HomeMy WebLinkAboutBuilding Permit 00-0543
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
~ - IS- 2CJOc) TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. J)() .. (l.6'f3-
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. S,TS5(;~
~k$~ LQ;AA.c..
(
':1..J..
I hereby certify that I have fumished 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 prope and that I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0!f~1 can revoke permit just cause. Furthermore, I hereby agree that the city official or a q,j~e may enter upon the property to perform needed inspections.
X j:.J~ -- 17:>8 h -/S-"2Ao
_ - / ( Signature License No. Date
t/
SETBACKS: Required
Actual
3. LEGAL DESCRIPTION
LOT q. BLOCK
C.\~W~
4. OWNER (Name)
U~\M.ar ",. '" ~..A.Il ~
5. ARCHITECT (Name)
ADDITION
6. BUILDER
(Name)
~
7. TYPE OF WORK
New Construction LJ
Fireplace LJ
Alterations LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SfJA
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee .. ... .. ... . .. .. .. .. .... $
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ";). t; - "3 ~ I -ooq 0
~
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
'-~/- till/, - c.tc/~~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic LJ
Addition LJ
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
SEATS
16. PROJECT COSTNALUE
Deck LJ
Finish Attic LJ
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
17. COMPLETION DATE
Yes No
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA
LJ
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ SETS
SURVEY
PLOT PLAN
LJ COPIES
r~ 000
LJ
R S U
City:
Amount Brought Forward ... . ... . ... . ... ... $
Park Support Fee ........................... $ a.sz, .. ~
SAC ......................................... $-1,.L 0 (J · ~
Collective Street Fee ... . .. .. . .. .. .. .. .. .... $
Sewer Tap ................................... $
~f' $
Pressure Reducer .......................... $
B5{n.0Cl
SS".Cf-O
if? ~V
/"0 . 0-0
IDO. oS
~s=-. sO
i/o,c>O
lfS:t> 0
12S"'.~
'~-'NJ..~
I ?IJO ~
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .. .. .. .. .. . .. . .. . .. .. .. .... $
Water Tap ................................... $
o
es 0 r Building Permit Whe~A9pro~.:- ~_ Builder's Deposit ............................ $
Date '" - ~ Other......................................... $
Certificate of Occupancy Tota~1 Due ....:;;;jj..................~.. $ 7'765. 'I{L
Paid ~ rr" Receir:'~ o. ~?' ~ 1.1 .
Issued - - .
Date BY~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdi and may proceed requested. This document when
sign the C' P ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifica of Occupancy must be issued.
f,~-l9O
City Planner Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850
./
Thr Crnlrr of UIf ....rCountry
fJJt 6 (,f ~
White ..Buildlng , .
Canary. ....,Ensflneerlng
Pink ,.'';; Planning
BUILDI~GPeRMIT APPJ.lC.ATIQN DefARTf4ENT CHECKLIST
NAME OF.APPLICANT
APPLICATION RECEIVED
.~~
~ l..~~.~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\F=;5"bLl ~~s.,~ ~ \JW
~
, f
t:~
.J
Accepted
Accepted With Corrections
.~
Denied> . ., /)
~") I .
,>' ' I
Reviewed BYis;t;;- . . /~~,'~
Comments:
Date: /R-y~4r,~:'fO
A ~ ' ~__~.._,--~. . ....~......,- 1 ,"
(,/ "'-- '. '....::' ", -~ ~
~ (1~?:L .~ ;~1 .pTi4 \~( r
C-~~ :?vJ 14.~v-.oYl.
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
~
JD .091-3
White - Building
Canary - Engineering
Pink - Planning
Th~ ('~nt~r of th~ lIk~ Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
n ,~
~ \S~ CXQmn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\66l:-4 ~~ UtK\Q NlAJ
X
Accepted
Accepted With Corrections.
L
Date: G, · 2/1- Zo~
Comments:
s~ ISS~O
8-'--~ c.~. tv,. ~ c.?!c..c..t. . ~
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
/
- ...
()) \ o~43
Th~ ('rnlrf of Ihr LIb Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHEC~LIST
, :
l() Lr\~A:nni+r~
~ \;)+~ exQJU'f)
\
. NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. \ SYh L' ~Yli1)~(.~\C'J.L,lct K\O \JlA)>"
."
Accepted / Accepted With Corrections
. Denied
F.leviewed By:
Comments:
Grlt"t Cd.r{son Date: -.hJ,;)~/tn'
. , I
St!e /nhrMllf"A..I//L'1J, aYtr~ Stilt!.
.' .
- -.-.--..----. - --....-.-- .---- --.....-.--- -.---------- ----...---..-.--.....-...:. ....------ ..-- --.------..----.---. -- ----_. .-- - -..... - .---...- -.... --.-.- ----_.. ..-..-..- -. '.. .....,. ..... ...... .-, - ~ '...... -'..
.. .
Set . 4~~ I LEinaI .' ..... ~"'.;Q.:I;"" ;;}.. Gnt.l..~ PI~
..J. ErD~i~1i (I",.-b:.JtJ1et1.,(Ur-et5 4 .ErI:J~/~" (Z,/(lrtl/ p~ .
. "The. 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
~
'<t.
-
Job Address /'J5b fJJKJ?ks;~(
Heating contracto~t.- ~Y&e-'
Name of Tester A v l .. v
Date /0 - ~S- .00
7
6
~
l3 S-o
Percent O2
Percent CO
;-.;.-- Percent C02
Stsek Temp.
Combustion air Is adequately supplied per
UMC Sec. 606
Input
/
i:-
''"'
CITY OF PRIOR LAKE Me 0 0 0 A-2
" 16200 Eagle Creek Av. S.E. Permit No. '5-r J
PrIor LakeJ MN 55372
Oa"
PIO'
J,~A 14A.A-
Site Address
Lol Block AddiIion
Owner's Name I JJ AIw"L r;. 6"JI . ~
, . -
Address
H.aling Con1ractor ALL lID 'P IRES IDE dba FIRES I DE CORNE!
Address 2700 No' FAIRVI!W~ B.OSEVILLR. Mlf 5511.3
T~~' 6)1~6J)-2561
FIREPLACE 11.
8UnIIP Make & Model ~.O! l J /dIll
Model Siz~ SL 7 ~7rI_
Com. load
Fuel ~M
Supply Openings
Relurn OpenirVs
TYPE OF SYSTEM
Warm Air Plants
Gravity
Machanieal
Ail CondftianinQ
Vent System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special DeviceB
Flue Size
Input
Edf'. .
OUtput .13 f>>}
Other D.vic9S
crill.
lYPE OF WORK
AIlerations
Reptac.mlnt NewConslrudion \1
. E$t. Comp. Date q ../I-fh
J J ()(l D::J BlRIdhQ Permil' 0 0 ~ D '54-:3
Repair
Est-Cost$
I W
HEATlNG PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT fEES $
.50
Receipt ,
TYPE OF STRUCTURE
en
m
~
I. PI~ . flit ......
I, Oa.m . Orr ~
J. YIItow . ea.... .
Sing>> FamiPy
CommeJCiaj.
"'TI
H
:u
m
en
,H
o
m
o
o
:u
z
m
:u
Two-Famly
Industrial
_ MuII.FIlnIy
Pubic
Other
Fee Sctwdule
Industrll~ Commercial & Multi-Famify
Residential, Heating & AC
Residential. Healing OnJy
Residential, GaG Fireplace
Residential, Additions & AkeraUons
Residential. AC Onty
I j:'~ job cosC (S39~50 ninInMn)
.stH.$O'~=-:_-
I
Sfp-6anJ ,
:..~4
Remember to add the Stale Surcharge on !he bottom of lhis application.
0)
U1
......
0)
U)
U)
Additional fnspeclions wit be biKed .1135.00 each. :
011
.J:lr.
House Healing Test Record nus( be Slbnitted with ~ JIIIDil r.um. beIorelxll .. .
~119 '*'fleet. of 0'.....' '7'ancy wit be issued.
HFAT C':AI, CUI ATtONf:; R.Fflf tJRFn wlh nunbe, of aupply and return opBuingall8led I
room wi"' CFMt. pet Dpenin9- New alructurea or additions Mnd Boor plan .. .....,
and return toealions Ihown. HEAT lOSS ~lCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR lAKE, 18200 EAGlE
CREEK AVE. S.E. PRIOR lAKE, UN 55372.
The price or)'OUr heating permit indudes one rough-in and one InaJ Inspection.
Cily l-id busOas hours 1ft 8 Lm. . ,4:30 p.m.
en
(Il
"'tJ
I
OJ
I
o
o
I
All WORK MUST BE INSPECTED (ROUGH~ AND FINAL) - CALL CITY HALL
441-4230
011
......
......
)>
3:
I hereby apply for a mechanleal systems permf1 and I acknowledge that the
information above is complete and accurate; Cha' lb. work wIH be in conform.net
with the ordinances and codes 01 lhe cUy and wUh Ihe Itate bullcllnglmechenlcl
codes; thai thts rDlm does nol bewme a parmit until siGned by the BUILDIN<:
OFFICIALj thai lhe work will' b. in accordance with Ihe approved plan In ,,_
case of aU work whIch requites review and approval of plans. -:
J IAA.. ~. '1-' ':il
~ ~ ~
~1IIaJ1:. SJgn.t....
~,
~
Dele
q./~ .U'i)
Dale
JUL. 26. 2000 7:47AM
GENZ RYAN 6513226147
NO. 939
P.8/11
CITY OF PRIOR LAKE
. PLUMBING PERMIT # .00 - 050/ ~
Applicant.: ~p~ _Phon.: 1~-'-I2.~ --I J4'-1 .
~ Jrn ,<::.0 ~'1'" -rlllZ.l- ~. A.>u".r'\T ~~
.SIanatu~ tA . 0 ~ 0 - .
- I.8gaI ~escriptian: Lot Black / SubJ b~ Mr.
Site Address:. I~ ~~ e."" I Dks.1 cg.. L....) ~
Building Permit' --1!7:J -f'\CZG) ,PIC' cSt,)'... (<.Q__ @-o
NOTE: This permit ~m not b. pracess~ without ccmpfete information.
FIXTURE UNITS
1.1_
1.QoI4
3. y.u_
file
a,
.-.-
n. c....... at ... LM. c......., .
17-. rc; 0-' ? rir=;;j--' "I
: in \ ,l.-5 \;~_n',~i.~ .,'.i l~~ /:
! .' .. 'lit.
l./ i
\ JUL 2 6 2000
Quantity Type of FIXture Quantity Type of Fi~re
-
2.. Bath Tub with or without shower 3 Rough-ins
\ Dishwasher , Water Heater
\ Roor Drain Water Softner
z.. Lavatory (bathroom sink) Stand Pipe (washing machine)
, Laundry Tray' (1 or 2 companment sink) Sewage Ejector
Shower staJl Baddlow Assembly (RPZ, Double Check. M)
\ SInks Backtfow Assembly Test
Bar-Sink Lawn Sprinkler
1,- Water Closet (toilet) Other
r'1:1r. SCHEDULe .
.. rnd~l, Commercial & Multi-Family
(1 % of Jab cost. $39.50 minimum) -
Residential. New One & Two" Family
Residential.. Additions & Alterations.
$99.50
(39.50
I
I
I _
$ /.50
/-
$
S
$
~~~~~
~~Q G ~~
\Q\~
tQU\\"
. -
State Surcharge
~
GRANO TOTAL
'-
..
,
--"
16200 r~!le CreekAv. S.E., . Lake, Minnesom 55372 J Ph. (612) 447A-4230 I.FAX (612) 447-42~S
AD Equal Opportlllliry Employer
: · ~::, .. J~ITY QF PRIOR LAKE' I J
~ 18200 Ii.. Cre.1e Av. SIE. PennbNo. (ft) ~3
; ~~.r Lake, MN 65372 ~
::: ~ HEAnNO APPUCXnON I PERMIT SIn\1'8 F......,
" ,\~. I' . . ., ,. ~ - Commercial
~ Date .., 2to L.1'-' PO. ntt '),~ h 7 -fv~ 4- -- () ,
Il.. - .. -....-.....
SHe Acldre. \~\A bc::cYc...r CJL, Lp.....,) .
lR lot Lf BIodI I Addllon ( -'/1!f' I A 'x1:Jp f g ref 4DIJN
~Own.'" Name. lJ....)q ~ ~ ~~
Ad... I~o,f) Ph.~ I)tr ,S'1t'~ 2lJO PPl'~A~
HeaIIlIg ConItacIor ('--1? TO- , a~ ~
Addt.. tUIU~ .~ Iln~ .II'!"'" -r"._ 'f&-~~ ~{,t' V1r
- ---
TeI.phone'. (tf-1- 42~- II W L\.
Furnace Make & Model l-e.V'\ ""'O'^
Modll Sfl8 r.., ?::J:J Q 2- )?,- 10
CoM. load
I'"
['-Fuel tJ PIf · Q;a ~FJue Size _ -, t>JtK11
'V
~supply Openings I ~
N
~R8tu'n OpenlllQs 4
If)
~, ---~
znpUl "~:nno Output LoD.U-J'-'
a:
~=dr.
N
Ci}fm .
U)
TYPE OF SYSTEM
Warm Air Plan'. )(
GravllV
Mechanical
AI, Conditioning v 7' , 7. ~
Ven.. System, .
HEAliNG OR POWER PUNT
Steam
Hot Water
Radlallon
Special Davlee. ,
Other Davie..
"PE OF WORK
Replacem enl
~
~\IIer.1Ion.
~
!leplllr
['-
EII.CaIlS BuIkllngPermllI ~4 ~',
~IEATING PERMJrFEE' /' ~~ ~
uiiTATESURCHARGE, ./ .50
N . ~
:fOTAL PERMIT FEES f/ Racept. :
...., I " 'r I
"
N 8W Con~rucllon
ElL Camp. Dala
'1
'I
.
,f
TYPE OF STRUCruRE
J."AIl -, File
2. Cft- '. 0tJ
3. Yell 'CoIInI:IIf
1Wo-Famllv
Induallfal
aulU.Famify .
Public -
...
Olher
Fee Schedule
.
I
Industrial. Commeu:laI & WI-FamHv
Realdanllal. Healing I AC
Resldenll8J. Healing Onl~
RestdenllaJ. Ga. Flfaptace
Relld8ntr8~ Adctitlona & Aheralions
Residential. AC Only
~SOlo~
Ramembet 10 add I". Stale Suroharge on the bottom of Ihla appllcallon.
I % of jqb. cost (sse.m minimum)
'99.60 ' ...
$6450: v.\
$39:50 I i~; ..JUL 2 6 200l
138.60' : \ \ I , " t
$38.60 ,-r w L-.=~_._- ~-~~.._, __I L.:
L ' ~,--
The,pllcl ot your hestlng pe.mit Includes one rougJl.fn and one Iilallnspectlon,
AddiHoftallnspectJona will be blled al "5.00 each.
Hou$e Heating Tel' Record must be .ubmlled with bdfdJng IIIUJlIl DWDIw beror. build-
Ing cerlbte of occupancy wlU be laIUed.
~I=.T ~.I~... .'T~'~ ~r:N u~s:n wfth mmbe. 0' supply and refurn openings Isted pel
loom with CfM'. pBl opeN"g. New ",ucluru orllddtkHIs send loor plall wIIh aupply
and .eturn loe.trona shown. HEAT LOSS CALCUlATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOA LAKE. 18200 EAGLE
CREEK AVE. S.E PRIOR LAKE. UN 55372.
~
cJty HaU business houra 11'8 8 8.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HALL
447-4230
. hereby Bppl~ 'or a mechanical .vateme permit and I acknowledge Ihal the
Information IIboye'. comptete and accurate; tha"h_ work wlU be In conlormance
'wJlh 'he ordlnanc... and code. 0' 'he clly and ",11h 'he .Iale buHdfng/mechanlcal
I codel; .hlt 'his form doea not become a pe,mlt unIU ..gned by the BUILDING
· OFFICIAL: that the work win ba In accordance with Ihe approved plan In the
1 .' caee. of aM work whfch require. ,avlew and approval of pi ens.
-, /'2J.o /00
I f"'\ 01'.
7 j-'~1T]
JUN. 30.2000 8: 34AM
GENZ RYAN 6513226147
NO. 977
P.4/9
_....
YIL&.o. . __ Je~-r
-.. · aTY
CITY 01' PRIOR LAKE
;:;~'-,-'--;::- ..:=:..~ AND WATER PERMIT
,~
NO. tiO.. a;-4:s
JUL - 3 2roJ
HarE: sewer and Water
contrac~ors must
be registered
vi th the c:i ty ·
2.
J.
:' 4.
5.
6.
APPLIcANT: ~~~ Pt~,~ u,tll"'I.e~ PHONE: ~1-1.J.'i-~-' ,&.IL.I
ADDRESS:.II4'&I~~ (~___'f" r: g"1ifatl'l"r <<"Cl4...DATE: to ''30"<::c)
SIGNA~.....z: ~~ BLDG. PElUUT tJJ()-f1S"L/:!'
SITE ADDRESS: \~L\. ~~'LS-.\~ Lt--l PlDt Qr:;"'r~h'7-0C'-l-Q
FILL IN Th~ BLANKS
Ll.r-\ t
1. Estimated length of water service ~
I 'c
size of water service inch(es).
t.et.
Location ot any couplinqs from s~ructu~e feet.
Type of sewer. pipe. ABS pve ~ Cast Iron
I
Es~ima~ed length of sewer lin, ~ f..t.
Clean out (if required), located at
structure.
feet from
____........I::Id..1I. ...b4.. M"'_ .~
--- -----
Thi~ a~lfc~tion
BY l/~,
. .c.._L '
..--V~-----
FEES: $ 35.00
$ .50
$ 35.50
when approved..
~TE: '7 jao/flo .
__________....._~~r-
Sewer and water line connection permit.
Surcharqe
TOTAL
.".~
* Fee for either sewer or water indiviQually is $20.00 plus
$ . SO surcharge.,
* Sewer and vater permi~s issued for nev construction must be
recorded on the buildln9 permit card at the time of issuance
to insure that 70 du cate sewer and water permits are
issued.
.
DATE PAID AHOtl'N'l' PA:ID '/
RECEIPT f /" ~\?:~R_'D BY ~
/ 90\\.0'1' /
. 4629 Dakcta Sl 5.E., Prior LaM. MInnesota 55-:u~' I Ph. (612) 4414230 J Fax (612) 441-4245
~ EQUAL aPPOR'1'UMTY EMPlDV!R
PRIOR LAKE
.."
INSPECTION RECORD
DEPARTMENT OF -...
BUILDING AND INSPECTION
SITE ADDRESS IS5frtJ 7St-~}cR..CL ~ 'l _
NATURE OF WORK .JJ~
USE OF BUILDING SF"A
PERMIT NO. 06 "'05tf3 DATE ISSUED G-4f"'~.o
CONTRACTOR ~l~ ""H" ~ "'-~ - ~ PMotlC- ~/-lft:iC- - lfC/(k)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING n /1r. INSPEcroR " It Z;;
FOUNDATION (Prior to Backfill~~ ~. 1//11 If) . ilt. 7/UJhn
PLACE NO CONCRETE UNTIL ABOV'E HAS BEEN" SIGNE'D
ROUGH - ~_~
SEWER I WATER I SEPTIC l,tf) "-fNJlJ
FRAMING ~~ ~I lo/5'/~ (/ ~.
INSULATION · ;1.&p-~ H-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
9#?~
4~:fc;-oD
~1(J,
~~.
6+,
7/;;- ;;- / IflJ
1~7~
1/~?/t'f)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-
FINALS
GRADING (Prior to Sodding), J J
BUILDING T Co< 0. 'fo.!J) /a
ELECTRICAL
PLUMBING
HEATING
DO NOT
l1/~'iI trb,
KJ1 IO~h.
OCCUPY 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.
~,
Call between 8:'00 ami 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~j'>'
..' _M'!"''llIll'lIil~~~''''''l';~'' ilf'''~'{I'"i'' '''''''''';''''\Il~'Il'''~'9''of~~' '''''''''I'JII''1i''' '''' "'<....,1'I""0'~.,', ,,.'i"'l,,il:"'l"'~-""'l~.' ''''''''.'O(;,1f' W!"'''''''~~''''1''P'''' "'0' ,
'.~
4
Ititifkau of (!)cmpmu:y
CITY OF PRIOR LAKE
1Department of .uttbing In'pettton
~inal Permitted 0 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 cOlnplilmce with the various ordinances of the
City of Prior Lake regulating building constructiOlJ or use. For the following:
Occupancy Type
R3
SINGLE FAMILY
Type ConstrUction VN
Fire Zone
Bldg. Permit No. 00-0543
N I A Zoning District R2 SD
Use Classification
Legal~ription--L..'L TiJ 6 aT.YNWATF.ll THTRD ADDN
Owner of Building Site Address .15564 BROOKSIDE LANE NW
Contrac:tor'sNameltAddress WENSMANN, 1895 PLAZA DR., EAGAN, MN
ROBERT D. HUTCHINS C.ty PI ' DON RYE
I anner.
e""'O, t \ BUilding~O cia! J
Date: ~~ :l 4 D ~ Date:
( POST IN A CONSPICUOUS PLACE
OWNER
DATE TIME
SCHEDULED 10 -oH-OV 1-: 6D
Irs/:, $/8 J-~4/~ J
~~-~. CONTR. II -
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
PHONE NO.
PERMIT NO.
6 -s~ i
~ ~~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING 0 Pl.UMBING RI
o FOUNDATION 0 MECH RI
o FRAMING@;WATE'RHOOKUP
o INSULATION. 0 SEWER HOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
'\
~
\.( .1
I I!--, I
('~. - ~
~~~,
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL...,FOR REINSPECTION BEFORE COVERING
Inspector:
~(
I
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
SCHEDULED I~..)I, /6-6 /I,' 0-0
r8~o~S)O€ LAI,
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS
/5 5(P~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSU~ 0 SEWER HOO~U
g ~~~~ #~~N -~ ~~~~D~:~~~Z-
COMMENTS: '.)5'1& , V~
L ' v
.. "7/1[1 ~
~~ ~c:.
if -~~ (fJ, [(/ rJ~.
DATE TIME
(J'- 5~3
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rJ - ~{41/1
t-
,f
,0 Jj.ORK SATISFACTOR;, PROCEED
~RRECT ACTI PROCEED
o CORRECT ~ _ FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL
l~ I~ IJJoJ.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DA~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
l~04.0{
J5S-~4 ~(Wbl'de r~
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o NSULA TION
~ _ =INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
" ~S~ CO
Cl ~e- ~t-' e-
flWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. .1S.--\~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1].- ]-(JI
ADDRESS -15fi/,L/ Br()()/(s,'rle 4A~ 5. w.
OWNER CONTR. Wt.IIVMI/J
PHONE NO. PERMIT NO. CJO - Slf 3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
j(fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
G~e - <!)K-
Lu/b Bo7C-~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~.J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/IS/iOTl