HomeMy WebLinkAboutBuilding Permit #00-0317
QA TE REQElYE[l
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
APR , 2 2000
Permit No. J)() -
/
BUILDING ~MATlON
11. SIZE OF STRlfCTURE
(Height) ~b (Width), 0 (Depth) ~ 4-
12. NO. OF STORIES ~
13. TYPE OF CONSTRUCTION
SP\-\
14. FLOOR AREA APPORTIONMENT USE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDR~S., ... _ _ t '
,'3 <39 V ~ \ 't ~ \ 1 I:::> \-J r"\ V:e.,
3. LEGAL DESCRIPTION
LOT "3 BLOCK
ADDITION W \' \ 0 e r ne.~ :)
1. DATE
4-\ d--QO
Slq2,uJ.eH:~~ Ok.
~~ - ~ J --&tH)
PID~~
-:z 5 - :r38 -022.()
:,
PO"" d 5
(Address). (Tel. No.)
\.., b4S ~Uf\\~y:P()\:\-'h LQ ~ VI'''~
(Address) ~::t(") (Tel. No.)
(" ).;) - ".;).,0
(Tel. No.)
4. OWNER (Name)
M u.J ....J Or'l () SOY)
(Name)
5. ARCHITECT
(Address)
(Name)
6. BUILDER
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
\ 4 c:, ,nn ()
17. COMPLETION DATE
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New constructiOn)(
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
9. PROPERTY DIMENSIONS
Width \, ~ Depth 13S
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 official can revoke this pe . or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
~ / ~-;)Ol 4-1~-on
Signature , License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Back
Side
Front
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
S~D
SURVEY
PLOT PLAN
o COPIES
o
14. 5,000 . 00
PERMIT VALUATION
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $ a.2). 00
SAC ......................................... $-4' ot:) · 0 0
Collective Street Fee ....................... $
Sewer Tap ................................... $
City:
Division 1 2 3 4
I t I( ~ .2.S
'7 ~~. G] l,
"l2.~
Permit Fee ................................... $
Plan Check Fee ............................. $
~~~
State Surcharge ............................. $
$
Pressure Reducer .. .s'is................. $
Meter Horn................................... $
~b--'~~
Penalty.......................... ............. $
lot).t)o
~~.oD
35'.5'0
C/O . 0(')
Plumbing Permit Fee ....................... $
Water Meter .............. ................... $ I ~S. ~ (;)
Sewer & Water Connection Fee ........... $~ 00 . c9-e
Water Tower Fee ........................... $' ') {)O - (!:) lJ
Water Tap ................................... $
Builder's Deposit ............................ $ I, 5'0 (J ..C) ~
Other......................................... $
Total Due .............................. $~ fit, 13. zL
Paid 7.~ Recel.pt '::74"3 J
Issued ,
Date By
o certify that the request in the above application and accompanying documents is in accordance with the City Zoningbrdinance and may proceed requested. This document when
lanner constitutes a temporary Certifi~te of Zoning comPli~::::s (~~O commence. Before occupancy, a Certificate of Occupancy must be issued.
~ 1-,S---c90 . t/: . ~ ~~ ~C~~Y%.IS'Wl.
. Planner Date Special Conditions if ny , ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
P- rmit ....................... $
comes YOu/BUildinq Permit J91e!l..Ap.er?~d.
E Date ~-~(J
..
24 hour notice for all inspections 447-9850
/ 4PRI~
~\~
~
The' C'e'nee'r of eM Lak~ Counery
OO~0311
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
y110
---
.J DHN~O^I
1-1.0 ft! I <- I z..
;'OtJO
The Building, Engineering, and Planning DE~partments have reviewed the building permit
application for construction activity which is proposed at:
51'-/ g WFLL!A)'(')'/o~J C00/<:"/
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJA/'TBl.EHn~JM~N
Date: 1/-/ z..., 100
Comments: SEE.. J AJFDn.t44J4.""'D~ ON -rilE R.~~ ,~r_
SEE ,qTT~Alrs: J. hNIft- ~ /NS~CT/c'~ JAJF_/tAlA7?otV Z. f1l/tillil/J6 ~AAJ
3. EAD-S'...J ~ .JU~~.'" fYlF.As..>ttE.-~
~~. &DSI.A,J (J4IIV//l.Dc.. ,$l"'N
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. II
C50 -0'$(
The Cenler of Ihe like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1\ W ~ () rw,~;{l
Ap01-. \d.) 8()OD
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ 5<~ 0 s\ YlL()~ (\~ \:)('\ \f~
. -
Accepted Accepted With Corrections ~
Denied r~ j
Reviewed By: ~~ Date: g -('f~2t:Jc:i9
(/
~C~;~~ {~(J2a!L
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."
