HomeMy WebLinkAboutBuilding Permit #03-0329
QIertifitate of (0ttupaUtll
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jlnspttfinn
~ Final Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the require"!lf'nts of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was i'fi 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
_ Zoning District
03-0329
R4
Occupancy Type _ R3 Type Construction VN Fire Zone
Legal Description. L29. B2. FOUNTAIN HILLS 2ND
"
~
ROBERT D. HUTCHINS
C~ng Official
J-t ,t4 . ;,rf (jJ Date: -
POST IN CONSPICUOUS PLACE
Site Address 14233 FOUNTAIN HILLS CT. N.E.
PLAZA DRIVE, SUITE 200. EAGAN. MN 55122
DON RYE
,-..:
..;.
Owner of Building
Contractor's Name & AddreHENSMANN HOMES. 1895
City Planner
Date:
~'l <, ">~lliIc"..;,,,,,~t"-i,,,- ...:i".' {,ii; ,;"L'J;..;,> '~('I:C"~.....-'!i;:.....,,L;fii,,;hi\;',-, """'Hi,..::.. iij; -, ',::,S:.:.!., ';';~{':';;i,,~'\ld;..:'.L~:;:.n:,~:~A> i~\. .. ,;.\i,",j<";"".J:~';'''J>;l:,.,2.'''~ i../:;". <,,"'.:.. 'I'"
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED tu.1-~Ls3
ADDRESS -LY~.~.3 ~T~ ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO,
3 '32--~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
fO SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~~~
Inspector:
~A
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
II
TIME
.1 CITY OF PRIOR LAKE z.~Oc
INSPECTION NOTICE SCHEDULED
ADDRESS /423> ~ F~
OWNER CONTR.
.....,
PHONE NO, PERMIT NO. 3-:>21
o FOOTING o PLUMBING RI o EXlGRADIFILLlNG
o FOUNDA liON o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAl{2.S- o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
:!
,
I
, "
'.
~
~rlA\
I U/-./ U/'--#C-
\
I /
/ /
10 fl!J-
(/ ~
I /
I:
O~ ::iATlSFACT Y, PROCEED
~ CORRECT A Q 'tD PROCEED
o CORRECT . C LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447~850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJiS/iOTl
I II .
DATE TIME
CITY OF PRIOR LAKE I J,...,
INSPECTION NOTICE SCHEDULED ?IIC k3
ADDRESS --/L!j2.3 3 ~ l~
OWNER CONTR,
PHONE NO.
:'> .. :3 2J;t
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,:It FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
1.MECH FINAL
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMIJENTS:
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
I/VSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
7!Jb[fJ3
jC{7-~3 ~ r~(L,
nilE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
'-.5-ut
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
r;;1 PLUMBING FINAL
'0 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/
o WORK SATISFACTORY, PROCEED
o ~ORRECT ACTION AND PROCEED
)Il' CORREC~ FOR RElNSPEcnON BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
_n
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1/
);:t~~Print and si2D- ath~~~v~) See Mai.n---FiIe
1. White File
2, Pink City
3 . Yellow Applicant
/'1233
t=ou....J -r-A iN
LEGAL DESCRIPTION (office use only)
/4flts
1----"'-
.,
V.E: .
I LOT"Z$BLOCK 2. ADDITION 1=C>u,J"fA;"..,j l,b'tl,
OWNER
(Name):..uieN ~M"aJV,..j
(Address) / yq~ P(~'Z.A
BlliLDER
(Name)
(Contact Name)
(Address)
~...G
2Jo/J)
I~.~s
{:)n... ~ t..OV
TYPE OF WORK
,
~ew Construction
OLower Level Finish
o Misc.
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
(Phone)
tf.AatA AJ
(
(Phone)
(Phone)
ODeck
OPorch
OAddition
OAlteration
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
//3. (j()O,OO
$ l ,,(,,(p.5~
$ r" 93. 'UP
$ s;(p ,S-V
$
$
$
$
$
/Oo..cJ1)
lOlL (/))
J5.5V
'+0. r/lJ
X:;:732:J;~~
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 Orv}'';'nf to Perf~ons.
X -- ~~ Si~~~ ~:::~LicenseNo. 3-7~~3
., ...... -
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Building Official
Date
Park Support Fee
SAC
Water Meter size9"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
. J,
f/A-/ /~ ~ /
~ 4//0}
Date Rec' d
3,31-'1
I PERMITN~3- o~9
ZONING (office use)
R~
PID .:l5"r ,?'1o- 030-0
,,~7 ~06- <('1dO
<!:7 ~ ;;l
ORe-Siding
OUtility Connection
#
$ 650. tV
$ /,.z. 75_0 O.
$' ~vu
z,':::.u.
$ +5". (f1J
$ I, 2--0 0 _ () 0
$ '700-(JO
$
$
#
#
#
$t,f4/1.8/
/)
ReceiptMo. #r..xl 7
BY{j
This is to certifY that the request in the above application and a~w..,yanying 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
~~~
Planning Director
3/3'1/0::1
Date Special
24 hour notice tor all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
./
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See Main File
White - Building
Canary - Enqineering
('1"mk -Planni~
Th. e.nl., nf Ih. ...k. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.'
NAME OF APPLICANT
APPLICATION RECEIVED
t LJy,;/Jl??JJtl/)~ I.
~
'~-:1
-" -
/-03
~- "J
The .Bui!ding, Engineeri~g, an~ ~Jann~ng .Departments have reviewed the building permit .
application for construction activity which IS proposed at:
'" i 1'-' "3 <<'7" 1;" Iv' 1"0 / ", Ij-'
I ~l '" ",-, , ' /. ..
/ t. j._ -, ,.r,:- /1//' ,,' //. /p /) ~,
. I . .. ,.c.' .- tt"'L. ex..'
. ,
'-.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
v~~
Date:
3/f( /0:7
J
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."
')
)
II M
See Main File
White - Buildin9-.....
(_..;~anar:v .. En9lneerinq:>
-PInk - Planning
~ ("...., of IIw I..... ('ou..ry
BUILDING PERMIT APPI..CATION DEfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ j)tUt/YrJ-1~)t~ ~,hllk.>:J;./
~?.-) /_1') ~
~.,.) c.:::;;"L..... (;.1..../
The Building, Engineering, and Planning Departments have reviewed the building permit
application for.construction activity which is proposed at: ~
'.3 1 ~-' . W'/ %'" /7j
( .... "~.", I' ,/1 " _
/ I-! 'I ,? .--. ./'l-t.... '~/",J , /) '" /1.1 . I ,,' ( 1_,..
.( r c;^.. '- ' t'/ //(../'., ':A,L..-f.,;-'''' '....-' - ---' "
.....--'
, Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
tm13
Sr.t-. ml:f"~ h'{1
Date:
l/;'.3-o3
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. II
IIH, .
.....~,......... -
See Main File
C"White - Buildini:i::>
canary - Erigineering
Pink - Planning
Th. e.nl.. of lh. "ok. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/JJ~ ~
....
3 ,.. d-! -03
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
Date:
3/j/!o3
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. II
III I
FILE No,174 05/09 '03 06:41 ID:PLYMOUTH PLUMBING
FAX:7635331121
PAGE 6/ 13
~~~
".......~/"..,G I o'\~.. "
'~.
Date Rec'd
CITY OF PRIOR LAKE PLU1\1BING PERJ\1JT
1 Blue llij, I PERMIT NO
"c..,,, C.ilY i :~_ 3 ........ 0
~ \'cHw~' Ap\,I"=.,u ..... 0'\ ~. ,
rPICll~~ (''DC or prlJ11 :lJ\C lien :1 bottom I
, ADDRESS
Z.ONrNG I o/l"lC" .....,
FOf ~l'~+?v("'\'~ (t ~
ILl d-~,~
LEGAL DESCRIPTION (nflic( US(. nnlvl
LOT BLOCK
"r... ['l [lIT] (1 N
PID
OWNE.F
(N4me\ ~J.(.i V\:; i'1ftf\l.~ t\ t+V\M..J/~j
(Addre,$~) \'i;C{ Cl P r (J [_~ -tV. c,) i J'I ..(..(
A?PLJCANT - O.
(N.m" jJ I 'J '''''-(' LO -I V, \ , ~~L I \" \,~ I '" J ,,( ~hOn') ('] (C }) ~) '>.,:">., Lj '05 'f
IAddtc::~d lcC{ (, '1 \;.,) I r'\ VI f .,. Y r""- A (~ 1-...:, rv"( 1(1\(. \ )'V'l '/)r.\v\( r-)~LI';>5)
(ACldrc:~~:) (Ciry} (Z!r Code)
(Collldel r'c:rs~ml _I; l \ ,~r \,'\ ~\.O. fl n ,.'\,1 L..t,p U .f r' (T1wne) (7lo~) ~ -;}.) - L/?~' 'I
f'\' . /1 ./- f17 ~ II. '-. -:) -" .
Af'T'UCANl SlGNA11.lP.F:'~ J! Y \ ~~J{.~1.11Aj ,;I {/i!J:1 DATE FJ, q -t)-~
IJ I (
A])rLlCANT PLEASE COMPLETE BELOW
I T'YPl' ()fFb.:ture QU~l1til:V I
Bull' Tub \.vith M without shc.wel' ,1 Rough-ins
Dishwllshli:r , Wattr HeD!er
Plour Drain 1 Water Sonner
Lavatol'Y (Bathroom Sink) . Stand Pipe (Washing MDCh illt)
LaLlndry Tnl~' ( lor:: (.:C\l11panmenT sink Sewage E:jt:c!C\r
I Slwwer Stall Backflo'W Assemblv
)
I ~ink~ I ~acld)~w~ssembly TesT
I ..".. ,-".." I U:-tl)'~l" -,_. ......-.
I Wtller CI(1:;~l I TCliltl) ...
QUOIntll')'
~
1
1-
~
1
l.
t
l
:3
(Phone) J-J 1 i (.1 .-44C[)
,~t{) 7- (Vi (~A. ~.( ~j C':)c) I :1-.3..
/ ,I /
Tvp(~ of Fixture
FEE SCHEDULE
In<lllwl;11. ClIml1lcl'e:ial J;; MIIIIl-IlI111l1y I <I.u nl'j\\t> ~lISI ,vill, u 5;:)\I.50111inimum
Rc"iucnlldl. New One & TIV"oFamil.l' $l.J1./51l
Rc:sidcnlial. AddlliLln;, 4:: I\llcl'lIlilln:; S::; ':150
I This Al>plicutiun Bccumcs , 0111 Buildin~ rl.:l"lnil When Apprcl\'CU
I
I
1--
,
IWlicc LI~e (11111'1
E.St im;ltcd ((IS! s;.Jli.Y4. Q:t
Building Pennl1 Ii
PLUMBING PERMlT FEE
ST.-'I TE .sVRCHARG~
'fOTAL peRMIT F'El!
PAlO WITH
BUILOING PERMIT
$
U'
.l\
jO
$
1;lIij'liT~;' On'trl:11
r~ti~:; U ';d 111~~iPI 1-4(;,
:ifl"MAY~l.~it, __/h.,_,.;
~.oj iI/'1l1' n,'IiL:,' fll1' all jll~(J~CI.iClI" (9~:j44~_11 ,. f:ll, (LJ:i:,ol.:r'.4:4:C' ~' ..1
",~/I(, F,":,:I" I 'I'l"!~ '\1'1', .'..f.. "rill' L;IJ,t,; ,
11,.1,'
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: :i;::n ~::y I PERMIT NO.~_ --::::> ') Q
3. Yellow Applicant J ~ c;r--,
(Please type or print and sign at bottom)
Au'.uAESS ZONING (office use)
14233 FOUNTAIN HILLS COURT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) WENSMANN HOMES
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
5/21/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
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
HEAT N GLO SL750TRN-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
R8tiin~-~
~~~
$ .
$
_ $39.50
{D) ~ &3~l] 111 ',[t'~
]) MAY Z 7 100.1 .J
-J
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
By
.
Paid
Receipt No.
Date
By
(~
1/
Buildin2 Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
!II I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGI ~lKEPLACE PERMIT
Date Rec'd
#7/~~
~: ~ ~:~. I' PERMIT NO. 3- 3 J '9 I
3. Yellow ApphClllI c?-
(PleaSe.Mi.!'ortlriDtand Sip atL .~"_)
At):O~SS
/9'25~ ~d~J^-
'/ / //< /'? . ./
~ // //~ (/J~r-
ZONING (office use)
LEGAL DESCRir uON (office use only)
LOT BLOCK
ADDmON
PID
... J
~=Ru/~~~.#~.L _.K~~_-:
..(~~s) ./295.#/~ a
(phone)
e..c.~- 4"
. '-" -
~~~ICANTA../ .. . . .~ c:,.
<!\Tante}. I?'//"~A .~"~4~''''''4f< (PhOne) . _ <,.-/- ~~-..?77$.
(Address) L ~~~7) /~A16~6~. C~~ ~S/J~
(Address) (CityV (Zip Code)
(ConlactPerson) A~L.6<---<.. (Phone) -65/- .v~ -.:?7~-
APPLICANT SIGNATURE '.. ~'. DATE 6~/()~
,
_ APPLICANT.PLEA.SEC()~LETE.BEL()W
~ CONSTRUCTION. . E]~PLACEMENT []AI..TERATIQNS
FURNACE MAKE AND MODEL -~AtJ'j- '"?:E:OJl1 A-..\/c"Z-46;O FUEL ---1JLA ~A. c::;
II . . . . .'. . . .
FLuE SIZE 'Z- ~G RETURN OPENINGS R INPtJT~~' j OUTPUT ~200
TYPEOF SYSTEM HEATING OR POWER PLANT
~... arm Air Plants 0.....'8.. t...e8II1........... ............
LJGravity OIi.otWat~
jt;oclwri"" . 121~..
. . Conditioning E1s.pe.c... ial'I)tvices
t. System o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEESL:t1J!iDULE
I % of job cost Residential, Gas Fireplace
$3950 minimum
$99.50
$6450
$39.50
REA TINa PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
$39.50
$39.50
PAID WI
BUILDING TH
_./ PERMIT
· U<!,/
,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When APprov.;-~] ~ ~ n m IE ~
U) Date -
Building Official Date JIJN 1 I; 208J -.-
24 hour notice for all inspections (9~ J11W7-9850, fax (952) 447..m i
By
Receipt No.
By Q_
1J
III .
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. Green File
2. Yellow City
3. Clo\d Applicant
..
PERMIT NO.
~~";~~'2.&J
ZONING (oflk:e \lie)
(Please ~ or Drint and siD at boUom)
ADDRESS
ILfZ,33
~cJtJ"l.Jd~' IJIII ( e..-r-
LEGAL DESCRJr .liON (oflicl:! use only)
;1"_ .I
LOT;? BLOCK? ADDmON ~UIV~ bb.1J< z.w
OWNER
(Name) v./GNS,mA,JJJ /-I/Ov1<A-.
(Address) -1.8!J~ P{,,4 ~ 0 IL-
(A s)
PID,,:i ,...., ~q/J" t03o-~
~.A~
(City)
(Phone) t,~(,t/tJ" ....'1'1'0
SS-/~
(Zip Code)
APPLICANT ~_
(Name) ~6-
~
~
(phone)
(City) (Zip Code)
(Phone) (},/7.-J.Z/- 1"1,9
DATE
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connectiQn only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PAID .A"
8UILO/N rrlTH
G PERM/i
m~ @ (f 0 \!J ~ ~~iPtNO.
J~'i: AUG 1 2003 ! ~~,
24 hour notice for all inspections (951) 447-9851 , fax (951) 447-4145 ~
By .
$
$
$
.50
(omce Use Only)
This Application Becomes Your Building Permit When Approved
Buildi.. Official
Date
ill II
_ __ _,,__.AL.... ~ ..........
t'RIOR LAKE
DEPARTNlEtn~oo ~Jfn~ F.-
BUILDING AND tt1SP&c1=lOMlln l~e
NATURE OF WO . K ~GDN~~UL · ~AJ
USE OF BUILDING 5FA
PERMIT NO. D 9"" 3A9 )~ATE ISSUED' . .
CONTRACTOR ~bltClbJ ~S PHONEIS/- I/D'-- ql/(JO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ ~~ ~
, FOOTING ?ee-f/~ ~'-4-.
. . FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
I
or
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
~
~
~'\
~,
~
U/t2-!tS1
tH~
(' i'Y1 \r2.,,~
,
..
/A- 0/\;""L1fE, ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
f I
FINALS
-GRADING (Prior to So~irjg)
BUILDING 'T _C..cl?-. 1[t{~
ELECTRICAL I
PLUMBING
HEATING
DO NOT
~
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OCCUPY UNTIL ABOVE HAS
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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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