HomeMy WebLinkAboutBuilding Permit 00-0544
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
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1. White
2. Pink
3. Yellow
FiJI
aty
Applicant
Db -1J5M
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
/fs:..J,' Ar'JiJ6si&lp ~h' lJLW
3. LEGAL DESCRIPTION
LOT.3 BLOCK
ADDITION GJyA~f,r
(Name)
1. DATE
6 -/$'- 0 0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
I
TAi rPl
PID ;)5-3"7- 00,3- 0
qAttI
13. TYPE OF CONSTRUCTION
(Tel. No.)
(Address)
14. FLOOR AREA APPORTIONMENT USE
4. OWNER
(Tel. No.)
(Address)
5. ARCHITECT
(Name)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
1195 /IAZ;.. Dr;.J(
CG. fll# mN
U Septic 0 Deck 0
Addition 0 Finish Attic (:J
6. BUILDER (Name)
Wt IJ.J PU/ )/1../
~'J
7. TYPE OF WORK Fireplace 0
New Constructio~ Alterations (:J
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
'$/- ~(J l, - "IJ.lu 0
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding (:J Finish Basement (:J
17. COMPLETION DATE
1 O. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width Depth
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 struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building officiJ can revoke this pe for j cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ needed inspections.
X ../J af' ~ -/~5 j {, -/S -(J tJ
/ ~ ~~ ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA (:J
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Back
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 'fs:.~ea. 0 ~
USE OF BUILDING
~fA:
" -
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......................................... $
City:
~ Bsn.CL1
It I t.)i) .OC1
aMP · cx:;J
SD"(P. G(O
'1:7 .0-0
Collective Street Fee .. .. .. .. . .. .. .. .. .. .... $
Sewer Tap ................................... $
Pressure Reducer ..%~~............... :
Meter Hom ......t:;J..(.J.................... $
Water Meter .....1~........................ $ I ~~
Sewer & Water Connection Fee ........... $~ C!> C . c..:.""CJ
Water Tower Fee ........................... $ l./.}6 · t9-I!J
Water Tap ................................... $
Builder's Deposit ............................ $
Other .................. ................ ....... $
Total Due .....d....................... $~ 755 LflJ
Paid ~~.. l R9ce]J'Pt 7tr if
Issued .,.
Dare By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdin nee and may proceec:t; uested. This document when
s~t ~ ~~lner constitutes a remporary CertiJcate of Zoning comPlian1;'':s ~. struction to co. mmence. Bef~~, a ~rtifica f Occupancy must be issued.
~... n~ --'--V. y-~ (!J.,..iM ~t?~
City Planner Date. Special Conditions if any
Plan Check Fee ............................. $
State Surcharge ............................. $
t-/61!IO
Penalty....................................... $
Plumbing Permit Fee .... .. .. .. . .. . .. .. . .... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
o
24 hour notice for all inspections (952) 447-9850
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. NAMIEOFAPPLlCANT~.~~"'....~ls
APPLICATION RECEIVED 3\ ~ . lStl\ \~ 00 {)
The Building, Engineering, and Planning Departments have "reviewed the building permit
applicationfo(' construction' activity which is proposed at:
lS5 L, t.. 3rhf) k..:::M'Ut.. ~ N.JN.
/
Accepted
Accepted With Corrections
Denied
~"'"
Reviewed By:
Date: ~. ~2-(P ""'&D
Comments: '
~~ ~)~ 'll'l. 'D ~" ~1t9Jt!$~
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liThe issuance or granting ofa 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
- ...
60rD54tP
. Th~ (~nt~r or th~ ,Lak~ Count".
White,' ~ suii'ding'
, Canary - Engineering'
Pink -Planning
. . '. .' .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST '
.", .' . . .
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NAME OF APPLICANT'" "" ~ 'r<\(U'\ '(\ ~.b .
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. APPLICATION RE~EIVEO "J1.~. \S~,.Q 000 ·
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, The Building,' Engineeririg~ and Planning Departmentsh~ve reviewed. the ,building permit'"
, applicatio.n f?rcon~t~ctiOr1 actiy,ity which, is pr?posed' at:. . , . , " . ',' '
'\85 (" ~,3.rhuk..Sd ll; jiJ. /r'.L '\j \t\ v
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Accepted
Accepted With C9rr~ctions
, Denied '
Reviewed By:Cta./JI(),lsHI . Date:~/tA'/~
': " 1
Comments: '>~t!.." i~rM~ '6A MLJt!'Y~a~' sicl~ _.
~. .:
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Seea.-Uu&U>1t1tls: .....t: . -h~.( r:;~~ L-fR~dldlt ...L 19''''./'''L'?'. . Gn,~R..,;
'3. Cr-(JSI4~ .",~~(':~.I,fur.!s- '/I,: Er~.f/~Ae;lt~4/~/a'~' ' '
. . .' .
.. . .
"The,. iS$uance or granting 'o.f,a permit, or, ,approval of plans, specifications:: ahd
c6mputation.s'shall notbs construed to be a permit for, or an approvafof" any violation of
'any of the, pr.ovisio.ns of, 'this code or of any other ordinance of the jurisdiction. Permits'
pres~ming to.. give authority to vio.late or cancel. the pro.visio.ns of this code or' other'
. . ordinances of thl'l jurisdiction shall not be valid. · '. .. .",'
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nt~r of th~ L.k~ Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
NAME OF APPLICANT '" ~ r<\M f\ ~,l)
~ \St'h I ~OOO
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\55 '-" 1S~l..o.. ~h'L N\i\.
Accepted
Accepted With Corrections
Denied ~!2....
Reviewed By:Jc.V 1/ .A:;7-
Date: ~ -'2G."~
Comments:
__qpP I~ ~I?c;:~ 1=or-7\...., '. SfU'c'> ' 't.k
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
.
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Job Address /s,'~8~/(s,;Jt
Heating Contracto~~..e )';~~
/1 (.
/(J- 3'00
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Name of Tester
Date
Percent O2
Percent CO
....
g
as--o
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
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~c, . · CITY QF PRIOR LAKE · . I'~)
f( A ~-.. '11IOOE8gJeCreekAv.8.E. p.,mnNo. (1)-~Lf
\ ~ / ~rlor Lake.. MN 65372 I 't I ""X
::: ~ HEATlNG.APPLIC~nON I PERMIT SInQle Famly
~Dale "'\210'00 I · PI~' ~&-.3"7-07Y~-O
CL '
SIa Addr... \50 Lo\JJ ~cots.,C() ~ L~ ·
m Loa . '3 Block ( ~dlllon rcJ .L".f"\(A nl U,v r~rd ~
~ - .
2 OWnef. Nlme LL.Jc7;~ ~_ ~_R S.
~/I- !~qFl Ph:kl OV'" ,ye, 2l:JD .f' Ar~A~
IIetIIllg ConItlClor r--f1.n 7-, "(!f ~ . . . '_
Addle. 'lnU~ I~ RO~ ","("" -r". _ k!.r)"~~ll V1r
Telephone' tt.6l- 42~- II Ll L\
FurftlCe Make l Model Le,~ \f'\O "f\
ModeISJze r..,?~Q2-J?-l- 10
CoM. uad
['-- Fuel fJ ",... ~ C,Ffue SJze. Lf" ItNlKl J
"I;f
~Supply Openlnga , r
N .
~Return Openings L.}.
If)
~lnput-'~:cmo Output lDO.tOO
CI
~Edr.
N
~~'m.
t!)
TYPE OF WORK
~'1I8r.llon.
['--
!tepU
['--
Est. Coal ,
IS)
~IEATINQ PERMIT fEE'
~iTATE SURCHARGE $ /50
~~AlPERMITFEES , /
.., I " J>
Replacemlnt
TYPE OF SYSTEM
Warm Air Planls JI
Gravftv
Medlanlcal
Air Condldonfng v 7_. , 2. ~-)
Venl. S,lIem .
HEA11NO OR POW~ PLANT
Sl.am
HoI Wale,
R4Idla1lon
Sped" Devices
Other Devices
New ConslNctton
\(
'a
Ell. Colllp. D.. :ro -~'4'r\'
Bu.dIng Pllrmll' --C 0 'fl\\i~\1:
/" ~~~.