. ~~
00 -6311
The ('en ref of rhe Lake Counrry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, I
\.J\/
i"' ('\Y\ ~.~ ~)f)
-
pr" \ d.) d (J(jl)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~tU W~~M{~~
y
Accepted Accepted With Corrections ~
Denied
Reviewed By:
~A,~~
Date:
t~- s-: &a
Comments:
7~ ~~ IAM..IM ();rrle..Wtu-t I.:11I&.L L, tU FlI'~r.
{:v~v G\I\.e.- ~ <fC\{LJ {2 -0 'tV 10 (' uv4ic..
.'
Ji
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
.
~
o
ORSAT TEST
t'vtc II;~L C-/-
v
,'" // / t>
Job Address __5'/ / (./
~.l
Heating Contractor_ ~/~ p_o''''
Date / ()/5 /cJ () Pressure
,
Percent 02
7
g
Stock Temp
PE!rCentCO
Percent C02
..--
J.S lA"C
tP
":10) -
"
JUL-19-00 09:46 PM STEWART PLUMBING
;"
~~~'i P(~J~~~
..... ~.
U t'I".
~-- ./
6124281733
P.01
I. Blue
1. Cold
). "1!1l~_
Pile
Clly
API'llnnl
.202000
CITY OF PRIOR LAKE
PLUMBING PERMIT # QD -- 0'3 D
Applicant: St~+ .pj_u~_b/'n, _Phone:--"".;l- "d~3:S.
Address: _~ 0 ~--.kfklJtr-1....../..A.l t20.3 ~~~ ~_LlJv. ~-~ 7 fL..,__,___~,_
Signature: ~/t~ __ _.
Legal Description: ~ot _.__' "'? . Block_~_ SUbJAJ., \U~ ~
Site Address: S1. 'I R WrJ / J~fJ'" 41lL.f ,3 Mf.M\1
Building Permit 1# 00-::-..cL< i. . . PIC -...6lS- 338'"- ~-()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
h. I .",., III Ill. I,.... f fill"'"
Quantity ..'
~
I
/
3
I
I
3-
Type of Fixlure
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (lallet)
Type of Fixture
Quantity
3
I
Rough.ins
Water Heater
Water Softner
Stand Pip. (washing machine)
Sewage Elector
-
Bacldlow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-Famlly
<1 QIo of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
'l'J\'"O"\ ({
f>>~\~G ~e.~~ GRANO TOTAL
eU\\...O~
/
$ /.50
s/
$99.50
$39.50
s
S
$
Thi~ permit b granted upotl the expreu con~ition lhil said
cnnlrllCfnr, 1ihall c:amply in all rC::l'ptf;ls with lh~ ordinnn~c~
nf the Slate Plumbins Coclr Ind the: BmcnIJlncml5 thereof.
RF.CI.!lPf NO. DATE
AnEST
Call for all inspections 24 hours in advance.
1(5200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
......
-
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. OQ-O?l17
Prior lake, MN 55372 '
HEATING APPLICATION I PERMIT
Date f) ~~ 00 PID # ::J5 -~~g - O~-O
She Address '514~ lJ..),i \IN:~ (l rl-
lot 3 Block, 2) A~dition wt\ r)p ~ P("\~~
Owner's Name ~lA ') ..\~n SLifl
Heating C<>nlractof ~LL lED F IRES IDE d ba FIRES IDE CORNER
Address, 2700 N. FAIRVIEW1 ROSEVILLE. ~1N 55113
Telephone', 65 1- 6 33 - 2 561
FIREPLACE ,
IMntD Mak.9 & Model l-l' 01---0-&b
Model Sil~ ~-t)
Q)
0>
(0
0..
:E
0..
CI)
'V
N
o
o
Address
I
'V
N
I
r-i
:J
J
"It
CI)
CI)
CI)
C')
C')
co
Conn. load
Fuel ~d GaC;Stu8 Size
lt1
co
Supply Op9nings
Return Opening s _
input Ou1put -;;,)7/000
Edr.
efm.,
TYPE OF WORK
L.
Q)
C
L.
o
U
Q)
1J
.,-i
en
Q)
L.
.,-i
U.
Alterations
, Replacement
t
.Est Comp. Date
, ; \lY}.s9-
Repair
Est. Cosl $
Building Parmll it
/
/50
$/
,
HEATING PERMIT FEE $
..
>-
co
+-'
C
Q.l
CJJ
5T A TE SURCHARGE $
TOTAL PERMIT FEES
TYPE OF SYSTEM
Warm Air Pfants
Gravity
Mechanical
Air C<I nditio n i rlg
Vent. System
HEA TlNO OR POWER PLANT
Steam
Hot Wale!
Radial ion
Special Devices
Othsr Devic9s
New Construclian
~
f)}dq c (')
00 - ()?5 J'7
PAlO wrrH
BU\LO\NG pE.RM\'
Recelpl' _-
---
CD \ do.. - \.\~ ,-l.\ ~y,
TYPE OF STRUCTURE
I. A"k - Filt
2. r~n . Ci4y
J. Ydlow - ClIalfect8r
Singfe Family
Comme rciat
~
M LIIIA- Famity
Other
Two-Famfly
Industrial
Publfc
fee Schedule
Industrial, Commercial & MulU.Family
Aeskfential. Healtng & AC
A esid1!nlial, HeaUllg Only
ResldenUal, Gas FFleplace
Res idenUal, Add iti ons , AUera110ns
Residenliar, AC Only
1 % ofjo.t'. cost {S3~ 50 mrVmllm: ,_!
$99.50: , '-i? (~ rr; ~"! \\ n '2 ~>
\ \ 'I t_:21 . "'''JO l!::.:t ~.~ "'.!-/.5 \
$64.50. . .' _. ~-"- - _. ---"1
$39.50 JUL 2a. '\
$39.50
$J9.50
Remember 10 add the Stale Surcharge on Ihe bottom of this appt;cation.
The pr;ce of your healing permit includes olle rough-in and 0"8 final inspection.
Additiooal inspeclions "";11 be bined at $35.00 each.
House Heating Tesl Record must be submiUed with buildioo pp.nni! number before build-
ing c er1ificale 01 occupancy win be issu 00.
HEAT CALCULATIONS REQUIRED with number of supply and return openings tisl" pe
room with CFM's p9r opening. New structmes or additions send floor plan wilh .suppty
and rerum locaUons shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAV BE MAilED m THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRrOA LAKE, MN 55372.
City HalJ business hours are 8 a.m. - 4:30 p.m_
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FJNAL) - CALL em HALL
441-4230
I he(eby apply for a mechanical systems permil and ,I acknowledge that the
Inlormation above is cCJmplele and accurate; that the work will be in conformance
with the ordinances .and codes of the city and with the stale building/mechanical
cod~at \his~o[m does not become a permft unlit signed by Ihe BUilDING
~~l)CIA\: lhal ork in be rn accordance with fhe approved plan In the
c:.re 01 alt\wor l hie . ires review and approval of plans.
I . H' ; ,,' - - f)JJ~/()b
~. --7\J~licaor~natU'r8 ~ , Data
\ ,7 /.1 }d.A~";'J -^..J r:J /dlJ fl)
. Buildirlg'or~'s Signalure · I 01
FROM : SABER Heating and A/C
PHONE NO. : 6124738565
Aug. 07 2000 07:54AM P2
D a i J f.' , J f f J ,i r I f f~ fIll i , I ~.
II t b- ~,,~g:i'lf '~-f 100
'. '
i 8. r6~r Bt\~~P~1P ~~ .
~I 1J ,I I '~ . '~ r ~ <-; ~ ~.~. ~ II f.. ~
iI L.:,( r I tlI tj I ~ ~ ~ ~ :~ . jl
~ . 'il. . .. . ~~~" - I j r_
~l I f Ilfrll~f"~-l~ iE ~ '-g. ! I~J
'"""-of:- r f tf-IIIJ.t, ~~,- :3 I ~~
i~ ~ i9 I f I _. lit? 0 'fl~ ~ ~
Gl ~ ~ I ~ i {j .Et ': I' I
i\~ 0 ~ 4:' - .. ,
i ~ 7" l I n r 6 .0
~---.) I - ~ I 0,1 c>
~o I'
, . ~ .' B ........ c:::,
- -. -Ci . . - ~ \oN
:3 '..:. "" ~
ffllr I 1:, t ia: 1 I if'IJI k
. -- . -lflfrl- II f 1.'1 .[. J i ..Ii;..
-~ ,'ll i iii, tl i I J r f. I J
r f~ 'I~JjJli a I f Ilif,lli i f i
~ I "'I 1 I gl. I 1.1 I i
. t.1 J ~. I ! Ii I' ; a IIIII ~ i'
sa.i i r I ! I If!' ~
~ ~ lll'il i ~Ih I I 1 I i ~~~
~ '-.l f '"' 9 1511 If' Ill, j If'
I g i8 Ii II'! ! il I . J - I ;i;
1 ~ ,
_.... ....,...'1''''.. ...... '1"1"1''' ft.~iJ,...'''G YV~ ,..-,,. !'IV''" OAJCl"~n'l'
FROM SRBER Heating and R/C
PHONE NO. 6124738565
Rug. 07 2000 07:54RM P3
04~1.8-80
60601903.15
DETAILED REPORT FOR BNTIRE HOUSE
Prepared By:
Sabre Heating
f*.******.**~****.*******~*****.~****.*******~***********_.****************
;LASS
NORTH
-----------------------~--~---~---~----------------------------~~----------
BAST
AREA
COOLING
HEATING
111
1,820
2,727
SOUTH
EXPOSURE
WEST '&J!./NW
SB/Sw
HORZ.
TOTAL
90
2,196
2,21.1
o
o
o
o
o
o
o
o
o
201
4,016
4,939
o
o
o
o
o
o
__~__w__~__---~_____~~-_~_____~____--_______---_______~-~~_--~~~----~~----_
~ALLS
NORJ..t1
SOU.Lrl
BAST
NE/NW
BELOW
GRADB
TOTAL
SE/SW
WEST
AREA 625 580 352 424 0 0 0 1,981
COOLING 883 820 497 599 0 0 0 2,799
HEATING 3,368 3,126 1,897 2,285 0 0 0 10,676
----------~-~--~------~~~-~~~-~-~-~-----..~~-----------------~--------~*----
)OORS
NORTH
AREA
COOLING
HEATING
o
o
o
~LOOR
:EILING
?eople Sensible Load
Lights & Appl. Load
ventilation Load
)\let Heat Gain
Infiltration Load
~ensible Safety Btuh
I'OTAL SENSIBLE LOAD
3U~L"'L.er ACH
SOU~.t1
BAST
NB/NW
SB/SW
TOTAL
WBST
20
151
576
o
o
o
o
o
o
o
o
o
20
:1.51
576
o
o
o
AREA
COOLING
HEATING
2146
o
799
AREA
COOLING
HEATING
21.46
2,819
5,765
MISCELLANEOUS COOLING LOADS
3,150
2,048
o
1.,039
836
o
16,858
0.12
Latent Load
Llatent Safety Btuh
4,552
o
TOTAL LATENT LOAD
Temp. Swing Mult.
4,552
1_00
*** Total Cooling Load 21,410 B1~ Or 1.78 Tons **~
MISCBLLANEOUS HEATING LOADS
Infiltration Load
Juct Heat Loss
~inter ACH
7,524
2,144
0.25
'Teneilation Load
Safety Btuh
o
o
*** Total Heating Load 32,422 BTUH ***
612-452-0367
(MON) 06.19' 00 06: 36/8T. 06: 35/NO. 3561851055 P 1/1
-- - FILE
YEJ,.,UIW · ...uca..,
.... err.
cr~y OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 00 -03/7
'-
NOTE: Sewer and Water
contractors must
be' regi$tarad
with the Cit.y.
PHONE: &,5'/- t:/S~-/~S
DATE: ~ -I?~
BLDG. PERMIT *
PID# ?6....33Z3- OZz.-O
APPLICANT: M~1J m~fllzl<l1U'A1
ADDRESS: J~5f '"'..&hAbJ?f~~_ &/....
S,IGNATURE: ;:p,f/YJ ~ CY-I>>A~I
SITE ADDRESS:_5/~ W
FILL IN THE BLANKS
],'. Estimated length of water se:rvice
feet.
/" _inchces).
2. 'Si~e of water service
3. Location of any couplings from structure
feet.
pvc V Cast. Iron
4. Type of sewer pipe. ASS
5. Estimated length of sewer 11ne
feet.
6. Clean out (if required), located a~
st:.ructure.
feet
from
::::=:::::::::~~:~:::~::::::=::::~:::::i~~~;;------=~--
======--~-=~~==i:====----=-~===~---=--===--~~-~===_P_-~_===_p___=c
FEES:
$
,-
$
Sewer and waeer line connection permit.
Surcharg'e
TOTAL
35.00
.50
35.50
* Fee for either sewer or W'ate:r individually is st'.Go plus
$ .50 5u'rchar~.
* Sewer and water permits issued for new construction must be
recorded on the buildin~ pe~~it card at the time of i$suance
to insure 'that no aupllcatel sewer and water psrml ts are
issued.
DATE PAID
RECEIPT #
AMOUNT P:ID ~~~~
REC'D BY ~
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fa" (612) 447-4245
AN EQUAl. OPPO:FUUNITV EHP~
PRIOR LAKE -DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ I ~_. - ~..o_ '51'18 lJ~(Io~ L CJ-
NATURE OF WORK J\kuJ ~~~I ,
USE OF BUILDING ~Fr).
PERMIT NO. 00 · 03(1
CONTRACTOR M W "\d,"^"'''aJ.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO:~~NT . / OAT.
FOOTING . ,/\ '{.J . /, J /7" jA'1
FOUNDATION (Prior to Backfill), r-.'lbJnJ I · i
PLACE NO CONCRETE UN~'~OVeJHAS BEEN SIGNED
ROU~H - IN~
SEWER/WATER/SEPTIC .' /P:r. ~18~/);D
FRAMING u-rs~....c, \WIt} 8'f Hf I1{J
INSULATION -. 0 S'.,t/' ~ i) I
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
[)ATE ISSUED I.I.I"_~~
[jV ~ ?lRrn
0) y. r.fJV V
V
~JlU?
FINALS
~.L ~, f'f
(0 'l.1/~ ~
W.
~1
OCCUpy UNTIL )~BOVE HAS
NOTICE
GRADING (Prior to Soddinp)
BUILDING ,\,t.o(~ 1\ I \0\ ~
ELECTRICAL
PLUMBING
HEATING
DO NOT
, /
g lit y
, \
IO/UJ/"'~
l(/7Id~
~(f4~
BEEN SIGNED
This card must be posted near an electr;::al se~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 main entrance.
Call between 8:00 and 9:()O A.M. for all inspections
FOR ALL INSPECTU)NS (612) 447-9850
Qrtrffftcuu of . (Ocmpanry
CITY OF PRIOR LAKE f)
ilepartment of .uitbing 3Jnspection
~inal Permitted 0 Conditional C. O. Expires
This Certificate issued pursuant to the requireTTUmts 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 We regulating building constructiOlI or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 00-031 7
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1SD
Legal Description
L3, B3, WILDERNESS PONDS
Owner of Building
Site Address .5.l98 WF.LLJNGTON COURT
Contractor'sName&AddressMW JOHNSON, 17645 JUNIPER PATH, LAKEVILLE, MN
ROBERT D. HUTCHINS.~ I
cl;;;?"--l City Planner _
BU'~i';U "ng 0 cial ,
7/\ _ Date:
, POST IN A CONSPICUOUS PLACE
JENNI TOVAR
Date:
-
-
.. --- - -
f T T 1"
It trtll
l" .
DA TE TIME
7-/7-~ /l--I
,
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CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ot FINAL
;n' SITE INSPECTION
o PLUMBING R~I
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTIOI~ BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSlVOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
SCHEDULED ' lap1~c1 /1,' 00
aMi ~ ~ OJ-,
CONTR. J
o PLUMBING RI
o MECH RI
o WATER HOOIKUP
o SEWER HOOKUP
RiA 0 PLUMBING FI'NAL
l1Y ~ MECH FINAL
COMMENTS: 13l~ ,(/)) ~ . ~ u---tL
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
51lf ~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /:\
~ FINAL fl!9
o SITE INSPECTION
0- 317
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.,,1
F. P. ~-
~~
R REINSPECTION BEFORE COVERING
Owner/CClntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAjA'H & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED q-;;27-t)
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CONTR.
3;30
ADDRESS ~ I L/ ~
OWNER
PHONE NO.
PERMIT 1'10.
o -3 17
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
A ~ rPLUMBING FINAL
- ] SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
rQ,~ ~~ ~~
J WORK SATISFACTORY, PROCEED
~ CORRECT ACTIO NO PROCEED
o COSJ K, CA L FOR REINSPECTION BEFORE COVERING
Inspe r. . \ ~ Owner/Contr:
CA 7~3~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~;;7ps TIME
CITY OF PRIOR LAKE t\: 00
INSPECTION NOTICE SCHEDULED
f
ADDRESS 514e W~ G-
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OWNER CONTR.
PHONE NO. PERMIT NO. 0- 317
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION D~HRI o COMPLAINT
o FRAMING ' . TER HOOtCUP o FIREPLACE RI
o INSULATION R HOOtCUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:(/) ~ ~1.uft.. Pc P. ~
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o WORK SATISFACTORY, PROCEED
}'. CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTIOfll BEFORE COVERING
Inspector: r d=f . Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECT'ION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl