HomeMy WebLinkAboutBuilding Permit 00-0546
DATE RECEIVED
G(/~(j1J
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit No.
00 "oS4f;
I DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN I - 15~ ^""""
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) (J2 - UU
2.SITEADpRESS /5573 J3r{)()k~ic!L LN. <<tV.
I PID :d6 ' 310 7 - DdC-O
." 3 rd ~.
3. LEGAL DESCRIPTION
~O BL~K _
ADDITION &'1 In lA){)'f(..r
LOT
4. OWNER
(Name)
5. ARCHITECT
(Name)
c 6. BUILDCtJen~Mo...tY\
~€..~
7. TYPE OF WORK Fireplace (]
New Construction ~ Alterations (]
Chimney (] Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
1. White
2. Pink
3. Yellow
File
ca,
Applicant
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
\ ~51>1az.Q. D--. iD';l~N~-l/l/l>D
~~;.' .dOC)
Deck (] Re-roofing (] Porch (]
Finish Attic (] Re-siding (] Finish Basement (]
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Septic (]
Addition (]
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
1 O. 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
~uildin~=:voke thi ermit f ~ust~~se. Furthermore, I hereby agree that 711-~ or a designee may enter upon the property to p:z ~er~~6s.
- / Signature- - - License No. Date
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
{/
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~
Permit Fee ................................... $
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ~...................................... $
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS (] ENERGY DATA (]
PILING LOGS (] PERCOLATION TESTS (]
PLANS & SPECS (] SETS
Side
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION ..!!!!iS~, 000 .00
City:
SURVEY
PLOT PLAN
(] COPIES
(]
8S'"~ . 00
~, · 40
q1.~v
Amount Brought Forward .. .. ... . ... ... .... $
Park Support Fee ........................... $ ,~oo
SAC ......................................... $--1.,..-( 00 .OG
Collective Street Fee .. .. . ... .. .. . ... .. .. ... $
Sewer Tap ................................... $
Pressure Reducer ........~.~.'........ :
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
-t5.00
loo.<'e
too ..00
~.:ro
· .~ ;~.;t:.;:~.;~Wh~_~~~_J
/ Date" .~~
Water Tower Fee .. .. .. .. . .. .. . .. .. . .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ............. ................ ..... ....... $ ~ j",
Total Due.............................. $~ 5S: ~
Paid ';/~~" f//O ReceiPt1;J/h~-r
~ ~I
Date I (/{) By /J
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni Ordinance and may proceed J requested. This document when
sign y the C' lanner constitutes a temporary Certificate of Zoning compliancey.9d allowqstruction to commence. Before ace ncy, a :~ust be issued.
Vv~~ ~ -' ..~ (~," (' ,
ity Planner 'Date pecial Conaitions if any / ,
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
, 2S' .ea
I, ?~~ ~~
'7~ .eeL
/!!)
24 hour notice for all inspections (952) 447.9850
The Center or the Lake Country
JO - 66t~~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t_u~~f\ 5.~
APPLICATION RECEIVED ~ (S.n',\ ~
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicati\~~c~~t3ction activ~ which is pr;;ed aL~ IV W
Accepted ,(
Accepted With Corrections
Denied /2
Reviewed By:6~ ~r
Comments:
se~ (55 -Z / 1*ob~~. .(;. t1604 : ~~ ,~..Jc:.. ·
Date: " -7(- "2Q::Jc)
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
~
,:-i
APPLICATION "RECEI)JED
The ,Building,Engine,erirlg,ancfPI~nningDepaa'llentsh~ve reviewed. the. building ',permit
application for construptiofr8ctivitywhiChispropose<.1.al:
S5 ., $' -~\.~ 1.(2A. ~ N vJ
Accepted ~
Accepted With Corrections
Denied
Date: ~ -U .<9()
Reviewed By:
Comments:
. ~ ~~~ ~ '\l-te ~'t~~ cpt ~ t.e.
