HomeMy WebLinkAboutBuilding Permit #00-0198
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QA TE RECEIVED
1. White
2. Pink
3. Yellow
File
City
Applicant
.28.
07J -OI9~
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
\ "-\ ~ S 0 ~ \.'--~ "o'\. <-J.... ~ '" e..', \.
3. LEGAL DESCRIPTION
1. DATE
~.~~/(J()
,e4
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height)........<.- (Width) (Depth)
.."u ~ "" \O~\ - \0
12. NO. OF STORIES
d
13. TYPE OF CONSTRUCTION
~ v... ~ , ~ ,,---L...
14. FLOOR AREA APPORTIONMENT USE
~";).~~
PID Z~-3&'Z.-()I/-O
\\
\-~"-'
BLOCK
\~. '-"
LOT
'"' ,'-'
ADDITION
(Tel. No.)
'" ~ \ - ,",Q.~ - "'- '"'- uu
(Tel. No.)
(0\1, - ~~t - ~ / 7(P
(Tel. No.)
(Address)
e. <-- ~ <. '""-
(Add~'r.s)
V~'"
(Address)
4. OWNER (Name)
\v...) c~ ~__'"
5. ARCHITECT (Name)
~ v:\. '-tv\.. c::.
6. BUILDER (Name)
~---~~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~ \f>\.. \i'^- G
SEATS
7. TYPE OF WORK Fireplace/B- Septic 0 Deck 0 Re-roofing 0 Porch 0
New Constructionh. Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. ~ ~ ~ <2:. I <.)G 0
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. \ ~ S ~ ~ Width \ ~ '\ Depth \ '-\. " Yes tla. \P<.\:>\.o,~...... "\ I """1., \
I ~ereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify tnat 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~c...s """' ~,-~\....~---i- \ '-\.~ 'lS; ~ la~1 (.)0
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Side
Side
Back
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 230.,OCC;). 0 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
"5ieO
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 . ? e::;-
Permit Fee ................................... $ A~~ / 5~ /.
Plan Check Fee ............................. $~~/ 99'1, 2/
State Surcharge ............................. $ ~ / / 5, (JO
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. . .. .. .. .. .. .. .. . .. .. .. . . .. .. .. . .. .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~ c. $
Pressure Reducer .. .1fJ................... $
Meter Horn........... ..... .... .... .... ....... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
City:
8so.0(3
I. J 00.C>e
r
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J ';)Go. 00
't~' Of) .C!)~
~ .C!>O
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
100.0 Q
.Lf:)..f\. (:> ir
3S-.~-6
t(() . t!:> ~
1
~VY~
}" t)
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $-L,-500 · ~
Other......................................... $
Paid Total Due ...~...............~~~e~.i~;.. $ ~~'4lt.?
Date "7 0 n By /
e request in the above application and accompanying documents is in accordance with the City Zoning rdinalce and may proceed requested. This document when
r constitutes a temporary Ce~t~onj!2....~mPliance r a~lows cons ction to co mence. Before occupancy. a Certificate of Occupancy must be issued.
-f!I1U _ lY~ / ~ ~ C~V\k9c1t- 4
City Planner Date Special Conditions if any
24 hour notice for all inspections 447-9850
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The Cenler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WblVSHI1NN 1101'165
3/2B/OO
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/43b() t3{.,UG6/~ /R
Accepted With Corrections ^
Accepted
Denied (~/ lfi)
Reviewed sv:'.,f:J)f/)a:,
Date: tf-5- ~o
Comments:
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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
e'
~
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Tht' Ct'ntt'r of tht' L.kt' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
l' vt /\~:: /Lll IIL/ll/"
3/ f/G[)
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14.';~[}(/""1 ./~/ 1//" 1,,(......./..) .-?~
~l ~,~ ..-." ~. #:......,.,...J L... ...../ ~ .".'- I~
APPLICATION RECEIVED
Accepted t/
Accepted With Corrections
Denied
Reviewed By: ~-~
Comments:
-;"'Y-~JL\j.,e- -;;~ ~ . ~IACY~/\ .~i0 ~;yeJ
~~JF ~~lA JO<F\ ~8IA'\1}j5t~"
Date: Lf ... i-1-eQ
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At- ~ ~ ~u1 ~~fj~
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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
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00-1'10
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The Center of the Lake Country
White - Building
Canary - Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fV' b N.5 ;VI/INN 1-10 (vi &S
3/2Bloo
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4_500 t3LU66/~
/~
Accepted ./
Accepted With Corrections
Denied
Reviewed By: J,JALTfR. f""R.~)tIf,qNAJ
Date: 'I/3/()O
. ,
Comments: ~ J NFoftt1.\"rItM.J tJA) R€uE:ns.€.. 'S~
.s.e.~ ~....r'tEA13: I. F:AJA. ~QE: JAJS.PE('Ti~A1 IAJPt'JlI.t/lltAT1nJU ~ aAlAOIA1~ H.."\n 1
3. Eitos\oiU COIVTt\.Ot... yt,t6~~
c.J., Eiz..O~'()1V C.LIrtl..o~ R,A,v
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."
~
Date
Job Address /l(3~ 6Io-th/.rJ
Heating Contractora~ ~vt/'"
v
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7 - {( -do
7
(!)
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Name of Tester
.
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
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RPR.11.2000 6: 00RM
GENZ RYRN 6513226147
A){PRJ~
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Tk 0...... ., die 1I... e......,
NO. 704
P.2/7
I
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~ IQ7 - ~
~ress: m ~ ~tut;r 'TfLL
Signature: _ _ ~~ OJ-.- --'
. ? Legal Description: Lot'31T Block 1- Sub kN\b \i111 L[M ADDJV
Site Address: I c.J 3~ ~ l . D to 1 fLD , R-fr' L...
Building Permit # at).... (J I q f" PIC' Q ~ - .36d - 0 J , - 0
NlIl r:; This permit ~II not be precessed without complete information.
FIXTURE UNITS
I. BIlla ..
:I. Gold CtJ
3. YeDow AwI-
It 1JO -01.15(
Phcne:,!p'S \ -"'-I: ~ - 1\ '4 U
~
~ t
Quantity Type of Fixture
~ Bath Tub with or without shower
I Dishwasher
, Floor Drain
Lf. Lavatory (bathroom sink)
t Laundry Tray (1 or 2 eompartment sink)
I Shower Stan
I Sinks
Bar Sink
.~-
. ~
'. . . .-' ) 3. Water Closet (toilet)
r ,,,'
Quantity
Type of FIXture
Rough-ins
Water Heater
Water Softner
r I Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Checkw PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
~ Industrial. Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
s
S
$,
$
$99.50
$39.50
GRAND TOTAL $
.50
'~\\~
This permit is ,ennred upon the exprass condition that said
contrKtor, shall ~omply in all respeccs with the ordinances
o~oomco.oCo P1umbl~CaclCIIDdJo.. E"
"_ w:.~tJ:' ,I J DATE
.,/?!f'/~ '/. idT
&or all imp~tiins 24 homs in advance.
16200 Eagle CreekAv. S.E., Prior Laket Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal OpportUnity Employer_
l' , . .:
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APR. 11.2000 6:13AM
~
GENZ RYAN 6513226147
NO. 704
P.7/7-
- -....
'I'IIJ.OW . ~
IIOL8 . .... .,
CITY OF PRIOR. LA.u.
SEWER AND WALJ..z:.~ J:o.c..&...MI'1'
NO..f)O - 0 t C1fs'
. ~\\.'"
NOTE: Sewer and Water
contractors must
be reqistered
vith the Ci'ty..
2.
3.
~ 4.
I .
- ,I 5.
6.
APPLICANT:. ~ .117 - (I ~
ADDllESS: \ L\ "'\ ~~ % (l 'T" ~ f..'6Irrn"" DA'J.'J:,:
SIGNATURE:.Jb ~_
SITE ADDRESS: )U.~~ ~\..UJ3a~ "\~ PIof
FILL IN THE BLANI<S
401
1. Estimated length of water service
'f
,
PHONE : ~ l"'~'Z..O- \, \J.l.l
14\\\\~
SLDG. PERMIT # 00- 0 \ 9 r
;? S' - 3f,~- 0 \\- 0
teet.
size of water service
inch(es).
Location of any couplinqs from s~ructure feet.
Type of sewer pipe. ABS PVC X Cast Iron
Estimated lenqth of sewer lin~ ~I feet.
Clean out (if required), located at feet from
structure.
=____=__= _ - _--..=C~_=-=--'---.T"'-:.-.==~,_.....__.---=-__
-_. ,.,_.-~-=-..-__-""':::II3IIC_2===r'--
Thi~ application ~o~es y~~r permit when approved. ,
B~ () ~fA. --1 /)A ckA.1I1V:~;~ ~'1'E: 4/ / Lf,1 (J(J
:::s~~$ ~~o:-
$ ..50
$ 35.50
______'_._~_'.....'W.'f~..,-...~...---
Sewer and water line connec~ion permit.
Surcharqe
TOTAL
* Fee for either sever or water individually is $20.00 plus
$ .50 surcharge.
~ Sewer and water permits issued for new construction must be
recorded en the buildinq permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAID
REC'D BY
.....'
. 4629 Dakota St. S.~ Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 44!4245
AN ,EQUAl. OPPORTtJNJT\' ~
. CITY OF PRIOR LAKE' 1" J
.1&200 hgla Creek Av. I.E. PllrnltNo. 00. Ol'fD
Prior Lake, UN 55372
TYPE OF STRUCTURE
I. Au r . \ R.
L Ore I arr
J. VeU,,_.J c...r.:..
HEAllNG APPLICAnON I PERMIT
Dale 4 \\ \DO PIO' 2.5-~2.-01'-O
SHe AddIeas '\..\:~Sn 14 L' n 'Ar\ ~ ,.,.....~ It \ L I< r
h LaI II Bbdc ,. Million J(~08 HilL 4-114
Owner". Name \ J.. ')0 ~ 1/'\ ~ ~
Address \w::\~ ?b.:Z.A't), _ kp.. 'loa -E.n.{'c:""l.A~
HelllllgConltadol C'":1..t\7 - ~
Address \U,\J..C ~ ~ tiT ,,"'-'.. (l,,"l vatt\\t V'.\
Telephone' \oS\ - L\ '1... ~,. l \ L\ ~
~urn808 Make & Model / I2Iln~
Model SIz.r....? ~ ~ I u -, ';n
I
Conn. Load
Fuel ~JM.~ueSlze 5" &\1LV\T
Supply Openings \ ~
f>
Return Openings
Inpul/l!iJ, tJ<<J
Output 8:J. cmtl
Edr.
Clm.
TYPE OF WORK
Afteratlons
Replacement
Eal. Comp. Dale
BuIlding PG rmll .
Repair
Eat. Cost $
HEATiNG PERMIT FEE'
STAlE SURCHARGE .
TOTAL PERMIT FEES S
.50
TYPE OF SYSTEM
Warm Air Plants K
Gravity .
Mechanical
AJt CGndltbn1ng )( ~1h'"
Venl, Syatem
HEAliNG OR POWER PLANT
Steam
Hot Water
Radiation
SpedalDevas
OIher Devices
New Construction )(
Single Famlly
Commercia'
x
D
lJ
:;0
Two-family
Industrial
Multl-Famllv .
Other
~
~
Publ~c
N
tSl
tSl
tSl
Fee Schedule
Industrial. Commercial & Mu1tl.Famtlv
flesldential, HeaUng & AC
Residential, Healing Ontv.
Resldendal, Gas Areplace
ResldenHal, AdrIillonl & AlteraUonl
RelldenllaJ. AC Onlv
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tSl
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3:
1 % of Job ooet ($39.60 mJntnun)
S99.60
'84.60
$S9.&O
$39.60
$39.-50
APR I I 2ffrJ
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Remenber to add the Slale Sutcharge on the bottom 0' this application.
The.prlce 0' your heatfng parmtt Include. ona rough.'n and one flnallnspectlon.
AdcllllonallnspGdlons wlll be bllted al $35.00 each.
HOll&8 HlaIing Tesl Record mua1 be etbmttted wilh bulking PIIDII n'''''M~ before build-
Ing certJlfeale of occupancy will be Issued.
,HFAT nAI n... ATln~R RF=(l 'IRFIl with number 0' s~IV and return openings listed per
loom w1th CFM'a per openlng. New a1Ncture. or addftlona eend 'Ioor plan wit" eupplv
and retufn locatrons shown. HEAT LOSS CAlCULATIONS. PAYMENT AND
APPLICATIONS MAV BE MAILED TO THE cny 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) . CAl\. CITY HALL
447-4230
I herebv apply for a mechanical syslema permit and I acknowledge thallhe
Information above Is complele and accurale; that Ihe work wIU be h, conforma"ee
with the ordinance. and cod.. 0' the cltv and with the ,tale bulldfng/mechanlcal
codes: that this lorm doe. not become 8 permit until atgned by the BUILDING
OFFICIAL; that the work will be 1n accordance wtth the approved p'.n in the
ca.e of 81 work which requIres review and approval 01 plans.
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~1 CITY OF PRIOR LAKE
~~ 16200 Eagle creek Av. S.E. p~~ ND. OD - () q ~
.a Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ;;//<,;,/0::> PID'. dS - 3~-O II - 0
SFtgAddr~SS I JY/i~o _,-j;~~/J ~~
Lot JJ- Bbck I Mdition J<J\_ n h Hi) I LJ't'h APDtJ
~)~~
Owner's Name.
Address
Healing Contractor ~LLIED FIRESIDE dba FIRESIDE COR'NER
^dd~~, 2700 N. FAIRVIEW. ROSEVILLE.
TahJpl:-one # . 651- 633 - 2561
FIREPLACE j J '
lYJ1t~ Make & Model ~r Ai (;4
,.
~"/P_
Model StIO.
Conn, load
Fuel~
Supply Openings
Return Openings
Flue Siz 8
In put _
Edr.
ouapul ,..J h ClOU
elm.
MN
55113
TYPE OF SYSTEM
Warm PJr Plants
G r l1\1i'V
Moohanlcal
Air CondltioOning
VanL System
HEAnNG OR POWER PLANT
Steam
Hol Water
Radialion
SpeclalO9Vices
OtheI Devices
TYPE OF WORK
y
Alt'3 ra1 iOIl S
Replacement New Conslruction
Repair.
Est. Cost $
Est Comp. Data , .,- /;:J l
/
// Il'l,?.) Bul1ding Permil' (J() - 0 )C( 8"
I .
HEATING PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMiT FEES $
.50
-
Rec.ipl ".
en
CD
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JYPE OF STRUCTUR~
.. ri,,\- - File
2. Gtu.. - 01} (D
3. Yc'lvw - Coalrector '<
Single Fa mily
Cammercial
"
1-"
,
CD
en
1-"
0-
CD
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,
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CD
,
Two.Family
r ndus1rial
Mum. FamUy
Publ;C Other
Fee Schedu1e
lndus'rlal, Commercial & MuUi-Family
nesideotlal, Healing & AC
Residential, Healing Onty
Residential, Gas Fjreplace
Residential, Addtions & Alterations
ResidenliaJ. AC Only
1% of iob cost ($39.50 ninimlm)
.$99,50
.$~ I
$39,50 6 2fKJJ
139~ 50
139.50
Remember to add She Slate Surcharge on lhe bottom of lhis application.
CD
171
......
Th~ price of )'DlJr heating perrnil includes ono rough-jn and one nn.~ inspection.
CD
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Addilfonal rnsp9ctions will be billed al $35.00 each. CJ)
CJ)
House Healing Tesl Record must be submiUed wilh buildina :'lA'm~ "'!....~, before bu~d- ~
ing certificale of occupancy wi!! be issued. . .. .
I::LEAT CAlCULATlQNS AEOUJAEO wFth number of supply end return openings lisled pe
room with CFM"s per opening. New structures or additions send ffoor plan with supply
and relurn Iocattons shawn. HEAT lOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CrTY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S. E. PRIOR tAKE, MN 55372..
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Cfty Hall business hours are 8 B.m.. 4:30 p_m.
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ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) ~ CALL CITY HALL
~41""230
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l hereby appty for a mechanii:al systems permit and I a.cknowledge that the ~
informatron above is comptele and accurate; that the work will be in conlo.mance ...
willi the ordlnanc~s and codes or the cily and with the slate butldlng/m8ctlanlcal
codes; that this form does not become 8 permil unlil signed by Ihft BUILDING
OFF1C IAL; thaI Ihe work will be fn accordance with the approved plan In the
case of all worK which requires leview and approvat of plans.
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.. AppliCant) ?,lQo~re o~~ ""
(~f Ju'IJIIAj1l^J~)
G Building 7igriafu,e -
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, , Date
(<)//?J/rrn
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PRIOR LAKE
INSPECTION RECORD
9E'PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J<<-I35Q ~~~t& ~ \ t.
NATURE OF WORK tJ.QuJ QmA.~"'\'~_{.'~
USE OF BUILDING <;;FD
PERMIT NO. 1)0 -- 0/96 DATE ISSUED
CONTRACTOR W~~t,v.~'"'- V... ~ 'l...
NOTE: THIS IS NOT A PERMIT FOR ANY ~THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO ENT
\
FOOTING /) '\\ \OR ;) q ATE
FOUNDATION (Prior to Backfill) ki 4 !J>-tk, ) !l?LI b /tJi)
PLACE NO CONCRETE UNWABb'VF'HASAiEEN SIGNED
ROUGH -.'~. S
SEWER I WATER I SEPTIC (0.) )" Llh1l1Jri
FRAMING ~ 7f(} ""?~
INSULATION fir V
ELECTRICAL ^
PLUMBING /)
HEATING (if required) . I ~ ~~
FIREPLACE V UU
\i
GAS LINE AIR TEST J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
II -_
'/- s--' 2oa;
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5} 2Aj-I(J
12/r-'fJi'f
S ,yI'U
~ ~ 24 ,,Itj
j ;,..r/I~'. "~-;"J
GRADING (Prior to Sodding)
BUILDING 1l)J 11> G. ((.cJU
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
FINALS
6& 1.1'j.O~
~I
?!~~
BEEN ~I~NED
This c.ard 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, ca;d shah be placed near main .entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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. 00-0198
Occupancy Type R3 Type Construction VN _ Fire Zone N/A Zoning District Rl
Legal Description ~1 # Rl K,N()R UTT T. liYl TIP 'T'l-l A nrnT
Owner of Building Site Address 14350 BLUEBIRD TRAIL
Contractor's Name & Address WENSMANN HOME S , 1895 PLAZA DRIVE, EAGAN, MN
ROBERT D. HUTCHINS /f::;. City Planner _ JENNI TOVAR
91;di9gn~a1 f
Date:
Date:
POST IN A CONSPICUOUS PLACE
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ADDRESS
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DATE TIME
SCHEDULED '1/lt/l;CJ 11,3()
81ue bl/l.LJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)--/7?
o FOOTING
o FRAMING
o INSULATION
o FINAL
o 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 LKSHORENYETLAND
o COMPLAINT
~ 0 SEPTIC FINAL
. 0 FIREP~Cs-
( ~...s I Y
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J \
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COMMENTS: L~ <)
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'0.'111,,11
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~I
Owner/Contr:
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
SCHEDULED
DATE TIME
~
p3C)
ADDRESS JLI~" a .~ ( '- If hu::('l /,-a J )
OWNER
CONTR.
PERMIT NO. ~ 1'1 -() , q K
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDA TtJO '1\ _ 0 MECH RI
o FRAMING 1" 0 WATER HOOKUP
~SULATI , 0 SEWERHOOKUP
INAL ~C\"" t . 0 LUMBING FIN
. 0 SITE INQ ~TION - ~ECH FINAL tt
COMMENTS:
W Soc1 c~o. -he.st ~r<-v ~)r rr-.~
(j) 1-~ ho-er ~ 10 h~~~ if
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~
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o EX/GRAD/FILLING
o COMPLAINT
^' 0 F.IREPLACE RI
(~" ~IREPLACE FINAL
~ GASLlNE AIR TST
o
o WORK SAT RY,PROCEE ?J
o ~TI AND PEED
ORREC W ". V OR REINSPECTION BEFOR COVERING
Inspector: ./ __ ----Owner/Contr:
, ----- ~ ------
CALL 447-9850 FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~ENT.Y ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 6l.'(JQ
ADDRESS I t1 ,1,"~ ("'\ 0 ~.h) rf 1
OWNER
CONTR.
PHONE NO.
PERMIT NO. -!.Ib -- o.L9.%
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~t!SEWER HOOKUP
o FINAL ! PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:@ ~ ~ p~ ~
iu-/..- ,
t5J -~ ~~'l~ .1:zvIY .~ ~, -
~~ ,~~~.~.~
Cl~~~ ~
~~~ ~~
@ ~.~-~v-r'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~ ~~,
~(l\~
~,* ('0,1--: --* ~ ~ 4ZU- ~
~ ~ '-~~r~
o WORK SATISFACTORY I PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ (
f
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE
O/~IH
.btll'~/;r/ .le
CONTR. ttJMfh~H~~
@~/7"
~EXlGRAD/FILLING
~~OMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
erI'Y OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .~~;r~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~~ltd I~ ~k.
J
6/6W /5 (?~
TIME
/ih,.;'~/A E/?J.>/~/',h,~/ a,h/ 5d
b<' keLJ /6~
~ORK SATISFACTORY, PROCEED
~ECT ACTION AND PROCEED
o CORRECT ":,07' CALL FOR REINSPECTION BEFORE COVERING
Inspector.>d~~
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!