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HomeMy WebLinkAboutBuilding Permit 12.606 ?c-.A - bo v � A A A A A 4>c Cnrrfiffrddr of ®rru n i CITY OF PRIOR LAKE ;K,' .= Prparfittrtif of Puitbing ( Snsjartfiutt ,, .. Final Permitted ❑ Conditional C.O. Expires K This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential l 171 International ,. Building Code certifying that at the time of issuance this structure was in compliance with the various I • ' ordinances of the City of Prior Lake regulating building construction or use. For the following: / /,, Use Classification / ' t 5 / Z // Bldg. Permit No. / //�� 2 {¢ Occupancy Type Type Construction Zoning District YUt Legal Description ? 17r Owner of Building Site Address fo ---, Pt'/- / � - S�1) + t = = Contractor's Name & Address ill/4 7 f� /7 /Y S -mss �, d e?t T" /1.../ / Cr/ r l I.•,> ' City Planner f Building Official I 1 r'' a / Date: i j 0 f '2, Date: POST IN CONSPICUOUS PLACE ,=:': ' y a : !a# 2- 5 0 0 0 010 000 1 o D Zn y o o 0 y z-n ,1n 0 2 C � 'C 0 0 0 3 -1 u, 00 z m 73 m O ° 73 73 73 3 m >C;Z- Z m y 0,1 m r m m y �ZyZ 0 rn � Do -1 n D Z 'v - � z - _17: 0 O b.,_ 0 - -n n ik, „„oz z,c3 ..., ....._.. Li, _ > Illr Z z m m 4 f i r rv{ - I = _ vi 0 0 ■ - 00000 0 41 m m m m ,- m�N*;� lb XI = y v o 0C --10 t m �� m o r 0 ? VI XI 0 0 0 r m 0 72 _, P b '1 o Z Zcc Z r �o z P. m N. rv-0 O m Z m x c 0 N m 000000 t b v Z Z 73 0 .n 0 ~— - R. D 0 comma° o --m m o a Dmmq y 01 m xi mxi r s C r z_ E m r 5 ❑ ❑>< 0 ❑❑❑❑❑❑ -0 o > E0 0 0 ' � 0 0mEmmm 0 2 o ( 4 5 o 0 0 0 3 .izoF00 Z m 73 mo >° 73 ,F 3 mrc m m m 0.n � rn r ' m m y m u = o z i 5 O N O g , .4 > Z v o0�o z , o 0 y N 0 z 2 _ z= E C eo m 0 . 7 o 0 z (/J 0 7C hi 0 O D> z ( + � ill .� m m m r z ` � - r C • I 7 = T M 'O 0 72 73 Z Z 0 0 NI 0 0000❑❑ ,� 41 m m m m . 3 -0 N * 3� 0 .-4 Z O O 2 nC " � n C C 1 _ er „!"� m c 0 0 ti C v m -4 O zm =p = m 3 cr X 40 0 n o O O r„ o 43 z r C z F. m S `� r v m P m '' 0 y- 0 = m 0 ' , f m m 0000❑❑ , '.1 Z xi o?,-nn o i z R. G 0 rmmE0 m 41 Z !EEiti 4 m = T2 r ■ m -ir 0 A i; rtc j CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PEIMIT r NlvESO �� See Main Fi1 1 to File 2. Pink City I PERMIT NO . n U V / 3. Yellow Applicant / Z �F - YYY (Please type or print and sign at bottom) ADDRESS kc4-3S5 P -ACZ-L (l DX G U u tL-t ZONING (office use) LEGAL DESCRIPTION (office use only) LOT So BLOCK i ADDITION , _.,F- ki\to.- -- -n--r *J-1- PID ZS y 1 ( 2)0 S O O OWNER (Name) Y A T P Nl' -14 0 t' ES (Phone) 9G'2-- 8 9 9-2-1W (Address) - 12a 1 W A S 14 I tJ 6–Ft, t`l g v E S S"Tl =. 2p l l=O t t-j 4\ ?-1 N S 4 3 9 BUILDER (Company Name) Mt'v f"t i - 40 t ES (Phone) 95 2 - e9 8 — 6 128 (Contact Name) S U E— ' (Phone) (Address) 1?-0 l I...A S t } limit ( ii, vl= S S'f - 2_o t 1=O t >■ ix, H 1.--1 SSA 35 TYPE OF WORK New New Construction ElDeck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace DAddition ['Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc: Type of C nstruction: I II III 1 V A B Occupancy Group: A B E F HI M R S U PROJECT COST /VALUE $ 1 LD r 0 C Division: 1 2 3 4 5 (excluding land) 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��.,— R — _ BL X31 S3ak:, L (c 1 VI– Signature Contractor's License No. Date , Permit Valuation Park Support Fee # $ Permit Fee $ ( 2..7.