HomeMy WebLinkAboutBuilding Permit #03-0313
<TIerfifirafe of @rrupanrl!
CITY OF PRIOR LAKE
~tparfmtnf of ~uilbing JInspttfion
/
)Zl Final Permitted
o 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
03-0313
Bldg. Permit No.
Occupancy Type
R3
_ Type Construction. VN
N/A
Zoning District .
R1
Fire Zone
Legal Description _
L17, B2, REGAL CREST
Owner of Building
Contractor's Name & Address COLLEE C~T'!tm1Es,
ROBERT D. HUTCHINS! / J /
I ,'L
,!;/ding Official /I 1
Date: I - c~::>,.. 1 '
Site Address }5307 JEFFERS PASS
7920 LAKFVILTJE BLVD., LAKEVILLE 55044
DON RYE
City Planner_
Date:
,~~
j"
~'. ' ~
,~ .....'
'~~l
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
1-.2- -t1>'{
I
ADDRESS 1'7307 ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o .9f8ULATION
.,..eJ'FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
07- <Is
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~MBING FINAL
AiYMECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
l~. ll~ ~+()~ /.Jttt-Du~~
.-
f-II'-\-u ~
// n
'7w~
/
~RK SATISFACTORY, PROCEED
~CORRECT AC N AND PROCEED
.0 CORREC 0 , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CA
V-
CODli REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOn
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J 5_~ 0 7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED l "2 - ;23-o"?
J p~~ \2~
CONTR.
PERMIT NO.
--3 -!/~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)s;;.PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
...9 FIREPLACE FINAL
~G~~
COMMENTS: .
\, ~\uJL U-~
?, ~ ~r ('Q-\(1.....
3 . .~ .G)(tv~s ~-
~RK SATISFACTORY, PROCEED
CORRECT ION AND PROCEED
D ORRE~. CALL FOR REINSPECTION BEfORE COVERING
Inspector: ~C {,..... Owner/Contr:
CAL.{6\~ FOR THE NEXT INSPECTION" HOURS IN AOVANCE.
~Et}jJIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fil(h~ ~~
l YeUow Applicant
Date Rec' d
3 ~/q-03
PERMIT NO. 03'" 3/3
(Please type or print and sign at bottom)
ADDRESS
\ '=>'60q- J~O-"5 V=~S
LEGAL DESCRIPTION (office use only)
ZONING (office use)
,leI
LOT \nLOCK 2. ADDITION \2.E:2qa.-\ L\'Z..f?S'
PID 25'.3~ - 1135...0
OWNER
(Name)
(Phone)
(Address)
BUILDER c.. " ' \
(Namet o\\eq~ '-\~ \ OYY\LS
(Contact Name) ~'L. ~ \.~ 01- c=.
(Address) ~ L~\L..<':01'\\<-1?J\\Jd )
(Phone) Q5Z-. 4bq. loqCt:J
(Phone) -b 11-. (p tt3S' 32.1Y9
L~v-~\I) \\<- \Y\ Y"\ 5S0L{y
TYPE OF WORK
)d' New Construction
ODeck
DPorch
DLower Level Finish
o Fireplace
DAddition
ORe-Roofing
o Alteration
ORe-Siding
DUtility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $ ::2 4d.. ,d-.(Y) I '
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 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
enteru e ro rtytor-:;e;~n;,~s. r2COt "6/' Ci 103
__ / '- SignliUre Q Contractor's License No. I Date I
I Permit Valuation U 2I CJO 0 . 00 I Park Support Fee # $
I Permit Fee $ 117138.'-7S- I SAC # $
I Plan Check Fee $ j, /t.Z.fJ2- I Water Meter Size 5/8"; 1"; $
I State Surcharge $ ".1 7./ (j 0 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ 100,00 I Water Tower Fee # $
I Mechanical Permit Fee $ / 0 () . O() I Builder's Deposit $
I Sewer & Water Permit Fee $ 3 E>.!5D lather $
I Gas Fireplace Permit Fee $ 4-0. lID I TOTALDUE('~..e. 4-"7.-0J $ 0 ~/tJ. 2-7
ThisApplicationBecomesYourBuildingPermitWhenAyy__'ed I Paid ior?i'i>, 0--7 Receipt No. ilqO~cJ
I Date 1./ -I /J ---- -::J By Q1~ ...:-
, ,j
1,l-7f5-~ D
257J, tf7J
4-5. (,/ ()
I. 'bOO. t'O
, 7tJo. (){.)
