HomeMy WebLinkAboutBuilding Permit 13. 0299 M
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`' '- CITY OF PRIOR LAKE
rz� 1 PriaarfutrItt of a c 3rtsprrfio t I
(''`` _ : ❑ Final Permitted ❑ Conditional C.O. Expires ='
' "
ti, _ _, This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International t ;)
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 SINGLE FAMILY Bldg. Permit No 13 -0299 ` 1, Rs r ) �'�
(lt•; R 3 VI Phil - ? �
Occupancy Type Type Construction Zoning District .__ ..
00i:7$1 4 0 11
Legal Description L 29, Rl , THE COVES OF NORTHWOOD MEADOWS
Owner of Building Site Address
16428 KNOLLRIDGE COURT "' f
of . Contractor's Name & Address STO E O TT A G E CONSTRUCTION , I N C .
ROBERT D.
HUTCHINS
City Planner
[! // Building Official
( _ Date: / ' y Date: + ;1)
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6 rxlp\ CITY OF PRIOR LAKE BUILDING PERMIT, _ Date Rec'd
U TEMPORARY CERTIFICATE OF ZONING C PLIANCE ( `3 tri AND UTILITY CONNECTION PERMIT
1 I
/Q
1. White File f ���•••J// � �
-. Pink Cite PERMIT NO . -
3. Yell°, Applicant
lli�� ///^^^
(Please type or print and sign at bottom) -
ADDRESS ZONING (office use)
tLQ42J b V_vkoake,Cyi C0141 NMI D
LEGAL DESCRIPTION (office use only)
LOT 29 BLOCK 1 ADDITION 'Me, Wrif (j-N ( 4Jr6(Y NAtildawi PID t LP Li
( \ U \C if tt V- C 1 A VVI 0'014 I C • (Phone) 0 Z 36 ✓ I3
(Address) 6- L U' 5 uA %"1 \NI Al , S1-ci 2C 0 ,A W4,,�'i 1 N 55 �Z�"
BUILDER ,p l 6111- (f `,, r 41/0 '/� q 5Z �G 1
(Company Name) `1 \A C V 41 t3' ` IAC1 • (Phone) 5 33 r 8 — �
(Contact Name) ill = £. WA (Phone) U 7 \.— 29 1 — I,
(Address) ,
l) t Cj G k A t2j', W _li� 1 5 0 1 -' f 1 - r, V l'"A 1
1 2-4
TYPE OF WORK New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
Addition ['Alteration ['Utility Connection
CODE: xn I.R.C. ❑I.B.C. ❑ Misc:
Type of ( onstruction: I II III IV V A B n CO
r�
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $_ ' 5 i , 000
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 -men oned .. .erty 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 ca rev e t i ,,' rmit for just cause. Furtiptiew that the city official or a designee may enter upon the property to perform needed inspections.
Cottage Construction, Inc. V j 3 LQ 5 i 4- • 11- , 2,613
Signature Contractor's License No. Date
Zt�s) 06 P ark Support Fee # $
Permit Valuation � � , y /
Permit Fee $ , S L c J SAC # $ 2-4 5 • 0 0
Plan Check Fee $ t 10 c ‘ 5 Water Meter Size 528 "; 1 "; $ -4 - 0 U
State Surcharge $ t14 - Pressure Reducer $ i 1 O . 0 0
Penalty $ Sewer /Water Connection Fee # $ / .S 0 0 0
Plumbing Permit Fee $ /5 4 5 0 Water Tower Fee # $ / 0 6 0 0 0
Mechanical Permit Fee $ /54— 53 Builder's Deposit $ 215 6 6 0 0
Sewer & Water Permit Fee $ 5 57) Other $
Gas Fireplace Permit Fee $ 3-4_ ,s TOTAL DUE ( t-L'''o 3r z I3 564 A f 6
This Api lcation B9c9 s t, 1 : uilding. Permit W n Approved Paid (� i.l(, Receipt No. (1 J 7'
a '71./ i Date 5 -1 �--(-- By I-0-t- 4 ' Z` " •
Building Official Date
This is to certify that the request in the above application and accompanying documents is ' accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign. i the Ci ' .nner . .titutes a tempotary Certificate of Zoning co pliance a d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
'tanning Director D• e 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
t
Residential Building Permit Checklist
New Co struc i • n for Single or Two- family Dwellings in R-1 or r -2 Districts
Reviewed by: Arai
v Date: �z� (:.
Building Permit # Zoning:
Address: ti r'c, -.�
1 ( 2 - \�J c, �-`
Legal: L , B Subdivision:
Existing Structure? YES 10111 . Existing Nonconforming Structure? YES I NO •
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NA / FAILS! C 't P IES Standard 1 Proposed
• Front Yard (can be 20' if avg. in 150') 25' 2 S . —
• Side Yards 107
25' if abutting a street _ 1 1
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required 271' over 60'
if building wall is 10' -0" or greater of being parallel to
a side lot line. t
• Rear Yard 25' g 4
• Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear '--
• From 100 year flood elevation of wetland /NURP 30' .
pond.
• Refer in- ground pools to the Planning Department
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no
less than 50'
Floor Area Ratio: NA / FAILS !COM S 1 .30 Maximum 1 , (
t -AA 1 \ 4,'
Yard Encroachments: N / FAILS 1 OMPLIES Standard Proposed
Eaves and Gutters no m than 2 feet in width and no
closer than 5 feet to a lot 'no (Easements).
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: A / FAILS ! COMPLIES Standard 1 Proposed
• Total caliper inch
• Permit 35% Removal
• Caliper Inches Rer'oved
• ' Caliperr'lrlches P,dserved
• ReplacemenV '/ :1
L : \TEMEI TE\BLDGLIST.D0C
Driveway: NA 1 FAILS / COMpLIEi Standard I Proposed
• Maximum width at propert e 24' -2-A t
• Required setback 5' from side lot line or
30' from r -o -w on corner lots 1 3
• Maximum slope . 10% 4.-T
• All parking areas to be paved including R -V Dr
spaces adjacent to the garage _ '~
• Location to match subdivision grading plan
Building Height: NA FAILS 1 COM �I i I
g g �/ 1 35' Maximum � Z�
Shoreland District: NA FAILS / COMPLIES , Standard I Proposed I
Minimum lot area (sere feet) 7,500 Rip, 7,999 Non-rip p
Minimum lot width • 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface 30% Maximum
Bluff in Shoreland: NAI FAILS / COMPLIES Standard Proposed I
• Setback from top of bluff By planning dept,
•
• Bluff impact zone 20' From Top of Bluff
• Engineering certification submitted /approved By City Engineer
• Grading in bluff or bluff impact zone _ No importing /exporting
Floodplain:'NA/ FAILS I COMPLIES ®_ ' Standard Proposed
• 100 year flood elevation 908.9' Prior Lake
914.4' Spring Lake
• Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
• Proposed lowest floor elevation Must be 1' above flood •
elevation for new and existing
structures. If existing
structure was constructed
9/19/90- 11/22/97 then
_ additional foot is not required.
• Elevations 15 feet from structure Must be flood elevation or
. higher
• Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation _ 913.4' for Spring Lake
Accessory Structure: 1IA / FAILS I COMPLIES 1 Standard Proposed I
• Size _ 1000 sq.ft. or 30% rear yard
• Not located in front yard (Materials) _
• Side yard and rear yard setbacks _ 10'
• Maximum height _ 15'
• Materials compatible with principle structure
L:ITEMPLATE\BLD GLIST.D 0 C
C ov ,PRI
4 'I A'NE SO CP
White - Building
Canary - Engineering
Pink - Planning
B ILDIN PERMIT APPLI ATI • N DEPARTMENT HE
KLI T
NAME OF APPLICANT
i t\ CIF 0 f,1 r-, _.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have
application for construction activity which is proposed at: reviewed the building •
permit
Accepted K Accepted With Corrections
Denied
Reviewed By: /24415
Comments: See Reverse Side for Additional Information!
See Attachments: 1 Gradin. Plan 2
Erosion Control .. ._
"The issuance or granting
permit
computations shall not be construed tobea permit for
c oy of the provisions not
this code d of e o i f approval an plans, specifications afications and of
any of ttog ordinance i a of the ju is atio diction Permits . on
presuming give authority to violate or cancel the provisions of this code or other othr
ordinances of the jurisdiction shall not be valid."
O� PRIp�
White - Building
Canary - Engineering
4f, LANES ° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .1 k1E C,00
APPLICATION RECEIVED 4 A - i 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
( u 4-z KAI UU-J o 0 c,�l� NJ ice
Accepted Accepted With Corrections
Denied
e 4 •
Reviewed By: -te:
Comments: r C r '514AJ M" t-fr /k.
S. A7 i 3/ 1 .
"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."
O PRIG
4 x
U m
White - Building
M, �P Canary - Engineering
NNESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections
Denied /
Reviewed By: Date: P-
_ _,,,,„
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."
• vitr CITY OF PRIOR LAKE Date Rec'd
HEATING /AIR CONDITIONING/FIREPLACE PERMIT
4 . Pink File PERMIT NO.
-- 3 . e e� ci p / - ( Z—/ /
(Please type or print and sign at bottom)
3. Yellow Applicant
ADDRESS ZONING (office use)
1 i' --1
• C)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER pp /
(Name) �b �(�2Y 4� 0 (Phone) —' 4 3 ®I .
(Address) ! (4$ /6 O Z 7'2o afr% � ` . - 5 t ■3
APPLICANT
(Name) HEARTH & HOME TECHNOLO�S
•
(Address) Lic 662656 •
(Address) 2 700 FAIRVIEW AVENUE N
OSEVI MN 55113 (City) (Zip code)
(Contact Person) �12 "' o3-Z 651.633.25 (Phone) •
APPLICANT SIGNATURE (2, DATE 7' 1 —7 / 3
APPLIC PLEASE COMPLETE BELOW
['NEW CONSTRUCTION ❑ REPLACEMENT El ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑ Gravity ❑ Hot Water p
❑ Mechanical ❑Radiation into Required Side Yard Setbacks.
❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
['Vent. System 0 Other Devices Cantilevers to the Outside of Buildings
JJ±���
Require a Building Permit.
FIREPLACE MAKE AND MODEL //Jai/Aim i 7 ; M v 2 3 6Z 3G1 , ; 7
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace WITH
$49.50 •
$49.50 minimum /
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions [�� ��® 50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only �V i LV I x150 •
Estimated Cost $ (/2t9 Ole Building Permit #
The Minnesota Statutes N 326B.148
HEATING PERMIT FEE $
"SURCHARGE" has keen changed for one
year effective
STATE SURCHARGE $ .50 July 1, 2010, until June 30, 2011.
TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee" permit
(Office Use Only) is S5, beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Bulldine Official Date .
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
r C Io � cri Y Or FRIOR LAKE Date Rec'd
` PR HEATING /AIR CONDITIONING/FIREPLACE PERMIT
,,,,,._,....,,,,,,
4,.4 ,,Eso.tt. 1. Fink File PERMIT NO. 0 -, OL91-
2. Green City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS . (office use)
I( 2S Kr h c Cf.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) t' COt 1 6L C fl k tC 1 OE v c . (Phone) q52-3&S- t3( 1
(Address) AS `S C JT ,2 i frVt 1 Sly k C(.. ZC) O ) Us j m Y�
APPLIC
(Name) t C r(f\ n cj .4- ( (Phone)
(Address)670 ()RYA 1`fl Si- , t,3 , Su kr (DL. ipi 1/41( Y it.) E(l4
(Address) (City) J } (Zip Code)
(Contact Person) Amt._ MA III. eci'1e.„( ( Phone ) a jZ - 4 Vii( -Ss( (
APPLICANT SIGNATURE Mil .1 /11 __../_, 1.' : DATE 6 /7 (D/ 13
APPLICANT PLEASE COMPLETE BELOW
KNEW CONSTRUCTION ❑ REPLACEMENT Li ALTERATIONS
FURNACE MAKE AND MODEL i e4' S Mr2:30B( FUEL /00.4-, ?A
FLUE SIZE RETURN OPENINGS ID INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
['Gravity ❑ Hot Water into Required Side Yard Setbacks.
:.d echanical ❑ Radiation
�1Air Conditioning ❑Special Devices Fireplaces with Box Additions or
IN Vent. System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE p
Industrial, Commercial & Multi Family 1% of job cost Residential, Gas Fireplace PAID WITH-
649.50
$49.50 minimum 3ultnit9c4 PER
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations 9 .50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ 1 443( r s Building Permit #
The Minnesota Statutes § 326B.148
HEATING PERMIT FEE $ 1 4 S "Sl IRC;I LARG ea re been changed for one
t year effective
STATE SURCHARGE $ _ .50 .l uIy 1, 2010. until June 30, 2011.
5
TOTAL PERMIT FEE $ 1 o t oc) The minimum surcharge for a "fixed 1'ec" permit
(Office 'Use Only)
is S5, beginning .luly 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Kio,td& it6hNwcu
d os OR /04) Date Recd
CITY OF PRIOR LAKE Q R j
vI SEWER AND WATER PERMIT
f 4'NES°
1. G Yelloreen w F C i [ y l e PERMIT NO. 1 3 t 29' 7
2. !
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
pb
16428 Knollridge Ct NW., Prior Lake u
LEGAL DESCRIPTION (office use only)
LOT 29 BLOCK 1 ADDITION Coves of Northwood Meadows PID 254620290
OWNER
(Name) Musta Residence (Stone Cottage Construction. Inc (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT
(Name) Bohn Well Drilling Co (Phone) 952- 445 -4809
(Address) 18190 Dairy Lane, Suite 101 Jordan 55352
(Address) (City) (Zip Code)
(Contact Person) Charlie Bohn (Phone) 612 - 919 -1542
APPLICANT SIGNATURE ' I�ZGL(,n UU'i6inlat DATE 5/14/13
APPLICANT PLEASE COMPLETE BELOW
Size of water service 1 inches.
Location of any couplings from structure NA feet.
Type of sewer pipe. _ ABC x PVC (- Cast Iron
Estimated length of sewer line 50 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 SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only) p) r ��
PAID WITH
This Application Becomes Your Building Permit When Approved Paid �31J DING Md �
Date By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Date Rec'd
( R/0
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CITY OF PRIOR LAKE PLUMBING PERMIT
- koc - \c_ Ci_ot-acy_ LrfAr. I. Bluc Nit
2. 091(1 Cny PERMIT NO. /2 Z
1. 'Allow Applicum
(Plem type or print and sign at bottom)
ADDRESS . ZONING office toe)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
--
OWNER
(Name) (Phone)
(Address)
APPLICANT c5 c_ A- t G yi o c t LL c__.
(Name) (Phone)
(Address) '% 9- Ld 0 P■Iz . c c_ 0 i(X" Lci<-12 SS 3 2- •
(Address) (City) (Zip Code)
(Contact Person) e.-C . c SC-- \ n - Q - Y.Ar (Phone) (DO-- - '74 -7 - 3°S 3
APPLICANT SIGNATURE ,ie , ....-t-N-C 1 --s-P—% -- 'ATE
IIIIW
APPLICANT PLEASE COMPLETE B ligillI
:
Quantity Type of Fixture Quantity Type of Fixture
1 Bath Tub with or without shower 4 Rough-ins
. 1 Dishwasher ) Water Heater
1 Floor Drain Water Softener
9 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector '
-
I Shower Stall Backflow Assembly
[ Sinks _ Backflow Assembly Test
Bar Sink Lawn Sprinkler
.3 Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
The # 1 ,
e Minnesota Statutes § 326F148 1st $ Building Permit — /
"SURCHARGE" has been changed for one ) I 7
ycar effective PLUMBING ! RMIT FEE S
July 1, 2010, until Jun t 30, 201 i. STATE S .." CHARGE $ n., c)1 iti._.
II
The minimum tin for "fixed fee" permit TOT .. PERMIT FEE $
is is beginning July 1, 2010
This Application Becomes Your Bun, .g Permit When Approved Paid I NF t No.
_
Date i B,
BaBdbut Official Date • .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
_. . —
et 1 r111 0. 4 .0'
Builders Deposit
utd
sz. City of Prior Lake
A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to
insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but
not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180
days after the date the building permit is issued. If the work is not complete within the 180 day time period, the
City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $2,500.00
builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the
situation.
A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of
one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control
requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors
handout.
c
DATE: ( i1 (r ! SITE ADDRESS: \, ULt -U t to 0 J), LI' NV) PERMIT # ° 2 ' C1 V
REFUND TO BE MAILED TO: j 1 ' ',
INFINIALF
AUTHORIZATION TO RELEASE
PLEASE REMEMBEI
ynda S. Alle , Building Services Amount
1. KEEP STREETS CLEAN DURING CONSTRUCTION 9. /3 Acct.801.20204
2. KEEP EROSION CONTROL IN PLACE Date
3. TEMPORARY OCr UPA Y PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED
/ Stone
C Construction, Inc.
SIGNATURE: •
'oils et-meals n bur ACQLOREDBACl , tffiuANDS ARino viournR S: :c Dr' TH EBACK .HOLDAT.ANGLEToVIEVf `''a rcr
8437
S tone Cottage ANCHOR BANK
Construction, Inc. 14565 V AVENUE
APPLE VALLEY, MN 55124
14815 ENERGY WAY SUITE 200 74- 1523/960 DATE 5/14/2013
APPLE VALLEY, MN 55124 -5757
PAY Cl 0
TO THE y f Prior Lake $ * *11,564.48
ORDER OF
Eleven Thousand Five Hundred Sixty -Four and 48/ 100***************************************** * * * * * * * * * * * * * * * * * * * * * * *T OLLARS
City of rior Lake
4646 Dakota Street NE
Prior Lake, MN 55372
NIENIO 4 .... ��
11'00843711' 1:0960L52321:L000 51?211'
J:IFORMSIBUILDERS DEPOSIT FORM.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS L5T
NATURE OF WORK F-D P c tz..c_;
USE OF BUILDING F=::�4/1 k �, -��,. �
PERMIT NO. DATE ISSUED ' z i
CONTRACTOR _Sr r rt - PHONE &S zc,,l (L: > j
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
FOUNDATION (Prior To Backfill) 6l
RADON RETARDER r 7 /c) _
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC ? QL :
FRAMING , ‘
INSULATION I r 1 _ g i ?
ELECTRICAL
PLUMBING P', ly. �� tit
HEATING
FIREPLACE
GAS LINE AIR TEST
RADON RETARDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP ' 1- LATH 1 Ad */$7
FINALS
GRADING ( PRIOR TO SODDING) /j'
BUILDING - -��_ �✓�
ELECTRICAL ° PLUMBING G �
HEATING
?
DO NOT OCCUP, U ► TILL VE HAS BEEN SIGNED
L, s `i 'l / ` "
��� 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