-1 Sa SAC # $ �3a6. Plan Check Fee $ — LetA • Og Water Meter Size O "; 1 "; $ , . State Surcharge $ 6? 4 - -50 Pressure Reducer $ "2.4)- Penalty $ Sewer /Water Connection Fee # $ l 5o0 ` Plumbing Permit Fee $ t.- ,¢.;13 Water Tower Fee # $ l d00. Mechanical Permit Fee $ t 4-4- _ 70 Builder's Deposit $ l 500- Sewer & Water Permit Fee $ 5 , .- Other $ Gas Fireplace Permit Fee $ 5 • 5 ° TOTAL DUE 94%. FJI3 ,....k. . o n Becomes Your Building Permit en pproved Paid C 4 P t . eV Recei Nor G 3 L_ Z, ' N 1i ..� (Z Date L- ,( By B ' , g Official Dat Th is ' erti • at the request ino the above application and accomp ying d ments is in accordance with the City Zoning Ordinance and may proceed as o This document when - by City Planner constitutes a temporary Certificate o oning ompliance and allows construction to commence. Before occupancy, a Certificate of Occup requested. ancy must be issued !A �i / #cr IL Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ; • Contractor's Material & Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: JEFFERS POND DATE //-2. /2, PROPERTY ADDRESS: 14355 PARKSIDE COURT ACCEPTED BY APPROVING AUTHORITIES: CITY OF rp,i op, t ADDRESS: PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS EWES ONO EQUIPMENT USED IS APPROVED YES ONO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS YES ❑NO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: YES ONO 1. SYSTEM COMPONENTS INSTRUCTIONS YES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS YES ONO 3. NFPA 25 YES ONO LOCATION ENTIRE BULDING YEAR OF TEMPERATURE MAKE MODEL MANUFACTURE SIZE QTY. RATING RELIABLE RES 49 2011 1/2 10 155 SPRINKLERS RELIABLE RES 44HSW 2011 1/2 13 155 RELIABLE F3QR 2011 1/2 1 155 PIPE AND Type of Pipe BLAZEMASTER FITTINGS Type of Fitting CPVC MAXIMUM TIME TO OPERATE ALARM DEVICE THROUGH TEST CONNECTION ALARM VALVE OR FLOW INDICATOR TYPE MAKE MODEL MIN SEC FLOW INDICATOR POTTER VSR - F 0 S5 DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE TIME TO TRIP TIME WATER ALARM OPERATING TEST THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED CONNNECTION* PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY MIN SEC PSI PSI PSI MIN SEC YES NO W/O Q.O.D. WITH Q.O.D. IF NO, EXPLAIN LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE & FLOOR MODEL (FLOWING) PRESSURE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVE TEST N/A OPERATION: ❑PNEUMATIC CI ELECTRIC CI HYDRAULIC PIPING SUPERVISED OYES ONO DETACHING MEDIA SUPERVISED OYES NO DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE OYES ONO CONTROL STATIONS DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN PREACTION FOR TESTING VALVES OYES ONO N/A DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO MAKF MCNIFI SI IPFRVISIC)N I CAS Al ARM (PFRATF )(AI VF RFI FASF C)PFRATF Fl FASF YES NO YES NO MIN SEC HYDROSTATIC: Hydrostatic test shall be made at not less than 200 psi (13.6 bars) for two hours of 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All Aboveground piping leakage shall be stopped. TEST DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED OYES ONO EQUIPMENT OPERATES PROPERLY OYES ONO N/A DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? YES NO DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST CONNECTION TESTS TEST SUPPLY TEST CONNECTION /CC' PSI CONNECTION OPEN WIDE ?O PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B YES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING YES ONO IF POWDER DRIVEN FASTENERS ARE USED IN OYES ONO IF NO, EXPLAIN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS 0 WELDED PIPING OYES ONO IF VFS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3? BYES ONO WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3 YES ONO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISC ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? OYES CI NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? YES CI NO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA _' YES ONO NAMEPLATE -, r REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: ) (- [..d - I Z- NAME OF SPRINKLER CONTRACTOR: FIRE SUPPRESSION SERVICES, LLC. TEST WITNESSED BY FO' O " -" �;� - • D) J r TITLE DA / p� SIGNATURES S _L_ (V411 •: PRIN� TRACTOR (SIGNED) TITLE + „_ DATE ADDITIONAL EXPLANATION AND NOTES O rRIO Date Rec'd A. CITY OF PRIOR LAKE hi SEWER AND WATER PERMIT 41 j NNEsd ° 1. Green File PERMIT NO . l Z 6,2 . Yellow City 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING (orrice use) 1 Li3S5 P cz• LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �__-_ nn (Name) f ` — Vf` (Phone) (Address) (Address) (City) (Zip Code) APPLICANT M 6 i (-- 4' / 355 (Name) • S , II' ' �.� _ (Phone) (Address) am, (G AuL( • (Address) (City) (Zip Code) (Contact Person) ( k " 4 At — (Phone) to / q / ¶ - 43 V APPLICANT SIGNATURE Frf j DATE 7 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron Estimated length of sewer line feet. . Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi- family 1% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ � STATE TOTAL PERMIT R EE $ ��1��/ �, -RMi r ( Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date e Minnesota Statutes § 326B.148 ' SURCHARGE" has been extended ttur notice for all inspections (952) 447 -9850, fax (952) 447 - 4245 until June 30, 2013, 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 The minimum surcharge for a "fixed fee" permit is $5.00 v �d:? '� °� ,. �, d';' ' ". ?....1!104 ro4 CITY OF PRIOR LAKE Date Rec'd a 4 * :. , HEATING /AIR CONDITIONING /FIREPLACE PERMIT *Nvssoo I. Pirtle Fag PERMIT NO //)� / nn { / 2 anon City / A ._ �G.X 7 J. Yellow AppLcrnt (Please t ype or print and sign at bottom) �� 'l ADDRESS ^ �� �LS VL' ZONING (o) PuC LEGAL DESCRIPTION (orrice use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) I APPLICANT (Name) GENZ -RYAN (Phone) 952 - 767 -1847 . (Address) 2200 HIGHWAY 13 W, BURNSVILLE, MN 55337 (Address) (City) (Zip Code) (Contact Person) LISA HERNAND Z. A / ! (P one) 9 52 - 7 6 7 -18 4 7 r APPLICANT SIGNATURE . , l 1 f '1 i DATE ' I ‘ APPLICANT PLEASE COMPLETE BELOW • (ANEW CON, TRUCTION G �. PLACEMENT ❑ ALTERATIONS /.fir ! FURNACE MAKE AND MODEL (jJ / 1 I S Y "J D&OS J 1 FUEL Mil G FLUB SIZE RETU} 1OPENINGS { , INPUT 5g. WO OUTPUT 53, 30)(Y TYPE OF SYSTEM HEATING OR POWER PLANT Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach El Gravity ❑ Hot Water into Required Side Yard Setbacks. iti9echenical ❑ Radiation Air Conditioning 0 Special Devices Fireplaces with Box Additions or ['Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Healing & A/C (New Construction) 3149.50 Residential, Additions & Alterations FAAo wall Residential, Heating Only (New Constriction) $64.50 Residential, AC Only �U 11_ld 1 ��? PERMIT RMIT Estimated Cost $ LP Building Permit # The Minnesota Statutes § 32613.148 HEATING PERMIT FEE $ "SURCHARGE" bus been changed for one year effective STATE SURCHARGE $ .50 July 1.20111, unlit June 30, 2011. TOTAL PERMIT FEE $ T'he minimum surcharge for a "rived fee" permit (Office Use Only) is t,,, beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Banding Official Date i 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 VRt N Date Rec'd Ar ay `s` CITY OF PRIOR LAKE PL UMBING PERMIT ,g _.. t.al�e - 0 606 Z , o ,,� �,,,. PERMIT NO. �Z J. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 1 ZONING (o1& use) / PL i d 6 A W . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PhD OWNER (Name) (Phone) (Address) APPLICANT (Name) GENZ - RYAN (phone) 952-767-1847 (Address) 2200 HIGHWAY 13 W , BURNSVILLE, MN 55337 (Address) (City) (Zip Code) (Contact Person) L I SA HERNAND Z ,- . (Phone) 9 5 2 - 7 6 7 -18 4 7 APPLICANT SIGNATURE /(LltUiL ` DATE (V APPLICANT PLEASE CO PLETE BELOW Quantity Type of Fixture Quantity Type of Fixture --9 Tub with or without shower Rough - ins I Dishwasher I Water Heater I _ _ Floor Drain Water Softener _ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (I or 2 compartment sink Sewage Ejector 1 Shower Stall Backflow Assembly 1 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler L .. Water Closet (Toilet) Other FEE SCHEDULE Industrial. Commercial & Multi - family I% of job cost with a S49.50 minimum Residential. New One & Two-Family $149.50 ��jj j� Residential, Additions & Alterations $49.50 The Minnesota Statutes 32613.148 — 1st $ (� 1 ... Building Permit fl "SURCHARGE" has been changed for one PAID WITH � year effective PLUMBING PERMIT FEE $ �P1 VY I July 1, 2010. until June 30, 2011. STATE SURCHARGE $ .50 BUILDING PERMIT The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ is i?. beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildlna Official Date 24 hour notice for MI inspections (952) 447 -9650, rax (952) 447 -4245 4646 Dakota Street SE., Prior Lake, Minnesota 55372 ... . , ,,b CITY OF PRIOR LAKE BUILDING PERNIIT; SE P f ,.... TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 17 ; VIIIII.9% •‘'N E 5 ,.....,.. j AND UTILITY CONNECTION PERMIT By , , ,...... .„-.., Please .rrpe or print and sign at bottom) -- ( t ZONING tzifice Ine .DDRESS i LEGAL DESCRIPTION (othey use only) LOT BLOCK ADDITION FID oWICER , i . 