
-MA~ i 8 ZU01 r-
24 hour notice for all inspections (952) 4- ,1'-7850, fax (95,2) 447-424s.J
By
2003 j:4iPM
GENZ RVAN PLUMBING AND HEATING
No.9302 P. 720
(' CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~'ll<EPLACE PERM:IT
Date Rec'd
~~:'.':n '2:~, I. PEAAUT NO:) _ '\ /"- C;
) Yoil"", Appla=t r ~ d<O (
(PIcase tYIl~ or prJnC and si~ at honol'll)
ADDRESS
3~I.~~
\-
ZtriEp
ZONlNG (offiCcu.se)
LEGAL DESCRIPTION (office use only)
LOT 1- BLOCK:;}, ADDITION \\p.-f-exs ~\fJl;:jJF"\
PID
OWNER
(N"amc) lJpn,:::m,':l"''n ~r"'"''''
(phone) 6 5 1 90~
Ea~pn, 1-1N
55J.22
(Address) 1895 Plaza Dr See 200
APPllCANi
(Name) Gen.~-'Rv;:ln Plumbin!? Fv Hetlt1J"1:'
(Address) 14745 So Robert TrJ..
(Conucr Person) -Ut~~A:~ .
APPLICANT SIGNATURE _ r) . ~ I /)
(phone) h"il-u?':\-116L.
Rosemount, MN 55068
(City) (Zip Code)
(Phon:A~~' -L.?2j) 1~/o~
APPLICANT PLEASE COl\1PLETE BELOW
~NEW CONsnUC110N 0 REPLACEJ\1ENT 0 ALTERATIONS '"
FURNACE MAKE AND MODEL.lQl1oo.X' ~!l- 3/,(' ICl FUEL J1BJ bJlr)_~_
FLUE SIZE RETURN OPENINGS I--) INPUT ~I rxn OUTPUT /:if/}, Otf)
TYPE OF SYSTEM KEATING OR POWER PLAl"fT
r1nvann AIT PI3I)IS
[j'Gra:vity
o Mechanlca..l
~jr C<:lnditioning
. :JVen!. System
t
o St~am
o Hot Water
o Radir.tion
o Special Dev!cc:s
o -Other Dc.-vicc::
PLEASE NOTE:
Air ConditlOner Units
Cannot Enc"foach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
-,
Jndu~tnal. CommercIal & Multi-Fami)y
FEE SCli'EDULE
1 ~'i> of Job coSt Residential. Gas Fin:plac.e
$39.50 mmimum
$99 50 ResIdential. Additions & Alterations
$64,,50 Residential, AC Only
$39.50
Rcsldential. Heating & AlC (New ConstructIon)
Residential, Heating Only (New Construction)
$3950
$3950
Estimated Cost $
BUilding Pennit #
REA TING PERJ.vrIT FEE
STATE Sl1RCHARGE
TOTAL PE~rrr FEE
$
~~[E @ ~eOm [E ~.
_ _ -AE.R 1 1 ?-OOt- _ I
-.2aid - _'J Receipt No.
PAID WI'I"IJ
8UILDING · ~
PERMIT
(t"~ . U3C ()nly)
...s Application Become.1 Y ou~ Bu.iIding Permit When Approved
Building O~ci:ll
Dllre
fjP)sre
'1
!BY 9'
V
24 hour notice for all inspection~ (952) ..W7-98~O. fax (9S1)i47-4245
APr. iO. 2003 i :40PM
GENZ RVAN PLUMBING AND HEATING
No.9302 p. 4.20
;;?PR1~.
~~~
<~.\~i,;:;;:IJ;tv,.F. s o~ ~
"'ij);.\\'~'\'
"
CITY OF PRlOR LAKE PLUl\1BING PERMIT
Date Rec'd
~. ~~~ ~i~ PER~ NO.2 _ ') & Q
3, Yellcut Appjl<G1lC .) C7' J
(Please ~e or pnnt U1d SlJ!;ll at bottom)
ADDRESS
31t11
ZONJNG (offi.:e U$e)
LEGAL DESCR.lr HON (office: use: only)
LOT :rBLOCK~ ADDITION "Je*f~ ,\
J(tL~.Dbe~.~ J<} dtJiL
1 . cJ 0
~~~
PID
OWNER
(Name) We.nsrnann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, 't>fN
55122
APPLICANT
(Name) Genz-Ryan Plumbing & tiea.ting
(phone). 651-423-1144
(,Addrc::ss) 14745 So Robert Trl
(Address) -.....
(Contact Person) C1l1 ~Lstl '-z;r)1s
APPLICANT SIGNA TUR.E r ~ '-=to ~ 1-0
RosemoUnt, HN
(City)
55068
(Zip Code)
DATE
651-423-1144
J{fjQjE_3
(phone)
.APPLICAJ.'TT PLEASE COJ.\tJI>LETE BELOW
Quantity
Quantity'
I
,
I
~
,
I
I
Type of }i@'ure
Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 La"atory (.Bathroom Sink)
I Laundry Tray (l or 2 compartmE."nt sink
I Shower Stall
I S jnks
I Bar Sink
I Water Closet (Toilet)
\
(2.-.I-
i
I Type of Fixture
Rough-ins
Water Heater
Wate( Softner
Stand Pipe (Washing Mach,inc)
Sewage Ejector
Backflow Assembly
, Backflow Assembly Test
I Lawn Sprinkler
I Other "
~
FEESC,tl,t;D'OLE
Jndu~tl"lsJ, CommercIal & MlIlu-faImly 1% of job cost with a. $3950 minimum Resi.denna.l, New One & Two-FamIly $9950
Residc:ntisJ, AddltiQllS & Alterations $39 50
EstImated Cost $
Bu)]dmg PeJ111lt #
Building Official
D:t.te
$
$
~
l~(0~UW~I-\
Paid I Receipt No
APR 1 1 2.D.O.L__-
Date -l By q-
i/
50
PAID INft.. .
8tJILDING"'" '11
PERMIT
PLillv1:BlNG PERlvlIT FEE
ST A IE SURCHARGE
TOTAL PER1VllT FEE
(Offie:e: Use Only)
This Application Becomts Your Building Permit 'When Approved
':-y
24 hour notice for sn ln~pections (952) 147-YS:'U, lax (:1::1":) 44'/-4..14::>
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec ,
I. Pink
1. a.-n
], Vell_
~I~ IPERMITNO.~~.-D.
Appllcan. . U l/ lV \
ZONING (alllce use)
(Please type or print and siJlD. at botmm)
ADDRESS
3, C1 \
.~ T~ Rtkzj'J~ R4r
~
LEGAL DESCRlr uON (office use only)
LOT
BLOCK
ADDITION
PID
OWNE&. , . 1 \.
(Name) W~ ~'r r \..Q..O
\
(Phone) (pS1- Y'O(o-WOO
(hn S:sID.
I (Address) I~s ~~~. tt~: ~,
APPLI~ + _ .
(Namej...l.uJ..ufftQ,tu. ;l""{~Of ~, S..A.Q.CQO~ (Phone) '1Co3-315-7500
(Address)~IO LJl~.n~ Q.I'f'~D; ~1A(::t.Q.~r""' Fb..,Jt: l'hn S-<::j~'L/.c::,
, '. (( ddress) 0 (City)
. .
(Contact Person) +<1-1""'. tJ , (Phone) '7lt:3~ 31 5-751 (p
APPLICANT SIGNATURE .~:;) jj./}1,(?\..G.ff'-'a,~ DATE
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
2'NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE Al\D MODEL I1UEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
.. DWann Air Plants
o Grav ity
o Mechanical
OAir Conditioning
DVenl System
o Steam
o Hot Water
o Radiation
o Special Devices
o Othcr Dcvices
PLEASE NOTE:
Air Conditionet Units
Cahnot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ~,,'~ .39.cJDVeJeA-J
(/
Residential, Heating & AlC (New Construction)
Residential, Heating Only (Ncw Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39,50
Industrial, Commereial &. Multi-Family
$39.50
$39.50
Estimated Cost $
Building Pennit #
Building Official
PAID .
BUILDING WITH
PERM'"
\lP rp -., J
'! U L!; r: t~iPt No. _
m~e MAY - 1 2003 ~ If
~I
24 hour notice for all inspections (952) 447-98;lBf8X (951) ~24S
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
)iU~,
Dire
trOO~
A31aIH~ 3~VHV~ ~I~vwo~rrv
60LOSTC6T9 xv~ LO:CT CO/S6/trO
_. . ,'" '.-,'._,;....-......~.,
.....-'....11:<
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 37q ( ~SEll.fI,.V ~'.O<SE l&Ab
NATURE OF WORK NE.ItJ CDtl..r-.u.crlw
USE OF BUILDING , S.F.~.-
PERMIT NO. _ 03--02&9 DATE ISSUED ~11/,~
CONTRACTOR ~~ ~ PHONEIiSI-_.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
TH~PERMIT IS BY SEPAFJAT~/DOCUMENT
D~ PtlR 4v~l~ 5h/03t,f~ INSPECTOR DATE
FOOTING I ~ 'J I tti /~3
FOUNDATION (Prior to Backfill) 5 v~:t-J jJ~ .? --2!0 I
I-t.L I2T!LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Jf7f7 5'-/<../ ROUGH - INS
SEWER I WATER I SEPTIC 3 Ujl\l.t~ ~ "-:J-lr-cJ3
FRAMING (' ~~ ~WANP~ ~ 6'Ir/l13
INSULATION j///yJ
ELECTRICAL (~ .
PLUMBING VI&-' W(' /..\')1'~ I LVC- P
HEATING (if required) W ((' ," -' pbf-
FIREPLACE ~
GAS LINE AIR TEST "'7/A
DEPARTMENT OF Main f'4ile
BUILDING AND INSPECTION
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to Sodding) ~ r./ J. d?
BUILDING 1~ ~ ~.,('O 7
ELECTRICAL ' ./
PLUMBING (If; 67- I (
HEATING €b
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.
FOR ALL INSPECTIONS (952) 447-9850
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