Building Official
369;d~
I
Date
~~
. This is to certify that the request in the above application and accompanying documents is in <@dance with ~ijfoning~rdinanc~~roceed as requested. This document
~'~'-=> C~';2";- ~d~VJ:am"rne'-.eo""""oq =,,"
Planning Director - yI.5 bate 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
See Main Pre
~te - Buildinq
arv - Engineering/
Pink - f"lannmg--"
Thr C~nlf'r of Ihr t.akr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"...) ....~I
NAME OF APPLICANT (~:~.iJ--e.-Ifl;.p
/
APPLICATION RECEIVED ",,3-. / 9.~ ,3
I .. .' i .J"
, -T~. ,.-. -.. / iF-r"- 1. ..'
J r /1-- /\ Ii;" n,C2d..
L,;{-/~~;-- ", {"
/i
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
/~r'.~() /} //71 /J IJ P ;1 '1 _1 i-',;..; .... 1,/..1-.~"
. .......,F '~~~~~~4.t:_~".,~ ,. ~....~.... ~ V'
(,/ /)/ i
t_./
Accepted With Corrections
x
,
Accepted
Denied
Reviewed By:
Comments:
/J14-()
S-l <... IY1 e, "y\ {', ' 1(' .
Date:
LI-3- 0)
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."
See At.. .' ..
alI1 Rl:1e ~:
"" ,,,.., ,.... .,.. '"':U1LDlNG PERMIT APPUCATlON1:'PARTMENT Ctre.C.:~S~~~
NAME OF APPLICANT
APPLICATION RECEIVED (
::;> . .1
The Building, Engineering, and 'pra~~g-DE$artmen~s have reviewecnt<e building permit
application for construction activity which is proposed at:
Accepted
Denied
Reviewed By:
Comments:
/ ,/,,^-o ..__...
/ ."..,.. -'/0/70
,J(..) ...
//
Accep~~io9S "";, ~
~~
Date: 3/dL; /f;:3
~
fi1~
u
'The issuance or granting of a permit or approval of plans, specifications /
computations shall not be construed to be a permit for, or an approval of, any violatiof
any of the provisions of this code or of any other ordinance of the jurisdiction. Perf
presuming to give authority to violate or cancel the provisions of this code or q
ordinances of the jurisdiction shall not be valid.1I /
i
I
i
I
See Main File
a_hite "': Building)
Canary - Engineering
Pink - Planning
The ('tnlrr of the t.kf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~c-~
I [,Mf (,
APPLICATION RECEIVED 3- /1-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cOi~3;~ity q? a~~
Accepted Accepted With Corrections /'
Denied
~ -;/~
Date: 3.b--/~:s
j
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."
MJ~
(€~(~
""".,...0'\"
""",,,,;,,, .
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Cl'k..,c tv'De or Drint md 'iF &t bottom)
I ADDRESS
I }S~7 ~
LEGAL DESCRIP110N (oft\ccuseonly)
LOr \ 7BLOCK ~ ADDITION
p~
~
R~~vQ
~----
OWNER ~ /"-10 A n f'.L \ \ _
(Name) rpo ~gf ~ ~?
(Addless) ~~ A~/lrd./-( I5lud
(Addns.)
APPLICA.N;'j) ~ .. ~ --l-. _
(Name) l~C(~ L- ^ CU.()~o
(Ad<1ress) '03-7 S- W 7 0 ~ <...J,> .e.e:t-
(Adc1reu)
(Conta.cr Person) SCA r\~ S l' ~
~PLICANTSIONATURE M~t ~
- f
~ ~:" ~i~ I PERMIT NO. :-:2 _ --:2/,-7 I.
,. Cold ..."'....., _./ ::J --.::::>
ZONING (omce IX) l
I
I
PID
(Phone) qS),,- Y~q- &?oq
L d ~uill(" &~CJYY'
(City) (Zip Cod!:)
(Phone) .:507- ?YLf"- ~'=- S"'
LCfi1Sd~ &soYA. I
(City) (Zip Code)
(phone) "7 '{ [/- s-s- ~ S-
DATE _q'- 7-003
APPLICANT PLEASE COMPLETE BELOW
Size of water service V I' inches.
Location of any couplings from structure -- feet.
