HomeMy WebLinkAboutBldg Permits #01-0102 &00-0083
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.. -
AND UTILITY CONNECTION PERMIT
Date Rec' d
Z., Z 0 -'PI
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO.
5'/27 fVVNOH/J1'1 a::r
LEGAL DESCRIPTION (office use only)
LOTZOBLOCK .3 ADDITION
J 2";0 PID
- ()3 '1-0
I OWNER
(N ame)
(Address)
(Phone)
BUILDER
(N ame)
(Phone)
'\s ~ -Lt:41 -6(J 77
(Address) \ b 100
TYPE OF WORK 0 New Construction ODeck
~ower Leve~ 0 Fireplace
o Misc. Pet1 &; ~
OPorch
ORe-Roofing
ORe-Siding
o Addition
OAlteration
Ou tility Connection
PROJECT COST /V ALUE (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 aw e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente~n prop to rform needed inspections.
X
Contractor's License No.
J.,- 1'1-QI
Date
Permit Fee $ (,Z.26
Plan Check Fee $
State Surcharge $ /.00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I" . $
,
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ G,3.20
This is to certify that the request in the above application and accompanying 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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
FEB j 8 2000
1. White
2. Pink
3. Yellow
File ___
City
Applicant
Permit No. {)D -0083
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
1. DATE
Z-/~?~
RI.5D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
;15- ~ ~B 0 ~?-O
ADON .
14. FLOOR AREA APPORTI
13. TYPE OF CONSTRUCTION
TUSE
ADDITION
4. OWNER
(Tel. No.)
5. ARCHITECT
(Address)
(Tel. No.)
(Name)
6. BUILDER
(Address) (Tel. No.)
5/15 f1}€u,,/ N9To~
c.r t;;, d47 00 7
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
16. PROJECT COSTNALUE 00
/50 000
17. COMPLETION DATE
(Q - 2d7CO
L
7. TYPE OF WORK
New Construction ~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
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 offi I c revoke thi permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
3Q77 Z-/~-~
Signature License No. Date
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
USE OF BUILDING
sFD
PERMIT VALUATION
lsa,,~ ,~
,
o
PLOT PLAN
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . .. . .. . .. . . . . .. . . . .. . .. . . .. . . . . . . .. . ... $
Collective Street Fee . .. . .. .. . .. .. .. .. .. .. .. $
Sewer Tap ................................... $
~~,. $
Pressure Reducer ..~.... ............... $
Meter Hom ... ................................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Division 1 2 3 4
l \ '5'1. ~5"
,3~ .2\
75. 00
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
100 .CC)
100 .00
"3S"" · SO
l{(:) .~
~~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Th~ 1& Ik::;~ Peoni! WhM~roved
By Date ;;} - -00
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
SETS
COPIES
esc>.0C5
If} CO.OC>
45".00
J a5,~o
I, -;l..C~ .Otl
7 or, ~
/1 SOl' -~~
~ 7 %. 7~
370g,
'&')
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
j
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ /
j;.....,.- ,-"
/ I' .'..-. . ." . -. , ;'
C-. j~. ',. /., ....... ! 'J
I / (..--~ l ii' \/ l...-- I
2~ /' / f:: ,/(/ (j
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--5/2 --7 ~,\ \lli 0'1--{1-1 Ivl (_~ T ~~.~ 6'
I
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~ ~~ Date: 2~Zg~t30
Comments:
2- 'i r" ~~ iA<<M'\ ~~ 1AJrdfcl, va:: ~~
Jv~ ~~ 'j1wtJ ~c9'LJ~~,
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.1I
~~
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L., J H5/V'1\/6N
Z/ /6 /00
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/27
WYNDHAM ~T 06
Accepted
Accepted With Corrections ~
Denied ~
Reviewed By: C... ~'J" is;-
Comments:
7~~a&~~~
Date: 2 --2S-- ~odd
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.1I
/'
./
lhr Crnlrr of Ihr t.kr Counlr}.
w1)Building
Canary ~ Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I .-r / lCi "(I 'eN'
L---- '-J /I v/V V v
2./ /r,. /CiO
I /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/27
viVYl,) OHA tV; C,I ~ E:
Accepted
/
Accepted With Corrections
Denied
Rev;e'vved By: tJAi...;TEK. f:H1<E.-:;';-iANN
f""\ _.L__
Udlt::.
.../__J__
GoI Z LoI uu
, ,
Comments: SE:.E.. I ~Foa.f\{A""'ON ON rHf: Re:\lE:A.,sE SID~.
s~ 1I1'((JrAM~AlT5: I. fiA/llL. alttu:~E.. J AJ~pec'loAJ IAJF-n...Jlt41foAJ 2. (d((I/D/AJI> flAl\J
3. Eft.O$IDIJ t:OA.1TttoL r1EA~LJIl..f.<:;'
'f. Eltos /4 tJ (; o,f.J'f(lo l... R4N
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. \I
..
..
....
1....,,('/) _ - ). ) '.' -~
_ l. L..{) ,,5
"Job Addre8$ 61-/}.. 7 /;&l;'f _&!'(~ ~
-Heating Contractor METRO AIR
"Permit#
.--1
.T esters/Signature /S/7~""<:"--
.Gas Une
Pressurized
Inspected
· Percent C02
· Percent 02
Final Inspection
Date
Time
c...,
Pounds
Pressure
PERFORM~NCE TEST
(~, f Vc," .Percent CO (11 cJ
/ c,<-z .). c/
lJ1 ( e) .Stack Temp. ;? 't
Date
\
"
GREEN . FILE
YEllOW - APPLICANT
GOLD - CIT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. OQ.oofi3
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:Te.~ E~ ~
ADDREss:a6/~p ~
SIGNATURE: r
SITE ADDRESS:- 6=-lll'/ t.vlli\.L~o.lt1 ~r
FILL IN THE BLANKS
1. Estimated length of water service (S-C
2. Size of water service__' inch(es).
PHONE: 8;7;> J ?c;t56
DATE: 7/;(,)0 D
BLDG. PERMIT # DO t 3
PID# 7~Z::; - 33e - o3Cf - 0
feet.
3. Location of any couplings from structure
1)
feet.
4. Type of sewer pipe. ABS pvc~ Cast Iron
5. Estimated length of sewer line 1--t) feet.
6. Clean out (if required), located at
structure.
feet
from
BY
----------------------------------------
--------------------------------------
--------------------
-------------------- -
This application
when approved.
DATE: (. 2& . (/lJ
--------------- --------------------------------------------------
--------------- --------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $ir.~ 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.
AMOUNT PAIDr/H f)
REC/D BY 61 f.) ~
{5(/
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
IS)
~Est. ~ $
N
a) HEATING PERMrT FEE $
N
~ STAlC SUROH!'RGE $
U1 .
TOTAL PERMIT FEES S
.50
Receipt ##
PAID WITH
8U11.D1NG PERMIT
"CD
Date
~-)JTV
Date
E
0...
Nit.
IS) A elations
N
..-i Repelr
RepJacement
Est. Comp. Date
~ Building Permft ##
New Construction
)(
~ - ~ ~-
I hereby apply for 3.mechanlcai systems permit and I acknowledge that the
lnformatlon above i$ complete and accurate; that the work will be in con1ormance
with the ordinanCes and codes of ihe city and with the state buHding/mecharilcal
codes; that Ihis form does not become a permit until signed by the BUilDING
OFFICIAL; that lhe work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
Su pply Openings
Return Openings I
~
a: Input ~'& . () ~ Outpull
o -
~Edr.
w
E
ctm.
TYPE OF WORK
uUb
Other Devices
HEATING OR POWER PLANT
Steam _
Hot Water _
Radiation _
Special Devices
1:lEAI~ ! RECUIRED with numbel of supply and return openings Usted per
room with CFM's per opening. New structures or addil;ons send floor plan with. suppry
and return locations shown. HEAT lOSS CALCULATIONS1 PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKEt 16200 EAGLE
CREEK AVE. S.E. PRJOR LAKE. MN 55372. .
Cfty Hall business hou rs are B a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
4(7-9&50 AAJ( 4-4; - 4'*5"
S'
,
House Healfng Test Record must be submitted with buildina Rft!mi1 ~
jog certiftcate 01 occupancy wIll be issued.
The pnce of your heating permit includes one rough-in
Additional inspections will be bjled at $35.00 each.
bato re build-
and one
final inspection
T alephone ,
Heating Contractor
Address \
III
- \'\ ~ ,- '6 \ ~ '\
Furnace Make & Model ~v".....\ \V"'"
Model 51z& P fr V -. 0 ~ ()
Conn. Load ~ \ ~ \ '\
Fuel N ~ r F~ue Size
TYPE OF SYSTEMJ/
Walm Air Plants
Gravity _
Mechanical _
Air Conditioning
Venl System
r (' 1 ~.... \.(., J C\.
HEATING APPLICATION I PER~T-=3 g _ 31'-0
'"1 r-_ -/ 0_
PIO' ~
'J ~ ~ ~tr,. "" .i0d
Remember
Industrial, Commerctal ~ Multi-Family
Residential, Heating & AC
Residentiall Heating Only
Residential. Gas Fireplace
Residentiall Additions & Alterations
ResidentJall AC Only
fee Schedule
Single FamilV
CommerciaJ
to
add the State Surcnarge on the botlom
Two.Famlly
Industrial
, % of jftb cost IS39.50 minimum)
$99.50 PLEASE NOTE~
$64.50 Air Conditioner Units Canoe
539.50 Encroach Into Required Side
S39.5C Yard Setbacks.
S39.5C
Public
of
Ihrs application.
M uni-Famay
Other
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372.
~o-o~]
x
TYP
.lURE
). Pi..
1.. GreeD
:L ydtow
fire
at)<
Cm1naor
~"'--,-,'.:
,.'"
n. C'_ ., _ ..... e.......
CITY OF PRIOR LAKE
PLUMBING PERM"
Appacanr. 5c;.WC2X' Q\umb,n~
Addrwu: '4'k'Jo ~Qr io..f'. Circ;..k '5€.
SlgrlatuM, .~ ~. ~
....ega. Oe8cttpllon: Lot ~_----'5Iock.3
SIte Add,...: ~~4f1 W'i()<lharn c;\.
llulclftg PemIil. PIC ,~5 "'3/~- 05"'1- o.
NOTE: TrlAa permit wilt not be procell. .fthout complete informalion.
FIXTURE UNITS
I. II_ "..
~ 0... Qay
l. "....... ",,1U:Mt
PP No. oO-g'3
Phone~q'5 -a -44, ~ to 7 34
\' r ,'0 \' La..\<.a.
Sub ~0l1~
~\if~
OllMlltIy ~ of Fbl:lure Quantity Type af Fixture
""'" 1="- ~ IWhTutI WIth ot wtrIout showet 3 Aough.ins
\ DIetIwMher J Water H..ter
\ Floor Drain Water Sottne,
2> lavatory (_tt1taOm ,ink) \ Stand Pipe (washi"G m.c:nine)
\ Laundry Tray (1 or 2 CGmp."ment ..nk) Se'Nilge EjeCtor
\ Shower Slall Baclcflcw..,.mbly (RPZ. Ooubfe Check. PVB)
\ Sinks Bacldrcw Assembly rest
Bar Sink Lawn Sprinkler
.3 Water Closet (toilet) Other
N8 IICHGULI!
Ind....l. CommefCtal a Mull-Family
C'" of job coal, 131.50 minimum)
RMldMual. PM. One & Two Family
A..1den1Sal. AdGltIons a Abrattona
.... eun:hatg.
S
$
s
.50
GRAND TOTAL S
PAID WITH
BUILDING PERMIT
TIIia pll'llUc it .,.... upon eM ...... condition rha, Mid
--~-. Mall campl1 U. 1&1 ft;Il*U wriCb die ordinances
of Ill. StalllPlumItl", Code .. -1IIIIIIdmIna ~I.
- RA..wrl NO. 10 -3(_0 DATE
~---- ATl'EST
Call for aU inspection. 24 ~ in ad~.
16200 Ea,le Creek Av. S.E., Prior l.&ke. Miancsota 5S372/ Ph. (612) 447-4230 I FAX (612) 44i-~245
All Equal OppomIDilY Employer
I:
~ AltarlllDns
N
~Aepalr _
6)
~Est.~.
",HEAlING PERMIT FEEl
N
~STA1'E SUR~~RGE I
roYAL PERMrrFEES I
.50
Eal. Camp. Data
~ WdlngP.rml,
-
Recafpt'
PAID WITH
BUILDING PERMIT
-
~
1_ 0
I ....s
Dill - ~
14-).-/TD \h
DI1e
suppt, Oplnlnp
R&turn Openings -,
x
i! tllpllt i'8 . () tIO Outputl
~ -
_ Edr.
~Ck
TYPE OF WORK
R.placem.m
New 9on~Dn X
ce
cal
16
_..J
:z
o
~
w
m
""U
~
~, '
- .
i - \1\U.,_ ~\~
Furnace Ma1w & tMd.l ~",.. ,,' \v
Madel S1u f'rr V ... 0 it ()
Conn. Load ~\ ~ \ ~
FUll N ~ f'flue Sill ~ '
'-
uOO
TYPE OF S~S1EM\ .
WiBm Ai, PIaab..::!!...
Gr..,
Mechanical
Air Co"cfltionlng _
Vent. 5yst_ _
HEATING DR POWER PLANT
Steam _
Hal Wa\.. _
Radlalion _
Special Devices
Other D.vIDlt
p.
Id.
P f' 1 ~ W' \.t., It\..
,
CITY OF PRIOR LA~E MC
16200 Eagle Creek Av.5.1:. PenniI ND.
Prior La~t MN 55372.
GO
~
Fee Sc
Industr.
Reside
Reside
A"ide
Reside
R e&ide
Remit!
\) T\i\
~ S. \)~~
J
~~ rt p\ CTO
Two-FamUy
Industrial
TV
Tht pri 'O~rl\..~ ~tV\t
AddIIo
Houn f\(.4r~
itgcer k t'.t\ ex,
HEAIJ
room M
and rei \)~ l\al$C.NM-d...
A PPUI
CREEl
City HI
ALL. W
I herel METRO AIR, INC.
Info,""
wilh tb (952) 447-8124
codesj OfRt..r'l.... ...... ..... .....r't. ... -'I .... II. .......... .._....,., ....... I -.... "'r-~- - . -- r--.
c.. D' III workwhlc:b l&quiras rwiew ana apprDval Dr plans.
\
,
1'l ~O
I. PlIA; .IRE
'- Cirlllll _..~
EiE ~_ YdhM - ~
_ Mutri-famiV _
Pubfic _ Clner
Canne
d Side
o
n
--I
w
~
N
lSI
lSI
lSI
~
~
I.D
""U
3:
3:
fTl
--I
AJ
o
D
H
AJ
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5/;:<'7 U'--I~ J he-.-. Q-I-
NATURE OF WORK Naw Q~tud7c..A
USE OF BUILDING SFD
PERMIT NO. 00 - 0.083 DATE ISSUED ;2 - ~S- 20c>o
CONTRACTOR ~'^\'\ _..~ ()~g}.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO UMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UN, IL A OV HAS BEEN SIGNED
ROUG
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING /~-3..aat
HEATING (if required)
FIREPLACE I O()
GAS LINE AIR TEST I~ ((I.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I- I".~ I I
FINALS
~
Ol
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.
/0 .,J"vo I
II,,'. cJl
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
1t.:?-2r -cJ/ /M
ADDRESS 5/2 7 WVI1,fh,?1'1 C-r
OWNER CONTR. L::r}-(("", ('''''-
PHONE NO. PERMIT NO. 00 - 0 ~ .3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Lu/6 I~x - oK
r;rt:td~ r C? ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto'#~~ -Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ ~! #"
ADDRESS
5/~7
tJ~
u
CONTR.
OWNER
PHONE NO.
PERMIT NO.
tJ tJ -,?' 3
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION N
~FINAL
o SITE INSPECTI
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Inspector:
CALL 447-9850 FOR THE NEXT ItjiPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
Zrzt,.~ I /,' U;
ADDRESS
5/21 /WVAJoftHrV7
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 ...ooe '3
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.t;\. 0 PLUMBING FINAL
Q!Y}f MECH FINAL
COMMENTS:~ .p~ ~ I
E~~~jf~
\~ (~~L40~l~~
~~i
~~~~ q c-o a~~
(j . ' ~.. ~ " 14'
iM ~':/.iJ I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
6V>~J- ~~ .
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
.....
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.5/27
IAJif~~
CONTR.
OWNER
DATE TIME
dJIS/~/
,
ICJ!3c
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ,gPLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTSU} ~ Rm--r
()-~ 5
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~,
~ !:k vJ. CA.
uJftcs ~ ~I
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Q[trfffirau of ~rmpancy
CITY OF PRIOR LAKE
'- { J)tpartmtnt of }8uilbing Insptction
~inal Permitted D Conditional C. 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 FA..~ILY
Bldg. Permit No. 00-0083
Legal Description
R3 Type Construction VN Fire Zone N / A
L20, B3, WILDERNESS PONDS 2ND ADDN.
Zoning District R 1 SD
Occupancy Type
Ow~of Building
Site Address 5127 tv'YNDHAM COURT SE
Contractor'sName&AddressLJ HENNEN CONSTR., 5115 WELLINGTON, PRIOR LAKE, MN 55372
ROBERT D. HUTCHI NS City Planner JENNI TOVAR
Date:
Date: