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HomeMy WebLinkAboutBuilding Permit 99-0008 ~ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant IJC I:t k-;sa Permit No. ?9-IJOIJ! ~ . 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 I ~ ".;or \ ~ 0 'll L oi /13 /Jort),vJeocI lL 1. DATE 12../ JS /q fJ t/Jr BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION LOT J ) .~ ADDITION JJ 0 ,~thw()od 12. NO. OF STORIES BLOCK PID ~~-- JaJ 1- (J 17- 0 4. OWNER 5.'yY\ 5. ARCHITECT (Name) / " liSen (Name) (Address) ~ ""'q e., In tJ. (Address) . (Tel. No.) 13. TYPE OF CONSTRUCTION [J66d Pr~M&- 14. FLOOR AREA APPORTIONMENT USE 2,Dh2- (Tel. No.) 6. BUILDER (Name) (Address) (Tel: No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS T"te9r,'f.'1 D~siJI1 f COi1.s.t. 2/1cio "Dr'\~f.()Mj,~fh Cfi5.~5oT7 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction'" Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. j 2., '553 9. PROPERTY DIMENSIONS Width 3 b Depth" g.5 10. CULVERT SIZE SEATS 16. PROJECT COSTNALUE /50,00D 17. COMPLETION DATE 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 tful1lhlding I ca~oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform geeded jnspections. X ' M .2.000406'1 IZ/18/9'8 - Signature License No. ' Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION l 5''1, oo~ . O/"'"') SURVEY PLOT PLAN o COPIES o USE OF BUILDING S~O TYPE OF CONSTRUCTION: I II III IV (tV'2. Occupancy Group A B E F HIM ~S U Division 1 2-0:> 4 Permit Fee ................................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . . . . . . . . . . . . . . .. . .. .. . . .. . . .. .. . . . . . .. .. $ A 5a..CJ("') / o~o. 00 Plan Check Fee............................. $ ',I t]';t. ~S- '1<ot .17 18 .so Collective Street Fee ....................... $ Sewer Tap ................................... $ ,I I' $ Pressure Reducer .~.a.................... $ Meter Horn ....... .0................. ....... $ Water Meter ......}a....................... $ Sewer & Water Connection Fee ........... $ cfs. ccr State Su rcharge ............................. $ ::::~'~~:;;~~~ii::i.Ei!.:: JIJ(j, 10 1j ,c.oog Mechanical Pennlt Fee ~li/ /4b, /J 1 'l'l ~a:08 d '0 l Jj;J J '7 JJ-,~7J 'lo -t:)~O$ Sewer & Water Permit . ..7f.u...'.....~ $ V 1 W t T F $ -1 j.JJ ~.~ a er ower ee ........................... Gas Fireplace Permit . /tI1.. :.9. i. .I.P/. (' IJ. D (j 'i q - Ct:08 Water Tap ................................... $ This~meS.kour B~i1ding Permit When AEProve~ Builder's D~sit ............................ $ 1~t:JO,..d 0 By ~ Date -L2- -(J:I- ~ Other .....1~...t.-............ $ .,. .S-O(? .C>O Certificate of Occupancy Paid TotBlpue .B~Si.'~" ~~i~;~0$-'t2."it\ . 2 2- Issued ~, ~ Date 1..-/~f~C, By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning OrdinaJce and may proceed as requested. This document when s~.y ~ Pl'l\'ne~ ~ a Ielr<X>rary Certifilfr, ~r COO'4lllan~,.n9 a,?"s "2l.stluftion~ ~ce, Befora occupanc. y, a CertificaJe of Occupancy must be issued. _~''','''!.I, 0/) ~ ,..~) '(~ C i.. t10 ~ f~,,~d - tru f,':.5. V l-Y"'_f). t 'I ft "V, fh (./ City Planner I Special Conditions if any fJ .:.thn'~ ~1" 1. 24 hour notice for all inspections 447-9850 qf -I) IJ of ~ I Z~. OQ I, 2CJO .. oD '7~t) .~?J ~.~ ~ i8 - 0/31 I '67, i. 4 The Center of the Lake Country White . Building: Canary . Engineering Plnlf, ~i ~ Plannl", BUILDING PERMIT APPUC,ATION D~RTMeNT CHECKLIST .NAME OF APPLICANT 1;/;" . /;- " ! APPLICATION RECEIVED /2/illff /"- l ( '; cJ- /1 iF The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Jj)t1 \ jffl, (;) 1/f J;. H "L{ L ' , I ['-Ii t-.u- ""=1;~ (', i iv;::J Accepted Accepted With Co'rrections Denied ()??5. ~ Date: II t;/'i i T /m-wJ;t ~ 3Y,; ~ ~duJ --0 ~CIl- tIiaw . bd. ~ fU~ ~ uJ/i(CI4WWn{,-~ Reviewed By: Comments: I.' .,-)_ l._ -r/" k ..- T' ,", \ ! SO,') V. (n~ ;-: I" f 0,) .. ... -----.. , I '>. I L'-,,'u';, ;.. - J..A-- _..., \ 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 . White - Building Canary - Engineering Pink - Planning Th~ C~nl~r of Ih~ L.k~ Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT c~~_~ of- ~/ . APPLICATION RECEIVED /211,/,1 "" - ;J.. ..: I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -rt~ (LI~-~~) Accepted W~ections """ Accepted Denied Reviewed BY:&! Q ./:;; ""'t - Comments: Date: I 2... - Z8 - 9a I. So&. 0. \\ ~W'-P ~oi\ OU-~ (.,~ Mo..i~~\'-"\. b-~~ ~U 3. ~ ul\ ~c:w lJ~~cJs 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." ~8' - /53/ ?t-- ~00 ~ Thf CfnCff of Chf L8h Councry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ri " L;' ) / - - NAME OF APPLICANT ". '. './,.._,.." ': _ / APPLICATION RECEIVED / ~/Iff /' f- ([,_. i,( ./ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: lft,oi;1 "4 -liiii1 ~) a~u'-r7'j . ~ '. ~ . I l . , "f1 {~~ ,() J~'./ L'- J. 1v ;>,:;Y' Accepted./ Accepted With Corrections Denied Reviewed By: JalALr€f< EH~t1114NN Date: II ~ ;,9 , , Comments:.Jl.g ~AcJr'aN wJ../E/J 1'~'n(UGnOAJ IlCThnTV cr~d,(S. ^JcM 7i-IE. 1?..t9-r c tf ~ J A.J ON '11-1/= WE~-r f..{)-r LJ,Jt!f. AS ~ AJar .DJqYl1.1'1~ E. O~. ~ 8I:1A::..~ ~-n : /. FUd.8..1..- ~fJ.M.J6 !";sPEC.lI01U /.vFoll.. /f44"'-I'ON Z. C~/OI\J C~t\JT~'- '?L."ll\l g. ~s ION ~nNmOL- fI1F~ 4. E,qs~~..,. AeoREEM t:JJ-r 5'. ,{tH~ AGt: VA-RIAAJLE: 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." '"Permit# <? t:f - ~ '"Job Addr... itcaP IVdJ.. ~A L;~ A'tI ~'~ '"Heating ConIrIlCtor C It g or..'..-on_. ~ ~ ~ , '" '"Gas Une Pressurized Inspected '"Percent C02 .. Percent O2 Final Inspection ,. Dale Pounds Pressure Time PERFORMANCE TEST ~f'n C/o/J '"PercentCO O~() "Stack Temp. ~o Date S'k/ t?''L \~ CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No.1Cf- CCJ ~ Prior Lake, MN 55372 Lot Block. Addition Owner's Name a-r 11 f -P"3--1/ tJ ~~ A Address Heating Contractor t.. e ;" }I e c{ f ) I} q " Address -3 ~5 LPPhSh,'" I1rf( Sf- ,/)r/()Y' L(?~ - '-' Telephone # 1-f L/7 - ~ /1;2- Furnace Make & Model LiMo (11 ), ~ Model Size <f MJJL..J'') ') S 1(" Conn. Load Fuel !lkl-~QS Flue Size 311/11/(0 TYPE OF SYSTEM Warm Air Plants Gravity . Mechanical '&'lV--QU ltr Air Conditioning X Vent. System .i1Jt}.. to A it- HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Supply Openings Ie) r,., Output-' 7. 500 Return Openings Input 7~QOO Edr. . Cfm.. / ~ /~ Other Devices TYPE OF WORK Alterations New Construction x Replacement Repair Est. Comp. Date Building Permit # 1-) pG'-ft' \ 'f Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ P '1, f/ .50 Receipt # . ,TYPE OF STRUCTUR E 1. Pink File 2. Green City 3. Yellow Contractor Single Family Commercial ~ I Public Multi-Family Other Two-Family Industrial Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add 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 buildina !lermit numbe( 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 ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work wtlich requires review and approval of plans. 3/J.<,j C11- ~/~3h9 I Date / ::_---- Building Offical's Signature February 25, 1999 'y1~ ~/RlNG Mr. Paul Baumgartner City of Prior Lake 16200 Eagle Creek Ave. S.E. Prior Lake, MN 55372 Re: Lot 113, Northwood Prior Lake, MN Dear Paul: Following are the hard copies of the information faxed to you last week for the above referenced project. If you have any questions or additional information is needed, please contact our office. Sincerely, RYAN ENGINEERING, INC. t Perry M. Ryan, P .E. President Cc: Jeff @ Integrity Design () _ IlYAN ~ JlIC. LAND DESCRIPTION LOT 113 aF NOIt'1MIIOClD. aTY aF PWDlt I.AICE, j .., " I ro 'M Il[CONlEI) ~~T~~~~SOO" NOlES: " IOUNDMY IURWY ....cM8 IV HU.CIUT ...... 2. IDGIIIIIIII( - 1IlIP IIUT H'lIWfT LOCAWD ..... aF ~..,..~~~~ fUVol1lClN - a..83 5OR/W r--- I ., ~ I ' 1:2 , I O~ I ". , 't t-- .. ' , ......., , , loi , I if --.J~4 -~----~ I i \ --a SMlTMY IDP IWHU , _ . eo4..04 , IL (N) . ...... , IL (... - __ IL (IE) - .... X'"~'~ RECORD ORA WING 2/17/99 SIGf*1ES POST 00NS1RUC110N ElEVA l10N CF lOP or Il..OQ(. PRCPOSEO ELEVA TlONS: PROPv:&U FRONT GARAGE FlOOR ELEV. -911.0 PROPOSED f",~, FlOOR ELEV. - 911.9 PRvrv.)[D TOP or BlOCK ELEV.-911,6 PROPOSED LOIEST FlOOR ELEV. - 911. 9 I HEREBY \..0:1\ .... I 1HA T 1HIS PlAN *5 PREPAIED BY ME OR UNIlEJt MY DIRECT SUPER\UION ~ 1HA TINA A DUlY ,',;;." ~,~.. . ,,':..N , .w. EJGNEER UNDER THE LAWS CF 1HE $TAl[ CF .-..:soTA. ...",z/I1/'H L 4. PEM7~AN, P.Q ...-soTA LJCENS[ ..-..ot 1 <@ .. 4t .--__ J SCM.E It fUT . IIJCRD avo IIIIUlENT ....... -& IIJCRD ""'tilt SNUT 11FT VM. ~ PRIOR LAKE w.& OLW.11ON - ell1. .u. y 2. ,.. LE<BO o DEMOlES ~ IIfOHUMENT SET . DEMOlES SUR\'['( MOHtMNT FOUND. ~ DENOlES WAD SHUT OFf VALW --- DENOlES .' ,....a~) DRAINAGE IIIlE:C'nON lit F_ DEMOlES 51. T FENCE -___ DEN01ES, ~... JG <XlN1OURS DEMOlES ",.' w.aw> OONTOURS I .-v CIJrIWIY 'llAT ... IUIMY .. PIIIP~ IV lIE OR UII8 MY DI'BT ..... AND "ItAT I 1M A IlULY __ LMD IUIlW'fIOR UIIIIIt 1HE LAWS 01_ STAlE 01 ~ DAlE: 12-16-M ..xl .. ..... LMD __ ~..',A t.ICENSt ....ut 177'11 ~~ ~7 Ed_ Prlllde. 11II .. N7-tntJO '-CA TftCA TE Of SlItVEY '01 NrEQUTY DESIGN Proj.ct No. IIQLt {];gItd lJrawIng Nom. .._caT D.., ,By nw a..dt<<l By .... Oat. a.... ~ PROPOSED HOUSE ON LOT 113, NORTHWOOD PRIOR LAKE MINNESOT A ..... 1 of 1 ~~ ~NE~ GREEN - FILE YELLOW . APPlICANT GOLD - CIT~ CITY OF PRIOR LAKE NO~.-';.~-of3(.,,U SEWER AND WATER PERMIT ~~ ~!~)b NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: C\){) ~, C'\J ~ 1u.Vl'\~ PHONE: t.ti)..: kl \ \::> ADDRESS: ~ 5 '6' q S\." ->t.\.." 0,.. 0? {) fA I\. J .r~ 3 'J;,.TE: 3- 'fqq . SIGNATUR(Y?'~ ,->-.r- "Bf'DG. PERMIT 41 q q -Va& SITE ADD~SS: ,~O ~ f nOr~\.. ~c> D j I ~D4I Z-fL//-lJ7f-{} 1. Estimated length of water service FILL IN THE BLANKS \s feet. 2. Size of water service \ inch(es) . 3. Location of any couplings from structure feet. 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 ------------------------------------------------------------------ ------------------------------------------------------------------ This application becomes your permit when approved. BY DATE: ------------------------------------------------------------------ ------------------------------------------------------------------ FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 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. PAID WITH "'7-11-.0. C/, . BUILDING PERMIT DATE PAID 0 '1 1. I AMOUNT PAIn RECEIPT ~ REC/D BY ~~() 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 PLUMBING PERMIT Applicant: t\ e... S-s ~. Gl Y\ P\ ~ . ~-e ~':' i c.~ ~ Address; '1 ~ c \ '3 ~ + ~e..-(' so () '" ;- rc;;;. ~ , \4 Signature: ffi ~ M-+--/ . Legal Descrtption: Lot ---_ Block _ SUbJJ3iU:.. qtJ'5b IJ, ~, Site Address: J (p 0 ~ L /\/ ~ r -\. h '- COL.W. ~ . l"' J . r<. LSD Building Permit II , ~ 'Cf2();iPID C;{:) -llll-- Oll-O NOTE: This permit Will ~ot be processed without complete information, FIXTURE ONITS 03/10/99 WED 15:31 FAX 6124474245 CITY OF PRIOR LAKE lb, f'llt' ar 'III, Lib COlnfl'J 'I ./ j Quantity Type of Fixture Quantity ~ Bath Tub with or without s"ower -- \ Dishwasher I \ Floor Dra;n I 3 Lavatory (bathroom sink) / I Laundry Tray (1 or 2 compartment sink) ( Shower Stair I Sinks iii ,.'\-ck-t" Bar Sink ,5 Water Closet (toilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost. $39.50 minimum) Residential. New One & Two Family Residentia'. Additions & Alterations State SUrcharge $99.50 $39.50 GRANO TOTAL This permit is granted Upon the express condition that said contractor. shall comply in all respects hh the ordinances of the State Plumbing Code and the ~ d nts thereof. -- L j~IPrNO, DATE ~- .A1TEST Call for all inspections 24 hours in advance. III 001 I. 81ue file 1, Gold Cll)' 3. Yellow Applicanl PP No. C(C? -t22::l} I I Pfione:.lJ 5 I'" (p i i - 8 do. S ~ J. G" H. .M It! S So 7 1 Type of Fixture ~ Rough-ins Water Heater Water !;oftnor , Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (APZ, Double Check. PVB) BackfJow Assembly Test Lawn Sprinkler Other $. $ $ $ _ .50 $ PAID WITH , BUILDING PERMIT 16200 Eagle Creek A v. S .E. Prior 1.ake MN ~ ~~ 7" I Ph (.< 1 ., '11'"7 ,., (' ~ Ii t r , v ~ I '1 1 j'" I M a ~ " 1 3 99 08: 33 a R~an Eng i neer i ng, I nc. 612-947-0117 p. 1 05/12/99 WE~_14:52 fAX 8124474245 CITY ,Of PRIOR LAKE ('Cj1~/\'" ",', v I...L.....~~OOl, _' 1_' ~1-()r ;,1' ,polt~ote 7671001~~, Illll~s. ~ I "To v-tN From . C"I""",, (J Co. 'I~, Phone ., _. PhOn." 'f'f7 - tJ..~ Fe. . 61tt1.... D I \ ; F... ' FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVA'110N CERTI}41CA'Jh AND / INSTRUCTIONS 'V ) · ,~ i W'\ " {\.t' ~~ I'I /~ I ,0 ,., rl if) aLL' /" /).) ,/1 /' IPf.LvD ,if /lit , O{ \. ,/ , , {\ \ I ~...,J1 f uJ, \}.,- Ma~ 13 99 08:33a R~an Eng i neer i ng, I nc. 612-947-0117 p.2 u_;). l ~ . II ~ n.t.u. J." . ;,) oJ r A.\. 0 J. ~ " .. I .. L .. .J ... .I. J..l. vc C".I. V", 1..,,1\.1.:. ~ VVu ELEVATION CERTIFICATE ~.=~:i':Ji/'t1.18:: FEDERAL EMERG!NCV MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTlON: Use of thls certificate does no, provide a waiver of the flood Insurance purChase requirement. This form is used only \0 provide elevalion intormation nec;e.sary to enaure compliance with applICable community ftoodplain management ordinances, to determine the proper insurlrlQ premium rate, and/or '0 support a request for a letter of Map Amendmem or Revision (LOMA or LOMR). Instructlona lor com.....ln. ltIll lorm can be found on lhe tollawlng page.. """II SEcnON A PAOPE.... I.' INfORMATION FOR INSVRANCE COMPAMV USE ~L1C" NUMMJI 8UILDING owNER'S NAME S'T"EET ADO"fSS 11ncNdI"I Apt.. Unit. S.... aNUor _. Number) 0.. P.O, ROUTE AND BOX NUM8E" COMPANV NAIC NUMBE.R OT..."De5CRII'TION(........--,....)L~ I- /1) - NOIl--Mf4IJ.dotJ/.;,., I c,l.:.,J ~h~,~.J I"" ~STATE ' ZIP CODE SECTlON. fLOOD INSURANCE RATE MAP (ARM) INFORMATION CITY flqd/L, Ue Providelhe following tram the proper FIRM (see tnstructlons): ,. COMMUNITY NUMRR 2. PAtlIEL NUMBER I :&. SUFFIX .. gAll 01' 'I"MINDEX S. FIFWI ZONE 6. BASe F\.OOD ElEVA,TION ;).70 L8~ ()()tJ'3 . c..... ;J.'III? 1'fl1. I'rG , (1~,-,_1 . 7. Indica,s the el8\f8t1on datum syslem used on the FIRM tor Base Flood E\ev'ations (BFE): ~ NGVO "29 0 Other (describe on back) B. Far Zones A or V, where no BFE is provided on the FIRU. and the community haS established a BFE for this building slle, indicate the community's BFE: I I I I I I.U 'Ht NGVO (or olher FIRM datum-see Section 9, Item 7). SECTION C 8UILDlNQ liLEVAnON INFORMATION ,. Using Ihe elevation Ce"Uicat8lnstrudionl, indicate the diagram number from 11\8 diagra",s found on Pages 5 and 6 that bell describes the subleet building'S reference level :L . Z(iI), FIRM Zon.. A1-A30,@)AH, and A (with BFE). The top of Ihe ,e'erencelevellloor trom the selected diagram is at an elevation of I I 19 III1 j . dJ tHI NGVO (or other FIRM dalu~ee Section B. Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bortom of the lowest horizontal S1Nctural member 0' the re'.re"cu l~el trom the 'elected diagram, Is at an elevation of I I LL1.J.U feet NGVD (or other FlAM datum-s.. SecUan B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the re.e,ene.level trom the ....cted diagrlm is I I I.U teet above 0 or below 0 (check one) the higheat grade adjacent to the buUdlng. . (d). FIRM Zone AO. The Iloor used at the ref..nce level from the selected degram is LLJ. U f... above 0 or below 0 (check one) the highest grade adjacent to the building. If no flood depth number is available. is the bu~ding's lowest noor (fe'erence lavel) elevated in accordill1C8 with the community's floodplain management ordinance? 0 Ves 0 No 0 Unknown J. Indate the elevation datum system used in determining the above raference level,levations: lSa. NGVO '29 0 Other (describe under Comments on Page 2). (NOTE: If '''' .'lIval;on datum used in m..sur;ng ,he e/evationlii di"erenl ,han 'hat used on the FIRM /see Section B, II.m 7], then r:on~" the elevations to the cMtum system used on In. FlAM iUld show 'he convefS;on equation undfir Commenls on ~ 2.) . 4. Elevation reference mark used appear. on F.RM: 0 Ves W No (See Inltructions on page 4) 5. The ret.rence level ,'-vation is based on: ~ lICtual construction 0 construdion drawings (NOTE: Use 01 con,rructi"n mawlfI(JS Is onT; vsJid if ,he bUilding dol. not yet h.ve the r.,.,.tttNJ IlIvel floor In place. in which c:aSQ 'hie ceffi(Cal' !NIlt tJnly ". valid tor tt. building du,;ng the QOUf'S' Of construction. A post.construction Elevation Certificate wit' t>. required once con5trudiott IS complete,) . 6. The elevation ot the lowest grade immedialely .d)lIcent to the building is: I I 1'l.H..ill.1]J f..t NGVD (or other FIRM datum.&8e S8dion B, Item 7). SEcnON D COMMUNITY INFORMATION ,. If the community oniclal responsible for verifying bUIlding elevallons specifies that the reference level indicated in S~lon C. Item 1 is nollhe "lowest floor" as defined in the community's floodplain management ordinance, the ."vaticn of the building's "lowest floor'" as defined by the ordkvlnce is: L I I I I I, U f.., NGVD (or ot"er FtRM datum-6e. Section B, Item 7). 2. Oat. of the &\.., of construction or substll"tlal improvement f(MA fO'.... ".11, MAY" REIt1.ACES ALL PREVIOUS EDITIONS SEe REVERSE SIDE FOR CONTINUATION Ma~,,13 99 OB:34a R~an Eng i neer i ng, I nc. 612-947-0117 p.3 , ~ U5/~~'Y9 WEO 14:5J fAA ~1~~4j414~ Cll~ Ut rK1UK LA^~ ~uu.. SECTION E CERTIF1CATION This certification is 10 be signed by 8 land sUNeyor, engin..r. or architect who is authorized by state or loc;aJ law to certify elevation information when the elllYation information for Zones A1-A30. AE. AH. A (with BFE),v,-V30,VE. and V (with lifE) i. required. Community officials who are authorized by locallllW or ordanana. to provide floodplain management Informatlon, may .150 sign tn. ce"lflcation. In the case of Zones AO and A (without a FEMA or community issued BFE). a building ofticial. 8 property owner, or an owner's representative may allO Sign Ihe certification. Reference leve' diagrams 6. 7 and B . DistinguiShing Features-II the cenifler is unable to c:er1ify to breakaway/non-breakaway wat!. enclosure size. location of servicing equipment, area UH. waU openings. or unhnishld .rta Feature(s). then tist the FeatLlre(S) not if'Cluded in the certiflcallon under Comments below. The diagram number. Section C, tlem " must still t. INltered. 'certify that 'he information in S~';DflS Band C on this cfffitie.r. ,ep,esenrs my best .ffort. rD Inrerprer the dar.. ..v..ililblf!l, I undersr.nd Ih.r any. false starement may be plJf'll$I'IlJlJle by tine or imp'~sonmtlnr untie, , B U. S. Code. Section 1001. Id/l-lZLt M. L,~ ~~. /UN 'Z.2~ 1/ CEAT~R" NAMt' # J r" LlC.ENS! NUMIJ!R (or A"be ~..) /7Le5 . ~,4-.A/ ~7"h~/P75'", I ~ <.. · TITLE 1/ . rL i COMPANY NA~ - /l ~ ~ ItJ40IJ ft,4J/L. ~i .. . .IS~~,,{c, /40 ~ ~)?/t:, ADO"ESS~ ~ ~ CITV.. / A r~ r~a- :5'//3/J;> SIGN~TURE" - /' / OATE /h ~' 6'S ~ ~/Y- STATE ZIP cP/:z - 9<1-7 - ~/cb ~HONE Copies should be made ot Ihll Certificate for: 1> community official. 2) Insurance agenllcompllftY. and 3) building owner. COMMENTS: It. V lONES zONES A ZONES ON PlLI8. PlI.".. QfIl COLu_a v ON SLAt WIN I.IEMENT I'~~ ~ . ,,~ 1 ~ ~: _~~~~i;~ kC\/"'1ON IAIFQIIE.'lC'1 ADJAoCeHT I LEVllL OMDI Mal ~DCID ,D.lYaTlON L- ~ONES "I~I ' I ..... l}\ . .. -~="I ~ ~ t.... ~ ~ nr5010N ~~ ~ . ~ \' ~l;~~: \ "~': ~~i.../.'(~ .. I ~ \ .;1,.....y.,..."..,..L...;. J ~,~:I'II.. ~~~~~~~~~~;~f:;Jff;;.~t~~~f;t~ ~t~;:~:.1: Tne diagrams abovI Illustrate the points at which the elevations sl'\Ould be measured in A Zonel and V Zones. Elevations tor all A Zones st\Duld be measured at tl'le top 01 the reference leve' floor. ElevatiOns for all V Zones should be measured at the bottom of the loweSI horizontal ~trudural member, P.g. 2 Verlyn Raaen From: To: Cc: ,Verlyn Raaen Jennifer Tovar Angie Jaspers; Bob Hutchins; Don Rye; Doug Hartman; Greg IIkka;Jeff Evens; Kevin Kleist; LaniLeichty; Paul Baumgartner, Susan McDermott Easement Use Restrictions Friday, May 15, 1998 10:06AM Subject: Date: The Engineering Department does not have a comprehensive written policy regarding which uses of easements by underlying property owners are allowed and which are not We hope to dev~lop one in the near future. In the interim I will be responding to inquiries as follows unless directed otherwise. 1. No structures including retaining walls are allowed in any ~asement, with the exception that within the Shoreland District. special consideration will be given to retaining walls. ,'_ - 2. Garden and flower bed areas, etc. which create a bare soil condition in easements tor drainage purposes are not allowed. - - - 3, Any landscaping t~ature. etc. which restricts the flow of stormwater within an easement tor drainage-purPoses and/or deflects it onto neighboring properties is not allowed. Steep earthen slopes are not allowed to be created within - easemen.ts for drainage punoses which force an inordinate amount of stotmwater flow onto a neighboring property. The exception to this is t lose areas where a subdivision grading plan has beel) approved by the City to allow thE!se slopes. -- , 4. Fences,driveways,sprinkler$ystems and trees are allowed iftheydonot have an adverse impact on utility lines or drainage~ - ' - , - - . '. . '.' . - 'Additional-Information: 'NIlen City infrastructure exists and - the setback - to 'a proposed structure beGomesa critical consideration. the Engineering Department will attempt to accurately loCate the facility in the field to determIne that 'adequate setback is provided. The assumption that allot the City's utility lines which are illustrated on plan sheets lobe located within the confines of the re~pective easements were actually constructed as such is not~a safe , assumption. Consequently. field verification is necessary. ' ' - 16200 Eagle Creek Ave. $,E; Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 /Fax (612) 447-4245 AN EQUAl: OPPORTUNITY EMPLOYER ;, j'" "" ''t-~';.:.._' '_ 1'<', ;J :{ " t January 4, 1999 Integrity Design and Construction 21140 Honeycomb Path Lakeville, MN 55044 liPO,/-/ SUBJECT: ~ NORTHWOOD ROAD Dear Property Owner: The Engineering Department has reviewed the building permit for the subject property. The site plan shows that a portion of the driveway is proposed to be constructed on a utility easement. Watermain, sanitary sewer and storm sewer are locted in this easement. Typically the City does not allow permanent structures or landscaping in utility easements. You will need to take one of the following two options in order for us to approve your site plan as it is currently proposed. The first option would be to locate the driveway outside of the easement. Your second option is your agreement that in the event the City would disturb your driveway to complete repairs on any of the utilities, you would be responsible for restoration of the driveway surface. If you are in concurrence with this agreement (second option), please sign in the area indicated below and return a copy of this letter to me in the enclosed envelope. If you have any questions or required additional information, please call me at 447-9832. Sincerely, ~ :J~tJp~{j Sue IvicDermott, P.E. Assistant City Engineer CITY OF PRIOR LAKE cc: Robert Hutchins, Building Official I agree to be responsible for driveway restoration within the utility easement in the event the City must repair utilities located in the easement. cz \o~ rovsen ") (l-t;, ~d r{! '7 o-v~ (Jv i-8-CfCj 16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER Dear rAJrE(j~/rcr J)€SI~N f. !:o~I(uc.1iaAJ The structure at ~ tJ 'iJ AJot<1H WtlfJiJ &ttl(j has been authorized by the City of Prior Lake to be constructed at a lower elevation than that dictated by Ordinance 94-05 which states that, "The garage slab shall be constructed at an elevation that will permit a driveway with a minimum slope of eighteen (18) inches above the top of curb." Therefore, you are reminded that the driveway must be constructed so that at a point 10' horizontally from the street gutter line, the driveway is a minimum of 6" vertically above the gutter line. If these conditions are not adhered to, you will be required to reconstruct the driveway at your expense. This statement serves as an administrative variance to item 4 of Ordinance 94-05. If you have any questions, please call me at City Hall, 447-4230. Sincerely, ~~ City Engineer CITY OF PRIOR LAKE GI/acj 16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245 G:\FORMS\BLDGARAG,DOC AN EQUAL OPPORTUNITY EMPLOYER '... ,. , . '", '.' ~, , ". t .., , STATe OF MINNESOTA 97-14135 DISTRICT COURT COUNTY OF SCOr r FIRST JUDICIAL DISTRICT In the Matter of the Application of James A. Tovsen and Janice L. Tovsen, husband and wife, as joint tenants, and David A. Dornbush and Cheryl L. Dornbush, husband and wife, as joint tenants, and the Cross-Application of James G. Albers"and Linda M. Albers, husband and wife, as joint tenants, ORDER AND DECREE OF REGISTRATION To Register Title to Certain Land. FILt:U JUN 171998 A- SCOTT COUNTY COURTS The above entitled matter, upon the motion of the Applicants, came on for hearing at the Scott County Courthouse in the City df Shakopee, said County and State, and the Court having duly considered the application, the Report of Examiner of Titles and the evidence adduced by the Applicant, finds: 1. Except as hereinafter provided, the facts and the opinion upon the title stated in the Report of Examiner of Titles are true and correct. ....., ~ 2. All the requirements of the law in respect to the application and any amendments thereto have been complied with and all of the defendants in this proceeding have been auly served with process as required by law or have consented to the registration herein. It further appears that no answer has been filed or appearance has been made by any defendant in this proceeding, except the City of Prior Lake has appeared by Stipulation allowing the applicants to proceed by default. 3. Except as hereinafter provided, none of the defendants named in the . summons and any amendments or supplements thereto have any right, title, estate, lien or interest in the premises hereinafter described. 4. According to the last official assessl!lent thereof, the premises are not separately assessed and therefore have no independent market value apart from or in addition to, the value of adjacent Lots 112, 113 and 114, Northwood, Scott County, Minnesota. 1 .' " 5. The Tovsen Parcel, as hereinafter described, is constructively occupied by Applicants James A. Tovsen and Janice L. Tovsen; and the Dornbush/McFall Parcel, as hereinafter described, is constructively occupied by Charles H. McFall and Michele K. McFall; and the Albers Parcel, as hereinafter described, is constructively occupied by James G. Albers and Linda M. Albers. 6. The Applicants have made a due and diligent search for the addresses of John N. Connelly, Abbie Connelly, John N. Connolly, Abbie Connolly, Ralph E. Lovett, Marion D. Lovett, Realty Holding Company, Edna N. Southworth, W. N. Southworth, Walter N. Southworth, Albert E. Dorn, Viola Dorn, and Barbara J. Dunn, named as defendants herein, and have been unable to locate the same; that their whereabouts are unknown; and- iliat said named defendants have been served in this proceeding by publication. - "~" .~ 7. Defendant Mac Dorn is deceased and is survived by his spouse and heir, Florence M. Dorn, who has accepted service by mail of the Summons herein and has not answered or otherwise appeared in this proceeding. 8. Defendant Bernice Laabs is deceased and is survived by her spouse and heir, Melvin Laabs. James Laabs, who is the attorney-in-fact for Melvin Laabs has accepted service by mail of the Summons herein and has not answered or otherwise appeared in this proceeding. 9. The Applicants and their predecessors in title have been in actual, hostile, open, continuous, notorious and adverse possession of all of the premises hereinafter described for more than 15 years prior to the commencement of this proceeding and have paid the real estate taxes thereon. 10. The owners of Lot 115, Northwood, Scott County, Minnesota, do not have, or have, lost by abandonment or conveyance, all right, title and interest' that they may: have or had in the premises herein described by virtue of possible landscaping and rock wall encroachments along and over the easterly line of the Dornbush/McFall Parcel. 11. The parcels hereinafter described are each subject to recorded utility easements in favor of the City of Prior Lake, which easements are the same as the City's utility easements referred to in the City's Petition, dated June 30, 1993, filed July 7, 1993, as document 64505; and therefore, the Petition filed as document 64505 should not be shown as a memorial on future certificates of title for the premises hereinafter described. 2 NOW, THEREFORE, IT IS HEREBY ORDERED, ADJUDGED AND DECREED, as follows: 1. A default as to each defendant named in the summons and any amendments or supplements thereto and "all other persons or parties unknown claiming any right, title, estate, I ien or interest in the real estate hereinafter described" is hereby entered in the above entitled action. 2. James A. T ovsen and Janice L. T ovsen whose res idence address is 4468 West 140th Street, City of Savage, County of Scott, State of Minnesota, are the owners of an estate in fee simple, as joint tenants with right of survivorship, in the following described land in the County of Scott, State of Minnesota; That part of Government Lot 7~ '5e'ctiofi 3, Township 114, Range 22, Scott County, Minnesota, described as follows: Beginning at the southwest corner of Lot 113, Northwood, Scott County, Minnesota, thence southerly, along the southerly extension of the west line of Lot 113, to the shoreline of Prior Lake; thence easterly along the shoreline to its intersection with the southerly extension of the easterly line of Lot 113, thence northerly along said southerly extension to the southeast corner of Lot 113; thence westerly along the southerly line of Lot 113 to the point of beginning. That said land is brought under the provisions and operations of Minnesota Statutes Chapter 508, and that the title thereto is confirmed and registered as provided in said act; subject, however, to the following: (a) Any..rights or encumbrances which may be subsisting as specified in Minnesota Statutes, ~508 .25. '. (b) Easement Agreement in favor of the' City of Prior Lake, dated April 2, 1998, filed May 19, 1998, as document 416020 in the office of the Scott County Recorder and as document 95060 in the office of the Scott County Registrar of Titles . (c) The proprietary and sovereign rights of the State of Minnesota in all that portion of the land lying below the natural ordinary high watermark of Prior Lake; not intending, however, to deprive the fee owners of the usual riparian rights that attach to the land riparian to a navigable public body of water incident to the ownership thereof. That said James A. Tovsen and Janice L. Tovsen are each 18 years of age or older, are under no legal disability, and are married to each other. 3 . , 3. Charles H. McFall and Michele K. McFall whose residence address is 15346 Fish Point Road, City of Prior Lake, County of Scott, State of Minnesota, are the owners of an estate in fee simple, as joint tenants with right of survivorship, in the . following described land in the County of Scott" State of Minnesota: That part of Government Lot 7, Section 3, Township 114, Range 22, Scott County, Minnesota, described as follows: Beginning at the southwest corner of Lot 114, Northwood, Scott County, Minnesota, thence southerly along the southerly extension of the west line of Lot 114 to the shoreline of Prior Lake; thence easterly along the shoreline to its , intersection with the southerly extension of the easterly line of Lot 114, thence northerlyilong said southerly extensi~~ to the southeast corner of Lot 114; thence \vesterly along the southerl).: line of Lot 114 to the point of beginning. That said land is brought under the provisions and operations of Minnesota Statutes Chapter 508, and that the title thereto is confiuued and registered as provided in said act; subject, however; (a) To any rights or encumbrances which may be subsisting as specified in Minnesota Statutes, ~508.25. (b) Easement Agreement in favor of the City of Prior Lake, dated April 16, 1998, filed May 15, 1998, as document 415775. (c) The proprietary and sovereign rights of the State of Minnesota in all that portion of the land lying below the natural ordinary high wateullark of Prior Lake; not intending, however, to deprive the fee owners of the usual riparian rights that attach to the land riparian to a navigable public body of water incident to the ownership thereof. That said Charles H. McFall and Michele K. McFall are each 18 years of age or older, are under no legal disability, and are married to each other. 4. James G. Albers and Linda M. Albers whose residence address is 14992 Storms Circle SE, City of Prior Lake, County of Scott, State of Minnesota, are the owners of an estate in fee simple, as joint tenants with right of survivorship, in the following described land in the County of Scott, State of Minnesota: That part of Government Lot 7, Section 3, Township 114, Range 22, Scott County, Minnesota, described as follows: 4 ,..." " -'. Decree en~ered this 17Jday of U4'U'... a.m. (/ . , 1998, at ,9-:5Z'o'clock ~~~::u AS ~OI~M THII , - Ca9\of. - f-..' 1S tqc\. '-~. f\ n 11 - ~ , L """ ~J ... Lee "'fCkerinan ~ _.a Deputy Exazniner of Titlel ' o?~.,.;~ Scott County. A.ti~ ~...~P I.. -....) ~. 6 dRIOR LAKE ~~itD~~~~NTD~~SPECTION_ . .,'. . .-,t' ~- :. ".;,:.;~,.,'~.:.i~;:;~~-f;;tt.:~L":',:;,~ji;.::~r>,:':'~~':':::~f;;~<:i~' INSPECTION RECORD: . - / {pO lf / \ .' ~; SITE ADDRESS' ~ ~ N41"~ ~ .NATUREOF WORK' ,N~ ~ . ' USE OF BUILDING SFD ' PERMIT NO. .1!.. '~I 'ii- ca8 DATE ISSUED J.Z. ~ <..9.-'i~ii.> ~~~~~~~T~~.'N~~['~~iF07:t~..o FTHE 'INSPECTI()~\~;~~~'~lK.., "T",';~'-:THE PERMIT IS BY SEPARATE DOCUMENT" _t"'.'~-'?:~:':'~':-"iif;z~~~2~;/!,,'~~~;~j:''Pi1~,~;;)j,:,:,'0,<",.,"'-' . '/ .......' ". . ,... .' .' IN~;;t~.' ,..'.. .... , "~'~'~~l~;'pf~"i~~~i,';(;-" . FOOTING. .. '(,,\r).:, . "1"::\J<.cl>1~f.:}i'':':~~~;;';:;~;'~;:;;j;.;.,,:>'-;',,'..'' '- -~', " .,~., '-~. .-' .. __ ' r:.-'--;';-'j. -"~t~.l~.::~.~~~'_"Vl~:':1~~~:?;;tN~:.t~':>'~ .-~i?'~r-" . :". '~. :,' -' ; ;~~~::''':!',.f ., FOUNDATION {Prior to Backfill} " V'. 1 . . ..... . .'. ,.:~i; " ..",,":P lAC E' NO CONCRETE U NTI L A 8 OV e.'H AS 8 E E N"'SIG N:Etf?~~;.~F;:l};':~cT;i:: " ....].,:;<;,>:t;_~,.y;_..'.:~.:...-,.;'::'. '.',.', R' ..O"'U.' G' .'H:' INS :....... ..:.........:..{~,::':.:{:.';".... ...:.,...(;;;.:.:;:);t~;*~':t~i?<fD;:f'::. "l:~Ji%'j~"~~s;;:l;;~>." - ~ .- ~-'.- I:,.<:t.~::i:,~.,(~,:':~~:;..f~~:~:i~.~:~~\~~;f:~~~t(~:~:J~.' ", ';7_~ :~:,., ".< 1 /133,.(2--- 9 9,' ^ ,'Jf/) \r- v SEWER I WATER I SEPTIC '. FRAMING.;": INSULATION · 'l/ ~.. t-qq I ELECTRICAL \.,. ^ PLUMBING a:r~..-/F =: .- J CJ- 95 !\_ '.41) HEATING (ifreqciired) Ifl) fl,:' ,'FIREPLACe:. 'tl;:;'~;1jif.~;;"~;':..t~-:):" G-A'S"('I N'E:~'AI R ;,TEST' ' ,.:? ~''';:'~:;~;X'~':',;~ 3:~'3~'\<~~~.ff~',q .. COYER NO WORK UNTIL A80VEt\;AS";8EENSlq~'Ei. GRADING'(Prior to Sodding) 8 Ult:b IN G': <i:>.,.)c:<.. -, . ELECTRICAL~' PLUMBING-:.. HEAT1NG'~': ';;:':00 NOT OCCUPY" I:: I'N .'A'L" '5'-'-'-:';:'- "",;;~,,,,,,-,,,,~t..:',,,,:~,,,:. . ~ r:: "~':;,.;;:~~<r':T.;'.:.'c:.:::2;,,, ":<])J C ""/;f" r....':.., ,.....'.-," ,.~.~,,:,.-. .r - ,- - .' .".'" ~- ". '1:'.\""- .-.-~ , "",.,:: ...-;.::?}~ -..: 5:-': :' " :':',;'~:"-''':~,~,-'2~.>:,~'~.',-~ _ ." ,- -. . . ',,_". 1'. ~ ~ , 'W'IC" ~',;; '.~: :,;- ~' . ":' r'-~ '- '"," . ~,.. .UNTIL ABOVE 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.' '. Can bevNeen 8:00 and 9:00 A.M. for all inspections FOR ALL lNSPECT10~yS 447-4230 CITY OF PRIOR LAKE INSPECTION NOTICE DA TE TIME SCHEDULED J/n/1' OWNER ADDRESS "bY! dl,~o &_ PHONE NO. o FOOTING o FRAMING o INSULATION )t.!INAL o FOUNDATION o DEMOLITION o FIRE PREVo COMMENTS: ~AtI.oe ~vR~" CONTR. liJ-r~AA.'TY ~ ! ('OAJrr: PERMIT NO. 91-00/f o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION ~EXC/GRAD/FILLlNG o LKSHORENVETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o LS IIcrFPTtlI8l t:' I~ ~~BaT'lON~ X WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ~ CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., Owner/Contr: - CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FRAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIRE PREV. DA TE TIME ~ ~/CJCj 4- : ao I~04/ ;v'CJI<.7i1waoO I<..D. SCHEDULED CONTR. PERMIT NO. qq- (J08 o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP Ad SEPTIC INSTALL 'JL PLUMBING FINAL /iJ SITE INSPECTION o EXC/GRAD/FILLlNG o LKSHORENVETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o rDM~~ ;.. IJuI'\ fo.k.t\~ k..1~l"~ ~~ t/'-=> r \ 0~ ;f-l)( -~ , ,1 ~ -\-uv ~tnX M~"" ~ 2. -6.\ds , ~~ - ~ 1Ce.-. _ ~~ '..('~ \ro~ ~ ~A-1 tYL- Inspector: r LA> /o~ bll -- INSPECTION BEFORE COVERING Owner/Contr: CAL - 447-42 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODryMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 5-/3-'1'1 q;CQ ADDRESS.1kOUI Noy~wocd e:l OWNER PHONE NO. o FOOTING o FRAMING _ g, INSULA TIOI'I1 ~_ ~ FINAL N'~ o FOUNDATION o DEMOLITION o FIRE PREVo CONTR. PERMIT NO. qq-oi o PLUMBING RI A fl"MECHANICAL YN (, o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLING o LKSHORENVETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: Q FeNJ (,v-t...d.t. fC^ En~\hee.Y'~5 def* (il so& ~ iYw; r~ p<K p1CU\.",,-~ ~ (3J"Ci.Ml S~ ~~ .J ~ R~vt.. ~V\S~Yl ae..~ f Sa. fA) i~ t\vu~ W~ I...(.,~~I\IU'O 0l'L 6-.tsiclc... to L~ ~.Ce., ~ J, Q -9 MG I Inspector: ~+ c~ b , LL FOR REINSPECTION BEFORE COVERING , Owner/Contr: 3Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE '\;7lEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE ~ \ ~(}Lf 1 NCJY'~.,~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION TIME SCHEDULED AT CONTR. PERMIT NO. ot q - 01JD Y;; o PLUMBING RI 0 EX/GRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING F~NA~ A.,"GASLlN~ A~R TST o MECH FINAL .po< Sa..()I' ~ TQtE> COMMENTS: ,~L-o ~ @J 1!1/~ -::u~ ,,"--,a- ~ ~. ~.;; ~1ft~~J:.) ~O~- C2<> 4f'~lp ~~-H ~~ /? ~/~~ ~- .!W~, ~.~~,---, ~ I~ j~. /-~. I >1,:' O. -. \1'") ~ ~~, lo/n ~<:t> 1500 ~ ~~)(2-S ~5 tsr: o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ,lCCORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ , . Owner/Contr: - I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME ADDRESS 7-I-ol{ ~Mll()f~_ OJ.. SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. C('i - (:)00 8 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL 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: ~ (~ r1$L (l~~~, ~ -C:(Q. rORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o C~' CALL FOR REINSPECTION BEFORE COVERING Inspecto : Owner/Contr: -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOT/ '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 compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification ~Tm;T .F. }.'AMTT.V -1" Bldg. Permit No. QQ-nm Occupancy Type R Type Construction V Fire Zone Zoning District R1SD Legal Description LOT 113 NORTHWOOD Owner of Building Site Address 16041 NORTHWOOD ROAD 1'-'<1 1, Contractor', Name &; Address T NT~ n: DEST GN & CilliSI. ROBERT mlTCHT~~ ,I r :./..... . Ci~ Planner, lVU,1 py-a:;: Building OffiCial \J \, / ~ - Date: ( (',. 7 l - h ({ , Date: POST IN A CONSPICUOUS PLACE