Type of sewer pipe. 0 ABC E:tPVC 0 Cut Iron
Estimated length of sewer line .S-V feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and water line cOMection $3~.SO Industrial, Com'( & Multi.family 1% of job cost with a $39.50 mizlimwn
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit N. -.-"
SEWER AND WATER PERMIT FEE
STATBSURCHARGE
TOTAL PERMIT FEE
(Omee t:.e Only)
,
y
This Application Become. Yuur Bulldlna Permit When Apprond
Buildiaa omolal
DIle
$
$
$
:so
8(}~110 w,~
lVG /:)~~
rf~rr
~'l~a~ ~ L1 \ir~l1f~\~ .Recei~t No. _
> I D~~R 1 0 2003 0 BY" a .
u
~
~4 hOllr notlc. for IlIlnJp,ctionl (~5%) 4. '7~9850, rill (9SZ) 44?-4l4$
By .
1"
APr.l0. 2003 1:43PM
GENZ RVAN PLUMBING AND HEATING
No.9302 p. 19.20
~07~ p~~.
,..~,.
_ . \ ';J:
u L-:J ~
". ~ . , ~:;'.' " .
,\.: '. ,....,~'.'I
.~", " '" ". " :.' ,\
~~~~~~} ~f~~ESO~~
l'
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~. ~~:w ~~; PERMIT NO'3- j 13
). Gold A,lJpll~"t
C!'lel..~t type or pnnt and. Slp,n at botto.m)
ADDRESS ZONDTG (ofiiu IJ.\C)
/530?Je.frete.S PCl4!J
I01cd C~f
~':;R fJPjjJ!/ 01:1 /!olmf Inc. . (Phooe)tJti;J-1j(;1f1r/?1a)
(Addr~~s) <} La -(jlll~ _.-8jj/d. M/kt1/lv / mn 0svLjL(
(Ad.dm.~) {(City) (Zip Code)
LEGAL DESCRIPTION (office; use only)
LOT /1 BLOCK c;? ADDITION
PID
. ~:;~fANT f;;f7F?- RJlan (Phone) Ith7 - L(~ -//11./ ,.___
(Address) J!:11tJ5 .J~\J /ltJbei4f me., , I!lJJfthJ!JZcI1f Inn ~~tJ!ox
(ConractPmon) Cht!15t/ fid}s _' ;::~e) _ /Ml- '{Jg - CZj;;t/
~~) ~ DATE 4/)0/0::)
"'LICANT SIGNATURE
APPLICANT PLEASE COMPLET.E .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.
FEE Sc~DULE
ReSldentJal sewer and water Ime connectlon $35.50 Industrial, Com 'I & Multi-family 1% of Job cost \Vlth a $39.50 minunum
Sewer connection only $17.50 Water connection onJy $17.50
Estimated Cost $
BuIlding Pennit #
SE\VER AND WATER PERl'vUT FEE
STATE SURCHARGE
TOTAL PERl\-nT FEE
$
$
$
.50
BuildIng Official
I Paid
D.. roJ'f7tif u Il7 ~S [' By
24 b.., ..0" toc.1f ,".<<,... (952) /~'~850' fox (952) 4'i7.M]
,~y~:~~:003 VI
---.~-_::.-.._..---J
8lJll..~AlO ~ _
1NG -p€ 11
Receipt No. ~
(Office U5e Only)
This Application Becomes Your Building Permit When Approved
v
v
2003 1 :4.3PM
GENZ RVAN PLUMBING AND HEATING
No.9302 P. 20 20
.' CITY OF PRJOR LAKE
,.,.
HEATING/AIR CONDITI0NINGIFlREPLACE PERlYIIT
Date Rec'd
~o ~ ~I~. I PERMIT NO.-:;:z. -- 3 /3
3. Ytllo'.... Appb,~t t -/
(Plca5e ~c: or pnnt and sign at bottom)
ADDRESS ZONmG (office U5C)
/q~07 ~jeff'eJe~ PasS
~
LEGAL DESCRIPTION (office use only)
LOT!1BLOCKd) ADDITION Mfd, C~ff
V
~=R (!olifflf/ CdiLlirJmg r /I7C. (Phone) ._qt:7O? -1~~/c;I1ZO
(Address) 7q~ Ldtb}/II& BIt/tit (LJkvl/!~ thn ,~,~o<!'l
.. " . .I
~~~~~T hel17: - ){tl tin (Phone) !t/~- 4d- /~ - 11-'-/-'/
(Addre5S)Jlf1LjS' J,VjJobtR/- TJ2f-/ .&umJ7~11i; Inn ~~
(Contact Pexson) CI!lf!i rf?~)/); J/ r < V (phone) (btJ/ 4047- //4;;
APPLICANT SIGNATURE. ?J(A;~J '~j/~ DATE -</jO/o,~
PID
'-"
_ APPLICANT PL.EASE COMPLETE BELOW
jl(IJ'Ew CONSU/~n.N .-0 REPLACEMENT 0 AL TERA DONS
fURNACE MAKE AND MODEL '0 Y t:;f))' t?rr-~- 7<; _ FUEL l1l1r-bl95
FLUE SIZE REroRN OPENINGS 1? 0 INPUT 1s J ()[){) OUTPUT f/! [)f}O
- , ,.
