HomeMy WebLinkAboutBuilding Permit 00-0532
DATE RECEIVED
C?/~/oo
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
DO -0532-
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
/"7+IJ IV/NOsa,€... LA!
1. DATE
sE'
~ -1.5 -00
12./ SO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
ADDITION
4. OWNER
13 BLOCK
ttJ.Lf)e;eu.e C"~
3
PtJN OS
PID ~ -338". 027- 0
2#0
13. TYPE OF CONSTRUCTION
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
...~ER
Mt:.\I'':) CO~lt2.\)c..T'()~
1~~K
New construction)(
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace ~
Alterations a
(Address) (Tel. No.)
'Il..c..., I~ qS"!t! pL. ~1I'!,- J/q~ -
HtJpt.i btrz.o\olc: ~ N ~1 '7
Deck LJ Re-roofing LJ Porch LJ
Finish Attic a Re-siding a Finish Basement a
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
Septic LJ
Addition a
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
1 O. CULVERT SIZE
17. COMPLt: "uN DATE
Width
Depth
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 :;eit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ fIE. Lken..No. aoo
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS LJ ENERGY DATA
LJ
USE OF BUILDING
.5r(J
OFF STREET PARKING
SPACES REO.
PILING LOGS a PERCOLATION TESTS LJ
BUILDING DEPARTMENT VALUATION
PLANS & SPECS LJ
SETS
COPIES
SPACES ON PLAN SURVEY LJ
PERMIT VALUATION ~I ~ t zx>~. PLOT PLAN a
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... sJ.....D<. · '2. ~
?c..l . ~
18.~
City:
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......... ..................... ........... $
8SO .~
1,100 .oQ
Plan Check Fee ............................. $
Collective Street Fee . .. .. .. .. .. .. . .. .. . .... $
Sewer Tap ................................... $
Cf $
Pressure Reducer ... i................... $
Meter Hom ............................. ...... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
qS,()O
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $ I 00 · 0 0
(.~.OC2
Sewer & Water Permit ...................... $ ~ 6. SO
GaS~i~ e .. 7k.......... .......... $ q 0 · 0 ~
ThiS.. mes r uilding Permit Vlf'e~ ~~""'\.A~
By ~ Dme~ .~-~
Certificate of Occupan
Paid ~:J. v-I
Issued Date - .)f /(/1/ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordinance and may proceed requested. This document when
Planner constitutes a temporarY Ce];t"t{;n:"fjjmPliancecs ~cf'~ a Ce~te ~~
City Planner Date ,~ Special Conditions if any ~
Water Tower Fee .. .. .. .. .. .. .. .. .. .. .. .. ... $
Water Tap ................................... $
lA5 .tXL
'f~OO..~
7 ()O ,<212..
Mechanical Permit Fee ..................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
24 hour notice for all inspections 447-9850
to
The Center of the Like Country
b) .{)532-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLiSt
NAME OF APPLICANT
APPLICATION RECEIVED
f1AVS (I/JN!:;;/ ;eVe'IION
(~ /ro/OO
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0740 w/NDSO!2- W. Sf=-
Accepted
Accepted With Corrections Y
Reviewed By:
Date: h-2l.,. 2~ 2:>
Denied
Comments:
I. ~ dQ ~ AJ~--
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."
_._-~._----
(I'
;r
i"
Tht ('tnltr of lht Lake Counlry
JO · )032.-
White .. Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lil-Iv/S ~IN:"-I K(,.C770N
(~. /(~ /(/0
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(c740 I~I/\/U::~(/~ 1-;1. ~t--
Accepted
Accepted With Corrections
Denied (\ /J
Reviewed BY:~~
u
Date:
~ -~'6'0
Comments:
~Te. r'S\'1~1Y-M, ~S ~U:J.eJ ~~
~ ~~ or &vl Arg-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."
. -...
~~ 053~
Tht ('tn'ff of tht lAb Coun'ry
~:~~ery ct;~:ri~ .
Pink - Planning
. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
. NAME OF APPLICANT
APPLICATION RECEIVED
. /ft,1/-7 'v/S (1 ~(,W.s /1< () C I (eN
{r; /~ /C)Q
I I
The Building, Engineering, and Planning Departments have reviewed the building permit .'
application for construction activity which is proposed at: .
/ (c;7 40 . tV/;\IDso/c: 1-;J.'. ~t:::-
"
Accepted Y
Accepted With Corrections
Denied
Reviewed. By:
comments:J(rtt
~
CriMi &,k....
(.u11l(h8jl ft/'it,l,f "If . of
iA..fIV~filll:J on. I ~t. re Vl' rs ~
Date: Jill/(/)
. I I -
b;h~;ttoI.lS ~
, \
sit/I! .
See ~&Cfu"dJl h;. :. I. .. hil.1 &I'II.I~ :JA~,:I./"t il. (;.,..Jilt.j PI41f
3. frD~"IJ~ C!u1nJ I'~I/t"~s ~ E,u-'~" fJAh,/ I'Ian
liThe issuance' or granting' of a perm.it 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."
.~
..
'f/.
/~7~DlJ:Js~r<.-- i
Job Address . . L ~..
Heating Contractor?;; ~ ( 4J11- /, ~J
Name of Tester lJu~
Date .?p'..,/'f- ~(4) 0
t> I!} /0
Percent 0 <{ ~ (;
Percent CO2 () /0
Percent CO 7~
Stack TerT1J. /,6>,>' D
...
/
.1'
''\
;;f; p~
GllEE. - PILE
YELLOW - APPLICAIIT
GOLD - C1T~.
CITY OF PRIOR LAKE S.W. No. -..nO. 0'53'2-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
.DLO 6XCAVATt t-- ~
APPLICANT: M 4. \./~ c... 0 t--\~TE.J,.ac.T'oN
ADDRESS: J1..1I~9 S"t!:!. PL..4c..~
SIGNATURE: (. ~(2
L...,..o-- -----.J
SITE ADDRESS: \LP iLjD 'vJ.lJc:::JOL
N.
PHONE: JJ.L3 - 4~ 0 - q 5S.J
"
DATE: i"' I~ - 00 '
BLDG. PERMIT #-OD..05~
PID# 2.5-336. 027. '0
LN..
FILL IN THE BLANKS
I J/\'
1. Estimated length of water service ~(/
feet.
2. Size of water service / .
inch(es).
3. Location of any couplings from structure feet.
:xJJtr111/ f-l.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
BY
=~::=~:::=::::::=::::=::::::::~===============
v---- DATE: 8.~ .00
This applicati
--------------
-------------
---------------------------------------------------
---------------------------------------------------
FEES:
$
$
$
5.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $j1.~ 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
AMOUNT PAID ~""~
REC'D BY ~~
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
OOwo532-
HEATING APPLICATION I PERMIT
Date L~"' L~ - DO PID,
Site Address \ l AI J'; 0 W .l'-l.D~~ ~ LA6LJ ~
Lot B Block ~ Addition ~ 1.&...Dewz.tJi:~ 'VO\ .t""l~
~~
Owner's Name, 10 r-\ + ~~ 6c..h t"\a:E' D~IZ-
Address . r / A
Healing Contractor 1'::, f(A- \ ~ ~~ oAr t\-WC '..Lv1/t..
l~r / t ~ v -
Address ~ 7 t:2f2 .I4A. "'d 1.../ /:) l-'1 7f.~ V-L~G, L-YJ
Telephone' r~7n~N~- B/!?? r .
Furnace Make & Model &- Y IA-"'- h..:J r...1~ SYSTEM . /
~/'}C)' ",..... I- Warm Air Plants ~
Model Size"" ..l- If!'" Gravity
Conn. Load 71 00'0 Mechanical
; Air Conditioning ~
Fuellf,J..... Flue Size tf Vent. System
Supply Openings - (-t? 7 I HEATING OR POWER PLAN]
--.:;5(. A., Jl \It, Steam " /
Return Openings / A)tA-LK{n Hot Water \. /
C'JIV""iIl -- Radiation V
Input /LfV:/V Output Special Devices / '"\..
1/,,-
(/,"""" ^ \ Other Devicesf. "-
,--3 I ~ I 0 V\. !.J 'II' , vi <.- \.
I
Edr.
Cfm.
TYPE OF WORK
Alterations
New Construction
)<
Replacement
Est. Comp. Date
Building Permit ,
Repair
DO -C) 53Z-
i.LL 131
,fJ,~~ ·
Est. Cost $
.
'Ill
HEATING PERMIT FEE $,
STATE SURCHARGE $,
TOTAL PERMIT FEES $
Receipt'
.50
TYPE OF STRUCTURE
1. PiIIt - File
2. Gteea - a.,
3. YeDow - CciIIIdctOl'
Single Family
Commercial
/
. Two-Family
Mufti..F8mily
Other
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family .. 1 % o.!.lob cost ($39.50 minimum)
Residential, Heating & AC < $99.52~
Residential, Heating Only ~.- $64.50 PLEASE NOTE:
Residential, Gas Fireplace $39.50 Air Conditioner Units Cannot
Resid~~:.~ i~ Zditions & Alte~ati~n~ $39.50Encroach Into Required Side-
v;tt.~ ~IY AI /U ~7 $39.50Yard Setbacks.
Remember ZCI 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 $35.00 each.
House Heating Test Record must be submitted with puildinC) ~rn"~ ~'~mMr before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the dinances and codes of the city and with the state building/mechanical
co ; tha this form does not become a permit until signed by the BUILDING
FICIAL that the work will be in acc~e with the approved plan in the
case of work which..ldauires ~aA1f approval of. plans.
~-.s= ZIP" 0
-kf+
The Center of the Lake Country
~
1. Blue File
2. Gold City
3. Yellow Applicant
PP No. (i L - {j~ 5 3, '}
Applicant: 1':(. I = PIVf'r'l b, >tq Phone: jVIl t.. 3".1 :J oflO
Address: l~rJt..t 9$-14 PI. J)J._ fv'1p1e ~. 55Yotf+r 7~3' 'f9J~ ~O'O)
Signature: ~/ K...L., ~~ : ' I " '
/. ' ./
Legal Descnption: Lot e Block ~
Site Address: ~O vJ,"'o~a.. .~
Building Permit # (/ (.~:~3 Z- PIO # Z5 - 338 - ,( 27- 0
NOTE: This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
Sub-1lill..l.1 J.~'4..~':'::'- P&ivit).;
Z. N.!,.,/
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
J..
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 (toilet)
I
I
/
Rough-ins
Water Heater
Water Softner'
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
~'.
~
,
I
3
I
I
/
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
!) .' ,/
I /fJC'
). ,'({~,. J
$ " i Alii. t " I
" I .,' ,''\..J .
j .. /1 ) i /olJ
/ l~/'-' "
.50
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects, with the ordinances
of the State plumbi..,n. $, Cbd'W.''1 t "i"',,' nd~. n,ts thereof.
~J~ O. -lL{? tt!(O DATE
,it Ie, AllbST
II
Call for all in,pecttons 24 hours III advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
1. PiP . ~
1.. GfteII . l'y
J.'''' . C....,
...
o
o
S
ri CITY OF PRIOR LAKE lie
~ ~ 182Ol1 Elgie CtMfc Av. S.E. Pennil No..60 (j ~ .::z.
\ V; "lor Lab, 11M 55372
~ '-.: HEATING APPLICATION I PERMIT SIngle FamIy .
Dele. q # Jj -00 "10 '. d. 5 # ~ 3 ~ # ();)- '7 -0 Cofnn1aId81 .
sa. ~_ .I f,,; 74D . J 1Y'lr ~ twe. 5 J;;' " ,,~., SclIediM
llll 6 1lDdI3 . AcldiIianL)(~le!'~C; ~<:; ?nr.l ~IriaI,Commen:la16~
--r'D\JYA 0. ~_,,^,J '7 r it '" f (.- Aeeidentlal, Heeling & AC
Ownefs Name, , l 11'V ~ 1"tA ~ .l("f ~::.A J 0 {J f. r:1C.f' Residential. Heating Only
Mdr- _ Residenfal. Gaa F"npface
-r: .-, !:J il _/"J ' f _ I /J A / /I ~ A Residential AdcItions & Alterations
Healing ~ I () (1. If ~-:'11rT nh ll. II' '/ If) L. , RaidlInIiaI. AC 01I1y
~_.&c1h1 kfkl'~J1 i1iJt' b. ) 6tJito/J fftite.f /Un S$l{;1-1
Te1epl1ane' 7 h '::> s::ss' 816' --r . Rememblllo add "'" StIle SulchlllV8 an "'" boIIam 01 thiI appicalion.
Furnace ... & Uodel ~f {l1!J IJl.J TYPE OF sYSlBl ~ P ~(Je, The pEe 01 your Itealing penIlt 1ncbIe6 one ftlU9II-in and one [naI1nopldIon.
I A/"v /' () J r FI Warm Air PIaRls
Model SID It(d:..(J l t:l. u Grauily . - Additional impecliona wi! be bIIId aI $35.00 -=h.
COnn. Load Mahank:al - House HalIng Test Record must lie suIlmilled will bu.H1n9 1""..........- belGre build-
Sf J' I L./ Nt ClltdltanIrv . W1g ce""'" 01 occupancy willie luued.
Fuel JV '/J.HJa ~. Size 7/ht'A Vent. System . m:4r r.AI CllllliflONS "FnlIIRFn wilIt nllll1ber 01 supply and .lIum openinge llat8d pet
SU~fIlI8 HEATIl{G OR POWEl'I PLAIlT 100III'" CfM'8 per cpnng. Nwatl\lCllll8l or addIIonI send llooI plan wIlh ~
, S18am " ~ and retum IoCdons shown. HEAT LOSS CALCULATIONS, MWENT AND
F\elUfn legS . Hal W1tef " ,/ APPUCA110NS MAY BE MALEC ro THE CITY OF PfIK}R lAKE, 1f12.Ol1 ~AGLE
1/ J ;?I'f, '/~ '2"'" ~ RadIation " / CREEl< AVf.. S.E. PRIOflLAltE, NN 55372.
input -, I ~ ~t fl.) J \.)<....J""' S.at {). "J
. . _. pea tmClIS / V\.. CiIy Hal tustle88 IIours _ 8 a.m. .4:30 p....
EdLJ~ 0.. 0.&7(" ALL WORK MUSTS! INSPEClEO (ROUGH'" AND FlNM.l · CALL C\TY HALL ·
QfL 441-11IO FNC~"" · 4ZJ.105
:TVPE OF STRUCTURE,
-/ lWo-Family ~ MuIi~Farrilf -
Industriat ~ _ P1JblW: - Other,
1%'01 jnb cost fS39.50 minfmum)
$98.50 PLEASE NOTE:
$64.9) Ai, Conditioner Units Cannc
$39.50 ~ftj,.I01lcb Into Req1.rired Side
'39.50 Yard S~a..:.cks.
$39.&
~
ar=
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....
u
In
...
4N
~
't-o
oIlf
....
N
P"l
...,
MEAliNG PERMIT FEE ,_
STAlE SURCHARGE $-
TOTAL PEAMlT FEES $,
1 heu.by apply for a ..cbanlcal systems plrm~\ and 1 admowledg8 ,hat 'he
Y lnformation above Is comptel8 8Dd ac<<:urate; that the work wilt be in conform&nG8
Rep/Ic<<ReRl NlNf CcIM1nIdio" wltlt th& ordinances alId codes of Ill. city and with \tie slals bulIdlngfnIectlanlcal
" codes; t~a form doel not become a permil unlit signed by tbe BUILDING
Ell Comp. Date . . 0..- OfFICI; "1t he work will~' aCQO . ., .. ~ the approved plan \n the
. ..___......_.__ _...~.3-("S~ - - -- -. ,,-- ...hip" r h JlV.toval Of~plans.
8\lIIdlng t'8RnI" 7 \;"...I....... ......, .: - --.. ..- .. - -.. . ...~ ..---
- ~. ~. . :-71::-cru..-
r I!!IIlaIft ~tf!"n ;,Pf-
rrBI WITH pica" . .. Ie .. Oate
.50 ,~PERMIT . ~ff-. /M~ 9-;rt:20
R9celpt . ' ~n9'01licar. Signature Date
TYPE Of WORK
~f
~;
~
I
~l Repa"_
(J'\Jj-..--e..... ~......
IS)~ . Oft. ~ ., .
~..
~
o
...... .
...
N
"
ca
o
AIIerallons
~.
~
PRIOR LAKE
...,
INSPECTION RECORD
DEPARTMENT OF ~...
BUILDING AND INSPECTION
SITE ADDRESS J.1tlLlo Wt~r' LV"\.
NATURE OF WORK N~, '
USE OF BUILDING S FD
PERMIT NO. aJ -053 7 r DATE ISSUED
CONTRACTOR l,AV'~ ~il. ~"''1!e3-q~- 3'J11)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING ~. ?"{/~
FOUNDATION {Prior to Backfillf';; ~. 11 zI In ~/ 't/ 4/ eo
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH;; INS J
SEWER I WATER I SEPTIC f:t? I f'tJ . f/ 4/ ()p I
FRAMING /~-:"--~7'''' 't.jn jJ4{
INSULATION IV ~ 0 /,
:~~~:~~AL ~"V )J/30/~
HEATING (If required) ,177 /'b'b
FIREPLACE .' . 9/d--)j ~ '
j1.' (.,
GAS LINE AIR TEST ~ +1" rtP'9/~~
COVER NO WORK UNTIL ~BOVE HAS BEEN SIGNED
~ ----
GRADING (Prior to Sodding)
BUILDING 1.tll~t \!D\ };t, (tJ!1,,1t/~o'
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
1:
~ /6htJ/(JIJ
y((e, ~ i,,'J~/~
. ,
UNTIL ABOVE 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.
~~u.o/
~/~d/O)
I .
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECUQNS (612) 447-9850
QLtrtiftcau of (OCmpatlry
CITY OF PRIOR LAKE
Jlepartment of Jiuilbing Inspection
~ Final Permitted 0 Conditional C.O. Expires
This Certificate issued PUTSUlUIt to the requirements of Section 307 of the Uniform Building Code
certifying thtlt at the time of issUQ1JCe this structure was in compliance with the various ordinances-of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY "' Bldl. Permit No. 00-532
Vse Classification ,
Occupancy Type R3 ' Type C", j~n V Fire Zone N I A Zoninl District R
Lep! Description LOT 8, BLOCK 3, WILDERNESS PONDS 2ND
Owner of Building
Site Address . 16740 WINDSOR LN SE
Contractor'sNamc&Address MAVS CONS,J'RUCTION 12613 95TH PL. MAPLE GROVE. MN 5.5369
ROBERT D HUTCHINS --? DON RYE
~'~ City Planner .
Building Official
.... -'!t:..c ~ -'M. h...;'~ '."dJ ,~...c,<,-" ~;.i.""'" ;ji,.~':ji",:~.:,::f.t..>~,.Li:J.:,~,,~ti;,-~';~:~\':'~. ,,~":-~..L..;:;.~..,> ...;:L,: (~<'.f..":~.l\L" '~1l?i;-.....:~.. ...... ':':"1- ,,1i..i(:'i~:,'~,~~'; ""'1: i;. 'I. :i.tl\-"i ~~,~ ,;\::.i :,""~''-~,i.:L:".:~,i',U,....': }"~;,.,;,..'~f">'~A ",,;~,~ G:'t,"'~'/~-,:I~"; .
j~:^[.."~:ft...,,,,"'~".";;'..,.l";- "-'.~ i ::~.... . l"".I. ~ i~":... ...t~
SCHEDULED b/;;;o / ;M~/
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I ~ 74/0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: S4--!
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o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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i'!?'::.RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO-'f' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/, 70/0
~-:J 6-tJ1
Windsor' LfJ.
CONTR. _/J1C01j. ~ A S ~ .
PERMIT NO. () 0 - 5" 3 2...
SCHEDULED
OWNER
PHONE NO.
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
l!( EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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T J-S
AWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector#' ~=-- '-. Owrumc--ontr:
v .
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTl
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j(P 7Lf 0 !>>/N.J:)Sar2- L/J,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
o - 5:3 2-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIO~ 0 SEWER HOOKUP
~ FINAL ~ Arlo PLUMBING FINAL
J SITE INSPECTION {!5I;at MECH FINAL
COMMENTS: f(Q. - ~y.
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o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
74 CORJtECT 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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE TIME
CITY OF PRIOR LAKE ~ZQ~ 9:()O
INSPECTION NOTICE SCHEDULED
ADDRESS I ~ 74() WIN05ct12- LA-f'J IE:
f f~ ..(
OWNER CONTR. '1 -z.....
PHONE NO. PERMIT NO. ()-53'Z-.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
It:") 0 SEWER HOOKUP
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o FOUNDATION
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o INSULA TIO
FINAL
~ SITE INSPE ON
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ ~~ ~~
./
o 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!
INSNOTl