HomeMy WebLinkAboutBuilding Permit 99-0735
DATE RECEIVED
(p/IS/91
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
OIQ-1..35
/ /
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
\Y(. Sf
1. DATE
~r's-<=1q
,eISD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
~(l, lr->~'\I
S~b~
C)
3. LEGAL DESCRIPTION
12. NO. OF S~RIES
13. TYPE OF CONSTRUCTION
~~
14. FLOOR AREA APPORTIONMENT USE
PID cS qSOC ~c. 0
LOT dEms /N ~I)VNOS BLOCK
ADDITION
4. OWNER
(Name)
(Address)
(Tel. No.)
/
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
S fie:. ,,( ~ ~~'; ( y tf7...a,'f"lc) OCCUPANTS
ec ,.. ~~ '" ck ( ~'"
l..\OID
\r~~
SEATS
16. PROJECT COSTNALUE
150) ~ d
17. COMPLETION DATE
9Cf
7. TYPE OF WORK
New constructi~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
~D
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yos No
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned 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 t~t f~se. Furthermore, I hereby agree that the city official or a des3e~~n~ upon the property to perf~7d~~90if'
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Front
Back
Side
Side
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
SFD
USE OF BUILDING
2 5lP I CJOO. (J}O
~ 5lo, Ci$f}.~ tJ
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Se.e Dtt"-"O~. ~ t $
-:I:f 't'1-/7 G, Pressure Reducer .. ~.... ..... .... ...... $
City:
-C>
-00-
f ,lolo'7 . 2S-
11~.??
l~~O
Permit Fee ................................... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
l(.6.0Cl
~co a CO
L 00 · O'J
Sewer & Water Permit ...................... $ 36 , 5Z)
Gas Fireplace Pel it;j;..................... $ Lto · ~
Thi ecom our ~uilding permJUtllher Ap2'~ed.
By Date - l-Cli
cu~:
Meter Horn................................... $
Water Meter ... is.................... ...... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Plumbing Permit Fee ....................... $
~~~~
'It
\
j
I ~(;..~D
-0
-0--
Mechanical Permit Fee ..................... $
Water Tap .. . .. .. .. .. . .. .. . .. . . . .. .. . . .. . . . .. $
Builder'~eposit ............................ $~ . ~
Other ...1 'r:~. e. ~..... .... ........... $ sq,q .00
Total Due .............................. $~.~L.f. ~
Paid 53~~."7 Receip o. 35V~
,~u~ ~
/ Date '1 / q(!t By
, ,
;s is to c 'fy that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance a d may procee s requested. This document when
'ed the C' ner c nstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. -1-J-&r~
City Planner Dale Special Conditions if any
24 hour ootice for all inspections 447-9850
..../' .....~..
The Cenler of Ihe Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t. !
/
,
J /-"'_
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.' ~/ ,/~_ /c /'-
,t" J' ~_<.
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
)
"The issuance or granting of a permit or approval of plans, speciiations 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"juris..diction. Permits
presuming to give authority to violate or cancel the provisions of t~ code or other
ordinances of the jurisdiction shall not be valid.1I
..._-_......_....~~,-........,_...."'.""..,__._.. .............._..~..".-._;.--r-.. .-... --,,_._,-~----.- """,-,'-"',- .-.,-".-.,-
99- 7<35
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nt~r of th~ L.k~ Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
;vi <; f1 ex; IV 5 77Z- .
6//~ /'f1
, f '
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/qz ~37 -SHr;oV 86/1e/7 (12 .
I
Accepted
Accepted With Corrections ><
Denied
Reviewed By: (2Q~~
Comments:
I, Fou wkho L-\ ~ t -eua.tt1:1-."'" 6j 0.. '2, U hJ -t.~ Io&\-.e. Fb t..l . k'3..p .
L. ~ecd. Q \l Cltk.~ol k~ C!)O\-<;
3. f E . M.Il. E:l~\ld'Y\,. Q.
Date: ? -1-Cj9
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."
.; ~ ...... ." - .~.ol\..~ .j
The Ceo.teor of the Lake Coulllry
L--jt'J -'~ C-
7- / ,-"}
, I '-"~
White - Building
Canary .~ Engineering
Pink" - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'v/ 'f ~/ co/vS"/7d...
t/ir;- /;YCj
".I .
The Building, Engineering, and" Planning Departments have reviewed the building permit
applicati?n for construction activity which is proposed at: .
/'VZ 37 " ...sH~lu V~ {5 t;,/}cti "/12
/
..
Accepted
./'"
Accepted" With Corrections
Denied
I" " " "
Reviewed By: _JvJ1l,,:rE~ E~~4NN
Date: 7/7 If'
. I
Comments: .RvNe~ MuS("
13 E.. COAJ u E y'E.D 7"'r:J A ~ "A ("d^,~ .... PRo PE/J.rr
LJ AlEs AS MuC.t-f ,q.S " ?~~r,c AL .
SE~ 1,Jl="ol'trttA.,D..v o~ itE.J&A.sE
Sl~
~"'i'TI4~ ME...v-rs: I. F; t.,)t1tc... l:I(.A 0;: Lu (. eE c. r,,!, ~ ~ It M RTIO A..J
ME"'S~t'lE S ,
.z. ELG~lO,u ~A.oITI1..0'- f't_ S. -E(to~,o^-> f_~Tr(.Q'- ~ ~qAoIAi" P,-:AAJ
'1. Sf'~€.4.. ~~'EA... ~ -l3uI c..:r~
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."
,.
~
ttg-7Js
.Jd~ Address Ii ~ 3 7 1lttf/" ~qC~
*Heating Contractor METRO AIR
~V
*Permit#
*T esters/Signature
*Gas Une
Pressurized
Inspected
....
* Percenl CO2
* Percenl O2
Final Inspection
f/'II./
Date
Pounds
Pressure
Time
PERFORMANCE TEST
'.8%
t .,-/9"0
07'0
*Percent co
.Slack Temp. t:l () I>
Date
\
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2
BY: tJ*,~ Date: 7-/-9/
Building Pe.....Jt # c:;~-13 5 PID: ex '$ - CJ 30-Q3d--O Zoning: (2-- t-- S.D
Site Address I vi J-31 ~~ &~Tr.
Legal: L B Subdivision: ~ rgdt/h..vlo
Existing Structure: YES or NO
Existing Nonconforming Structure? YES or NO
CONFORMS TO ZO~l.NG
ORDINANCE
(YE!)
NO
~ tb'ub<;;~ 4;f,K- Lot ~Ct I;;JJ t.f~J
Yard Setbacks: ~1>!>!.IC.l5 1 Requirement I Proposed
~ETS CODE
r I
. Front Yard -- ""29- I
(or setback average if in- fill lot) ~ 'J ,/ g ~ S
. Side Yard 10',
(25' if abutting a street) ,. 10. (p
· Side Yard ,.rO', D '
5"
25' ;p , +
. Sidewall exceeding 40 feet required additional t() I Wall over 40'? elL-
side setback of 2" for every foot over 40' long ~:: 5'~"t- ~ I, ~ I - 7, J..' ~~d ~ ~ ;:. K) fJ-1f'w
· From 100 year flood elevation of Wetland 30' )J \ ~
. Rear Yard
. From OHW (Prior or Spring Lake)
75' or setback average of adjacent
structures no less than 50"
I r/Q.~s..epl
~ ,-Ct' - 01<-
50 av~ j(, i;) I
Yard Encroachments: N~~LE
~ET~~
Eaves and Gutters no moretIian 2 feet in width and
no closer than 5 feet to a lot line.
AlC and other equipment cannot encroach on .
interior side yards. /YLOit. (fY\ p~
Lot Coverage (Structures Only)
ok:..
Y2:1
\
I~
~ tt I
I Proposed 0) ~~. (j
~~;'
I II ~
_ 'D '-- ~
'i.~t.J~~v"
, ~;>7((q7]=::3~'S ~
US ~D " 0 ~l~.
--l~ - ,... ~ ^- ~. --
~ ::' ~.~{r""" J ...
~ 'to-. ;",,:''''.A.
,.~ ~
3~X,5;: /,fJ ~ ~
~ y 7(1
30% Maximum
I.significant Trees: ~"IJCABLE
~~~~
. Total Caliper Inches
. Can remove 25% ofT.C.!.
· Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
Requirement
L:\TEMPLA TE\BLDGLIST.DOC
'"
ELE,VATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
\TTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form Is used only to
Jrovlde elevation information necessary to ensure complIance with applicable community floodplain management ordinances, to
determine the proper Insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMA).
, Instructions for completing this form can be found on the following pages.
O.M.S. No 3067.0077
E)(p;"$ May 3 t, , 993
SECTION A PROPERTY INFORMATION
FOA INSURANce COMPANY use
BUILDING OWNER'S NAME ,. Q
Vv\,~ M .' oaJ\~uck~i
STREET AOORESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX N~ . ~\ ~
~...~'-' ~--' \~~,\ \'\t:.
OTHER ~eSCR(;.:~Lot and Block ~umbtrS, etc.) \ - , \
Plo '\ \ a"'\- \, ~C - \\~-'Z..\, ~n Co. ~M.
CITY (J " \ _ \/_, STATE
''t''~~\......Pr''''lr , ~'"
, 'SeCTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
POLICY NUMBER
COMPANY NAIC NUMBER
... -..... . ~
ZIP CODe
t$-5>>~~
Provide the rollowing from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FlAM INDEX 5. FlAM ZONe 5.'SAse FLOOD ELEVATION
(In AO Zones. use depth)
'~1oc..t~2- 007 c... \\- \9-C\1 .\6: ~o9.0
7. Indica'te the elevation datum system used on the FIRM fot Base Flood Elevations (BFE): ~NGVO '29 0 Other (describe on back)
8. For Zones A or V,where no BFE is provided on the FIRM, and the community has estabiished a BFE for this building site, indicate
the community's 8FE: I . ~. Ole:; ~ feet NGVD (or other FIRM datum-s~e 'Secti~n S, Item?). .
SECTION C. BUILDING ELEVATION INFORMATION
: 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level -1- . ' .
t!(a). FIRM Zones A 1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is atan elevation
of' : ,: ' i .~ feet NGVO (brother FIRM datum-see Sec~ion 8, Item 7).
(b). FIRM Zones V1. V30, VE, and V (with SFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, 'Is at an elevation of' I I I I I.U feet NGVO (or other FIRM datum-see Section S, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference levelfrom the selected diagram Is I i I.U feet above 0 or
below: . ' (check one) the highest grade adjacent to the building. .
(d). FIRM Zone AO. The 'floor used as the reference level from the selected diagram is; I '.U feet above 0 or below 0 (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated In accordance with the community's floodplain management ordinance? 0 Yes 0 No O. Unknown
' 3. Indicate ,the elevation datum system used!n determining the above reference level elevations: 0 NGVO '29 0 Other (describe
under Comments on Page 2). (NOT$.' If the e/~vation datum used in measuring the elevations is different than that used on
the FIRM (see Section B,ltem 7], then convert the elevations to the datum system used on the FIRM and show the conversion
. equation under Comments on P?g8 2.) . . - ..
4. Elevation reference mark used appears on FIRM: 0 Yes 0 No (See Instructions on Page 4)
5. The reference level elevation Is based on: ~actual construction 0 construct/,on drawings
(NOTE.' Use of construction drawings is only valid if the bulldirig does not yet have the reference level floor In place, in which I
case this certificate will only be vaNd for the bulld/ngduring the course of construction. A post-construction /Elevation Certificate
will be required once construction is complete.) .
6. The elevation of the lowest grage immediately adjacent to the building is:: I I , I I.U feet NGVO (or other FIRM datum-see
Section S. Item 7). '
SECTIOND COMMUNITY INFORMATION
If the community official responsible fot verifying building elevations specifies that the reference level indicated In Section C, Item 1
Is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance Is: I I I I I !.U feet NGVD(or other FIRM datum-see Sections, Item 7).
2. Date of the start of, construction or substantial improvement
FEMA Form 81.3~, MAY 90
REPLACES ALL PREVIOUS EDITIONS
see ReVERse sloe FOA CONTINUATION
'It>
SECTlON E CERTIFICATlON
This certification is to be signed by a land surveyor, engineer, or architect who Is authorized by state or local law to certify elevation'
information when ,the, elevation information for Zones A 1-A30, AE, AH, A (with BFE), V1-V30, VE, and V (with BFE) Is required.
.Community officials who are authorized by local law or ordinance to provide floodplain management Information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8. Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included In the certification under Comments below. The diagram number, Sectlone, Item 1, must stili be entered.
, certify that the InformatIon In Sections 8 and Con this certificate represents'my best efforts to interpret the data available.
I understand, that any false st~tement may be punishable by fine or imprisonment under 18 U.S. COde,Sectlon 1001.
CERTIFIER'SNA~t\~ ~ _ ~~W\';~Q~ .. lICENSENUMBERI'~A\~;
TiTlE . \.-o.~ ~~. COMFANYNAME~ ~~1!.tlM.~ CO- P. ~
ADDRESS \lo, '\O,~, . . "~~, ','," ~ ,.'" --'~',,~, ',.. Ct"Rb-,' \...~t,~"',~,~''Z..lr~.r-:E'2.'''''70
SIGNATURE "~ ' " , '. ' "9T~. era IpHONE
'~ f'ti.:r"~ ~--~,.:, -';' ,
."". ", .
Copies should be made ofthlsCertlflcate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
",_ ..._..f.
ZIP
COMMENTS: '
No or1:- -..
~~
~
r; Je~
Lo v..t4 ~ \ 00.-
DUolCr \\\W\. c.' "\ s
-.J
~\e\lc",~~ \s c... \ &\-c\1-q u.,. ,
~~~~~\~ c.....\ \ '^'\~
\)~..~
o.c-~&c-\L.. ~
G\\o'.~
.. ~~c9 j Aot-c..J4:..
\~
c:...\-
ON
SLAB
WI'1li
BASEMENT
A
ZONes
',V
ZONES
lIAS I!
ON PILlS,
PlEAS, OA COLUMNS
A V
ZONES;:S ZNES
, AE'EfIIENCII
LlVI~ .~ \ . : ) AE~~~~II
. ~~.:~. ~. t
~ lIAS!
i ' ~ooo
ILEVATION
~ .~'
1~I~j~f~l~ffi'4;;\~
, I "1'IRENelh, i3'
, lEVEl , \. .
" . .f.,~_"
( ~~I:~~q~~~~:jA~
8A$E '
1'1.000
ElEVATION
, REI'EIIEHCI' AOJACEHr
LIVE\.' OMOII
'RE~~'1
The diagrams above II/u,strate the points at which the elevations should be measured In A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
T""l
a...
99- 735
CITY QF PRIOR LAKE
16200 Eagle Creek Av. S.E_ Permit No..
Prior Lake, MN 55372
2-5.-930-032-0
~~l'" \,,~,\.
TYPE OF $TRUCTUR~
1. PiU - F1k
1. GRI:D ~ Clay
J. Yellow . CcmtnctlII
Single Family X
Commerciar.
'. Two-Family.
Industrial
Muffi-Family
Public Other,
R. < S D Fee Schedule
Industrial. Commerciar & Multi-Family
Aesidenliar. Heating & AC
Residential. Heatfng Only
Residentia1, Gas Fireplace
Residential, Additions & Alterations
Resfden1ra1, AC Only
"3"
g] Let . Block AddftiDn N676S ANt) /BOUNDS
2 Owner-s Name ~o- 'fv\ \. CV'\n '("\A \..--\ ~ (lh
Address "'~,Q ~ ",,",,.'-\~~ (" \, r- ~ ~~, Or ~ \(!
\~ \ 1\\. ..
Healing Contractor t \ -I"'t) l\, r' ~Y\ ,_ .
Address \ \r. '-\ ~ {, ~ L \ l O~..\" \, Vr; lr' ~ 4 ~ .
Teleph)ne' ~"-I-~\:1~
Fumace Ualw & Model.D C t... yo';" \..Y'"
ModelSiza d - (Y)>(A -~
Conn. Load \, c:; ('Q.. ~
FueJ ~ <.1\-"\ Ru. srze;>:" <<V c
TYPE OF SYSTEM
Warm Ai, Plants ~
Gravity
Mechanical
Air Conditioning ~
Vent Syatem ,
HEAllNG OR POWER PLANr
Steam
Hot Water
Radiation
Spec[aI Devices
Supply Openinos -::, '3
Return Openings , '\
~~) ~ Q\J ,~,u. t)o
0::: Input ~~L nar\\ OUtput ~\).. ~ l\\)
H
([
o
0:::
I-
W
E
E:dJ..
other DevlcR .
Cfm.
\S~~
lYPE OFWORK
.~
tE Alterations
r--
(T)
rn . .RepIlTl Eat. Camp. Date
o Est. Colli \\n l)O~ '0/ BuDding Permft. ~ ~ - :,. r; 35
0'"\
0'"\.
~ . HEAllNG PERMIT FEE'
~ . STAlE SURCHARGE .
l!) .'
~ . 10TAL PERMIT FEES .
RepJacarnen1'
New Cons1ruc1lon
.50
. .
r p~\D wrrH
\. BU\\.O\NG PERMIT
Receipt ,
. .' !.
; ::\:~.~ ..:~ ~:'~.
" ..~~.
1% of job cost ($39.50 mfnimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remembe. to add Ihe State Su rcharge on the bottom of this application.
The price of your heating permit includes one rough-In and one finallnspectfon.
Additional inspections wUI be bUled at $35.00 each.
House Heeting Test Record must be $ubmftted with building RII!lIil nwnbm before build.
ing certfficate of occupancy wili be issued.
!1EAI CALCULATIONS REQUIRED with number of supply and return openings listed per
room wilh CFM's per opening. New structures or additions send floor plan wftlt supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILEO 10 THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK .AVE. S.E. PRIOR LAKE, UN 55372.
City HaJl ~ness hours are 8 8.m. - 4:30 p.m. . ._
- - - .~. -. - . . -
ALL WORK MUST BE INSPECTED (ROUGli-lN AND FJNALJ . CAU, CITY .HALL
447-4230
f
I hereby appty for a mech~nical systems permit and I acknowledge that the
information above is complele and ac~rate; thai the work wlU be in-confoJmance .,
w~'h the ordinances aod codes 0' the city and with the st.le ~lldin!l/mechanlc.1
code~; thai this form doe. nol become a permit unlil stgntKJ by ~e BUILDING
OFFICIAL; that 1he work will be in accordance with the approved plan in the
cue of all work which requires review and approval of plans.
~(~~l. L. ~-;JS;:t
i ~ J3/Z5/QQ
· - Building-Off'cafa -signature ' Date .
rllOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \<41 ~ ~ ~ \N;.t.; ~
NATURE OF WORK lJ~ Q:;:.J,--tP&,,01
USE OF BUILDING SF-D
PERMIT NO. .1J -l~ ~ DATE ISSUED ~ -'2. L( -{~,
CONTRACTOR t"\.. H ~~~~r~'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC~T
H~ E'ku..~ Q~"\-. ~~ bJ.- l:O~. "X\A"'p. INS,r) DATE
7 FOOTING ( V l-t~ -- 101
~ FOUNDATION (Prior to Backfill) <4.7 eJ<;l~1 \ / '
PLACE NO CONCRETE U"TIL ABOVEwHAS BEEN SIGNED
,-/' , R 0 UGH - INS
, SEWER I(WATERpSEPTIC ~~..~' i?~13-~'J
FRAMING'----"' )//d/f~
INSULATION I {) N/ib/4f1
ELECTRICAL J V"";
J~.k t:kor PLUMBING 'Vp J/ If/"1
~i' HEATING (if required) , n/- '/ / -1/ q.,
FIREPLACE ' . 'if I t/I ~
GAS LINE AIR TESTI)1o~1/1"1
COVER NO WORK UNTIL ~BOVE HAS BEEN SIGNED
\tJlIfI!II MW
/"l
p~
I
FINALS
GRADING (Prior to Sodding) ~ 7-z7-CD
BUILDING ~ </I,/()Q (1:1. ~/t3!'{) f/Jr. 5MIO)
ELECTRICAL ---; ,.
PLUMBING ' ( IJ) I~ I d! ~ I () rJ
HEATING (/ r \ u l~ If()
DO NOT OCCUpy UNTIL ABOVE H~ BEEN \S1GNED
NOTICE
This card must be posted near an electrical service cabinet ri r to rough-in inspections
and maintained until all inspections have been approved. 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
1
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11
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / '-I ~ 7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING i[!J
o INSULA TIO
~ FINAL
o SITE INSPE TION
COMMENTS: ~;
DATE TIME
SCHEDULED 5(:;'9(0 I /,' /5:
~ ~ TIc!
CONTR.
PERMIT NO.
9<:;-735
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ . Owner/Contr
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
tftrlUJ
ADDRESS -.iiJ,.3? 5)dk .kt?L1i ~
OWNER ~TR. ~/ /II &fh:
PERMIT NO. 11- VS-
TIME
SCHEDULED
PHONE NO.
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 EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Gra~ Is /l,Z
{!P;,~b/J / i> /J!::....
"'
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 7' CALL~ F~"PECTION BEFO: COVERING
Inspector: ~~W~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
~;~ TIME
CITY OF PRIOR LAKE '=k
INSPECTION NOTICE SCHEDULED
ADDRESS 14237 ~ ~
OWNER
PHONE NO. PERMIT NO. 4q- 735"
o FOOTING
o FOUNDATION
o FRAMING
~LATION
/15 SITE ~NSPECTION
COMMENTS:
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/
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PL:UMBING FINAL
~.~ FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tLeldr 6
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
ADDRESS
/4-237
DATE TIME
SCHEDULED ~q/O() 3;.3t)
/~~
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
qC;- 735
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER t:lOOKUP
~SEWER HOOKUP
. PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(J) ~ ~ IaJ ~ ~ ~ ~
G> ~ -h-~
~ f:. 0 k.~ ~ 0 f +ir-<.. wa' ~ h a. 6-.-CA-fl n
fr{/h,. f~r.-!5 )~ ^ v 0
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~ U~fl ~
I spector: \ Owner/Contr:
CALL 447~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\ CO:~ REQJREMENTS ARE FOR YOUR PERSONAL HEALm & SAFETY!
~-_. INSNOTI