95e- Efle, -2.1400 I (N IP7 /-166-4E-S- (Phone) (Address) - 72.01 01 !44J Akt. r . HMEIER.0 ZM'- Company Name) S F - •S N9P3,41.-4F-dot,:) ...-4 4 t—L.C.. (Phone) 7(0.3- 27 / - PA c,o (Contact Name) --ill$01"-N ks%F k.-31-r-i-P- (Phone) C 4; -.., , (Address)1 eis-aovtrizi cit__ \--41Zr ; C. tt. ‘ .- 2 ' )(1 E- t" EL—V KtU 6-1".1 i i t`-i 1 , TYPE OF WORK 18New Consnlicuon DDe-,:k C OP,c-Roofing DRe-S,: :11.1.-ower Levei Fintsli 0 Fireplace Addinun 0 Alseraton 01.,"%ln CnnnectIon CODE: .LC. DI.B.C. ,,,_, DM Type of onstruction: I II III P; d: A (1) Occupancy Group: A 13 E F H I M q) 5 LT PROJECT COST/VALUE $ Division: I 2 (3) 4 {excluding land) 1 ,,,fr.y =mt. :hi% haw furntshed InfOrrnitten Vn Gni app:.-Itt * IS :0 the tars: c ray Ltaroi:eCr rn.c 2 7 i ,:x ..t.tr„, ,... 1 arq the 0.inCf 01 Ill)... k it, ,...,e aht-nr.rnennened pnlaert, and that all cm:in.-um .1:1 ,...-Ttform ,., .:. mg tam Ani local taws an %I:: r- ae. actr wah suarratted plans 1 arn awa:e that the tattdd.tng 1 ,IfEztat rcroite ttlts. per= fordal nanse Furthermore : here: a..,• tr...t: t:te ,I. ciftc.taa or a desiper 713, craft :non 'it:- rrovt-at: a. ;ea-form needed at I x L4atirk .)6 Signature Contra:Tr ,$. L.:cense No Pate Permit Valuation Park Support Fee # 1 $ Perrrut Fee 5 , 1 SAC ) # S Flan Check Fee $ I Water Meter Sze 5 S. 1 I 5 • ,----. State Surcharge 5 I Pressure P..r.:bc.Ler , 5 Pe:natty 5 ' I Sewer Vv'ater C., Fee ... $ Plumbing Perna Fee 5 I , 1 , Water Toe: Fee Jr ' $ 1 Mechanical Penn:: Fee 5 : 1 Builder's DeTosn i 5 Sewer & Water Pertnit Fee $ 1 Other 1 $ P Gas Fireplace Pewit Fee $ i i TOTAL DUE AIO WITH . t" . a ■ a a . This " >0". - ../ Your Building Fermi When Approved .4 . . . 444111.4k plc= Paid ,. i Receipt No Date ; BY :>.1,:a oinclit ,_ 91f. Tbss IS IC ratify that Lhe reyUelt in he above 44,7541,40r ar :. isc;Vrps1.vm14 dsueCents is tO ACCOrCdr ;V 911:1:ht 4...,tV ZCr..flat 07dInanCV and raw p.rd ai, trqs.ested. Thu ..tooancta o-hen agned t') the e.ry Planner coral:Ann • iretnpurAr± Crrt.1ifiNe t.f 7.4r4ng oamp:tance and allow ,:onstna Li :, Ikhre ax s Cernfirec ,g Occ1.-,..anc) mon be AVANt Pit:atm Chrcciur Occ pc-° mituonx_ it any 24 boar nonce for all Inspections (952) 447-9858. lax (952) 444245 4646 Dakota Street S.E., Prior Lake, Minnesota 553'2 1,, • «i • PRIOR LAKE DEPARTMENT OF BUILDING AND IN TIQN See Main File JNSPE RECORD SITE ADDRESS c4 35 �ia12 t�5 tam- C ��c-- NATURE OF WORK /A- (i&. Ds - ��o C s�4 L. L USE OF BUILDING c h-~-, A "AF PERMIT NO. 1.2- Goci`��v DATE ISSUED 1 iz. CONTRACTOR tl PHON - Z NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS B LOW THE PERMIT IS BY SEPARATE D,AO�C�U ENT ry�� I FOOTING 1 FOUNDATION (Prior to Backfill) 1 1 O P, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER / WATER / SEPTIC / L 744 FRAMING 62 3 INSULATION I " ELECTRICAL •P / j< - PLUMBING HEATING (if required) FIREPLACE eAD AN S LINE AID TEST t CO EF% N WORK UNTIL ABOVE HAS BEEN SIGNED I 4 I I 1 SMNSP eP to itY ' FINALS GRADING (Prior to Sodding) BUILDING , // f2 ELECTRICAL PLUMBING R, 0)13 ),Y2, 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. FOR ALL INSPECTIONS (952) 447 -9850