HomeMy WebLinkAboutBuilding Permit #00-0090
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height)~ I (Width~," (Depth) '10
12. NO. OF STORIES
"Z-
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
FEB , 6 2000
Permit No.
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 14 3 I &+
~ RJJJ.l681 ~O 7'1*1 '- Jlt;.. I f'/l-I" 1'- ~) 111,;1 .en 7 ~
3. LEGAL DESCRIPTION
1. DATE
.z-/tl-{)l)
1<./
LOT '3 BLOCK
ADDITION ~~ L{tlf
PID .2-5-..3", - O(~-O
1. White
2. Pink
3. Yellow
File
City
Applicant
()O - 0010
4. OWNER (Name)
"'-I,lWte t llW~rJ6
5. ARCHITECT (Name)
~~ I..6WJ~~
6. BUILDER (Name)
(Address)
(Tel. No.)
13. TYPE OF CONSTRUCTION
#6W
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
"rz -
/<04.Cu6,. !/PmGr- '>>/)'1 ~~ s.,- .5111, 1'e1l~/.;wG..NAI 1I'~7-~"Sj
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction r7 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. '~/O, DO 0
8. PROPE~IfJl4_rr,tCRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft.I5J~ Width/tJ1.3t Depth /;).~, 73 Yes No "/1 ~ /D ()
I hereby certi 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 a e me' pro 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
bui g icial rev e thO permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neede~ inspections.
X 2.D I (.,"2..'3 0 '- 2.. J) II /D f)
Signature License No. Date
IJo U' I,.,f-S
(Address)
(Tel. No.)
OCCUPANTS
15. NUMBER OF OCCUPANTS OR SEATS
(Address)
SEATS
FOR ADMINISlRA liVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ I. 5' () (:) · c:XJ'
,
Other ......................................... $
Total Due.............................. $ e...27J. 91.tL
Paid 8." "J".. 7 / . q ~ Receipt 9. 3~ f" / I
~JJ fAA
Date # J-1-f-lJ-U
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
sig~ the C ~ lanner constitutes a temporary CerJijicate of Zoning comPlia/~d allo.ws c n.struction to commence. Before occupancy, a Ce . icate
'-- l/AlA.. :-'\- \ -<<90 ~ f: __ ,
V C Planner Date - Special Conditions if any
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
USE OF BUILDING
5FD
PERMIT VALUATION
Q J6.()0C>_~n
,
o
PLOT PLAN
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . . . . . . . . . .. . .. . . .. . . .. . . .. . . .. . . .. . .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
q f' $
Pressure Reducer ... :-:t&.................. $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
l, t..J ~'? · 2 S-
'1"3 q . '2.1
, oS. 00
100: O(:?
, D Q..u:JO
3S'.~-o
irep~sit ....................... $ 4.0 .c!)(:)
IS A i ecome~ Permit Whe~pr~e~. _
B ~'~...~ Date 2. ~d
Certificate of Occup cy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
SETS
COPIES
85a.oa
I,J OrJ. (!) (J
l/o-. ~ CL
I~. I!) /)
I ~O{:).O 0
'7.1:lo · 0 L
By
24 hour notice for all inspections 447-9850
Cl)
The Cenler of Ihe Lake Counlry
White - ~uilding
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/.... /, / 'j 1.--"'< (,.. j . / /..:' t-' j./
r l......."- / t..:.. L-- - ""'--
,/ /
I
APPLICATION RECEIVED
I . ,,~ ,I. I'
/" /y //(1
/ / r . ,/ c. !,./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I L .-:J, I /L k ". i E' I';; I 1-0' ' !
! __ -r LJ l.. L ............... 1--. L..........
rl~) . .. r'.\ ~
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ ~_
Comments:
:J-tt {2\ !V\bJ<JI.MOM1 V'0,j~IlJr-u-, W~&:l ~ t1{Jr.re4
(-V~1 ~, ~ ~VlJ .v:LICJ'~9 'W (l~.
A-/C-~ ~~w~~ ~~
~~_ trf'\. r:c~W~ ~~M~~.
Date:
3 -l~eo
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
jJ 'aD 10
Thr Crnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~l::~_ Ctee6K:- HoI1~S
z..//8/00
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 43/4- 8LU6BI eO
,12- N6"
Accepted
Accepted With Corrections
,z
Denied
Reviewed By(2r! rR- J<.L
Comments:
Date: 2-2e-~
I. Read. arll 4&G~ '^~~
~
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 Crnlrr or lht t.1er Counlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ..1,-, . ,- r'
k.'; (, (;J:~ c?~'E Ec. ,'i[:/'/t:, ~
2//8/00
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is. proposed at: .
I ?-314- ESLU E51 eO
I l2- ~j S
Accepted
,/
Accepted With Corrections
Denied
Revievved 8y: bJAi.-r€A.. E;.;t"-.E. Sr1t1;..J;J
nr'>f,... ..,1,.,. J__
LJOlC. "-11&.'-1 VV
. I
Comments: S~I:... 1^,f="ottMAT'O#J ON TtJ~ R~JIfh..,I};.E ~tDE-
S~E ArraC~;tf!,,.ns ~ L&/h- CttAOE I AJsf'~cn(J1\J Mott~lf1io~ . 2. all.nD')J~Af\J
3. EROSION Co~mef.. ~e~
4. tit.os I eN C t> AJT11.0c... Pt-A,J
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not b~ 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
*Permit# ..
.Job Addre$sJ!J~)'-/ g1ef,I;z/
.Heating Contractor M t:. III 0 AIR
/~I
*T esters/Signature
* Gas Line
Pressurized
Inspected
Dale
Time
Pounds
Pressure
.Percenl CO2
PERFORMANCE TEST
7. 6;:6 .Percent co .0%
...,-. 8% .Stack Temp. 9JO
· Percent 02
Final Inspection
Dale
~~
~NE~
GREEN - FR.E
YELLOW - APPLICANT
GOLD - CIT.,
CITY OF PRIOR LAKE NO. oo-ooqD
SEWER AND WATER PERMIT /
APPLICANT: ,FI/lJAL Gtf-lJiJ& .:f;Uc
ADDRESS:/3)~~~ ~7.~/ ~}.h?~~
SIGNATURE: ~~L/41iJ~
SITE ADDRE;;': PI3Ji j;--IMlInMl-71l";;;
FILL IN THE BLANKS
1. Estimated length of water service
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
4 .
Type of sewer pipe. ABS PVC )(
~rl
Estimated length of sewer line ~
5.
6. Clean out (if required), located at
structure.
$
$
$
NOTE: Sewer and Water
contractors must
be registered
with the city.
PHONE:~~~~/o{~
DATE: 313) C/O
/ /
BLDG. PERMIT #~O-OOro
PID# ~(P2-, 0/3-0
liD feet.
feet.
Cast Iron
feet.
feet
from
This applicatio
BY
~~=-=========================================
your permit when approved.;
DATE: 3/") 0 D
VV
FEES:
--------------------------------------------------
--------------------------------------------------
Sewer and water line connection permit.
Surcharge
TOTAL
---------------
---------------
* Fee for either sewer or water individually is $tY.50 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 #
REC'O BY
AMOUNT PAID
'f-
" '
" ,
... .,
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
CITY OF PRIOR LAKE Me .
16200 Eagle Creek Av. S.E. Permit No. ()O -arFlO
Prior L.ake, MN 55372
HEATING APPLICATION I PERMJT
Da's LJ-JO-{XJ Pin I Q~-,~c.8-0 3-()
S Il9 Address J 4. ~ J lJ rJ<.1 W _hJ~l,() -r:'1 J .
lo1 ./S Block ( Addttion)<Nfb Hi)! Ltf17 IWDN
Owner's Namg~(){ l'L 01 J.J..l<... ~
Address
Healing Contraclor ALL lED FIR ES IDE db a FIRE S IDE CORNER.
Addn~ss 2700 N. FAIRVIEW. ROSEVILLEt MN 55113
Telephone tI 6S 1-633- 2561
"FIllEPLACE
l ~ I
~ Make & ModaJ ,lil,I'12 f N C:.~
Moder Siz~
t.cO\X' ~
TYPE OF SYSTEM
Warm Air Planls
G, avity
Mechanical
Ail Co ndU iong,g
Vent Syslem
Coon. Load
Fuel (9~
Supply OpenlniJs
Return Openings
lop u1
FluB Size
OU1put ~ 7~ ():D
HEATlNG OR POWER PLANT
Steam
Hot Water
Radialian
Spedal Devices
Edf'.
Other Devices
C1m.
TYPE OF WORK
Alteratio ns
, Replacement
x
New Construction
Repair,
, Est. Comp. Date Ll-J'I-co
) I 00. OJ BulJding Permit # em - 009.0
Est. Cosl $
HEATING PERMIT fEE $
5T ATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt" --
TYPE OF STRUCTURE
.. I'j"k:
1. (ifttn
1. Y~I"'"
en
CD
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r+
- Air.
. 0"
CUIIlhetal OJ
'<
'T1
.....
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CD
en
.....
a.
CD
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CD
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Single Family
Two-Family
InWslrlaJ
MuIU-Family
Pubic Diller
Comm&rctal
Foe Schedu.e
Industrial, Commercial & MuJtj-Fam~ly
Residen'ialt Healmg & A.C
Residenlial, Heating Only
Residenlial, Gas Fireplace
Res1denlial. Addil;ons & Alterations
Res;denrial. AC Only
1'1t of Job cost (139.50 rriIllmurn)
$99 .50
$64.50
$343,50 RIO 2flX)
$39.50
$39.50
Remember 10 add lhe Slale Surcharge on the bottom of Ns Ilpp~cation.
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......
Add~iQnal1nspectfons will be billed at $35.00 ea<:h.
The price of your hearing permit includes one rOlPgh-in and one final inspeclion.
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House Heating Test Record musl be submitted with buitding r~tri n.~' before buftt ~
ing c erUficale of occupancy will be issued.
HEAT CALCULATIONS ~Frn URFO wilh number of .' r,1y and relum openings bled f
room wiCh CFM's per opening. New structures or additions send Hoor plan wit" supply
and relum locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPUCAT~ONS MAY BE MAILED TO THE C1TY Of PRIOR LAKE1 16200 EAGlE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Harl business hoUfS are" a.m.. 4:30 p.m.
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ALL WORK MUST BE INSPECTED (ROUGH~N AND fiNAL) - CALL CITY HALL
441-4230
a
a
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c.>
r hereby appJy for a mechanicat systems permtt and t acknowledge lhat the ~
information above is complete and accura1e; Ihat the work wlU be in conformanc ..~
wHh the ordinances and codes or 'he city and with the stale bundlng/mechanic
codes: that 'his 'arm does not be~ome a permit unlil signed by the BUILOINC
OFFICIAL; that the work wilt be in accordance ",'ith lhe approved plan In lhe
case of all work whrch requires review and approval 0' plans,
,"7
f'::p11~ JI-~
j . II Applicanrc SlgnO/J? ... -
VI()A~J 'i/JA'/~A~!J~
(/ 8uiding OniCAr. sr'ure .
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ty /// lor ?
/ It)ate
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CITY OF PRIOR LAKE ~ e:. =-
"'-_ Mlflltr ,.,. No. Q,Q- O(')<Ul...
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JSn3,.... (-.2) "'7..a30 I F.",-,,< (6' 3) ..,...&:,.&,
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CITY OF PRIOR LAKE MC /Y} ()OQ{)
16200 Eagle Creek Av. S.E. Permit No.lA J -" I \.../
Prior Lake, MN 55372
T1Z-
Lot Block
Addition
Owner's Name
Address
~WIO'- r hL~U'
Heating Contractor
Address
Telephone #
Furnace Make & Model
Model Size tl!)61O
.
1f
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output
TYPE OF WORK
Alterations
Replacement
)(
New Construction
Repair
Est. Cost $
Est. Comp. Date
Building Permit #
CJ90
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
~. ~,..\O \~\1'~ ,.!.'"
t!>>U\\..O\~G f'1;:.>','I11>' \
.50
Receipt #
Single Family
Commercial
TYPE OF STRUCTURE
~ Two-Family
..........
Industrial
1, Pink File
2. Green City
3. Yellow Contractor
Multi-Family
Public Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
Fax: (952) 447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work Wil~ accordance with the approved plan in the
casrvr i:111 ~whlcn r~u~ review and approval of plans.
~k~/4
I A:>ate
Applicant's Signature
Building Offical's Signature
Date
~~~f ~ . CITY OF PRIOR LAKE
6 or ... ~ 16200 Eagle CreekAv. S.E. PermitNo. ~{) _ ~~q ~
P riar Laker MN 55372 .
. HEATING APPL1CAnON I PERMIT " SilgJe Family ?<'
~Date s- ~ \ - to PlD t 2'5'" 3ft; z - () /3 - 0 Commen:iar
0.. ' - ---,
Sit. Address, \ " ") ,~~ \\Nl6 ~ ,... (\ ~ \ 'r '" ~ \ 121
~Lat ,-" _ Block \ AdditiDn. ~f\~\-:> ~: \\ ~tS.
2OwneT'sName. 11) III (j~\, \\ 01'\4 j
Address )..~~~ ~~\r,\, ~c-, '0..,- \.A~
\~ \ f\,.
Heming Contractor. , "~ r\,,- ~ ,,\.
Address, '\ \" ~ ~ ~, ~ L \ to"",,, \ V \ 1Jr; v~ \ (.L 4.~
Telephone f , ~ \.\1 - ~ \ ~""
Fumace Make & Model L l "" -r r ~ \tv-
Model Sizl. <<f\ \I .... ~ ~ \)
Conn. LDad, ~ ~ S~ ~
Fwl. \\1 C\"\ Flue Size
SuPPb' Openings, ,")
Retum Op8nings _ 'b
~ Input ~~\ ~~ ,OutpUl '\ \ \ (} ~\)
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a:
o
~
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W
E
1. Pili. . FD&
1. Gna . 0"
3. YcDcrw . Caa:nca
,TYPE OF ~UCTURE
Two-FamUy ,
~ndusbial
. Multi-FaTT1~ _.. ,__
~ub6c
Other,
Fee Sdleduk!
Industrial. Commerci~ & MlJti. family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential. Additions & Alterations
Resldentia~ AC Onty
, % at lob cost ($39.50 minimum)
S99.50
504.50
S39.50
~9.50
S39.50
.22.
Remember to adci !he State Surcharge an the bottom of this application.
TYPE OF ~ I c:M \/
Warm Air Ptants _ A.
Gravity . ~
Mechanical
Au Condliioning _>0
Vent.. System . ~
HEAlING OR POWER PLANT
S\aam,
Hot Water ,
Radiation,
Special Devices .
The price 01 your healing permit tndudes one fOU9trin and one foal inspe:tion.
Addl1ionri inspections will be billed 81 M: 00 each.
House Heating Test Record must be submitted with hllMrlintl nemrit nllrnhP.r before build-
ing oertif'K:ate of OCQJpBnCy ~1I be lssued.
HFAT.r.Al ~ Ii ATlnN~ R~ nFlR') with rumber 01 supply and 181um. openings fISted per
room with CiVs-per opentn;. New structures or additions send floor pan wi1h" supply
and retum kx:ations shown. HEAT LOSS CALCULA1lONS, PAYMENT AND
APPUCATIONS MAY BE MAn ::" TO THE CITY OF PR10R lAKE. \6200 EAGLE
CP==ac AVE.. S.E. PRIOR LAKE. MN 5537Z.
Ctty Hall ~mess "ours an e a.m. . 4:30 pm..
AU. WORK MUST BE INSPECTED {ROUGH-JN AND FJNAl,J . CAU CITY HALL
447-4230
~tbh
s u
Edr. ,
Other Dev~"
\ '1\\~-
Cfrn. .
TYPE OFWORX \.1 I hereby apply lor a mecllanical systems pBlIIlil and I acknowledge that 1IIa
. ~ . jnformatian above is complete ~d accurate: that the work will -be in conformance .
~ AberaIilms RBp'--menl New ConS\TUC!IiDn .. . . wllh lbe onlinances and cocIn 01 lb. cIly and wiItIlba sf!Ite bIIUdln9hneclwlical
~. .. . . cocIM; Ibe.l this 1omI1Ioea not become a pennll unlll siglllld by the BUILDING
~ .. Repair. ~ Comp.. Du n l ~ · . OFFICIAL; thai the work wlhe in accordanci. with Ihe apP",""c1 pllUlln the
. ~ ,....., $ (l) ~ ~ ~ ~ BuJdJng Pennll.. \. ., - 0 0 q 0 - 01 all work wh,i~ ~ review and app~ ri planL . . ~ .
~..~~PERNlTFEE$. _ lTH. V\\.\'\_.~J~\..' . ...:..~),~.~~
~ ." ," . ~PA'OW "lilT '.' ~M~~ ,:~ ~~I._,~..'
Rl....~~~SIJRCHARGE s .5~ ! UILOING pER." . A ~': i .. .. "3/2..3/07:)'"'. .
. " -" - e . . .
[~:~~.PERM!TF=" S -. ~. '. . '1ding~~ ...... . ... ~'... . .
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ItL:31</ 1)\Il.Q'oit-& \tG.1 \
NATURE OF WORK tJe.\U ~C;~K)c-\it:M.-
USE OF BUILDING SE.D
PERMIT NO, Q() - no qo DATE ISSUED 2.- :2B-'2.CJC)c)
CONTRACTOR J2C!)e.lc: Q,-~~~c:. ~c:..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I S TOR \ ~ d DATE
. FOOTING . / \' I . 1>\;r
FOUNDATION (Prior to Backfill) il/ 'fItIlJ
PLACE NO CONCRETE UNTIL ~BOVE HAS BEEN SIGNED
ROUGH-~~S
SEWER I WATER I SEPTIC (il/ y!tIJ/{/iJ
FRAMING 17" . f.>f 4 /1 ~
INSULATION f,J/~ ~(1-{'j - tJO
ELECTRICAL "(1 "
PLUMBING 4) L//i,/cr )
HEATING (if required) U h ?/ )/; lev
FIREPLACE I~ f5f' ~'17 I.~<
GAS LINE AIR TEST -:.Q, er-h tJE/t'P (1 4}JJ/r/J
COVER NO WORK UNTI'L ABov/~AS BEEN SIGNED
,..~~<
.
GRADING (Prior to Sodding)
BUllDIN~ '1t> <6 J \ . vJ
, "
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
W E (, / a/(J ()
#no
/)
~I
OCCUpy UNTIL A B01<j' HAS
'" .
NOTICE
I
~/J-b;/ n
~II&I tJD
t'/ ~ 1//1ft
f .
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspecf
and maintained until all inspections have been approved. On buildings and ad"
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
.'cl "-~,-"-)~ '.: N;JIlf,:~': ::..~~~ :~;~'~'!'ll t~~:
;~';;'Ik..,~,.,~.I.l\1"'II
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ttrUfiC8un! Q)C(lJ. mnry
CITY OF PRIOR LAKE
J.ltpartmtnt of .uilbing Jn~ptction
~Final Permitted D Conditional C .0. 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
Bldg. Permit No OO~0090
Occupancy Type . R3
Type Construction . VN
Fire Zone
N/A
Zoning District R 1
L13, BI, KNOB HILL FOURTH ADDN
Legal Description.
Owner of Building
SiteAddress 14314 BLUEBIRD TRAIL NORTHEAST
Contractor'sName&AddressROCK CREElS. HOMES, 3904 KESTREL ST. SW, PRIOR LAKE, 55372
r@r. I City Planner
ROBERT D. HUTCHINS
/ ~uilding Official
f.tJ .I;;;t. Ie D
F
JENNI TOVAR
Date:
Date: _
POST IN A CONSPICUOUS PLACE
_ .JT.'T 'TTTJ
-+
flf IT T1T
1f'lfl1 ITT)
. DAlE TIME
CITY OF PRIOR LAKE I
INSPECTION NOTICE SCHEDULED 31b-f3 10 "; VO
ADDRESS )4314 ~~.vt1 Ttl-
OWNER CONTR.
PHONE NO. PERMIT NO. O-~O
o FOOTING ~D PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING A ~rTER HOOKUP o FIREPLACE RI
o INSULATION SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS.
t 4(, \ Lk~ .40 r? V6 _
llt TVY'1{ '^- ~ ~ ~. (~
In! LiL~' &-h~. g_~r--S.<;: ~.J L-~ ~l
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( J\~~ _ + M&Jt ~~
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1) ''/ ~
\
~"l
~.u GrarJ_~
r. f(.
S* /+,}'L
O)tL
INSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUlREM.E ENN~ 'S ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~ INSNOTI
CITY OF PRIOR LAKE
INSPEGTION NOTICE
DATE TIME
SCHEDULED
!dud.,
ADDRESS /"S,'l 13,-~~ ~
OWNER CONTR. ~ Ut~
PHONE NO. PERMIT NO. 00-01 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
X FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
GA~OE I ~ Acc.e.Pi'JllJL.E.
(!u~ I ~ O~eR.J4nDIJ"L..
A I?E:rAlAollN'- IAa.\AI....~
-r-wE tI c V~I r
~T' iU 61UO
f.S INS.,. J4U:f..O
uJI'lGAl
.r1AI.M1hAJ mD$(.Al r:t)lUT"Re~ C)AJ1ic.. ~DnlILi
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
~ntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
~D TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED -.l(,' 6't::>
ADDRESS It3! f SLu~ 1S/12 f) I t2-
OWNER CONTR.
PHONE NO.
PERMIT NO.
t!)Q,.qo
I
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION /If::)\ 0 SEWER HOOKUP
o FINAL (. (l!) ~ PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: (() ~ gll 1 ~I
;gb M;JLv~ ~~-~
vJ~~~,
/(' vJ.e. ~-~
o WORK SATISFACTORY, PROCEED
)6 CORRECT ACTION AND PROCEED
I d CORRECT W~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
I
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
,}:7~ TIME
CITY OF PRIOR LAKE to: So
INSPECTION NOTICE SCHEDULED
'"
ADDRESS \L\s\4 ~b,v& T/1...
OWNER CONTR.
PHONE NO. PERMIT NO. O-t::tO
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~ULArlt>~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
AL N A 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION {If MECH FINAL 0
COMMENTS: f' tr\lo ~ ~"~ 0 L
(0 f\Y\J O~.. ~1Y\<LrIY\o.. dp(";
GJ So~ ~ ->>(.v(L>; ':de.>r d~~
6) Gros ~'(\. ~ ~ Lot- ~ cl
~C) t'v\. [~ c;, Lc t- - 6,.. S od
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tw~
n~~at"
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/
/
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"-----
/
~~
~
CwO
~
~-I-Pt1
~
COVERING
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4314
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
iESULATION AJ'\
FINAL ~
o SITE INSPECTION
SCHEDULED
~Oc\"d
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: S6cl 4- I ~t:.(:S
J;2~
Ie
TIME
AT
O-qo
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
c:2_~I~lr 1-~ &-t I~ ~
~ W~J~W~
.%A ~ /1 ../~- .~~~
U-> ~ ~~ V'>
e4:r a-IJ-Il,~,,-M
tJi-'/-d
~~.
I
I
/
/
~WORKSATISFACTORY, PROCEED /
fo" CORREC~ND PROCEED /
o CORRECT WORK C;~PI=(,~ BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl