HomeMy WebLinkAboutBuilding Permit 99-1441
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
IZ/29/Cfe"J
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
3. LEGAL DESCRIPTION
LOT' BLOCK
ADDITION _"NO p>> It. Ll. yTt....
4. OWNER
(Name)
5. ARCHITECT
(Name)
6. BUILDER
(Name)
I
1. White
2. Pink
3. Yellow
File
City
App1icut
Permit No. 9'1- /44 /
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height (Width) /1/ (Depth)~ ,
12. NO. OF STORIES
~
1(./
PID Z5d'-2.- 008-0
13. TYPE OF CONSTRUCTION
(Address)
(Address)
(Address)
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
..s~D
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
W "5$)'L ~/l- Y'l7 -1I1S5'
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
SEATS
FOR ADMINISTRATIVE USE
Back
Side
~
7. TYPE OF WORK
New construction)f
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
- Sq. Ft. IS /DI. 1f7 Width if, Depth 1$9,(J Yes No
I hereb rtify 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 tioned P. t 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 offi I r oke thi pe it or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 'U>.c.Z3D""Z,... 1,-l9-9,
License No. Date
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS CJ PERCOLATION TESTS CJ
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :230 I 000, 00
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee....................... ............ $
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ......... .............................. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
I t 5'311. ~ .,
'11~ . '2.1
liS. 00
100.00
100.00
35.50
ZI 0 . 00
(\ .fin,~\O ~
~\Ol
ur Building Permit When ~O
Date I" 7
Issued
PLANS & SPECS CJ
SURVEY LJ
PLOT PLAN CJ
SETS
COPIES
Amount Brought Forward .. .. ... .. ... .. .... $
Park Support Fee ........................... $
SAC ................................. ........ $
Collective Street Fee .. .. . ... .. .. .. ... . ..... $
SewerTap ................................... $
$
-;'/ .t
Pressure Reducer ... /. t>................... $
PtSD .00
( I 00 .t!)O
4fS .00
Meter Horn ................................... $
Water Meter ................................. $ I ^,5"".~
Sewer & Water Connection Fee ........... $ II ~ f..) {:) · eo
Water Tower Fee .....................r. $ . 1'f-Qo · 00
Water Tap ..........................~::...... $-----" \
Builder's Deposit ............................ $ J /lCj 00';-00
Other ......................................... $
Total Due.............................. $
Paid ,,9{;,
Date
24 hour notice for all inspections 447-9850
-~h~"""'<
Tk CelMer of.1Ie LIllIe Co...try
qq -ILft/-1
White · Building
Canary · Engineering
Pink . Planning
BUILDING PERMIT APP~PARTMENT CHEC~LIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ru{!'K- eK66K.. HO~/6S
IZ/Zq IClQ
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4'16h
Accepted V
r.p/}Jr:!//f::.i/06b CT /\/6
Accepted With Corrections
Denied
ReVieWedBY:~~ Date: L-IO-~
Comments:
:J~ff~ fJ\~\\wM ~~i~ ~fY~y-
~ ~ ~ \[Rwru. ~ - D -t.-t) I'
A/L~~~~qb~
~ ~ ~Ot'~~ ~'{O Iv\'Tev~ev~~
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 .1
ordinances of the jurisdiction shall not be valid."
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qq-ILfL/-j
Th~ CronIn of Ih~ uk~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1!{)f2K.. ~EEK.. /-fOHSS
IZ/Zq /9q
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4'i9fo
'P/7K / Ie /Oc3tE:
CT /VIe
Accepted
Denied
./
Accepted With Corrections
^
Reviewed By: iJ'AL.TEIt E~ltt: ~rt\Af\J1\J
Date:
, J
'I,D/oO
Comments: SeE.. 'Nf"oA.MAT.ON
ON 1lie: RE:."~E: S,,)~ .
5E1::. ATTACHME",J'TS: l. hAlAL.. GIlAOE. /,.sSl'€.t:r'l>AJ INFoIf..."ntW z. QR.qo.~C. PLAN
..1 E/t"SIO,.J CO,JTlto(.. Y'1fAsQ It.Es
L/. &0$10,.,) Co,uT7t(lL- RAN
"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."
.;'
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..- "--...,. '-----~_...~'............_---
.Permit#
*Job AddreasQ/i6
~iI~ L'/'
METRO AIR
$V'
,
*Heating Contractor
*T esters/Signature
Q!!!
Time
Pounds
Pressure
*Gas Une
Pressurized
Inspected
PERFORMANCE TEST
* Percent CO2
3,3%
~f%;,
* Percent co ~
~o
.Stack Temp. ~
*Percent 02
Finallnspeclion
Date
CIIIH. - PILI
YILLOW - APPLICAIIT
GOLD - CITY
CITY OF PRIOR LAKE NO. t19-1# /
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: n/IJItL G/t/J/J5
ADDRESS:;OZ rz~N
SIGNATURE: ____ ____~ ___________
SITE ADDRESS: 't1;f/p (/IJA"'/(JLJGB COLI ~r
PHONE:~/~-~~-/t/e1J
DATE: _~fZ6 /gr)
BLDG. PERMIT ~ C??-I<lc! I
PID# ~S"'-..3 (, z.. - 6 O~ -0
FILL IN THE BLANKS
1. Estimated length of water service ~O
feet.
2. Size of water service
/
inch(es).
3 . Location of any coupl ings from structure - 0,.- feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line &0 feet.
6. Clean out (if required), located at
structure.
feet
from
BY
------------------------------------------------
------------------------------------------------
This
-----------
-----------
s your permit when approved} I
DATE: I /~Ji 6 0
====================================L===__===========
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $!1.~0 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
RECEIPT #
AMOUNT PAID
REC'O BY
'0 "1\"71;-\ .T
p ,~icl t ,~-: 'i "., :,' ". ", '". J' \
.\ r~',. ..Li ~.'"_. ..
'C\.~. .~'" ..
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
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TYPE OF WORK \.J
~~ ~pIacem.n1 NewCanstNcIion ~
- Repair --=-:.: ElL eo. D.. . . .....:...
'~CDIt' 1() .l)~~ '!ddilvP-*- '" ~ - 144/
. -. .
...~~PERMrrFEES r-.PAIDWITH
'.:~!rA1ESUR~ , .~ la~ILDI~G PEi~:.:
'.~';~ALPERurrFEES . Rece.,.. '
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~ .~~.....r.'I"~ . .' ...'!"l.... ~~~..- J,o";'.~~~~.:;.~~~11,.. ...~~""'~.. t'--'.
:W.i~. a:u. ~ .' '. .... '.~..' ..).1 :.>.'-..'1 ~~ ...;,~7:"";-. ..~~~".-r;.
\~~. .... .. . ." . ._.T. \. '",.. ..~.. ~v:;, ~ ':,1.l,f '''.2'6 "= ~\:i ... ',-""'t .. . s., ~,..
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J hereby appJy for a mechaniCIII systema pennlt and r acknowJedge.thal the
inforDlalion above'ls complete and accurate; thai '-.he worle wm be in conformance
with Ih. ordlnanc.. and cod.. at 11\8 c-ity -.nd with the .tat. tiulldtnglmechank:al
cod..; lIat this form doee not become B penpJt until sl,ned by tit. BUILDING
OFFICIAL; thai Ihe work win be In accoJdance wilh the apPJ'CMId phan In 1he
case 01 all work Which requlru review and approVII of plan.. , . .
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· - .. D.,., '. .
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o.ta , '
. .
Madel SIze :
CaM. Load ~
Fuel N ,-\,- Flu. Size
Supply Openings :;) ~
R.wm Opwairvs ) a
Input \~~. &~ 0uIput
Edf.
Of ~O,,~
m.
")" ~V C-
TYPE OF SYSTEM
Wann N.r Planes ~
Gravfty
Mtlchanlcal _
Air CondIlJomng ~
Vent. System ....21
HEAliNG OR PDWER PLANT
Steam _
Hot W... _
Racr.mion _
Sped&! Devices
OiNtr Devi:u
The price of )4OUr heeling permit Includes one ~ugh-1n w one finII inlpeclion.
Addf6ona1 inspec:tiont will be billed a. 135.00 8Kh.
Htue Heallng'TeIl Record must be submllled with IaiIdQa RmmilIll!Dblr before buld.
ing cenIicIda of occupancy wi be iDued.
J::IE!.t CALCULATION' A(;QlJJRe'1 wlb number of supply and F8tum. openings Iistecf per
roorn wIIh CFMt..per opening. New Itructwes or 8ddBns send Ioor plan witJ1'supply
and return IocIIiona ahown. HEAT LOSS CAlCULATIONS, PAVMENT AND
APPUCATIoNS MAY BE YAlED 10 'THE arv OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRlOR LAKE. MN S5372.
eRr Hal ~ hou.. .. 8 Lm. .4:30 p.rn.
ALL WORK MUST BE JNSPECTED (RDUGH-IN AND FINAL) . CAU. CITY HALL
447-4210
~ Data
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Telephone'
R8mIIIIber
Fee Scheckie
Industrial, CcmmercJal & Mun;..FamHy
Residential, Heating & Ie
R~~,HeafingOn~
Residential, Gu Fireplace
ResldlntiaJ. AGiftiona & Alterations
ResidenfiaJ. AC Onty
10 add the StiIte
'%~~ r-~~
:~ O),lS c ,i-
S39~1 (I aD - I 2000. I
'39.501 \ d nD . ,
~Clft, J:ft. \ '\ . . ~/ .
....11'-.. w---....~_,~__~.,._,. '..,. . ' ... /
---'__J~
~ ----- --
SUrcharge on Ih& bottom of this appDcation.
~ -3112- 008-()
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~-
crrv QF PRIOR LAKE
16200 Eagle Creek Av. S.E Permit No.
Prior Lake, IIIN 55372
PERMrT
qq-/44/
Single Family X
Camrnerdal
Two-FamDy
lnduslrial
1. ... Fik
1. an.. OIJ
1. v.ua. c.aaaar
_ Mulli-fa1nMy ., -----
Public _ Other
-.,
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CITY OF PRIOR LAKE
PLUMBING PERIIIT
~\(L( Q\um'oi
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~cY~c,
Applolnt:
AddrMI:
......,,.:
Legal. : LaI ~ Block I Sub ~08 !lILt, 4771
.. Add....: ~~~ It?- I
8U1d1ntPMnll' ~ -~~~~ PIC. ~-3(P2. - O()~-O
NOTE: TNe,.,."... not be pro -,,1WI "hout complet. Information.
FlXTURa UNITS
,~
-Qt.IanIfI'/ Type of Fbdu,. C'*'*Y Type of Flatu,.
\ lath TuD WIll or wIIhout ,""r 3 Rough-i".
\ ~ \ Water H..,.I'
\ Floor Drain Water Selln.r
~ """lOry (bIl1NOom sink) \ Stand Pipe (..shin; machine)
, Laundfy T..y (1 0' 2 COInpaftIIIIInt link) Sewage Ejector
a Shower SIal 8atIow ~'IJmbtt (APZ. DUIe a.k. PVB)
\ SIttka 8actcftow AI..mbly Te.t
liar .... La_" Sprtnkle,
~ ~..rC~ (mUeq Otrl.r
... 8CHDULI
Inau.trtaI, Comrne.... . MuItI..Family
(1' Of Job coeI. 118.10 minimum)
.......... New One .. Two Family
FlMldenltal, AddIIIona & M.,.danl
.... ~~
~r;~r!,s \,'.
~" D~r2.,.~' e' .t:... 0-.' -"'~:'"-'\.'." ' .
l~.. '-. ~_. - -_..- - ~;
.- . It
I,!
\ 1\\ WR 6 2000 'I
, \ '\ \.', ..-.,
w......-....-..-.-'
GRAND TOTAL
s
s
$
I .50
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S t'" ~,,~~
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"nit. JIII'IIIIt iI ....... .. _ ..... 1IlOIIIIIId.... dlat said
..,.~. .... ....~ - .,. .. onIi....
ot.... ............. fa ~.
.3 (, DO DATI
ATTEST
CaD for aU . 0lIl 24 boun ill adVlld".
16200 Eqle Creek Av. S.E., Prior Lake. MiDnesota '53121 Ph. (612) 447-4230 I F.~ (612) 447-4245
All 8'1_ Oppanuaicy "'10'"
APtera1ions
Repair _
Est. Cosr $ 0.0>
HEATING PERMIT FEE S
STATE SURCHARGE ..
TOTAL PER,...tJT FEES $
Supply OperUngs
Return Openinvs
Input
Edt.
Cfm.
Fuel mil .,J' F~ 5118
Ow1Ier's Name
Address _
Healing ConIrac1or ALL IE D
~H5 2700 H, FAI1VIEW
Tel8Phone . 651- 633 - 2561
FtREPLACE
8ItnItP Make & Modej
Model Siz~
Conn. Load
(I)
Dale
0uIpu1
HEATING APPLJCAnON I PERMJT
PIO, z: -3~Z-
TYPE OF WORK
RepracBm8nt
Est. Comp. Data ~
alJUding P .rml ,
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permi1 No.
