HomeMy WebLinkAboutBuilding Permit #00-0089
~
DATE RECEIVED CITY OF PRIOR LAKE
Z/ I to / 00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink.
3. Yellow
File
City
Applicant
Permit No. 1) 0 - 00 ePf-
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
'S071 ~p~~ ~\L-.
3. LEGAL DESCRIPTION
LOT ~ BLOCK \
ADDITION ~~y ~e. 'Z..1tO.
1. DATE
z. JaS -DC)
1<. I 6D
BUILDING INFORMATION
11. SIZE OF ~TRUCTURE
(Height) za.~ (Width) iP2' (Depth) ~1)'
12. NO. OF STORIES
\ ..s
13. TYPE OF CONSTRUCTION
e~\t:>~'-
14. FLOOR AREA APPORTIONMENT USE
l~.{.> ~\...
\~ 3 \ s."~ A..~.
PID 25-34-2.- 003-0
4. OWNER
(Name)
(Address)
(Tel. No.)
5. ARCHITECT
(Address)
(Name)
(Tel. No.)
(Name)
(Address)
6. BUILDER
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~LANt> ~Me.~
7. TYPE OF WORK Fireplace LJ
New Construction X Alterations 0
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. \ ~ 78&
,
I hereby certify that I ha
the above mentio ro
building off .
X
44D ..14M>
\ 7021 F\bJo.\ f'\.. \2.\>. Sf;
SEATS
Septic LJ
Addition 0
Deck LJ
Finish Attic 0
Re-roofing LJ Porch LJ
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
4-ll(",oOO
9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
,. Q
Width 8(. Depth \ C. (; Yes No G:, . 2. I. c:o
umished 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
rty 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
. permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
IG?.> ~../~-oo
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Front
Back
Side
Side
PILING LOGS LJ PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 111: t:Jl!!)(;). eo
PLANS & SPECS 0
SURVEY LJ
SETS
COPIES
SED
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee.................. ................. $
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC .. . . . . . .. . . .. .. . . .. . . . .. . . .. . . .. . . . . . .... $
City:
A5Z:> · ~
II CX!J · ClO
9'l~.AS
i; ~, · ,'-
~,SO
Collective Street Fee .. .. .. .. . .. .. .. .. .. .... $
Sewer Tap ................................... $
.<:L f. $
Pressure Reducer ::75.................... $
Meter Horn ................................... $
Water Meter ................................. LI ~ ' b (.)
Sewer & Water Connection Fee ........... $/ ~~(!)O .ofiJ
. ,
Water Tower Fee ........................... $ 1...0..0.00
Water Tap ................................... $
Builder's Deposit ............................ $~ 5'" t<) .Cf)C1>
Other......................................... $
Total Due .............................. $ ~ 4- 23. Z I
Paid ., -t2-~~ "2-' Receipt No. '~ ~ ~ ~1
Date ~/'lrlbO By ~ \A..-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning OrdinJnce and may proceed as requested. This document when
sign by the Ci.ty )1 nner constitutes a temporary Certificate of Zoning compliance and allows c nstruction to comm e. Before occupancy, a Certificate of Occupancy must be issued.
. ~ A_ --t._2-5~6tL ~ ,~ c;p_ ~
anner Date ~ Specia on I i ns if any
Plan Check Fee ............................. $
State Surcharge ............................. $
46 -tXL
Penalty......... .............................. $
I 00 ..00
~. (!)O
.?S".~
40 .00
Plumbing Permit Fee ....................... $
~
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
ecomes our Building Permit When ~ff.v~. _ _
Date 2.:..2 .. :LfIJt::JO
Issued
24 hour notice for all inspections 447-9850
Tht' Ct'ntt'r of tht' Lakt' Country
Y1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ 6 Y L--/7 N L) HtJ/"16-.S
2- //(P /00
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/507/ rJPPALOOSrq
lte/J / '--'
Accepted
Accepted With Corrections ;><
Denied 1/2 /
Reviewed By: ~t!5,..A--
Comments:
J.~oJm ~~~
Date: ;2 - -;) t/- 2t:x::J cJ
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."
~c:
The Center of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.1.1/ C:..
//
"'~.-
// /.
/ ~ 1,..-./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.. /- ("/_.. I
,I --./ \...... I .; );./ t... ;< C"--;-1
/7,: /i I L-
Accepted
!/
Accepted With Corrections
Denied
Reviewed By: ~lj~
Date:
2 - ::2-.3 -c::i:)
Comments:
J'i pt; ~~ v':\vfW~ IAJf&:c ~ &5l 'i ~
r7~ Pi-~t-. /)tA.P 4- tfwu p... D.t.J }p Cu.Aa I
A-/L-~J-fC>~~~~I~~~ .
*J-Q ~ ~ (M .,\ ~M~ ~ ~~S,
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
,~
/
/
Thr Crntrr of thr I....r Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~. E Y LrJ/I./U 1-1()/"'/6S
-2//'0/QO
I /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5(J7/
;-11:JP~1 LO OSh
/ ic rt /L.,.,
Accepted
../
Accepted With Corrections
Denied
Reviewed By: /Jllc.TCI( tHItE.Stff4tJN
Date:
- '- - /
z-/ 7.:> 1<1 ,
. I
Comments: l" Far IS ,HE ,+fAX/MuM ,qu..o~Ai3L.~ DRIl/E.kI~Y tJ'UIH
AT IHtr Hl.o^,r f>floPE:Ilrt L',J(.
~~ 5\JMP ?vP1P "'U:S"T" BE. CO,.sNE'aEb
"0
"HE
E:)t.IS nlUl. 8 tI
D(V'IltJ IIL..E L,,.r( "J THE
RDAl) R'~r- of-
\JA'i. SEE: J ""~I oAJ ON -n-te:. KEuEIlse SlOE.
~ A~c.~.. J. h"A~ ~1tM>E.. ~rlt)O lJ\JroAAII-rIlMJ 2. ~.tAOll'l(. P~"'N
3. ~os'o.u C-AJTft.o'- MF.AS.VRE'S
-f. &'OSIep.) COAJ;(tOC-. R..14N
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. II
~~~ ~~ CITY QF PRIOR LAKE
O' ~ 16200 1='III~le CreekAv. S.E. Permil Na.~~ - \)\)~ ~
, Prior Lake, MN 5S372
", ~ HEATING APPUCAnON I PERMIT
Date :1- ,,- ~
;;: S1Ie ~. \ S () l \ {\ i> () ~ \ () 0 ~ c.. .\-,. ,,', \, f2..IW
Lcd ~ Block \ Additi:)n ~'~S 1>> k -~ ~\ '~ '" ~~
~ Owne~5 Name )(.." \ \".'" ~ \\~~ - . ~.
2 Address \ '\\;.Y~\ - ~ \. '" f \-. -f r : n r \&-, \u..
Healing Contrador ,\~ { \""'0 \\,,... ~ '" \
Address, '\ \" ~ ~ ~1 'J L \ t O~ _ .\ y t 1J.~: lY' ~ l1 }It I
Telephone # , ~"1- ~ \:J.'\
Furnace MiW & Mociel ( '-\- r'. \\..,.-
ModelSlz. ~~" - C~~
Conn. LDarJ~ Q ~ J 3
Fwl .N ~ l' FluI Siza S "
Su~ Opencngs
\"""
,
Ratum OiMnlngs . S-
lnP~~, ~ outp~\, ~
~ Edr.
([
Ei Cfm"
I-
W
E
I~"'\
P1D' 25" .:}fz - O(j3.- 0
TYPE OF SYSTEM "
Warm /lJr Plants . '"
Gravity,
Mechanlc:a1 ,
A;r Conditioning ,
Vent System,
HEAnNG OR POWER PlANT .
Steam ,
Hot Wmer
Racrsation .
SpedaJ Devices .
Other Devices
,TYPE OF STRUCTURE
1. Piak . iDe
1. Cfta .. Cit1
:l. YdDW .. ,. . "'~--
Single FarnU'I X
CommelCial
TwcrFamDy
Industria'
?1Jblic
Mutn..Famn~ _'.',
Other
Fee Schedule
Indus!rial, Commercial & Mutti-Family
Residermal. Healing & AC
Residenti~ Heating Only
Residenti~ Gas Ftreptace
Residentia~ Adci'ltions & Alterations
Residential. AC Only
1% 01 job cost (S3'9.50 minimum)
S99.50
S64.50
$39.50
S39.50
539.50
Remember to add the Stale Surcharge on the bottom of this application.
The price of YOUI healing permil Jncludes one rough-in and one final inspedion.
Adc&tional inspections wll be billed at $35.00 each.
H Duse Heating Test Ae::ord must be submlted with hllllrtinn np:rmrt numbp.r before build-
ing 1:er1ificate of 0...... -:"ancy Wll be issued.
.H=ATC"".A1 rol II ATlnN~pc:"" nR~ wHh number of supply and return. openin9S ftsted per
100m with CFM,Js- per opening. New s1n.Iclure$ or additions send noor plan with'supply
and relum locations shown. HEAT LOSS CAlCULATlONS, PAYMENT AND
APPUOOIONS MAY BE MAJl =n TO THE CITY OF PR10R LAKE. 16200 EAGLE
CREEK AVE. S.c. PRIOR LAKE. MN 55372.
City Hall ~usjness hClUnI aft 8 a.m. - 4:30 p.m.
AU. WORK MUSi BE INSPECTED (ROUBH-IN AND FINAL) - CAU. CITY HALL
447..u10
TYPE OF WORK \..1 I hereby Bpply for .. mechanical systems permit and I acknowle~ !hat the
. ~ . .1ntormaticn above is compl.. and accuratej !bat the wort will be in contQrm~ '
AIIeraIiDJIs Replacem8lll - New CanslllldiDn. . with \he onflN.nces and codea of \he city ancl with 1h.I\!lle buIldlngfmecbanical
E. .- . cocIes.lhat lhia form d_ not b_e e pen:nit unlII signed by the BUILDING
Ri. RepaIr .. ~ eo"". Date . .. . . OFFICIAL; lIalthe walk WlII be in IlCCOnIanCe wllh tht approval! plan In Iha
~ ',;;:; 1".... $ ~ S ~ ~ ~ Butdillg Pwllllllfl . 00h - <'f;::r ~t::l 'g q ....... Df 81' ~k Wh,1~ ~~i_ review ancf appr~ of pi"".. . . '.: .
'~~PERMITFEES' .'H '-~.;~.\A\:~ '..:~Yl~..ID.
~ . . ./'" 0 W\T ,-- '" ~ .}) _
ISI ,.'. .-. '. r IA-I · .. ti . . DIle ,.' ..
~\~~TESURCIWIGE S .~ autOING:ER"'IT..~.. '3/-z.i/t;'b'
~'.;n)TAl.PERMrrFEES · 1lAIco'ipt." IU~~~... ' Data: . '.
~~. ...:~ .... ...... .' ,:...~.: 7 t. ; .. ':~t;"; . ;~{~; ".: ...:.., ;. ,~-' ,. ~._.: ....:,.. . :".' "'i ..'",~,;,;,,,-~ "i . ~,;;",,-~~~.:!: ~.. ..:;~. ...~~:.~.:;: :~'. ;.,;;...~."".~ '..t~js"".: ~ ~.i' : 'f~
,. ~~$::::':~. '.' ::, :'.-'.1S':~:?~~;:;'j~]~j(.r.E1...;:t\1-:1"~'?;{':r.{ · ';. ~.:.,;. '<~~~~~~,!,';'l.U:~~'~.r:~i~.\fu,1J.:J:::?~~~~~~O::~~~
~' a....... .. . . ." , . '. . _ . _ ~. . . _ __ _ . . _'. . ," " . ...... _ .' ", .~ , _
.. .~..".-, '~'L 0_
03/09/00 !ttU 15:02 FAX 6128902753
STOCKER EXCAVATING
IaJ 001
~..-~
".LLowr . ~
GOLD - en.,
CITY OF PRIOR LAKE NO. 00 "'CXJB1
SEWER AND WATER PERMiT
NOTE: Sewer and Water
contractors lnust
be reqistered
.,-ith the City.
APPLICANT:. DC Mechanical/Stocker Excava~lng
PHONE:
890-4241
ADDRESS: 82L~t 12f'/~tr9~a:(. MB 55378 DATE: 3/9/00
SIGNATURE: ~. ~ BLDG. PERMIT :I 00-0081
SITE ADDRESS: " 15071 Appaloosa Trail I2-/S.D PID#.z5-342.--003'O
FILL IN THE BLANKS
1. Estimated length of water service
feet".
2. Size of yater service
inch (es) .
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC. y
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required)., located at
structure.
feet
froln
::::-:::::::~~:-~:::~::::::=::::~::::~;;;;:r:;~=======~=
=_____===___E~===-_==--=====- ~---=====__----_~_1__=============
FEES: $ 35.00 Sewer and water line connection permit_
S .50 Surcharge
S 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surchargE!.
* Sewer and water permits issued for new construction ~ust be
recorded on the buildin~ permit card at the time o! issuance
to insure that no QUp11cate sewer and water permits are
issued. -
DATE PAID
AMOUNT PAID .~ ""~
O ~~\(\'N\\ \
REC' 0 BY . ... t'~~N.G ~'C:
~U\~V""-
RECEIPT #
16200 Eagle Creek Av. S.E.. Prior Lake, Minneso[a 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
AD Equal Opportunity Employer
n. e.1'" ., lite ..1&. CellI'.,
'CI'TY OF PRIO.R LAKE
PLUMBING P_RMIT
Applloant:--Drl-l) ~i~.~ ..
Add,...: '11jj ~ · L!~ '01:.' J;J ·
Signature: .... r J.D~ ~ ... !J ~.
1.111-' DeIO.on: Lot --3.., Blook I 8U~ 11 .l1'-(af.- .~ I" '
81t1 Add....: / ~ (J .., J .~... ~ ~ ... .... --.,..~. #.J e - /c: /S.D
Building Permit #I ~ -- Q!, b \, PID 41 '25 - ~4-2- - atJ3 -0
NOTe: T",. permit will not be IrJrooe..ed without oompl.t. Information.
PIXTUI". UNITS
t. lJu Nit
~,dalCI Cttr
3. YldIow ^~
, 00--0089
-8qb.. '~U I
Phone:
Quantity Type of Fixture Quantity Type 01 Fixture
I Bath Tub with or without .how.r ~ Rough-lne
I DI.hw..h.r I Wat.r H.ater
....
I Floor Drain Water 8oftn.r
.-
"" Lavatory (bathroom .Ink) Stand Pip. (w..hlnD rnaahln.)
t Laundry Tray (1 or 2 compartment sink) Sewa"e Ej.-otor
- - ~
.2 Shower Stall IeoIdIow -'mbIy (RP!, Double ChIde. PV8)
,;1 81nlel Baoldlow A...mbly Teet
S.r Sink Lawn Sprinlder
~ Water Clo.et (toUet) Oth.r
-
".I'CH.DU~.
,nduetrl." Commerolal , Multi-Family
(1 % of Job 0011, '38.50 minimum)
A..ldentlal. N.w On. & Two Family
A.,dentl.l, Addition. & Alteratfone
etate Surcharge
te&.50
'38.80
.
. -!!l' if. 50
.
. .60
J.{!;A1
f. ~/J1- '
GRAND TOTAL
. J d () · 00 \N\1''r\
/.. t'~\OG pE.\,:('':'\1'
\ ~U\~O\N
ThI. permit!. JrIIlted upon '~.e"prel' oondllioft that .aid
oonttaatorl .hall comply in ill re.~t" with the onllnancel
of th. Stat. PlumbiftJ e 1Jt~'9dmeJ}ta ttt.r.of.
... . _3~~/1JZ) DATE
;
A'MDT
Call tor aU' IpectioDI =W houts in advance.
.2Aam
162CXlSa.le Creek Av. S.E., Prior Like, Minnesota ~~S3721 Ph. (612) 447-4230 I FAX (612) 447-4245
An !!qual Opportupity Balployar
2 38~d
OS91706S219:X~=I
1~JIN~HJ3W G ~ G:GI 12:01 W~ 00, 172/80 90S.oN 311=1
/,~ CITY OF PRIOR LAKE
~~ ., Me
'u r ~~ ' ~ 16200 Eagle CreeltAv. S.E. Permit No.(JO- bo,IrQ
;e.) Prior Laker MN 55371
~ HEATING APPLICATION I PERMIT
Dale rSlv /00 PID' 8~~ - ,~Lf~- (]{)3- 0
I . ,
SfteAddress. !~rJ71 1r1l~.d, ""fj,,,'p
Lot ~. BJock , AdditfOn, .'3" A [)DN ~ e..t~
, .) , 0
Ow,",,"s Nam. Cfc( ~..o '}:... ''')
Ad cJr en
He~ingContractor ~L1IED FIRESIDE dba FIRESIDE CORlfER
Addfess, 2700 N. PAIRVIEW, ROSEVILLE. NN 55113
T eltphooe f, 6 51 - 63 3 - 2 561
FtREPLACE
~DP Make & Model ~IJ.J- U ~~
Moder Siz~ ~ 1P
Conn. Load
Fu~ (~-A
Sup;Jly Openings
Retum Openings
TYPE OF SYSTEM
Warm Ai. Plants
Glavily
Mechanical
A. Condit ioning
Venl. System
HEAl1NG OR POWER PLANT
Steam
Hol Water
Radiation
Speciar Devices
Fills Size
Input
Edr.
OutpLtl j'1 n"h
,.
Other Device!
Cfm.
~9~~#;
~'tJ Est. Cost $ /1 f){) <Xl
HEATING PERMIT FEE $
TYPE OF WORK
Replacement
New Construction
x
Est. Comp. Date 5/'a/ Q
BuldingPermit.. ()D - ()OX-q
STATESUACHARGE S
TOTAL PEFMT FEES $
.50
Receipt" ,
TYPE OF STRUCTURE
C/J
m
:J
I. "'-k . Fllr r+
2. {~ . 0., OJ
J. Y'elJo. . e..Ir__ '<
Single Famjfy
Commercial
."
.....
""l
m
en
.....
a.
m
Two-Famfty .
I nduslrial c
Multi.Famlly ,
Pubic OIhar
Fee ScheduJe
o
o
""l
:J
m
""l
rnduslrJaI, Comm~rdal & MuiU.FamiJy
Oesidenlial. Healing & AC
Residential, Heating Only
Resid9n1ia!, Gas Fireplace
Res idenri81 , Additions & ^rteralions
Residential, AC Only
1 % of job cosl (139.50 minimum)
S99.5O
$64.50
$39. SO
$39.50
$39.50
MAY
A2IXIl
Remember lo add Ihe Slat& Surcharge on !he bottom 01 this application.
m
U1
...
T~ price 01 your heating permil mdudes one rough-in and one floaf inspec"on. ~
~
^ddilionaJ inspeclions wiN be bifted al $35.00 each. :
CI)
House HeaUng Test Record must be submitled W11h build~ ~r,,' "r~Ft~ berore build- ..~
ing certificate of occupancy wi be issued.
HEAT CAlCULATlONSRFOC IJRFn wilh number 01 suppty and relurn openings 1isted pe
room with CFM's per operWIg. New structures 01 additions send froor plan "lith euppJy
and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR lAKE1 16200 EAGLE
CREEK AVE. S.E. PRrOR lAKE, MN 55372.
Cily Half busrness hours are 8 8.m. - 4:30 p.m.
3:
0)
'<
,
,J:l.
,
a
a
,
All WORK MUST BE INSPECTED (ROUGH.fN AND FINAl) . CALL CITY HALL
447-4230
~
a
m
"U
3:
[ hereby apply for a mechanical systems permit and I acknoMedge lhal lhe
inlmmalion above is complete and accurate; lhal1he work wnl be 1n conformance
wi',. 'he ordinances and codes of the chy and with the slate buikllng/mect1ank:at
codes; that this lorm does not become a pannit untilsrgned by the BUILDING
OFFICjAL; Iho1 the work will be in accordance w5th the approved plan In the
case o~ work which requires review and approval 01 plans.
&~.d_ /~rn~'~ S-No;;
,;- Appa:;;:~ g tUfe - , Dale
(.~ fiA~_ 7,uJJAA/;::j . sioSlon
() ~ Building OWicarfSigDillJre 'Oa("
"U
0)
(Q
m
-
...
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J5071 Jlp.pa.}oo~_' If'".
NATURE OF WORK ~l~) Cl"\,^s~\
USE OF BUILDING SF\)
PERMIT NO. OO~008q DATE ISSUED 2-~1{-~
CONTRACTOR j{.p\.1 ~I
NOTE: THIS IS NOtJA PERMlT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC ENT ~
DArE ~
FOOT'NG \ - d U> ji
FOUNDATION (Prior to Backfill) I ~: \ ~ /~~
PLACE NO CONCRETE UNTIL ABO HAS BEEN S~~~D
ROUGI--~ IN 0
. \
SEWER I WATER I SEPTIC ~. . ~""" - '?> h>, OD 1 }
FRAMING ~J I ( U f I S 16 (JV
INSULATION ' (2 l f1J7 1/7 I t
ELECTRICAL (/-J I I .
PLUMBING (1, 5"!tf:5!tb ·
HEATING (if required) I /lU,? ~'$ /tf) ,
FIREPLACE . V a r 51?! / ~
GAS LINE AIR TEST tb ~/~l;~ I
COYER NO WORK UNTIL ABOYE HAS BEEN SIGNED
WR~IJ il.nB
FINALS
GRADING (Pripr to Sodding), ~ ~
BUILDING 'f~'IJ!l'iIt1J cp 1!ft/(}/) /,~
ELECTRICAL
PLUMBING
HEATING
DO NOT
1. 24- fJP
I ?/~( /tra
-,
let) (,.{ '(. cO
iY~ ~ )iq lUb
OCCUpy UNTIL tABOY'E 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.
Call between 8:00 Clnd .9:.00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
'-r;" "
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. .
:-r\!!
QLtrli:]catt at (Occupancy
CITY OF PRIOR LAKE
11lepartment of .uilbing 3JnSptttion
)al Final Permitted 0 Conditional C. O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
cenifying 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:
UseClassificatioD SINGLE FAMILY Bldg. Permit No 00-0089
Occupancy Type .R3 Type Construction VN Fire Zone N/ A Zoning District R1 SD
L3, Bl, RASPBERRY RIDGE THIRD ADDN.
Legal Description.
Site Address 15071 APPALOOSA TRAIL
17021 FISH PT. RD., PRIOR LAKE, MN
JE:t-.TNI TOVAR
Owner of Building
Contractor's Name & AddressKEYLAND HOME S ,
ROBERT D. HUTCHINS/~,
t:i I Bt1ding Official
1/--)/ / ;JD
City Planner
Date:
Date:
POST IN A CONSPICUOUS PLACE
55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
tI-,;lJ~O 4-7.
ADDRESS / S- D 71 If!-P-CL.-WDSa-
OWNER CONTR.
PERMIT NO. ---D - VO g9
PHONE NO.
o FOOTING
o FRAMING
o INSULATIO~
FINAL
~ FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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^ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Conlr.
I
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / ~tJl /
OWNER
PHONE NO.
o FOOTING
o FOU A TION
o F ING
o ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
?lr:ib/
0./' z:~ 11ME
SCHEDULED ,l/.,r r
~tlla7X1 ~/J
. CONTR. -~&A/ ~,H/~>
PERMIT NO. I m - t1d'9
o PLUMBING RI ~GRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
/$' ~~
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A~ . - - ~IIIP/' I<I'''/'~ IR1,(J d/~e
awaV' ",/11 .fh.(/ 1J"l/51e ..
/ -
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W;y' CA,/ ~REI PECTION BEFORE
Inspector:..~ ~ _ ner/Contr:
if
{kl7P/ IM./ Ltf~ /$
RING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~ ;~T~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~()...ao
SCHEDULED
A . \~
PP?' Q~~
CONTR.
ADDRESS \ 5() 7 {
OWNER
o - f:?q
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
^ ER HOOKUP
r' LUMBING FINAL
lr MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
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~/
3'ZX,777'7/
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I nspecto ":
Owner/Contr:
C L 447-98&0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTI
OWNER
SCHEDULED ~
ArF--O~ 1i-
CONTR.
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
l:--co
ADDRESS , 5071
PHONE NO.
PERMIT NO.
0-5tt
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~~NSULA TI<?N, iA 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL f'J'.of 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~? 0 MECH.~AL 0
COMMENTS: . O-ilfV ~ ~ e~ U~
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----------- ~
ERING
Inspector:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
EQUIREME^-TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI