HomeMy WebLinkAboutBuilding Permit 00-0036
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DEe 2 8 1999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
33LO
GljYlwo.k
3. LEGAL DESCRIPTION
LOT Cj BLOCK
ADDITION G / V A/ LJ a r f' r
;
(Name)
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER (Name)
WeN.J"tn ~/VA/
fJo ,., f' f
7. TYPE OF WORK Fireplace 0
New Construction V Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
1. DATE
/;2-;lf'-9J
R;:JSD
+~~il
;L
;) /v 1'/
PID 2.*5 ~ 3.GB -0 (2.-0
q ~ d','7/n /\/
1. White File
2. Pink City
~€)i-
Permit No. 00- d7J ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have fumished 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 abov,e mentioned propertyE2nd th all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bUildin~o . al can revoke th' perm' or just cause. Furthermore. I hereby agree that the city official or a..\!llsignee may enter upon the property to perform needed inspections.
X ~ / Y..>tF 1;2-;7.;>-7"
- \ / Signature License No. Date
J
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFfi
(Address)
(Tel. No.)
(Address)
(Tel. No.) ~
G(Z-3(,1-7f..!f? '
(Tel. No.)
~NU( S
(Address)
Iff)" /'//J 2. ~ Dr
LeiI'll /'if )17N
(peptic 0 Deck 0
Addition 0 Finish Attic 0
(,5/ - '10/; -'1YO 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Lf~ .000.<:90
~2;~~.Q6
TYPE OF CONSTRUCTION: I II 1/1 IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
1 00 .ex>
IO(J.l?IJ
35.60
Gas Fireplace perm~;G""" .............. $ 40 . Of)
This A~~r Building Permit When Approved.
By ~ Date 1- 2~ -2.00
Certificate of Oc:Uplcy
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Amount Brought Forward .................. $
Parik Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. .. ... .. .. .. .... $
Sewer Tap ................................... $
Pressure Reducer .......~..............:
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $)
Water Tower Fee ........................... $
City:
Q3t'].75-
5Q4.2.J
'l~ .D6
MATERIAL FILED WITH APPLICATION \
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Pi ."10 . C3Y
I I 00 . ~e'
45. CJO
I AS-. c:o
':) eX!) . 00
IOO.~
Water Tap ................................... $
Builder's Deposit ............................ $ - CJ-
Other ......................................... $
Total Due .............................. $ 51 fIZZ.. '1h
Paid S~~(., Receipt No. ~/_,~
~~ - ~.
Date z.. By ~~
This is to certify that the request In the above application and accompanying documents is in accordance with the City Zoning )rdin nce and may proceed as requested. This document when
sig~ P.la er oonstilutes a temporary Certificate of Zoning compliance ~nd allows construction to comme ceo Before occ~pancy. a Cert~icate of Occupancy must be issued.
V C lanner J-t 2. ~le~ ~-~/' Special Onditions ffarr~J.R"&....~1.~
24 hour notice for all inspections 447-9B5O
I ()r 4-
//li.l.A/ f'-I L S-
Tho Conler of lho Like Country
"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\/\/2' /'v/~.~~.' j'-:/ ;-) /1.' /,ji
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~3lQ &LtA V\W~~ 1itU.Q ~L.0
L- q, .82-1 G~V'\; N/1Tb-1<- 2-^.l.o
Accepted.,/ Accepted With Corrections
Denied
Reviewed By:
~lA. I J 0
----y V' "'"" ~ ~ ~
Date:
LiUA &0
Comme~s:
~~r8L}tJL ~c.Jb0r/~ ~() \fko-, (' A~t~ tevL<
I~ <[kp C. 0, jJ, 1).),/\-(,L~~J€!.-'l \~
~ t9-V (\--L~,^w.-Ke,ro
{~e-re~~ 4V'lJ Lt Jy~ ~_ Ice
I A-C)~ ~~ ~ 1~.R..x
~)WP~(MP~~ ..
1A)~ThM
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"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."
11 /l / /II PI '- IE
Thr Crnlrr or the- Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WeN5MrlNN
Iz/ze/qcj
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<5; 0 (;. lj III /1,atol- I r-c\"\ \
Accepted
Accepted With Corrections
~
Denied _
Reviewed aL arlll/ ,L.-k
Comments:
I.R~ctCLH ~ U~,.i. ~
Date: J - '2 8 - 2-00 C>
"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,"
/
,/
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li/1/Iv/ FILE
lh. C.nln 01 Ih. l.k. Count<1
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
. .~. - . ,_ " I
we N5 /V! r-J Iv IV
/2/2~/qq
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33/0 (;}Llr'NWr4, d<. ---rRAIL
j.. '1, t3Z/ G'-VI./IV',#f f~1G Z IJO
Accepted./ Accepted With Corrections
Denied
Revievved By: WALT&< Ef-iRuMMAI rJ
n_~_. . ,~_J__
Udlt:. II ~~/UCJ
. 1
Comments: ~l?ocJ(' rOfJ<;''f"(.1.UCf/O,oJ C^-1rIl./hk.r; klu..L. Jo.lE:ED Tn Be C01J.ST7t\JcTq)
F;. R EAc.&J UNIT".
5[,[ WfJJIl-.....ArW n/J """~E:. R.~LlfJts~ SIDE.
"iF.E. ArrA~HMf'...rrS: 1_ 6.1J,qL ~AJ)E /AJsPf!CT1tJAJ 1/>IF."II,.,knO/,..l
'2. Gtl.l1t"Alf.. R. AA.l
3. &~LOtJ Co}J"fltDL. ;-1JEAsVtf..ES
if. Uo{l/)/u Co,o;1l.0L f?.141\l
"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."
'<1/
,.
Job Address 33 7 0 C It'r? vU.:.IA v
Heating Contractor~..n'2t4y'~
;fJ ~
Name of Tester /1 ~ (.
Dme ~'Ib-~
, Percent 0 ~ '7
Percent CO2 IS
Percent co c:>
.- < La
Stack Temp. ~r.::J
r
\'(
~Orr~
~~'AI
\,~
HEATING APPLlCATION I PERMIT
Dale <1- )-O~ P.o. 0(5 -3bS-61A -0
SI19 Addrllss SJIO G4n. wt:L&. ,'7/1 A-W
Lot q Block f) Add"n G I \Jy\ V\.nJ..u-- 8,r-Gl A-Orl\J
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Pllrmit No. (){J-(J!)3b
Prior Lake, MN 55372
Owner's I~ame
Address .
Hll3ling Conlraclor !-LLIED FIRES IDE db Ii FIRE SIDE CORNER
Address. 2;00 N. 'FAIRVIEW. ROSEVILLE. MN 55113
TelephoMl". 651-633 -2 5 61
FIREPLACE- I
~ Make & Model .'-lpol A )(0(.;:,
Mod~ Sizo ..$:'C 7~.d
Conn. Load
Fuel (c;.LS
Flue Size
Supply Openings
Return Openings
Input
Edr.
Output dJ. QCD
,
elm.
TYPE OF SYSTEM
Warm Air Planls
Graviry ,
tv! 9challical
Air Col1dilioning
Vent System,
HEATING OR POWER PLANT
Sleam
Hal Water
Radiation
Special Oevices
Other Devices
Alleralions
Replacement
lYPE OF WORK
New Construction
y
Repair,
Est. Casl $
Est Comp. Date :y'/J/j()/)
)iOO. OJ Building Perm. It Ol) - CJr) .<, b
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt fI -
rn
II)
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TYPE OF STRUCTURE
I. ptllk . File
l. tlnrn . OIJ
J. YeI'- - ConIreclQl OJ
'<
Single Family .
Commercial
"Tl
1-"
"'1
II)
tI)
1-"
a.
II)
n
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"'1
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II)
"'1
Two-FamUr.
. I ndusl rial
Multi-Family
Public Olher
Fee Schedule
Indu!;lrial. Commercial & Muli-Family
ResidenUaI, Healing & AC
Resldenlial, Healing Only
Resldenlial, Gas Fireplace
Residenliaf, Additions & Alleralions
Residential. AC Only
1% of Job cost ($39.50 minimum)
$99'.50
$64.50
>>!i. 50 .. -1 ZJl\
$39.50
S39.5D
Remember to add !he State Surcharge on the bottom of lhis applicalion.
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.....
Th. price of your healing permit includes one rough-in and Or1e11na1 inspection.
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^ddilional fnspecllons will be billed al $35.00 each.
CIl
CIl
House Healing Test Record must be submilled ~ilh hlliJrtlhf"l .,..,r,....~ ""~~...A. bebe build ~
ing cerlilica~ 01 C'''''''~ancy will be Issued. '
HEAT CALCUlATIONS REQUIRED willl number of supply and return openings lisled p
room with CfM's per opening. New structures or addition& send nDOr plan with supply
and rnlum locallons shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAllEO TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. s.e. PRIOR lAKE, MN 55372.
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City HaD business hours are 8 B.m. - 4:30 p.m.
;
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) . CALL CITY HALL
447-4230
......
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I hereby apply Jor a mechanical sysfems permit and'l acknowledge that the 3:
inlormation above is complele and accurate; lhallhe work will be ill conformance
wilh Ihe ordinances and codes of the cily and with Ihe slate buildlnglmechanica
codes; that lhis form does not become a permit until signed by the 8UILDING
OFFICIAL; lhat the work will be in accordance wilh thlt approved plan in Ihe
case 01 all wOlk which requires review and approval of plans.
~/~ d~7.(l vlj/cD
(A App!cant's Sivn~) , r----.... ' . De~ :;
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-(/lIullding oO""'s'8'""",o ~ ';
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CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant: &/' F)7'-- ~
Address; It.J'1l./r:::. ,~ ~ "'l1'Z L
Signature: ~ _ ;
legal Description: L.J-J Slack Sub
Site Address: ~~, n (;J~ y.::a-t' J'?_ Tte.L- .
BuDding Permit # Uf.Jv"()03ft:; PIC#' ZG-.3&.S" -(')/2..-0
NO'TE: This permit ~i1I not be processed without complete information.
FlXTUREUNITS
MAR. 14.2000 4:33PM
GENZ RYAN 6513226147
TIR l;(ft,... ., 'I' ...... ClIUnlrY
. ,
Quantity Type of F"ooure Quantity
Z Bath Tub with or withoUt shower -:3
\ Dishwasher I
\ Aoor Drain
'2. Lavatory (bathroom sink) ,
\ Laundry Tray (1 or 2 compartment sink)
Shower Stall
I \ Sinks
'1., Bar Sink
" ) 2- Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi~Family
(1 % of job cost, $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
NO. 775
P.21/21
I. Blue Fils
2.. GaId City
J. Y.U_ AppUCOIIIl
(}() - (}03h.
#
,Phone: G:,~/'- U 7 ~- (14U
e.~ ~~R
Type of Fixture
Rough~i"s
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejeetcr
Bac/d1ow Assembly (RPZ. Dcuble Check, ?VB)
Backtlew Assembly Test
Lawn Sprinkler
Other
$
$
$
s
.50
GRANO TOTAL S
...,~.,
This permit is grunted upon the CJtpress condition tha[ said
eonUll~tor. shall comply in all resp'=s with me ordiIllJnces
af th;Jta[C ~UIIlbing "," lmel}dmClJ}5 therecf.
, ." . . 311S"j(jO DA're
, I A1TEST
"
Call for all in
16200 Eagle Creek. Av. S.E., Prier Lake, Minnesota 55372/ Pb. (612) 447-4230 I FAX (612) 447-42~S
An Equal ,OPflortunity Employer ..
Ft;Ii. 3.2000 10: 34AM
GENZ RYAN 6513226147
NO. 485
P.4/5
__-PILe .
YEUO- - ~
.... . an
CITY OF PRIOR LA.KE
S~W~A AND WATER ~~~T
NO. 00-0030
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: ~e.n2-'" 4J' ~ PHONE:1i6I--4.1S"'lllJ~
ADDRESS: \U1US:'Eo~,.-cr-"""(JI. ec~ DATE: zf2Jf'..f) -
SIGNATURE: II il'\u~ n - BLDG. PERMIT * 00 -0030
SITE ADDRE~\~~\.1..:)H'l~TeU'ID#~-3lo5- 0('2...-0
U
FILL IN THE BLANKS
1. Estimated length of water service ~'
t '\
2. Size of water service
Jeet.
,inch (es) .
3. Location of any couplings from s~ructure feet.
'--' 4. Type ot sever pipe. AElS PVC ~ Cast Iron
!. )
'. lin~..!:J{) J
5. Estimated length of sewer feet.
6. Clean out. (if require~) , , located at feet from
structure.
-~
BY
your
permit wnen approved.
DATE: 2- // 0 '/0 0
- ".../
This
-.' . acIEiiIi::::a~-===-
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharqe
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
(;)
DATE PAID
RECEIPT #
AMOUNT PAID '3'f"~\. :\
f'j-\\V P'""...\O\\
.REC ' 0 BY \ tJ~\\ n\~G '- .
. 4629 Dakota Sl 5.E., Prior lake, Minnesota 55372 J Ph. (612) 4474230 I Fax (612) 4474245
AN EQUAL. OPPORI'lJrIUT'l' EHPI..CV9
- CITY OF PRIOR LAKE' ~..' -1
. 16200 E&gle Creek Av. s.e. Permit No. jJ7J - 0 03(0
Prior Lake, MN 55372
Dale
S~8 Addr885
Loa Block
~r ~~dt8:
Conn. load
Fuel AI-Pef. ~.Ic:J=1ue Size
"
t..-l
TYPE OF SYSTEM"
Warm Air Planls, X.
Gravity
Machllnfcal
IJr CondMlonlng )( z.. ,/ 'Z. ~
Venl. SYelem
HEAllNQ OR POWER PLANT
Sleam
Hot Waler
Radllllon
Speaaf Devices
5" I ~vtnr
Suppfy Oplnlngl
Return Opening's
Input 1 5t 6'5\\
l.lD l5lm
Ollfplll
Edr.
'C'm.
other Device.
TYPE OF WORK
AlIerallonl
K
New Conslructlon
Repacemen1
Ell. Comp. Dala
Building Permit t#
Repair
Ell. CoS1 .
(J7)- O()3Ct?
HEATING PERMIT FEE'
STATE SURCHARGE .
TOTAl PERMJTFEES .
.50
(/. PAlO wrrH
Receipt # . 6U\L-Q\NG f~:
TYPE OF STRUCTURIi
r. PI_II -~ "\ l'ik
2. (lee.. i 011
). Yell. 'C4lP_Eb
Single Famllv
Commerdal
X'
3
D
;u
, Multi-FamIly
Publlo Olher.
Two- FamIly
Induslrlal
p
J:>,
I\J
IS)
IS)
IS)
Faa Schedule
Indus1rlal, Commercial & Mutll.Famlly
RuldenUs'. Heating & AC
Residential, Heating Only_
Ra.ldanUaf. Gas Areplace
Resldenllal. Adrtltlons & Alterallons
Residential, AC OntV
1% of Job oosl ('39.60 mlnTmum)
$99.50
$64.50
$39.50
$39.60
$39.50
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N
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D
:z
en
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Thlt.price of your healing parmillncludes one lough-Tn and onlt f1nallnsp6Ctlon. tij
I\J
Addftfonallnapeclions will be bllled al $35.00 each. ~
.......
House "Bating Test Record must be submitted wllh bulldlng 1WlIIil.DWllblr before bulf~ :!;j
fng certlflcale 01 occupancy wfll bit Issued,
l:tfAI CALCULATIONS REOUIRED wllli number 0' supply Bnd lelum openTngs lis led per
room wIth CFM's per opening. New alNctures or addftlons lend floor plan wfUt supply I
and return focaUonlsoown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Remember to add tha Slala Surcharge 00 1he botIom 01 this appIlca~lon.
City Hart business hours arB B a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL). CALL CITY HALL
447-4230
I hereby applv 'or a mechanIcal svs1ems permll and I acknowfedge that the
InlormaUon above Is comptele and accurate; that the wOlk will be In conformance :z
wtlh Ihe ordinances and codes of Ihe city and wUh Ihe stale building/mechanical 0
codes; thai this form does nol become B permit until .Igned by lhe BUILDING ~
OFFICIAL: thai the work wTIJ be rn accordance wllh the approved plan In Ihe Ul
case 0' ell waak which requIres review and BpprovlIt of pJana.
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PRI'OR lAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -.:D' 0 Q,\~II\ wcJ:b- T;-c.\ \
NATURE OF WORK .1leJ.l\ (\~krhA
USE OF BUILDING S ~ A-
PERMIT NO. 00 - 0030 DATE ISSUED \ - :;J..'7- ~
CONTRACTOR l-\J.e..v\~Q.\J\,^ \..\~~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
(
FOOTING \le.ct ~ _ S/3~ I
FOUNDATIO~ (Prior W~aCk1i11) .' I UV
PLACE NO CONCRETE UNTILlIABO AS BEEN SIGNED
ROUGH~NS
SEWER I WATER I SEPTIC . ~ ~/ib . .
FRAMING .1)IdJ%:Jh.$~!tt7LL.
INSULATION / JJ iJPr)lrn C/ /:6 ofi./rA? 4;
ELECTRICAL f/// (' /c' t ~ /1 ...... I f
PLUMBING LL~~ Al,<=d4JiJ fh ~/// gV
HEATING (if required) 7~' of):p # A!Jt,V f /
FIREPLACE . Ro\. ~3-OO "~t
GAS LINE AIR TEST j/.; tram; FP~/.Qk
COVER NO WORK UNTIL ABdVE HAS BE.lEN SliG~ED
l~ I I
FINALS
~ IO/-v1!DO
fir ' I
GRADING (Prior to Sodding)
BUILDING --1&) ~ y/t (IJU
ELECTRICAL
PLUMBING
HEATING
Jo /d~//JlJ
I I
0.0 .N.OT OCCU PY
/)
( L,s /;1/00
// - Lh-I ~
,
UNTIL ABOVE HAS
NOTICE
6/t 'I! (}-t
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 ,ac;Jditinns
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~ -=-:. ~~~ ~J I ~"t :": -. -: .11 11
QLertificau of OOcrnpanry
CITY OF PKlOR LAKE
1lgepartment of ~uilbing lnspection
~Final Permitted 0 Conditional C, 0, Expires
'''-to,
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
Sinszle Familv
Bldg. Permit No._ 00-0036
N / A Zoning District R2 S D
Occupancy Type _ R3 Type Construction VN Fire Zone
L9 B2 Glynwater Second Addition
Legal Description _ ' ,
Owner of Building
'iite Address .3.3 lOG 1 vnw:-1. t e r Tr ail
Contractor's Name &.Address Wensmann Homes, 1895 Plaza Dr., Ea~an, MN
fir.;- ( City Planner _
Robert D. Hutchins
Building Official
10/;;' to/ /)0
Jenni Tovar
Date: _
Date: _
GIpu/dle~ 71"'.
CONTR. ~~~~nn
m-/l$
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 33/1)
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
~F NG
o SULA TION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
4rjJ'1 /< ~
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Inspector:
DATE TIME
J#rL
OVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ntr:
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3"6\0 ~Y\W~
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
A.- ~WER HOOKUP
, \ ~:UMBING FINAL
o MECH FINAL
AOMMENTS:
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DATE TIME
Q I '\pd' 1I:vo
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
A([I ~ SS"
o WORKSATI CTORY, PROCEED
~ORRECT Cl10N AND PROCEED
o CORRECT Q i . C LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~QUIJ' EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
\v INSNOTl
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,Il:l FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.~
DATE TIME
A.,f;
{) - 3<:0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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""WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~-
J
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 33 to ~ V\ lA..l&..tL
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
\.~NSULA TIONfl
~ ~INAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
'JfJ MECH FINAL
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TIME
{(.fa
0-30
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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Inspector:
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R REINSPECTION BEFORE COVERING
INSNOTI
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!