Prior Lake, MN 55312
ODD
F liES IDE
.50
ROSRVILLE
ReceJpt "
OCher D8vk:es
HEATING OR POWER PLANT
Steam _
Hot Waler _
Radialioll_
Specia'D8yjees
dba PIRESIDE
TYPE OF SYSTEM
Wllm Ail Plallts
Gravi4y _
Mechanicar _
Air Cond"lIbning
Vent. System
New Construction
KN
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/4.f /
77f
CORNER.
55113
99,/44-1
8-0
Jet
l:1fM: RECUI~l;Q will nwrtJer oIlUpply end relurn openings Isted p
room wiIh CAls p&ropening. New 1Iruc1ures IIf addIlIcnr..., 1Iaor.......... supply
and return toea...... shown. HEAT lOSS CAlCUlATIONS. f'AYNENT AND '"'
APPlICATIONS MAY BE MAlLEO m THE CITY OF PRIOR lAKE. 11200 EAGle !!l
CREEK AVE. S.E. PAIOA lAKE. MN 55372. ,;,
o
City Hall business hours ue . a.m.. 4:30 p.m. .. . a
, . 0
ALL WORK MUST BE INSPECTED (ROUGft.1H AND ANAl) . CALL erTY HALL
t.)
441-4230 N
CD
."
I hereby apply 'Dr e R1echanJcal systems permilalld I ac:lmow/edgelhallhe _~
Jnformatfon above i$ comptete and 8ccurale; Ihlt 1he work will be ;n conformance
with 1m, ord"'manc&s and codes or 1M cUy and wUh lhe atale bufldfng!mechanfc.'
codes; that lids form does nor become a permit until sFgned by the BUll~NG
OFFICIALj that (he work wi.. be in accordance wtth the approved plan fn the
case of all work which requires review and approval 01 plans. ."
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The price 0' )'OlK heating permit Inc1Jdes one rough-lr1lh:f one lInal ~ ~
Adcflionar Inspections will be IMIId eJ 135.00 lI8Cb. ::
aD
House Healing TIISI fIecord - be submitted wilh buiIrma lIIIllliIlIlIIDblIt: be/ore buik ~
ing cer.ate 01 occupancy win be -lied.
Remember to add
Fee Schedule
tnduslrialt Commeraal & MuUi-Famly
Residential. Hoattng & N;
Residential, Healing Only
A85idenla', Gq Firepjace
ResQmlial. AddlUons & AMeralions
Residenlia~ AC Only
en
(D
:J
I. Pint f"".-+
f_ Gmt a., (D
J. Yelbr CEWI '<
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Single Fami~ ~FamUy MulN-FamIy :
.....
a.
Commercia' Industrial Public Other CD
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'he State Surcha1ge on lhe bortom 01 this Ippfication.
TYP
1% 01 job
'99-SO
$64.50
$39.,50
$39.50 .
139.50
coat (S39_ 50 minimum,
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20aD
.
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.....
TOTAL PERMIT FEES $
STA TE SURCHARGE
$
Receipt'"
""0
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to
(I)
~
-
~
HEATING PERMIT FEE $
Esl.
Repair
Cost $
Building Permit #
-' IL/l/ I
elm.
~ +Mr~
Meralion$
Est.
Replacement
TYPE OF WOnK
Itlput
Edr.
Return
Comp.
Dale
New Construc1ion
k
Openings
Openings
OUlpul :J
O\h81 Devices
HEA TlNG OR POWER PLANT
Steam
Hot Water _
Radiation _
Special DIVic8S
Com. Load
Fuel (~ Flue Size
Supply
Healing Contractor ALL lED
Addf9ss 2. 700 N. FAlRVI EW
Telephone W 65 1 - 6 3 3 - 2 5 6 I
FIRRl'LACE
BtInID Make & Model
Modsl Sil~
TYPE OF SYSTEM
Warm Air Plants
Gravily _
Mechanical _
Air Conditioning
Vent Sy5tem
The pfice 01 your heating permit tncIudes one rough-in and one linar inspeclion.
Addilional inspections witl be billed 81 $35.00 each.
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I hereby appfy for a mechanical systems permil and I acknowledge 1hal the ~
in'ormalion above is compt.te and accolale; lhat lhe work win be in conlormln<'"
Yltth the ordinances and codes of Ihe city and with the state buUd1ng1mectuml(
codes; that lhis lorm does not become a permit until signed by the BUILOIN
OFFICIAL; that the work will be in accordance wilh the approved plan in 1he
case or aU work which requires review and approval 01 plans.
C>>
C>>
House Heating Tes' Record roost be submrtled wilh WiIdiJlg IUUlDilIllOtlel be'ore buM ~
ing C1!rlificale of occupancy wi be issued. ...
I:IEAI CALCULATIONS. BE.QUJBEQ with number of supply end return openings listed
room with CFM's per opening. New structuru or additions _00 Ifoor plan wiIh supply
and return locaIions shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPlICATK>NS MAY BE MAIlED TO THE C1TY OF PRIOR lAKE, \8200 EAGLE
CREEK AVE. S.E. PRIOR ~E. MN 55372.
City Hal business hOUR are 8 a.m.. 4:30 p.m.
ALL WORK MUST BE INSPECTED
t ' .,
(ROUGH-IN AND FINAL) . CALL em HALL
0)
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Aemembet to add
the Slale Surcharge on Ule botliJm 0
ROSEVILLE
FIRESIDE
Addle,s
Sill
Dale
MN
dba FIRESIDE CO~NER
LQt
fndustrial. Commercial & MuHi-Family
Single Famify
Commercial
55113
Residentiat Heating Only
Residentla1, Gas Fireplace
Residential, AddiUon$ & AIlef'alions
Residentiali AC Only
Fee Schedule
Two-Famny
Industrial
Public
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permi1 No.
Prior Lake, MN 55372
9,9-/4'1/
TYE!E_ 0 F
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1. Gca:"
,. YdIlMIw
Multi-Family _
Other
en
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PRIOR LAKE
.,
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ ~ ~
NATURE OF WORK h) ~,
USE OF BUILDING S~D
PERMIT NO. - '-It DATE ISSUED -1" 7 -2,(j(')O
CONTRACTOR .-Rock Ct~..~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) / do h 'iJ U
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUG - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST g r 'fb
COVER NO WORK UNTIL A OVE HAS BEEN SIGNED
- I I
FINALS
GRADING (Prior to Sodding)
BUILDING ~o f\) C6) \ (J"
ELECTRICAL
PLUMBING
HEATING
DO NOT 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 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
<<ertificah of O1)crnpanry
CITY OF PRIOR LAKE
~ Department of Jiluilbing Jn~pertion
rinal Permitted 0 Conditional C. o. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
cenifying that at the time of issuance this structure was in compliance with the various ordi1fQ1lces of the
City of Prior Lake regulating building construction or use. For the following:
Use Classification
Sin~le Family
Bldg. Permit No. 99-1441
Occupancy Type
R3
N/A
Zoning District
Rl
VN
Type Construction
Fire Zone
Legal Description
L8, BI, Knob Hill Fourth Addition
Owner of Building
Site Address 4786 Partridae Court
, 3904 Kestrel St., S.W., Prior Lake
Jenni Tovar
Contractor's Name clAddress Rock Creek Home
Robert D. Hutchins
il. Official
(:::)
Date:
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nMe
SCHEDULED
ADDRESS
47fJt:;
o FOOTING
o FOUNDA TIOH
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
D MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1'R'1t-47U OGE (!7
99 -1#1
9JO~
o EXIGRADIFILLING
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
o GASLlNE AIR TST
o
CONTR.
OWNER
PHONE NO.
PERMIT NO.
COMMENTS:
,-U~ ~~ /'
e?'~ ~. /~d
~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!
IN$NOn
DATE nilE
CITY OF'PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
tJ- 3()-oV
,
PHONE NO.
'Ii tJ? Pe,I'f.-r.eIr G 1-
CONTR. f..oc,t- er~;: ~~
PERMIT NO. 9tf-lo/tI/
ADDRESS
OWNER
o FOOTING
[J FOUNDATION
o FRAMING
[] INSULATION
~NAL
[] SITE INSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
~ILLlNG
[J COMPLAINT
o FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
COMMENTS:
!fIt () {L
ri.. WORK SATISFACTORY, PROCEED
~ac;RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspedO~ --- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1tSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS Ll7lrk, ~~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER ~OOKUP
o SEWER HOOKUP
A rx;LUMBING FINAL
YDMECH FINAL
sMn 4:0z;.
99-/L/lf I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
FACTORY, PROCEED
A N AND PROCEED
RK CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL
INSNOTl
'lREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ {"A: i MIf TillE
SCHEDULED ~ K'
8Y--}yr~ Cfo
CONTR.
ADDRESS ~-Z 8 (,
OWNER
PHONE NO.
PERMIT NO.
qq- \4-+\
o FOOTING
o FOUNDATION
g~G
~NA~TIN ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
q. PLUMBING FINAL
~MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~:~al&P;:fE.~~
, .~''''-
RE COVERING
Inspector:
Owner/Contr:
CALL
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CODE
INSNOTJ