Recep' I. '
".
TYPE OF STRUCTURE
f. flM -, Filii
1. Gro' ,a.,
J. Yell-. · C"ICW
, .. Comlne,cfal
lWo-Fedy
tnw.llJal
tIuItJ-FamHv .
. Other
w
, Public
Fee 8chedufe
Industrlat, Commerdal & Uulll.Femlv 1% of Job qOlt ft39.5O minimum)
Residential, Healing" AC '&9.60
Residential, Healing Only. 164.60
Resldanllal. Gal fI1eplace $38..60 ;.~, [, \ ;. JUL 2 6 2(XX)
Reardenlla!, AcMiUons & Allerations tS9.&0 I. r . f
nesldenhl, AC Only 138.60 \.J ~'-,-~-~,.~ _.,2:
~SOIo~ ~ ___.,_
Remember 10 add the SIal8 Surchallle on lhe bottom 01 thfstappllcalion.
Tha.plta. at you; heating pe,mIt Include, one rougb-illl1d ona rmallnspscllon.
AddiIIonallnspecllonl will be billed at $35,00 each.
House Heltlng Telt Record mUll be .ubmllted wflh II!IdIog IWIIII DLtlDbIl befo,. build.
Ing certfrlcate 0' oooupancv wWI be Issued.
NJ:.l' ~.. rJ ,. ~.~.,~ AI=(\' pAl=n wllh numbe, of supply and retura openings Isled per
room with CfM'a pel openklg. New Iltuctu'81 or addftionllend loor plan with aupplv
end return toe.tfona.own. HEAT LOSS CALCUlATIONS. PAYMENT AND
APPUCATJONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 18200 EAP. 1=
CREEK AVE. S.E. PRrOR LAKE, UN 65372.
o::a...
City HaJJ business hours are 8 a.m. · -4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITV HALL
~47-4230
I hereby apply rOl . mechaNe.' systeme permit and I acknow'edga thai the
InlormaUon above la complei. and ac:cur.le: Ihalthe work wll belD con'o,mance
I with the ordlnanc.. and cod.. 0' the cUr Bnd wllh the sla'a bulldinglmachantcat
codes; lhalthl. form doe. nol become a peJmh until Blgned by the BUILDING
OFFICIAL. thai Ihe wo,k wn~ be In accordance wIth Ihe approved plan In the
- cue 01 8~work which R1qull88 fevlew end ~pprOY81 01 ~i'-zw /00
( ~ APPI Srttnmur. I Date
tU J II J A J A ),;11-::) 7 / ~,7trn
JUL. 26. 2000 7:47AM
GENZ RYAN 6513226147
NO. 939 "'P.7/11
~ CITY OF PRIOR LAKE ~:= ~
_ 5 ~~ . PLUMBING PERMIT # ~
, Applicant ~ e.a1-- R ~ Phone!.LOJ-t.I.23 -I JLJLJ .
n.,.__tf.....r..~~~ . Address: J~1.!:f~ ~ ft<Q~.., ~IIU- ~~ ~CblD~
~fl (~g[; p_~~ Y: ': 'Slgnature; ~_ 1 (). ~ ~ Q ~ - , j
1 j .:: H~:~ lAtgal~......u...ticn: Lot ./~ -Slock I _Sub (~' ~~N
:[\\ ~ JUL 26 2(XX) !~: SlteA~ress: '~lb ~l~. W,,
, 1\\ i Building Pennit II QT\) - O:S-44 pre, 0< ,-.. ~ 7-b (jJ-1l
I , \ \ \ '
\"J '-'., __' - Nu I t:: !his permit wJ11 not be processed without complete information.
L__________...___ .-- F1XTURE UNII.:)
Quantity Type of FIXtUre Quantity Type of Fixture
2.- Bath Tub with or without shower 3 Rough-ins
\ Dishwasher , Water Heater
\ Floor Drain Water Softner
z.. Lavatory (bathroom sink) Stand Pipe (washing machine)
1 Laundry Tray C1 or 2 ClCmpartment sink) Sewage Ejector
Shower Stall Sackftow Assembly (APZ, Double Check, PVB)
\ Sinks Backftow Assembly Test
Bar Sink Lawn Sprit1kler
1, Water Closet (tailet) Other
rr:1: SCHEEJULI;
. Industrial, Commercial & Multf..Family
(1:'- of job .cost. $39.50 minin:aum) -
. Residential. New One & Two Family
Residential, Additio-ns & Alteration.