TYPE OF SYSTEM HEATING OR POWER PLAl"IT
~arm Air Plants 0 Steam
o :JGravity 0 Hot Water
o }1echanlcal 0 Radiation
~jr Conditioning 0 Special Devices
o Vent. System 0 Other DCVlces
,
PLEASE NOTE:
Air CondItIoner Untts
Cannot Encroach into
Required Side Yard
Setback~
FlRE..PLACE MAKE AND MODEL
Industrial, Commercial & Multl-Farml)'
FEE SCHEDULE
J % of .lOb cost Residentlal, Gas Fireplace
$3950 minimum
$99 50 ResIdent!!!.!, Addltlons & Alrerarions
$64 50 Residential, AC Only
$3950
Re~adential, Hearing & AlC (New Construction)
Residential. Heating Only (New ConstrUc.tion)
$39 50
$3950
Estlmated Cost $ Buildmg Permit #
HEATINGPERMITTFEE $
STATE SURCHARGE $ .50
TOTAL PER."MlT FEE $
811Il~t~ ~
\.." O~
.1:144,.,.
[(lffice U~e Only)
-- -~,
Ais Application Becomes Your Building Permit When APpro~o: UfF~dQ \iJ ~ ~ \\
,I n J Date \!
"Building OtTicllll D:lte l AHR 1 1 Z003 U
24 hour notice for nil in~pectlons (9 ;2) 447-9850, f:lx (952) 447~n,.~
By j
Receipt No.
By cr--
/
APr.10. 2003 1 :43PM
GENZ RVAN PLUMBING AND HEATING
No.9302 P. i8 20
Date Re~' d
CIT\tOF PRIOR LAKE PL1Jl\1BING PERMIT
~,~~: ~;~, I PERWT NO;S _.- 3 l-z
J y.now AppliWlt I--J
(Please type or pnnt and SU?J1 atbonom)
ADDRESS
168/1 Jefft/21 Ptl1d ZONING (offi~,,.)
L.EGAL DESCRIPTION (office use only)
LOT /1 BLOCKtX ADDITION
~qaf {Jl2fi.ff-
V
~~~R (!ff1lqb C0'fu I-!rJrne ( 111 C (Phone) tJ ~-1~*-~/l[):)
(AddreSS)?!!d:rJ tLtJLe-)q1/le 13L lid. / Ui!:LJL/ /1 b __07 f7 ..2S.Q!f!j
,:,.,:;~~ANTGeIJ-r. - !(tr$l cPhone) / hl- 4:s //</'--/
(Address) ;1iL(~ Q~~tel2f.._IE?I./ .~se1J?ljUJ!li m;,~___ 55"DbS?
(Ad/dress) , (City) _'. (Zip ~01fJ'
(ConractPerson) (}/2i?k(h hJ L/J (Phone) 16!.f/d 3- /IL/.I.
APPLICANT SIGNATURE fJu.lz:i:Zr)- -:1~ . DATE .LI/;O /0..<::)
Quantity
;"~
i
(
rr
1
I
I
4
PID
APPLICANT PLEASE COM:PLETE BELO\-V
Type of Fixture
Bath Tub with or without shower
I Dishwasher
Floor Drain
Lavatory (Eathroom Sink)
I LaWldry Tray (lor 2 compartment sink
Shower Stall
Sinks
I Bar Sink I
I Water Closet (Toilet)
I Q'lantity
I
I /
~:'-1:-
I
I Type of Fixture
I Rough-ins
I Water Heater
Watcr Softoer
Stand Pipe (Washing Machine)
Sewage Ejector
BackfJow Assembly
Backflow Assembly Test
I La\Vll Sprinkler
, Other
FEE SCHEDULE
Industrlal, CommercIal & Muln-fanuly 1 % of.1ob cost With a $3950 minimum Re:>ldentJal, New One & Two-Fauuly $99.50
Residenti:l.l, Additions & Alterations $3950
This Application Becomes Your Building Permit When Approved ~ [Ui) t[ll'm (-~ ~
. Date By
_MJ? ~ 1 ? ~n,.t--t
/
24 hour notice. for all inspections (952) 4 "-9850, fax (952) 447-4245"'-
By
(Of[Jet U~t Onl)")
Esumated Cost $
Bulldmg Pernllt #
I:f PAID INrIo. .
UILOING7;; ,.,
J;;'FIM/i
PLUlvIBlNG PER.tvlIT .FEE $
STATESl~Ca~GE $
TOTAL PERMIT FEE $
50
Receipt No.
Building Official
Date
t(
""~1>.a...~._._.__
FIRESIDE CORNER
#3655 P.001/OOl
Date R~'d
(PI e:ue fY1H! or print and d 1tIll\( bott.,m)
ADDJU:SS
CITY OF P~AKE
HEATING/AIR CONDITIO(f" /FIREPLACE PERMIT
~ 'IR~SID8~ ~mm I PERMIT NO.
3' 313
HEARTH&HOME'"
ZONlNG (office l.I~l
15307 JEFFERS PASS
LEGAL DESCJlJJ.'T.1.0N (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name COLLP___QE CITY HOMES
(Address)
(phone)
APPLICANT
(Name) ALLJED FIRESIDE D1UJ:J.EESIPR HEA.RTH~;l'.QM.F.
(Phone)
';51-633-256J
(Addres~)
2700 NORTIi FAIR VIEW A VENUE
(Addres&)
ROSEVILT.E
(City)
SS Il3
(ZIp Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561.
APPLICANT SIGN A TURE
QEffNDA HUSTON
DATE
913Q/Q3
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI. TERA TlONS
FURNACE MAKE AND MODEL FUEL
RUE SIZE RE'T1JRN OPENINGS TNPUT OUTPUT
TYPE OF SYSTEM IlEA TING OR POWER PT"ANT
DWlltm Air PISlnts 0 Sr..eom
OOl1lviry 0 I-Tot Water
o MechnnicfJI 0 Ra.dilltion
OAir Conditioning 0 Specinl Devices
OVcnt. Systcm 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach inro
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO tiOOOTRT X 2
E91:imllred COl:t $
HEA TING PERMIT FEE
STATESTJRCHARGE
TOTAL PERMIT FEE
FEE SCHEDULE PAID WITH
1% of job cost Rcsidcnt.lnl, GllS FfTepJllce BUIlOfN.G PERMS3fT9.30
$39.50 minimum .
$99.50 Residenrjlll. Additions & Alterations $39,50
$64.50 RegidenrJeJ. AC Only r7>9,!'2
Building Permit # :~) [E 0 \~
f~ .50 .l OCT 0 8 2003
$
Industrial. Commercial & Multi-Family
ResidentjBI. HerJting &. Ale (New ConsTruction)
Re~;dential, Heating Only (New ConstrlJcl.fr.m)
(OffiC:'ll.liC Only) By
This Application Becomell Your Building P7ffJtPaWNCJ hBl1rJl~~"JQ/(+-tJ;ArQnd Receipt NO.,
· !. Builder Divi.f; m I DilIe 1 By tJf' /~
~ l BlIlId'n~OrmI]@O Fairview Avenue Nor!.h R~jlle, MN 55113 Phrk651-633-2~6LEllx 6.51 633-!l884_, t,~J
nUII.l)1l 1/ (;I.UD, 3850 West Hli'.hw3Y 13 Burn~vjlle, MN 55337 Phone 952-890-0758 Fax 952-890-5408 'j\U1wr1lSASSIJCw,OIl
241101lr ootice for All ;n~pl!ction~ (9S2) 447.9850, rnx (9~2) 447..4245 .. ._, ...- ."...
.......nt1!.,".~'ft.C<)m 1111'1 i::"nlrlll:l1lr 1J~&m!Hl illl)l)~" I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Is-3D,., J ~PFc:.\'s l'o.sS
NATURE OF WORK ~ ~JU~~)e~
USE OF BUILDING --SF R
PERMIT NO. Q3. ~ ry;r,E ISSUED _
CONTRACTOF(:'fo/~ ~1 ~~ PHON~- US'. ~.J,/)?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMEN I\...W&~ 1\ If !l:in FI.le
BUILDING AN~~IJN.
INSPECTOR
DATE
t 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 JIl!; " u- ~-e:. ~
HEATING (if required) (I!'J
FIREPLACE // ,...,
GAS LINE AIR TEST ~ I . ,~ /.e-~.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"'"
11/7
~ #;5
(/~
UNTIL AB~E
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.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~~
We..,
Po
10 - 2...1
......0 - ?.t
/c:J- Y
J ' t...
, -Z,
HAS BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850