'C ~ (), {j, ~l ~~JecJ ~Wi' ihnr (''i ~~ ev-
Z yJ. /4&b't h9v\ ,
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, oran 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."
',- '.'::~"
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4PR!~, "
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...... '
00-0641P
, Th~ ('~ntfi: Orl~~ ullt Country
White, ",-:-Building ,
Canary' -Engineering
Pink ", - Planning'
. ,
" " ,,' BUILDING peRMIT ,APPLICATION 'DEPARTMENT,CHECKLIST
. ", t
. " .
, \'
NAME OF Af'PLlCANT . ,J.~QA}.~~() ,. ~ ~ .
APPLICATION RECEIVED31~.'v\O., S+--t)) ,i=l.rn;-0
, The,: B,uildil1g~ Engineering" and Planning 'Departments have reviewed thebuilding'permif '
, applic~tion, for construc~i6n ,acti,vity "Yhich is proposed at:, . '" ,,'
S5 ~S ~/(~~0Jv . . lOA -"'1>.. Nw
.. Accepted.'; ...
Accepte,d, \^{ith Corrections ' "
.' . .
5ee. a-&r.kI~ IIis: I. Ffl\~ l . G,...;de r"'~r..+iA" .0. (.;r ~i~ PI 411
-' 3_ 'Eros.W'~ 'CP~-6-0\ ,M-e.~u(es, tf, &o~t~o-n ' C'..of\+ro ,~tat1',,'
, '
. . . .
, "The" issuance" or ,granting 'of, a, permit or, approval' of' plans, specifications and
computations'sha]1 not be con'strued to be a permit for, or an approval of, any violation of
, any ()ftheprovisions of this code or of any other ordinance of the jurisdiction. Permits"
, presuming to give 'authority to ,violate ,or cancel ,the pr9visions of this code or other
, ordinances of the jurisdiction shall not be valid.1I .
. . '.
w~
JUN. 30. 2000 8:35AM
GENZ RY~ 6513226147
NO. 977
P.7/9
_. ....
.,.... . ..- ~-Y
-.II · afY
CITY 01' PRIOR LAKE
SE1t~ AND WA.~ PERHIT
NO.Q9~OS '16
."M.. ~ 3 200J
i./
~_,_.v
NO.....:.: Seyer and Water
. contract:ors must
~e reqistered
with 1:11. city.
2.
:3 .
~ 4.
,
5.
6.
APPLICAN'l': C1" Y\~- fl'f!J'" p~~, ~ "'- l..WM1..lt!.. PHONE:../Q!'JI- '+1-'!>-II4L.I
ADCRESS: 'LJ'LI~ ~ ~~~ ~:,"Cfdl.DA'l'E: La~ ~
SIGNATURE: ~ Y{) .. BLDG. PElUIIT tOC-OSf'
SITE ADDRESS:~;~- .-:_ PIDi~~-3b1-0ot()-()
PILL IN 'l'A.c. BLANKS
40,
1. Estima~ed len9th of vater ..rvice feet.
I 'c
Size or water service 1nch(es).
Location of any couplin9s from s~ructure feet.
Type of sewer pipe. ASS, PVC ~ Cast Iron
Estima~eQ length of sewer lin~ ~' feet.
Clean out (if required), locataa at feet from
structure.
~'4',..",_.",,_,",;_~."""'o/:Wf.~~~
____.~A~.~~......T .
..
~-
---'~--....- -...---
b, ecome~r panit wilen appro, ved. .
',;~J ~TE: y /(J"-<.!Jrn
/ . I I
_______-~...................-- ....__.w._~-~..____~---
$
$
$
35.00
.~o
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
..
Pee for either sewer or wa~er individually is $20.00 plus
$ .50 surcharge.
* Sewer and vater permits issued for new construc~ion must be
recorded on the buildin~ permit card at the ttme of issuance
to insure that no dupl1cate sewer ana vater permits are
issued../ - ./
DATE PAID /' ~ ~\'t AKOtnI'1' PAID. /
RECEIPT' ./' " REC'D BY /
/ ~ /
,
./
. 4629 DakGta St. S.E., Prtar L.u.., Minnesota 55372 I Ph. (612~ 447-4230 I Fax (612~ 4474245
AN !QI.W. 0PP0IlTUMI'Y EHPtD\'ER
~~~p~ CITY OF PRIOR LAKE
'8( .&. ~ . 16200 Eagle Cr... Av. S.E. Permh No. ,~)- QW b
P,lor Lake, MN 55372
N
~ HEATING APPLICATION I PERMIT
cL Dale, ~\2S'nD PID,,9...5-3~'l- oao-O
\D Site Address 15e>, ~ .t\flN'"~' ~ l to.-'
~ Lo(:ill- Block I Addlion. G(oAnlNb\-Hf oW A-mJ
o . .6'
z OWnefa N8f1I8,11......f/.J^t....\~ "'-""' ~~
Address, ~~ IJIA-~ 1).,_ ~ 2.rw~ EnAAN SS"1'l"L
Beating Conllactor c r -,1111 7_ . fL~.n
Address, 'l"'1L10 ~ '~\otAf..,-r' -rfl-l- ~r ~9.1~~
Telephone' , l.v~ !. 4- 'L ~ 0-11 L{. \..(.
Fwnace Make & Model I-Lv u\C). TYPE OF SYSTEM
", WarRl Alr Plants X
Model Size G2...lPG\.~ 1.-\-100 Gravity, -
Mechantcal ,
AU CondlUon1ng ~ '* TO N
Vent S,stem
HEAT1NQ OR POWER PLANT
Steam ,
Hot Water
Radiation,
Special Device. ,
Other Devices ,\L-\ vrll L 7... ()
Conn. Load
to-
~ Fuel1.JM r-n~ Flue Size
\D "7-L-
N
N Supply Openings
(T)
...-4 If)
~ RerUM OpenIngs
rf rnput (OO. <rOO OUtpul q,.ooO
>- .
a::::
NEd,.
z
w
(!) elm.
TYPE OF WonK
E
a:
\D Afteradon.
(T)
~ Repair
New Constlucl1on Y...
Replacement ,
Est. Comp. Oal8
~ E$t. Cosl $ I Buldrng Permk ,
CS) . /
~ HEATING PERMIT FEE $
~ t /'
~ STATESURCHARGE $ /' .50
(!) . '
ff TOTAl PERMIT fEES S /
/'
(")() - D~..(J,(".
f ,,~\~e.~~\'f
e\3\\J)\N
R8C81p1 , ,
TVPE OF STRUCTURE
1. Pjd
"L ()rc
J. Y4
"ale
aty
CINltnI:I<<
Single FamHy
Commercial
\t
Two-Family
Induslfral
PubYc
Olher ~
, MulU-Famaly
Fee. Schedule
Induslrfal, Commercral & MtJltl-Famiy
Resldenllal, Heating & AC
Resldenllal, Heating Only
Resldenllal, Gas FIreplace
Residential, AdrtlUons &. AlIMBUons
Resldenrfal. AC Only
1 % oIlo~ cost (S39.60 minimum)
$99.60 ~) :g@ ~ ]W g ~
184.50
:::~' U 28.
$39.50 i: /J
,L - ./
,
Remember 10 add Ihe Slate Surcharge on the botlom ot IhlI appICilion.
The.prrce 01 your heatrng p81millncludea one rough-In and one 'inallnspectton.
Addftfona' 1nsp8~lions wi be b.ed .t $35.00 each.
House HeaUng Tes' Record must be submlned wAh burld1no M,mrt "I~"fn beforu buld-
log carti&ate 01 occupancy wII be Issued.
~FAT CALCUtATIONS A~ot 'IR~O with number ol.upply and return operings ftsted per
room wlh CfM'1 pel opening. New structurH 0' addiUons send loor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPlICATrONS MAY BE MAli':" TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City HaN business hours are 8 am. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUOH-IN AND FINAL) - CALL CITY HALL
441-4230
I hereby apply for a mechanical syslems perm" and I acknowledge that 1he
Informallon above is complete and accurate; 1hat Ihe wOlk wrl be in conformance
wUh the ordinances and codes 01 Ihe cltV and with the state bulldlng/mechanlcal
codes; that lhrs form does not become.. perm" unUJ signed by the BUILDING
OFFICIAL; that Ihe work wm be In accordance with the approved plan In the
ea88 of all trk which raqulraa revIew and 8pproval of plans.
r ll~~~Q,; · ~\~~.o-{)
..l..J0lA- / ~ ",LA L4-iD 'i' / a ~ / C/tJ
Bulfding Officers S~"ature - ~ 08te!
o
AUG. 25. 2000 10:36AM
GENZ RYAN 6513226147
NO. 136
P.4/12
Tttc ('...... Itr ,,,. ~Ile C.....17
CITY OF PRIOR LAKE
PLUMBING PERMIT
,Applicant: .~"l ~ ~
Address: , ~ "'-l~ ~ ~1Q,,fiS -rrL.'-
i Signature: u.o ~ a .
Legal Description: Lot ~ FiQ Block , Sub (:J ( f _ y)( f4"^ ~
Site Address: I ~~ 6.rr-~1 \X. ~ ~iV~
BUilding Permit' J:3) - \l~ PIO #~-..3'7- CJ/:XO--()
NOTE: This permit ~i1I not be processed without complet$ information.
FIXTURE UNITS
I. BIu&
2. Gold
3. Yellaw
fit.
Ocr
.\ppU.:ur
# 00 -(5Lf6
Phone;-1fSl- L( Z ~- J /4-4
ii~ ~~.~~~\~
I-
i
Quantity Type of Fixture Quantity Type of Fixture
r . Bath Tub with or without shower Rough-ins
\ Dishwasher I Water Heater
\ Floor Drain e. I Water Softner
L4 Lavatory (bathroom sink) , Stand Pipe (washing machine)
1 Laundry Tray <, or 2 compartment sink) Sewage Ejector
2- Shower Stall 8ackflow Assembly (RPl, Double ChedC, PV8)
1 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
?; Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commerdal & MuJti-Family
(1 "0 of job cost, S39.50 minimum)
Residential, New One & TWQ Family
Residential, Additions & Alterations
State Surcharge
$99.50
539.50
s
sa
$
9)
/
,
GRANO TOTAL
$
~#~~ )
,?~Q B~
~\~
<o-u\\'v
16200 Eagle Creek Av. S.E., Prior L:1ke, Minneso[3. 55372/ Ph. (612) 447-4230 / E~X (612) 447-42~5
An Equal Opportunity EmplQ)'er
CITY OF PRIOR LAKE Me
16200 Eagle CreekAv.. S.E. PermllNo. 00- 0500
Prior Lakel MN 55371
HEATING APPLICATION' PERMIT
PIO' ';2..5-3(g5- 044--0
I[),d
Dale I-Jq~1
sa. AddI- . ;~~ r t4.." 1,.-f1r
lot Block ~ion
awn,fa Name t. L.. - ~... iJ-. J
Address
HlalingContractor ALLIED FIRESIDE dba PlItESIDE COIlllER
~HS. 2700 N. FAIRVIEW. ROSEVILLE. HN 55113
Telephone', 65 1 - 6 33- 2 5 61
ptREPLACE .1
...... Mab & Model .JJ#rJ- N~
Mode'S1z, . (LIYD~
Conn. Load ,
FwI, ~
Flue Size
Supply Openings ,
Relurn Openings .
Input
Output J16001
Edr. ,
efm.,
TYPE OF SYSTEM
Warm Air Planls ,
GnwU,
Mechanical
Ail CondliorMg
Vent. Systam
HEA11NG OR POWER PLANT
Steam
HoC Waser
RedlBlion
SpedaI DeYb.
OCher Devices
Alera'~
_ Replacement,
TYPE OF WORK
New Construclion
'x
Repair,
Est. Comp. Oat. J I ~f')1
I ~-
BuDding P8,.."il. O() - n 5 0 fa
-
Est. Cosl . J j 0D.a>
( I
HEATING PERMIT FEE $
STATE SURCHARGE ,
TOTALPERMlTFEES ..
.50
PAID WITH
BUilDING PERMIT
Recelpl ,
TYPE OF STRUCTURE
SilgIe Family
Commercial
Two-Famfty
tnduslrill
Mull-flnlily
N,ic. 0..
Fee Schedull
Indus.rial. ConmereiBI & Multi-Family
Resldential, Heating & AC
Residential, Healing Only
Resldenlial, Gu Fweplace
ReSidendal, AddIt;DnI I Meradons
Residential. AC Only
en
(1)
I. ,... - flit ~
1. (Ja,. - a., OJ
J. T'" - c..... '<
"
H
:D
m
en
H
o
m
o
o
:D
z
m
:D
1,. of Job Wit (131.50 ntimum)
$99.50
S64.50
$39.50
$39.50
$39.50
Remember 10 add lhe Stale Surd1arge on the boRom oJ Ihfs appIcatton.
The price of your heati1g parmft Indudes one rough-i't and ane ... inspeclivn.
OJ
U1
~
OJ
c.l
c.l
AddtUon8l inIpections will be biled .. S35.DO eech. CD
CD
House Healing Test Record must be umilted wiI1l1i1diDg IISDlllllRll bekn IN ~
log clrlncate of 00ClIpsx:y wII b. Issued. ...
I-tFAT ~At~' FJ ."nrw~ ~Fn "~lI=n..., f1laIbef o4.uppay and reUn opel.. Wed
room wIh CF.... per opeIing. N.. alrucIurW or lIdcItiana ...d loar plm with ~
and return Iac.atons IhowrL HEAT LOSS CALCULATION& PAYMENT AN)
APPLICATIONS MAY BE MAIlED TO THE CITY OF PRIOR LAKE. '1200 EAGlE ;-
CREEK AVE. S.E. PRIOR UU<E, MH 55312. 7
~
C~tiHaa business hours 818 8 LI1\.. 4:30 p.m.. t ; " b
ALL WORK MUST BE INSPEdrED IAOUGH-ft AND fINAL) · CALL CITY HALL ~
441..f230
CD
~
o
I hereby apply for II mec:hanlcalsystems permtt and.1 acknowJedg8 1hat the ~
information above Is complew and accurate; lhlllhe work will be in conformaft'''.
Wltll th. orcfinences and codes at the cllr and wUh Ihe state buildingfmechanll
codes; tha' lnis form does not become a permtt until aigned br the 9UILDtN
OFFICIAL; lhat the work wm be in accordance wi'" the approved pSan in tht
cas~:~~mk ~7Jfjh7 h requires revl... and appro\/81 0/00//)/ !
~ re l>aIe -
· _ z-/~"ol N
Building eraf'. Sv-ture D..
PRIOR LAKE ~DEPARTMENTOF -....
BUILDING AND INSPECTION
.."
INSPECTION RECORD
SITE ADDRESS --155731Sw,s~ ~.
NATURE OF WORK I\te~
USE OF BUILDING SFA
PERMIT NO. 0fJ-Q54-~ DATE ISSUED (,"-Z"-Zoo<s
CONTRACTOR ~ca..IAA~lA. l~~ p~. ~-:;-/-QOc. -4C{tJO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING tb:>,. 111?/~
FOUNDATION {Prior to BaCkfill)~~, 7!1'!DO ..1]5 d;;?,(7-?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUG~- INS
SEWER I WATER I SEPTIC ft ~ J
FRAMING t,t--'Pr1-'f.k./I//1P1 L e;;;:0l 9/4t?w
INSULATION L..I.-'fod'~ lbll~ Jr-t. CJ/P-Z/dJ ....lb. 'U:Jc1!n
ELECTRICAL A
PLUMBING . ~
HEATING {If required)I..V'fof' ~ ",14~ ~
FIREPLACE
GAS LINE: AIR TEST ~
9/~z,/eh
9/~S-~D '
.
&, 9P/~
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~eoJtN1
GRADING (Prior to Sodding)
BUILDING -(.~ ,- ,(bl ~. (b/3~/60
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
1"\,
J
~
\
~~
~.~~b\
~, - II)/~/~
~ /i~//JZJ
OCCUpy UNTIL ABOVE HAS BEEN S'IGNED
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 an~ 9:00 A.M. for all inspections
FOR ALL INSPECTfONS (612) 447-9850
ffOO -[<SOl
AP"LIANCE 1)(Ltt
PERFORMANCE TEST
Locate near the furnace manual
LP Gas
Job Address .5t<.> ~? ~
Heating Contractor c:;,~ ~
;{, c
Name of Tester.
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Pressure
Natural Gas
x
,Ry~
tr
I()-Ibr
7
tJ
~
356
C'"J... - / ~
v.::J lA).. c,
~o
White - City Copy Tag - Site Copy
_!....~w.~......,..,~
~prf .~~ ,..~,~'i~' .~., '~"~"?5".
f~r-- . . Itrtitlrau of. (Ormpanry
11>'~~I, CITYOlf IrRlOR LAKE
'3~ Jbpart~nt 18t''WuiibfnlJ Jn~ptdion
~ .,~!: J24;inal Permitted 0 Conditional C;O. Expires
( -.:-t. ' This Certijicateissued pursuant to the requirements of Section 307 of the Uniform Building Code
~"'f certifying that at the time of issuance this structure was in compliance with the various ordinances. of the
~ ' ~ City of Prior LoU regulating building construct/on or use. For the fOllowing:
~ -~rl Use Classification SINGLE FAMILY Bldg. Permit No. 00-0546
..~: J R3 VN N/A R2SD
_ ,7'.i . Occ:upanq Type Type Construction Fire Zone _ Zoning District ,
L20. B1. GLYNWATER THIRD ADDN
Legal Description
Owner of Building
SiteAddress 15573 BROOKSIDE LANE NW
Contractor's Name & Address WENSMANN, 1895 PLAZA DR., EAG~, MN
ROBERT D. HUTCHINS
\
City Planner I
I
Date: /
DON RYE
'-,": ~{~!
!' DATE TIME
CITY OF PRIOR LAKE I,?/ z,~/ brJ
INSPECTION NOTICE SCHEDULED 1/: 30
ADDRESS ( '5~?.S C~(J~ S t' De ~ ,. "":,
OWNER CONTR.
PHONE NO. PERMIT NO. (J -5t.fc.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING t) 0 WATER HOOKUP
o INSULATIO, $iSEWERHOOKUP
!( FINAL '. PLUMBING FINAL
o SITE INSPECTION MECH FINAL
COMMENTS: 131&.~
b't-~ ,;q ~ ~[p -10 ~.
~ 61t ~ ;'-r-<<- >< ~f.' COt.. ~,j ~ ')
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
//&.d~..
-re. ()4
- -
'C/I/1)/
r (
VJ~ ~ ~,
o ~WORK SATISFACTORY, PROCEED
;li CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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"\
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
TIM~
ADDRESS
15573 BROOKSIDE LANE
- PERMIT #00-546
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
J7"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
':..J..:~u.e- C,O.
G'.6>Se- ~ e.
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: -:; ~ ~ Owner/Contr:
CALL 447-9850 Fk THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lJIISNOTl