. -
State Surcharge
s
-/
/
$99:50
$39.50
$
:-
'GRANO TOTAL
F PAlO V""~M\"
1U\1.D\NG pe
'11
'It
This F -rm1t is .... ..,CSd upon the uprau condJdon ilia, said
colUmCtOl shall camply In all ...If' ..ct4 with the ordinances
of e S PlUmbiD5md the ct thereof.
- RE NO. TE
J \
I
eal for all inspectio s 24 hours in adVDllc:e.
, ,
--"
16200 Eagle Creek Av. S.
Lake, MimiesQu, 5$312/ Ph. (612) 4:47-4230/ FAX (612) 44742~S
An Equal O~"ortW1iry Employer .
JUN.30.2000 8:35AM
GENZ RYRN 6513226147
NO. 977
P.5/9
4:.. PR~
:--17.~~
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N N E S i ' " 1 r...., .,-f, . '--' \ \ I
, l) J.':~;-'-' .' -; \: NO.l.~:
\ \ \
JUL - 3 2iJl) i :
2.
J.
:, 4.
5.
6.
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,..,."., . ~ ~
-. . CII'Y
No.~S44
t~:./
Sewer and Wa~er
contractors must
be raCjJistared.
with the city.
APPLICANT-ra;,V\~- (l~.Pt~'~ u.n"r'lo~ PHONE:..lJ:l.6I-4I-'2..~-f I~
ADDRESS = I~'~~~"" "Tl~~~.."r ~C-CIf4...DATE: IJIBO"cC)
SIGNATURE: ~ _ _ - BLDG. PERMIT t m)-()s.-44
SITE ADDRESS: r . ~ PID...2"--u;}-rW-Q
PILL IN THE B~
40,
1. Estimated length of water service f8.~.
r 'c
size ot water service inch(es).
Location ot any couplinqs from s~ructure feet.
Type of sEI"'er pipe. ABS I'Ve X Cast. Iron
Estimat.ed leng1:h of sewer' line L/,C)' teet:.
Clean out (if required), located at teet fro~
structure.
---------------------- -------
IT
---~-..
This
___.=--a:w."'''''''-~
...
--
w..-.
35.00
.50
35.!50
Sewer and wat:er line connection permit.
Surchazoge
TO'l'AL
· Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
*
Saver and water permits issued for new construction must be
recorded on the Duilding permit card at the ~ime at issuance
~o insure that no duplicate sewer and wa~er permits are
issued.
DATE PAID ,
/
/
/
/
/
/
AHOUN'l' PAID
_\O~~~ UC'D BY
to\~G
f'OU'
. 4629 Dakota Sl 5.E., Prior Lake, Minnesota 55372' J Ph. (612) 447-4230 I Fax (612) 4474245
AN SQUAt. 0PflCRTUNrTY EJl4PI..OYER
RECEIPT t
~
L~~~ r.; CITY OF PRIOR LAKE Me
o ~ . 16200E8gleCreekAv.S.E. PermINo.OO-{)S4'1
~ Prior Lab, MN 55372
HEATING APPLICATION I PERMIT Single Fam11y
Dale. g; ;)lI'bD PIO . Q::; - ~ ~ '"'1 - tl03- (') Com-..:ial.
Site Addrus /.63""'" ~~ (41U ~
LoI:5 Block hIdlion ('~ r\ \ k.Ol.ll.p.l" :s rtt AD.eN
Own"5Nam8--")'~ .~
Address ,
Heating Conlractof ~LLIED FII.ESIDE dba FIRESIDE CORNEl.
~~, 2700 J. FAI1VIEW. ROSRVILLE. ~N 55113
Telephone', 651-633-2561
FIREP1.ACE J)
.,... Make & Mod.. ~", ,U ~ (p
c5.1_ 7Slm1
Model Siz_ ,
CoM. Load ,
Fuel (;,.A$
Flue Size
Supply Openings ,
Re1urn Operringt
lr1lut
Edr.
Output" :2~ ()tX>
am.,
TYPE OF SYSTEM
Warm Air P_ts
Gravity
M8Chanic:a1
N6 Condlioning
Vent. Systlm
HEATlNG OR POWER PLANT
S1e8m
Hal Wale'
Radia1ion ,
Special Devices
Other Dsvi:es
AI.lations
R~iml.nt ,
TYPE OF WORK
~
Est Comp. Dale
Est Cost $ /Im,]) Buikfing Permil'
I . .
HEATING PERMIT FEE $ /
Ao
./
New ConstnJction
~~
()n- ()~4-
r PA\RGVJ:tRM\'f
6U\\.Dt"
Repalr.
STATE SURCHARGE $
TOTAL PERMIT FEES $
Aee", f.. ..
TYPE OF STRUCTURE
en
(I)
:J
I. ..,,1 . fife rl'
1 Unr. - 0Iy OJ
J. 'lei'" - c.nc.. '<
Tw~F.mtv
ImlatIIaJ
, MulU-FamIr
'T1
H
:::u
m
en
H
o
m
o
o
:::u
z
m
:::u
Public
Oll1er
Fee SchedtAe
Industrial. CommIrdal & MuIti-f8m1ly
Resldenlialr Heating & /II;
ResldentiaJt HeaUng Only
Re$ldenliarr f:''''C' Flfe~ace
ResidenIiaI, Additions & A'wetlons
Residential, AC Only
II
, i
~
Remember \0 add the Stile SuJCharge on Ute bottom 0( fa appIcalion.
OJ
U1
..Ao
The price of your heatilg perrnI RUles one fOugh-ln and one ,... inspection. ~
U)
J\dditklnal tnlpedions will be bI1ed at 135. DO e.ctt. :
CD
House Healilg Test Record musl be submitled wlh IIiIdiog RtmiIIIYIJIbIr before buI( !:
lnv certllcale of ro'" "'-paney wiI be issued.
HEAT CALCULATIONS AF". "RFO wlt1 number of IUPPIy -"CI return operinglls" ,
room dh CFW, per opetWlg. HIW struclures Of 8dIItion8 send Ioor pt8fl wIIh .uppIJ
and relUm loc8IIons shcMn. HEAT LOSS CAlCUlATIONS. MYMeNT AND ]>
APPUCATIONS MAY BE MAI.EO TO THE CITY OF PRIOR lAKE. 11200 EAGlE ~
CREEK AVE. s.e. PRIOR LAKE. MN 55372. ~
~
CMy Hal buM1ess houri ale 8 ..m.. 4:30 p.m.
I
o
o
I
ALL WORK MUST BE INSPECTED (ROUGH-IN AND fINAL) II CALL em HALL
441-4230
U)
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CD
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1 llit,eby appty Jot a mechanical systems permit and I .cknowf.d~e that the ..~
inlormation above is complele and aCCufate; thatlhe wOfk win be in ContOfmMCl
w.'h the ordinance. and codes of lhe cily and wilh lhe stale buldlngimechanlcl
codes; that this form does not become a permit until signed by the BUflDINC
OFFICIAl; that the work wUI be In accordance with the epproyed plan In th.
ea58 or aU work whIch requires review and approval of pi....
~ 1J~,,",
~ APPUcaf)r., ~~
I , Mn.. . '-1 0 : "'/" ~ ",,:., ~
Building oIical\ S' Wri'- . /Ii
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P!..lr(Q) ~
.a, , - 08te ..Ao
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PRIOR LAKE
..,
INSPECTION RECORD
~
DEPARTMENT OF - ...
BUILDING AND INSPECTION
SITE ADDRESS I~' bkcs~
NATURE OF WORK 1Je..-J
USE OF BUILDING S,:p,.
PERMIT NO. (7()- 0544-- DATE ISSUED '--2~-~o'
\ .
CONTRACTOR ~,- "fA.- - . ~-<L ~ AttNE" (,~/ - </~ -C/C(QS I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. t:I INSPECTOR D~TE
FOOTING /&=r. 7/ltllfb
FOUNDATION (Prior to BaCkfill~~ G. "JIlt/1M .~. . 41~/6'tl
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH- S
7-/tI.() 0
'" W'PN
I .--Z; /IS~
. 'I
j $ 911'1/t9tJ .
" //~,. ~
~.f. .' ~/"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD
SEWER I WATER I SEPTIC
, ,
FRAMING <-.L.r~lM:/!,tIti V!4/~;<'.P'6"
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AI'R TEST
FINALS
GRADING (Prior to Sodding)
BUILDING14e.D~ IIltl,. ~. Jb/~(",
,
ELECTRICAL
PLUMBING
HEATING
DO NOT
t
Can between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~~~~<"...t:: .~'7'.~":~"'/'''''I';,..~.:"~,,
l:'.~f~ . . (trtifttau of (Ocmpanry
:!~ CITY OF PRIOR LAKE
?~ }gepartment of .uilbinlJ Jn~pedion
(~.:: . ~Final Permitted 0 Conditional C.O. Expires
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j,~~lIio~:.Mi2\,;iw:.i'{[;i>~l1k~l.l'J;i{..;;~;:;:i~~1~~~,i'~~~~;W&~)dS~~~~:~,:~~.;l~lc,\:..!~~;:I;;;o'j,:~~:~;r~Ji'~~/~~;:i<ll\;jc:!~i'i;j;~.$,!.::~i~~~~f~\~~~~_ii.~i~~~&~.;;:~;.l;llt.};'~":llt'~~..:it~,.i.\ 'd~(;~~;~,~i'~;;?,i.':~,i\,.;i.i..l'fJ...l
This CertiJJcate issued pursuant to, the requirements of Section 307 of the Uniform Building Code
certifying.fhat 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 Classificatiol'
SINGLE FAMILY
00-0544
Occup8ncy Type
R3 Type Construction VN Fire Zone
L3, B 1, GL YNWATER THIRD ADDN
Bldg. Pennit No.
N/ A Zoning District . R2SD
Legal DesCription
Owner of Building
Site Address'...1...S..2.66 BROOKSW LANE NW
Contractor's Namc&Address WENSMANN, 1895 PLAZA DR., EAGAN, MN
ROBERT D. HUTCHINS
DON RYE
City Planner
Date:
/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ !}{;~ (:,
/a -q~o ~ ; tX)
8 roo!f,& ;'~8 Dv
SCHEDULED
OWNER
CONTR.
PHONE NO. PERMIT NO. {J -:. ~'I
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~ 0 SEWER HOOKUP ~ 0 FIREPLACE FINAL
pC FINAL B L ~ CI. PLUMBING FINAL \!:::V 0 GASLlNE AIR TST
o SITECTION ~MECHFINAL ~A 0
COMMENTSttl)) ~ 7"r~~ ~ w, ~
~, ~ ~.~
(j)~. -1~~I'n-~
~,-m ~ p
m~~.~
~~~ ~'-
-~~
~f--W>> ~/~
I U
~ l" uJ, 0JR.. -~.
I I~ ~ ~ A.."yCl!L.
p~ WORK SATISFACTORY, PROCEED ~ -frHl ~
I!l CORRECT ACTION AND PROCEED . ~ J
)t CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ .
Inspector. f/7-:r. Owner/Contr. ·
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE nME
~~~6;~~o:o~i Sc11EDULED IO-S...d::J I; ao
ADDRESS / 66~' I> root:s;~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
HSULAT~ ". ~~o SEWERHOOKUP
NAL 1< e- J ,.., oJ 0 PLUMBING FI~
SITE INSPECTION ~ MECH FINAL~
COMMENT,S@ ~ ~ ~.
,J}!.Jl ~t~'- "1 ~
~ -..I ~ ~ -=til "t;;,..(
~~.
~e~~
@} ~ ~.
OWNER CONTR.
PHONE NO.
PERMIT NO.
I?-Sl/J
- ...
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
'fJ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ( Owner/Contr.
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J.-&
~
nue
ADDRESS
IS S ~ /3r0a!5/k ~"t' ---#f/. 4/1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1XJ-S!l~
"
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~-CJK..
Cvlb B:vt- ~~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Insped.O~ ~ ~ntr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl