HomeMy WebLinkAboutBuilding Permit #00-0092
~
;1/;:700
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
()O -D cf/ Z-.
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
J415lP ~'i~L-l5OSA. ~~\\...
3. LEGAL DESCRIPTION
1. DATE
~/,?/CO
g,SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) SO' (Width) I.l>' (Depth) ~ r
12. NO. OF STORIES
1~
13. TYPE OF CONSTRUCTION
9 ~\t:>~Tlb'-
14. FLOOR AREA APPORTIONMENT USE
\~ 1'P(.8 ~
,qOo ~
To\ A.'- 2. 9 f, 8 t:P-
15. NUMBER OF OCCUPANTS OR SEATS
LOT 8 BLOCK -3
ADDITION ~ i>8e.. E2-Y ~\ t>(..E: l>c..~
4. OWNER (Name) (Address)
5. ARCHITECT (Name) (Address)
6. BUILDER (Name) (Address)
PID z5-3t.fZ- 025-Q
(Tel. No.)
(Tel. No.)
(Tel. No.)
s.~.o_
OCCUPANTS
7. TY~"~D ~~':> l~~ f\~Dt~~pt>. ~~2-) "1~rc:?
New construction)c Alterations a Addition a Finish Attic a Re-siding a Finish Basement a
Chimney 0 Misc.
SEATS
16. PROJECT COSTNALUE
~, 8Q,CX:O
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. ~\ ~.:;~ Width Se.e.~~~y Yes No _ 'Ih?/ OD
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 above mention rty n 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
~,,,ng officla n v . ., for '~f cause. Furthennore.' hereby agree fhat fhe clIy offlcia'l5!;'7ee may enfer upon !he property to pertoz 7~ons.
Signature License No. D~e
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS a ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
.
OFF STREET PARKING
SPACES REO.
BUILDING DEPARTMENT VALUATION
PLANS & SPECS a
SURVEY 0
PLOT PLAN 0
SETS
COPIES
S1==j)
USE OF BUILDING
SPACES ON PLAN
PERMIT VALUATION
$ L~J~ rf)r..1
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 ~j
Permit Fee ................................... $-' ,La'l . L,t:;
Plan Check Fee ............................. $ 7j ~ ~ .. 7 (
'to ..a:;>
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $ ~~
SAC ......................................... $~ t:9~
Collective Street Fee . .. . .. . .. .. .. .. . .. .. ... $
Sewer Tap ................................... $
$
Pressure Reducer . ..%.................. $
City:
State Surcharge ............................. $
%:00
Penalty ....................................... $
Plumbing Permit Fee au::.. 9k,...... $
Mechanical Permit FeJ[[) ~. .~.?::...... $
Sewer & Water Permit ([J}::...1.'?:..... $
e Permit fl:Q.~...9.k.... $
loo.c!)8
~~. c!:)o
:JS- · 5'0
C/O · 00
Meter Horn ................................... $
~
Water Meter .................. ..... .......... $ I 20 o~
Sewer & Water Connection Fee ........... $J~ ~. ~
Water Tower Fee ........................... $ r 1c;:>o .C5)6
Water Tap .............................. ..... $
Builder's ~it ............................ $---" ~. c96"
Other .....~.y.':~.~.)......... $ ~~ ~~tSC>
PakJ TOg.+14.~.......~~~i~~o$~1'tb
Date 3/~1 ()O By (l() ~ . J
'is is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordihance and may proceed as requested. This document when
~"I nner constitutes a temporary Ce~cate of ~nin~Plianc~:..cons ction to commence. Before occup~cy, a Certificate of Occupancy must be issued.
- ~ ~ /--1-'1 ~ ~ ~Q{) {;t>>I~ iT}~~
L.1 Planner - Date Special Conditions' any '--1 - -. I
Your Building PermilWPe~oved.
Date~-~-~
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
q~
Tht' Ct'ntt'r of Iht' Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
jGeVL/7NLJ Hol'16S
'z,/I~O
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/495(0 /f;:JP~LOO.sFl IleiflG
Accepted Accepted With Corrections <
Denied ~ j
Reviewed By: C!fJ~
Date: :2 -;2E)"- ~
Comments:
I. eeAct A,,{t a.~~ '^-~.~-
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
! 6 ,
.:'.-'" ~ .-;:~
i
<<'
OD- t)~ z.
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~6VL/1NL) Ho/~6S
, Z//(c 100
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity;~h is proposed at:
/L/.CJ=.:> (0 ~p~ L OO.s;q / KA/~
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~ 6uJEsMANN
Date: zJ,x/oo
, "
Comments: ~OAJS1""llcJm..D.AJ llE.ult.L€S Aile ~or ,~Mrrr~ f!JN rg
-.B.n..,,,, I,J l)\IS Psn:I
S'a. JJJF'elf.lMt4~ t:W -rue flEIJ~E:. SJ<<.
...... ~
S€f. Am.c.HMF;.Y:IS: J. hAlAI. (;IlAOE: JAls,P€t:.rJO^J ItJF<)/bffA110N Z. t:IlAO/Nt. R-AAl
1. ERQSjt)t..l ~D.um.Oc.. t'1UtfSlJflES
-
If. E/tDSWJN CfJwrtl..tJc- Pe..AN
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."
FEB I 6 2000
- " ,-",/ ,
l
~~
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
K6. VL r)/'vlU /-/(I'-/E5
. F
2 II [(- Ir~. 0
,r I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ Lj. '/;::::; (c., /-i ;-jf~'l-i L. {/ (.... r- H -77.::.";::J / L--
Accepted V
Accepted With Corrections
Denied
Reviewed By: /" ~~~
v
Date: 2 - 2-~'~
Comments:
2-t{ ~b ~t~ v:;y~ l~ /~ "m-fif8v1X
~ ~ ..Me -l. \i1Ivvu v2-, cD -LJ cro L-vv0 I
~~'l7ce- Q;p<evV~ ~j
~.' \v"e..e..- CAAl~~bOvl *- (}p~l.rkA1
nLd - -
r'~,
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 provisiQnc ~ ..thi.s__code_ dQf other
ordinances of the jurisdiction shall not be valid," !:]J r(.~ y ,. /7 ...
(i FEB I 6 2DOO
~.." w
~
,.
*Permit#
*Job A4dr...i!f!?~ /I~~
*Heating Cc, '. .to( Me I RO AIR
*Teste,,/Signature ~a/~
Date
Pounds
Pressure
Time
*Gas Une
Pressurized
Inspected
* Percent CO2
PERFORMANce TeST
tt6 /~
~~
*Percent O2
*Percent CO &
* Stack Temp. .3~-:r
-
Final Inspection
Date
CITY OF PRIOR LAKE Me _ ~
16200 Eagle Creek Av. S.E. Permit No. OD (1)Cl
Prior Lake, UN 55372
HEATING APPLICATION I PERMJT
Dale Y-.:J~-fX) PlOt cAS- -, sL{~-6as--o
Silo AddI~ss . /C/Qr,{6 () If".. ~ /i'.IliW...
lot <? _ Block -:) - Addilio n ~\f) hQ j(\(\j Ci (111\1 -/ .5 r-el
.-1/ 1\, ~r . r a
Owner's Nams L:I\ AJ-LM.f) ~~. .
{J....O .
Address ,
HeatingConIractor ~LLI'ED FIRESIDE dba FIRESIDE CORNER
Address, 2700 N. FAIRVI EW, ROS EVILLE I MN 55113
TelephoniJ', 65 l- 633 - 256 1
FIREPLACE )J
tlIJJnIlIP Make & Model ~r;..J- AJ 'fJJ
MOOet SitQ i,cno 1))_
Conn. load.
Fuel --b~
Supply Openings
Return Openi1gs
Input
Edr.
TYPE OF SYSTEM
Warm Ail Plants
Gravity
Mechanical
All Cond ~ io ning
VI n1. System
Flue Size
OU1put.....;n,00:>
HEAllHG OR POWER PLANT
Steam
Hot Water
Radiation ,
Spedal Devices
Other Devices
Cf:n.,
TYPE OF WORK
AlteraUons
Aeplac1lmenl
New Construction
x--
Repair
Est. Comp. Dale :S/~ 00
, I
J) ('J)rf) 8ulding Permil' 07) - 00Cl ~
, .
Est. Cast t _
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Recelp1 J ----
TYPE OF STRUCTURE
en
L Pi IlIk file ~
2. (~ - C~J r+
l. YdIow - CuolnciOf' OJ
'<
Single Family
Commerdal
Two-FamMy .
Industrial
Mutti-Famlly
Public Oth.r
r- -
I
."
.....
,
'(1)
tn
.....
.0.
(1)
o
o
,
::J
(1)
,
Fee Schedule
Induslrlat. CommerdaJ & Mulli-Famity
AesklenUal, He~ulng & AC
AesWeolial, Heating Onfy
Residentia'. Gas F~replac6
Residential, Additions & Aleratlons
Residenltal, AC Only
,% or job oost (S39'.
S99.~
$64.~
$39.50 APR 21m
$39.50
S39.50
Remember to add the Slate Surcharg8 on the botlorn of this application.
0)
U1
-4
The price 1)f your heating permft ;nchJdes one rough-in and OM 'Inal inspecUon.
0}
(,.)
Additional Np1!CUons will be billed at $35.00 each. (,.)
QD
House Heating Tes( Record mus' be submiUed with ",,~Iffinfl J'f'rmlllJlDb.lr .rote b\ikj :
ing cerlilbte of occupancy wit be issued. ..~
HEAT CAlCULATlONS RF~ UF'Fn wiCh number ot supply and return openings listed p
room with CfM's per opening. New structures or additions senti noor ptan wilh supply
and relurn locations .hown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MA.Y BE MAILED 10 THE CITV OF PAlOR lAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKEy MN 55372.
City Hal business hours are B a.m. - 4:30 p.m.
J>
"'0
,
I
N
0}
I
t
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL ern HALL
447-4230
a
a
(,.)
. .
U1
I hereby apply for a mechanical systems permit and .1 acknowledge thal Ule :;
Inrormation above is cQmptele and accurate: Ihat 'he work will be in conformanc~..~
w.'h 'he ordinances and codes of the cRV and with the state bui1ding/mectulnic;
codes: that this form does not become a permit until signed by the BUllDIN(
OFFICIAL; Ihat the work wi1l be in accordance with the approved plan in the
case 01 aU work which requires review and approval of plans.
d..~/l..JiA
f'11.1J AppIicanI's ~ur8
( JlA/~ --1 1P~/;fA~,~~,~~
-rt Building OIIicajS Si{ll18lUf8 . .
V
&1. )~())
I I Dale
e; h7/rxJ
I Dale
"1J
Q)
<C
(1)
-
-4
.L
1. ftU ~ J:i1c
2. Cina ~ 0Iy
1. ytDow ~ CDanaar
~~. '~~. CITY QF PRIOR LAKE
urn. 162~ Eagle Creek Av. S.E. P18rmit No., {)O - 0 () 92-
'\ Prior Lake, MN 55372
..... / HEATING APPLiCATION I PERMIT
~ Date ~-\~- ~ PID,25-342-02-5-Q
0... S~. Address , \ ~ ~ s l 0 '" 0 0 Ct \ ('") b ~ CI\ \ ~ ~l \. I 12/50
.. , ," ,
~ tal . ~ Bleck _, AdditiaR ~CJ..c..r ~~\j Q..-,,'b, l-j\ ~""'.
2 Owner's Name ~ 'j\ (,..'-\ A, ~ \'i (l...<;I l _
Address. \'1 {) ~\ s;:- ~\.J:'" f~. ((,}\t ~ r, 1 '- ~\ ~
Hea1ing Contractor .\~ '\. \''=> ~,,.... ~ Y"\ \. ,
Address \ \n ~ '\ t"'\ ~ L \ l ON,.. \ y ~ lJ,,,: LY' ~ ~ Ltl
Telephone', ~~1- ~\:l~
Furnace Make & Moct&1 C. c..-y..,.-': '-.. V
Model Size i ~"\{,. a ~ ~
Cann. lead .\ f) ~ ~ '1-, ~
Fuel (\J 0\ \'"' Flue Slz. S' I
TYPE OF STRUCTURE,
Single Famfly X
Commercial
Two-Family
Industrial
Multi-Famn:t ~~,
Pubfic ~er
Fee. Schedule
IrKtuslriaJ. Cornme rcial &. Multi-Family
Residential, Heating & AC
Residentill, Heating On~
Residential, Gas Fireplace
Residential, Additions & Atterations
ResidenIIaJ. AC Only
1% of lob cost ($39.50 minimum)
599.50
564.50
139.50
~9.SO
S39.50
Remember tD add the Stlde Sun:harve on the bottom of this application.
tyPE OF SYSTEM
Warm Air Plants
Gravtly .
Mechanical ~
Air Conditioning ..
Vent. System
HEA~NGORPO~P~
Staam.
Hot Wa1er
Radiation.
Special Devices
The price of your healing permit includes one roUVh-tn and one filial inspection.
AdditioJlll inspections wi. be blled 111 $35.00 each.
House Heating Test Record must be submitted with "ln~~"'C'I Dennlt numhAr betore build-
ing cerlificalt of OCCUpltlcy WIll be iS$Uecl.
HFAT'1,'" n 11 Annt-l~ ~a::nr UR~, with number oIlUPPly and retum. openings listed per
room wtth CFM1s- per opening. Naw structures 01 additions send Door plan wittfsuppiy
and retum locations &bown.. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE crrv OF PRlOR LAKEt 16200 EAGLE
CREEK -AVE. S.E. PRlOR LAKE. MN 5537~
City HaD tpusiness- hOUTS iIJe 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPEClED (ROU GH-IN AND FINAL) - CALL crrv HALL
447 -423D
TYPE OF WORK \./ I hereby apply for a mechanical systems panntt and I acknowledge that the
. ~ - .information above II compl.. and accur8te: that the work wlll.be in contormance .
~ Ahrat.io~, Rlplacement. New Construction. . with the ordinances and codes of the city .00 with tne ~\8 building/mechanical
~ R-a... .. . EA. Co Date . .. codel: thallhls iorm does nol beCGme a pefl1llt until sig~ by the BUILDING
en . - - ~~ . tS\ mJl. ~ . OFFICIAL; that the work wRt be in accordance with 111. approved plan In the
~ ~., S' ~ ~ ~ Buidlng PellllU c ~- D \) - 00 ~ ~ "c~~~ .q~rl< ~~~ 0~~. _IBW and appr~, 01, PIBII~, .' ~ _ ;
~ .~~GPERMlTt-"d ~~&~JVt~~lIT. ':'~ ~".' ~ ' ,,~.l~ ~'
(\J ,. . 50 B ,. ~' .' Dale _'. _ _
-.i . STAlE SURCHARGE $. . ' . _ ..' _', _ _.. / .. y. ':__"0 .
~ \~:. '.' - · . '. .' - - 3//4-/00.
~ ";_~~~I,TFEES $,. Aec:8~'c II!1tIng~.~le. Dela. ' .,
_<f~~~;ir:.:.;.~~,,~:;~ " .,.; ,:. ':i':,}~; ~:" ,;',S;-i~.i,ji~.~~~ ': .".;: ~~;":':":\~7 "::":':', ,..:~~.t~:,;i~,<~:}<if!:ti ;"~-~~~~i ~,;~~;..:~~ ~&i.~;~'~ ~'~l~'~iIa1'" .jri. . ~
.'r'.-;\.~t;:..... .. 0 .. '.. ..c~ v: ",,,~,,&~':.,."j.~~"'~.b",,,,-...:i-..-i'./~';l" wo.'" '; '. ..,j.. ~:'~~',~.-rr.;r;1.:\~('IIL,::..~~-~-;:~~~~\._~~_I:Jt!&.~ -=~~*:J"'f.~~~,~~ ~';.~~., In!i;!....
. - .__tI<':~ .. " -. " ..... . ...... ....-....,.<<..".... ... .'~.", :~_','. ,'. ,~.~.-\.~.. ~ oo;...:("to(r:--'_" r.'.....~. ' ....,...._!.I'~.,. ...~....."":".:!.~~. ..~V'. ........ ,_,~.
SuPP'Y Openings \,
Return Openings 9,
0::: Input ~ ~~ ~ Output' \ ~ OU
H
cr Edr.
0 \'\~~
0::: Cfm.
I-
W
E
Other Davicas
.-'~""'.. .
...---.--
03/02/00.l11U 15:30 FAX 8128902753
STOCKER EXCAVATING
IaI 001
(f;PR~
QM!O . n.E
"n&.QW - AP9UeA.,.
GOLD - CIT~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO. 00 - 009?
Sewer and Water
contractors must
be registered
yith th~ City.
APPLICANT: DC Mec:hanical/Stocker Excavating
PHONE:
890-4241
ADDRESS:
SIGNATURE:
SITE ADDRE:SS:
Annaloo!l!la T,.A; 1
55378 DATE: 3-2-00
,BLDG. PERMIT # 00 -0092-
fGISD PID; 25- 34-2.- 0 Z-S- 0
FILL IN THE BLANKS
1. Estimated length of w~ter service
feet..
2. Size of water service
inch(es).
3. Location or any couplinqs trom structure
teet_
4. Type of sewer pipe. ABS
PVC X
Cast Iron
5. Estimated len9th of sewer iine
feet_
6. Clean out (if required), located at
structure.
feet
from
=====--:====Z=-:----=-=~_____M_____==__==___~~~-=~~=_~~___~~_;=w==
5 your permit when approved.
3/&/60
DATE:
This
BY
~~';;Iii;::;:=;::======
==~~--m~~~_~__m;===w_~______~___c====~====~__--~~___~
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or vat~r individually is $20.00 plus
$ .50 surcharge.
* Sewer and water ~ermits issued for new construction must be
recorded on the )uilding permit card at the time of issuance
to insure that no duplicate sewer and ~atQr p8rmits are
issued. . ~~--' \
DATE PAID AMOUNT PAI~~~e.~~\1
RECEIPT # RECIO BY ~U\~
16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
Ala Equal OppQrtunity Employer
1. ..... Pile
2. Gold at1
3. v.uow AppII...
* , ()O -Q.[8Z-
Elf/')- t..;\ U
'CITY OF Pl"'IOR LAKE
PLURING peRMIT
Applicant: D 1- /:) ,I~ e..c.,tJ I Ctl Phone:
Acid,...: 7-J I , W I ,fdJ. et · p. -
Signature: ply .. ~ . c:.:"...,,; ~. ...- .
lAg. I eelorlptlon: Lot J ~ _BIook-.3 8ub.J3~ ~ ~
aile ~dd"'.: Ul1$Io ~.L1~.. ~ II ... U . - tf
Building P.rmlt . () I!J -.. 0 i; . PtD f# "Z.? -...?A- z.. - () ~S- -(J
NOTE: Thl' plrmlt will not be ~lraoe"Id' WIthout completl Information.
"IXTU~ll UNITI
T" e...... .r .... .... C...n."
Quantity
~
I
I
L/
L
"
".;J..
~
1 3~tld
Type of Fixture
Bath Tub with or without lhowl'
-.
Dllhw.,her
Floor Drain
Lavatory (bathroom link)
Laundry Tray (1 ar 2 oomp.rtment .Ink)
-..
Shower StaU
81nkl
Bar Sink
Water Cla.et (tollat)
II
Quantity
.;,~
..~ f
I
Aough..lnl
Water Heater
Water Softn.r
Stand Pip. (wa.hlnl maohlne) .
e.wagel!JlIOtor
e.oIdIow AlMrnbty (APZ. DoubIt CMak. PYI)
Baokflow' A...mbly Teet
Lawn Iprlnkter
Other
TYPe of F~lJre
-
I
,.. .CHIDU~I
Indultrla', Commercial' Multi-Family
(1 % of jOb oolt, 'SI.IO minimum)
A..ldenttall New One. Two Family
"e.ldentl.', Addition. &. Alteration.
State Surcharge
.
. 99- 5tJ
.
. .60
~
(, . .
'pjY
$&&.50
tS&.50
GRAND TOTAL
. ~A\D wrrH
. J aUli-oING PEJ;;,UT
Thlf pannit I. arlDtId upon 'he eXpl1ll1 ~ndltlDn that .aid
contrlator. .hall complY In IU..pecta with the ordlnen*
Of the Stille Plwnblnl c: dnwn thDreof.
~ DAm
AI ~~T
.2~m
Call for all ina
1 6200 'Balle Creek Av. SIB., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / ~AX (612) 447..4245
An Bqdal OpportUnity Employee
09917068G19:Xtl:!
ltlJINtlHJ3W Q ~ Q:QI OG:Ol W~ 00, 17G/80 908.oN 31I:!
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J!:1iSL, A~~ lr.
NATUREOFWORK N~.
USE OF BUILDING SF.D
PERMIT NO. 00- ~ DATE ISSUED ""2.-2S--"2,oGO
CONTRACTOR K~~ ~~
NOTE: THIS IS NO-FA PE-RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR () [) DATE
FOOTING ell) 3---g ~
. -,. \ -
, FOUNDATION (Prior to Backfill) ?.:J; '3/;;..I/(X)
PLACE NO CONCRETE UNTI(ABOVE HAS BEEN SIGNED
ROUGH - INS
rtJ} ~1/1vJ
71ddf7 \
J;,(' l -; VV \
p~ ~ sldla'J
L~J 51fJ~
FIREPLACE N~ .~ I 6/3/ t7iJ
GAS LINE AIR TEST ~ fR.5ir'" a EP tJ0/7l
COVER NO WORK UNTIL ABOVE ~S BEEN SIGNED
_Ii
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FINALS
g, (L, 1- z J . (}'i)
~ r:~(()1
GRADING (Prior to Sodding)
BUILDING ~)] -11J g' ~ 1- au
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
D\rs~~
This card must be posted near an electrical sei-vice 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 fTlain entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
..
! .
attnftcau nt (Ormpanry
CITY OF PRIOR LAKE
1Department of jiuilbing JnSpection
)(Final 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 LaJce regulating building construction or use. For the following:
Occupancy Type , R3
Type Construction
SINGLE FAMILY
VN
Bldg. Permit No.
00-0092
Use ClassificatioD
Fire Zone
N/A
Zoning District R 1 S D
L8, B3, RASPBERRY RIDGE THIRD ADDITION
Legal Description _
Owner of Building
, Site Address
14956 APPALOOSA TRAIL
RD., PRIOR LAKE, 55372
Contractor's Name & Address KEYLAND HOMES, 17021 FI SH PT
ROBERT D. HUTCHINS /' ~ · _ City Planner
,tidg Official I
7( ,3/ ~ ( Date: -
POST IN A CONSPICUOUS PLACE
JENNI TOVAR
Date:
ADDRESS
/ '-Ie?;-b
DATE TIME
SCHEDULED 7---3-C J ;1:. i
ltt,pa!OO:;-Ci ---
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
0-113
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)!) FINAL 0 PLUMBING FINAL
( O~ SITE INSPECTION 0 MECH FINAL
,.---
COMMENTS: 6Y-1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
p_"_"_ . _'_'C;".';.' -.' ""-""-''''''-~~''-''''''''''''
~~~~l~
. -". --, -~ --
~ ~
/' rl)\U J ~ -'~
"'~~- - -~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o 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 &: SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ ;;>':SQ
ADDRESS lLt q$~ Af2~~
OWNER
CONTR.
PHONE NO.
PERMIT NO. ..or. - f) ()q d
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL
~SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
~ 'MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(J er-OS~Vh ~,)L
(2) F-V\.~J ~ ~C\.\I\~e~ ,~ ~
@ SoO. ~^-r.1 ~> F --'r:fI'..u.cloF~
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(.$) ~~' ~Yf(\...'(vrv..tL)--- -
/: L r- ~
\:\tLAn_ . ( ( ~v ~ r ,,.-~. '
~ ~.~. ~
~~ 4~ O^-- - \7~ ~ rLr
~ Ok
Inspector:
CALL 7 -985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ TIME
4;.tb./r7Jt!J St'/L 77-d ,/
/ CONTR. ~V Ic?~ / A/J7~.$
- ./
PERMIT NO. ~ -09~
~ EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
SCHEDULED
f
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
COMMENTS:
~yJby
...
/~
~/<
M/('ith f< ~I!-..
J
)1fqJ'1' 5^ilrr:' -/~~1/
Ib ~/"oa~ v.
. J
.s~~c.'/Q/ d~",J'b~
4V4/0 /b~
./
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR
Inspector: .~~/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI