HomeMy WebLinkAboutBuilding Permit 03-0968
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
b--3o ~o3
I PERMIT NO. OJ-01v;~ I
(Please tvDe or orint and sim at bottom)
ADD3SC) B.~
t\tJ~toJ. \~~ ~
ZONING (office use)
lS-1
LEGAL DESCRIPTION (office use only)
LOT~BLOCK \ ADDITION
~':e~RTQ ~C\YU)+-
(Address) P.D. gD't- ~\
Te..- ~~+
~ LDLlcls lC5lCb1
?J ~t)
~VI
;[.5- 3~0l--037-D
(Phone) ~~~ tt01 ~~~
S5)ab
. BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
"
~ew Construction
OLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
o Fireplace
OAlteration
Dutility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and coITect. 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 loca11aws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruponrhepronertv..5erf~rctions I07~ Co - 30-~
Signature Contractor's License No. Date
I Permit Valuation i)9d. tJ(Jt:J, IJtJ I I Park Support Pee # $ ~5"O.O 0
I Permit Pee $ /lI ff17. 7.s-1 I SAC # $ IZ7!>,OO
I Plan Check Fee $ '773'.5"4f I I Water Meter Size 5/8(t I~ $ 300. DO
I State Surcharge $ 95': 8t:J I I Pressure Reducer $ 70.DO
I Penalty $ I City SAC and WAC # $ /e-oO. 0 ()
I Plumbing Permit Fee $ /t!Jt), CJD I Water Tower Fee # $ 70 0.00
I Mechanical Permit Pee $ IOD, 00 I Builder's Deposit $ 1500.00
I Sewer & Water Permit Fee $ S$".s-o I Other $
I Gas Fireplace Permit Pee $ .l/I). tJ {) I TOTALDUE tA1.tm 7.1303 $ g 73".7'1
"--""'G:, -~ I Receiot No. qt/'i ~ i
This Application Becomes Your Building Permit When Approved I Paid 1Ft"'" - '7
;;&~ ~ I Date '7....-::l~~ Bv r
7~ 7/t1;;~
Building Official I bate
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 7J-p 24,/6:1 ~ a-<< ~;/trl*"'~)
Planning Director Date Special Con,lEions, if any
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
H-;orL.o.)C:"-
Job Address 3:a3 ~M 'TR..
Heating Contractor ~.. ~
Name of Tester\) P
J1Jdo';
9.2-
/D.6
2U .PNh
IriIJr
.....v:::-.:_::;..-::.~ ~.;;_...:.::-._::::.~::-.: :-:~_~< _ __..~.
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
--:-:'>:.,.:.:.:~<.;.-:
~1
White - Building
Canary - I;ngineering
'-, r',n", - t'lannmg----,
Th~ Cfnlll'r of Ih, l..kf Cou"lry
mnLPlNG PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT /( ___ ({'~ v::-
APPLICATION RECEIVED (.0 - ~('-O\3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--, (/ ~~
.... c:.O 6" 6 1.~'ULJ(t2+-;'r-
Accepted
Denied
Accepted With Corrections ...---
Reviewed By:
. Comments:
~.~.=-~
iLJJ
.
;2..(!, /)f--J
ad
Date: 7,;/ (/6 3
'~
' ~ . .J
. ',. .
"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."
~~
r:whit.. - Eluild"liiSJ
I,;anary - Engineering
Pink - Planning
Thr Cfnlnof Ihr I..b ('ounlry
BUILDING PERMlLAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT / (/ ~~
APPLICATION RECEIVED ~- .:;30 .-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ J>' ?" /fd1;{ cL-f r r-
/
Accepted
Accepted With Corrections
Denied
r-
Reviewed By: ~ ~ Date: 7 jlll{J '7
Comments: ~/J aL/ ~,. c~;.J
"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."
/
Th~ CfIIl.., nf I~ I..klr ('OIlRlry I
White - Building
Canary - Engineering
Pink - Planning
Jru.l.LDING PERMIT APPLICATION DEfARTII4E.NT CHECKLIST
NAME OF APPLlCANT-r-C./ d!&Jt,.-r) 1< :
APPLICATION RECEIVED l:a - ~ 0 ~O\:2
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is PJoposed at:
"J"p~ jt;:-'1... I
,:;)cJ.::f L::1fLJ!',:J.T.r r
Accepted :x-.
Accepted With Corrections
Denied
Reviewed By: ~ _ Date: .' (3/0"">
Comments: See Reverse Side for Additional Information!
.- '~-
( ~rivewa~ Must Have A Concrete Approach )
!=:p.e Attachments: 1) Gradina Plan. 2) Erosion Control Measures
3) Erosion Control Plan
"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."
....
From : JECHEEXC
PHONE No.
612 8926396
Aug. 05 2003 6:14AM P02
. ',"....."';\~:{i.;I\(,'r~I~, ,.'~y "
Dat. R.
CITY OJ.' PRIOH. LAKE
SEWER AND W A Tl~R I'ERMIT
, '
.'" 0'1. ,,::I,k;, ,I, ",'
"It ,,' ,;"::":i'f!I;, .t{i ::"t;
~, ,.,' "~.'~' :,.;~~"~;~,t~',,,"1_~'
'::~.,i"~\~( }~,_.,l:.:/:~." ,'.fi:\:k:';Y ,I:,
trk:ue ~ or r,rini 144 .te..t &l bntt.6m)
ADDRBSSl"
"'1':7,',. 'r" "&,.,
'. a"
,.{r,:".' -"'"" '.
i'I'~,;,,~,.....b';;'lt. ~, 'il"~'l,
' '.' ....;~~!'I'. ,-," ,"'""..
4!().u;:pEs~QJ'l (omee.1e only)
:''''-''~l'
"ili;'I\1B~<i:'jd;( ADDITION
~::::. :ii~" l PERMIT NO.i:. ~ "'11 r"i);,:; I
h..liI ^Wllllr..fnl "-~ .,f}" ~j :, .
~t4J-. TJtQ,'1
ZONINa(oIIIet~)
LVI'U.t:.
Sf),
PlD
OWNI!R
(Name)
T':" t}~\ o.t'IJ.LS1.__.._
(PIII.!II\;;)
(Addreg) .
\ ,1"1: .~, -,:,,,'1\ ;',
:{"1''';, <~'~:,:;l.t,,'
(Addre..)
,",
"I
(Zlil Code)
I,"'':
,
" .
'~~.
~;;~~~tr~~e.- C:Y0.
.'1, ".I""'I~.;'
..... (I'I\(IIll:) _ ?/;} ?ptJ 'l~
..8/n.omil1ff-(J/1. ('1A/ 6fi'"L.J,?,!
(< "v) (ZlpCodC)
(l'h'fle) __4/J. '7e1 b 7t.fS-t.
DATE 9'- L(-jI ~
:~":.
(Add.re~)
',~i '. ,.-: ~ ....-l::' r
"!,.:;,~. t"I"/il.D\" ",' . I
. ",. ....~~,. ',0(: "', _ ",..,; .'
(~n~!elSon) ./':
~i1.~tT s'ilj~"1tRE
, '
'.,. .
APPLICANT PLEASE COMPLKn,; Bt;LOW
Size of water service I inches.' .
Location of allY eouplill1;8 fWIIl ~lruclurc ,.., r?... f<:cl.
. Type of sewer pipe. 0 ABC 10 PVC I J Cast Iron
Estimated length of sewer line ~ fecI.
Clean "ul (ifre4uircd) Iocotcd al feel from ."''''1(;1\11''''.
ROllldcntlullcwer andw&ter Iln6 COl\llc"liuu
Sewer connection only
Io'EI~ SCHElHJLE
$3).~U Industrllll, Com'l&: Mlllti.l';t1t1i1y 1% ufjob cost with a.$39.50 minimum
$17.50 WaleI' cUllllel:liulI IInly ,17.S0
Estilll~lcd COSl :\I2..:i:'()
Building l'Cr11l1l11
SEWER AND WATUR PERMIT 1'1-.1,
STATE SURCHARGE
TOTAL 1'lmMIT FEE
$
$
$
.50
11/. I>.
. VIf.(), ';fl()
~G' "f?,.. .
,()~ 'Y
~4)-
'"
'.
(OIIIee U.. Onl,)'
Thl. Application B~e<...... Your Building p~rmi'.W::~ ^~~l"Cl'.d - ij'!fil@"~ 0 ill ~ ~.nNO.
.-..- "'" UJ''AUG :iiiG01!J l'q' .
241,(1\1,' Ilutl~e (or "II hUl"tt.!iolu (%2) .141 ,.)fI~O. r:III'i~2),'11-J'414:'i
By Bv __
[j-,
10-30-03 03:56 PM FROM FGTN PLG HTG
TO 95244 74245
POI
Dal~ R~c'd
CITY OF PRIOR LAKE PLUMBING PERMIT
: ~ ~~,~ I PERMIT NO. "2 _ Of (p d
) VIllIow "pPllatll r}" t ~1
(Pic... .... or .riDlw Ii." II bollOllll
II ADJDREOS~ Q
o 0 ~CQ...t
\!"'\
I ZONINGtolll<<u..1 I
LOT BLOCK
LEOAL DESCRlrnON (0_ use only)
PID
ADDITION
OWNER '-- I. .-'-~
(Name) 1 c. ( f'V\ nt'\.to:l~
(Addrm) [; I KO
(phone)
APPLICANT.L t>._
(Name) F=Q.""V'Vli~l1)l'\. 61. \-\~ (Phone)JS/-lIt.3-78d-.4
(Address)J.,1031.-/ C'K: , : ~(''''''' : Vl"l~'''' .<50:1.4
(A ) (City) 0 (Zip Code)
(ConlACl Penon) .j;"" I ~. . i'\ ,- (Ph~ne)
APPUCANTSIGNArorb: l..~l ,~ DATE 1~-..30-D7,
QUDtity
2-
\
I
4
I
1
:J
APPLICANT PLEASE COMPLETE BELOW
Type or FinDre
Bath Tub with or without shower
Dishwuher
Floor Drain
LaV.tory(Bl,~...." Sink)
Laundry Tray (lor 2 complJtment sink
Shower Stall
Sinks
Bar Sink
Wsler Closet ([oilel)
Quandty
-~
\
Type or FIxture
Rough-ins
Waier Heater
Water Softner
Stand Pipe (Wuhing Machine)
Sewage Ejector
Backflow Assembly
BaclCflow Assembly Test
Lawn SprinJcler
Other
FEE SCHEDULE
Ind\l.Slrill. Commercial & Multi-romily 1% orjob COSl with I 539.50 minirnum RcsidCIIlial. New One & Two-Family S99.50
Retldmlial. Additions & AI~on. 539.50
Eltimlled Colt S
Building Pemit N
PUJMBINO PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMlT FEE S
PAID WITH
BUILDING PERMIT
.so
."
10m.. U.. 0.")
This Applk.ollon Bec:o.... Yo.. Build I., P....II WII.. Approved
.
....... OlIIcIol
I Paill, ";';" "WIpC NO. ,
,0') I'" 'I'b "",lJ U '. ',',.,,' .
<\:,,1... .UJ) ~ .. ... 'I _
DI" 11'm MOV. O,~ ?~Q;, " fj\
24 ~o.r .ollet r.r 111'..pectl_ (m) ~1'''1~~ (952)441"'_~:;S:__.J
P.I1I1/11I2
Dnt~ Rcc'd
308B BOBCAT TRAIL
--I
I
7.0 NIN 0 (Oi;"-~;:)
ILEGAL DFSC.u"p:i1'<JN (d':"':" 001)')
i
i LOT Flf..OCK ADOTTro:.:
PID
I OYINER
()'Jalne)
I
,
I U~..,~~dr:':~:i)
(PiloLl
..- \ _..~-
(t.d~r:ssJ
(Ph"nel 95Z.LfLfO..5'ZO _.._.._,
PRIOR LAKE 55372 I
(c.r;J .__.. (Z,p CO,")' -- I
(Phvl\d -252. 4'f0-5t.20__
[),\TE. 2?~PROI../.=__.,.::i-':''-
, "I" Ie "....
! r\~- .1... _.-\.'" 1
I ("'1""
. ;'\q~ l.f:i
i (",,.J":"""''-l
i :\~''-''''''''---'
,
\fIERECI< FIREPLACLSAlES .IN.~_
{("15/ MAIN AVE Sf
i (CO:li"::lPcm'~) '-I(Yf RIV[~ ~ .~
LFrl~f:iu,!'.T S:G"',:''':ITJRE _~-., ;t.~_:~ )
APPLICANT PLEASE COMPLETE BELOW
i O};;=W CO;':STRUCTION ,.
I FU;:.I':.\('1;; ".IAKE ...Nil ;\!O[)!::L _",
: FW('; SllE _'., RETr;R"i OPE;.!rNGS
,
!
i
o RL'fiLACEME?'-iT
n Ai.. TERATiO?\S
I-UEL
_,_-'_ OUTPUT
INPUT
TYPE OF. SYS1.cM
HE.'" TI;\O OR POWER PLJ\l'tr
, i
I
,
[J\VCl'!'l'\ Air PI<;,:-:t~
OGr:wlry
O\b.:-h<!i1il..:,:t.I
O:\k CcmiiLloni::g
OV",.,Sy,"'"
OStC'am
o Hot V"'n.l~r
U Rndio:,o"
o SP::Ciill D~\,jc~s
o Other D(:~'iccs
PLEASe: r>OTE:
Air ConditionN Units
t.:'lfli'IJt Encroe-:h Inca
Required Side Yard
Setoacks
I
i
I
I
I
,
......,M_
I
I .FIRr:Pl.A~.~.~~'\"C AI'D ~:f()DFf.
.IY/A)[5.TlC YEl?tlONT .cfl$.T~N.(;.2. ~b.Qj)VI?IZ.Ii
FEE SOll::DtiLE
Int.luJl:ri~:. (.',~.;l:,,\,~~~I~hi ;:;. l\lt.:lij.Fn;lliV.
l%t")fjl)b I.:OSt
S3CJ.50 mir,ir;'lt.:l~l
.$~/').5f)
$6~..)O
R=;;j\~;::"(i",1. O!l5 Fir=pl~r::::
$;9.50
RC'>id~'ni(:tl. I !~;~:;i.~ & .-\,:C (':\t'...- Ci).,;t';;.:c\,ionJ
R:::sidl;:1\.l.11. r:;.';;'::!':i! O:-liy r.>:~~..' C<)m:!:-.;;!io~)
R~S'ij':.iiii~1. A.Jliti"ns & ";I!;;i;,;.~:\ms
R.~s;~;~.')d~l. ,1\C Only
SJ9.l0
Sj9JO
lsrirr.a.td CO$~ S
Bwild!.~.g Permit .#
(Ot('iCIl t'$e Onj~ I
HCi\Tl!'-iG PER\ITT fEE
STATE SURCHARGE,
TOTAL pf.R)lrr Hn
, . f
$
S
, -----2_Q
_~\ 0:6
_e,.~"~~'
.~~
_.~:~
'vj)v
s__,__ ,
Thij Applic"'iol1 ikeomej Your Building Permit Wllell Approved
BuilJin\! Orotinl
D:1fc
14 hDur MEicc ror:111 inspections (952) 447.9 :50. ,':u: (952) ~~i.4~4S
IBy-----
FROM :FARMINGTON PLG & HTG
FAX NO. :6514637835
Dec. 15 2004 04:53PM P1
Dale Ree',
CITY OF PRIOR LAKE PLUMBING PERMIT
...-:" l (}._ \<;;.0'-1
'TO" l.fS3
,.... "" I PERMIT Nog;:;~
1(al4 e'l, -
I "'.."".. ~"'jUlOl
rPkue rvoe or pftol ud siCA! bctnoal)
i ADDRESS
30gg
ZONING (011I", ",,)
~ () hc.c- -\- '_LJ
LOT BLOCK
LEGAL DESCRImON Colli", US< ooly)
AoomON
PIO
~~;':~~~t"l \o..~ .r+oVV1e.~
--'
(Address) L-ct-k e V; (! e. fYJ 1\
(phone)
~~~r"", i V\~-b,,\ r1e 04.~/l H-4tt (phone).. 1.c5/-4/A-7 S~4
(Address) .J../(),?, 4 Cblrrev, Jt\le tlye, <fn" M t V1Cl~'\ !;S()J..~
(AddIar) (City) IF (Zip COde)
(CoaladPmoa) ,C ''''' I Va."" (p~IIe)
i APPUC\NTSlONATUiul \"J evv...uY t- 9n[o~ .
QUIIllty
;L
J.
4
\
I
\
I
1,
DATH
I'd.. - 1<,-04
APPLICANT PLEASE COMPLETE BELOW
l)pe or I1xt1Ire
BlIIII Tub Wilh or Wilhout IJIIaWer
DlibWUber
Moor DraIII
Umori l~1fIuuDm Sink!
~fu,(l or 2 oompll1DlenlSink
Shower Stall
Slob
Bar ~lnk
Waler Closet (Toilet)
Q...tlty
7..
I
1)pe orll'lxtare
, Rour/l-iIII
\V-<<Hearer
W..lfotmcr
simd p~ lWabing Midline)
Sewage mCi:ior
Bll:ld1ow AlJembly
B.clc:how Auembly teet
Lawn Sprinldcr
Other
FEE S<:REDULE
IIlduIIrIaI. c-:rdaI ole Mulll.flllllly ." of Jab _ ...111I. "UO """"""'"
S$timlled Cost $
JlI:IIdoau.I, New Ono A Tw.PlIIIlly $99.$0
a....-.101 AdcIilIoM A A/Icnd.... U9.50
~O w.....
SWtOlNQ";;' ,.,
. ," ",' .~flMrr
~,"~,/.~~.,':::,.- >/"'1::!~,{'/ '~<-( {" ,,~J;" f'; "~;~, :
,'. ,,' ,v,~t".1" )l"4 ',' . ~ t,
""'J.i~~'A"'~:';l~:~ ::;.' . ", . ,:'I:~,:~,;,;:(<"
,"II ~ ' ~~"'-,
I r- ";"IIl<~&f'~;r'." '; , "", '"
, I,;' ,"':_: "f';~."i;1 "'1, ,'. ';, , ~f
~1Id1na PlIIlIIlt.
PLUMBING PB.RMIT FBE S
STATBSUR.CHAR.OB S
TOTAL PERMlT FEI S
COIIla lW cw"
1\11 Appla.... a-.... y.... Bd4l11C r_!. WIaH A", ., . J
.
.-.. 0IIId0I
'I~IAN
Dell
J4 '.ar .1&1 'ar .11 1..I*tIo.. (HJ1 441.ftS'O. rn C'$Z) ~1-4US
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~t &h -f Tv
NATURE OF WORK ~
USE OF BUILDING ~j:O
PERMIT NO. V~- () 9f,~ DATE ISSUED u
CONTRACTOR r~ '#LJ I.'::tJ1' PHONe.'I~'. :clL'-r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
OATE
,
/-JuJ. ~WER I WATER I SEPTIC
'7 FRAMING
INSULATION
ELECTRICAL
PLUMBING W/L ~L}7 ~~
HEATING (if required)
FIREPLACE 2Ae1 ;L I
GAS LINE AIR TEST ~~
lFOOTING I ~ I 7lutt~
, FOUNDATION (Prior to Backfill) I ?~ dy I
PLACE NO CONCRETE UN.TIL AioVE HAS BEEN SIGNED
ROUGH - INS
,p// &~ Y
, 11). ..-
tfJ~ ~ J ~ -/
we.
I '-2<{
..
-
(#f '\
'---
rf;
11 -Z f
~
COVER NO WORK UNTIL ABQ.VE HAS BEEN SIGNED
~I,~~ STI~' /"';tC5 I~-?~ I
FINALS
GRADING (Prior to Sodding)
BUILDING <("~.U~O~'llt't./ ~ 4/L3h'i iI1~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
~-2s
~ ./":/;"
~
'if}!> jctI
BEEN SIGNED
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 shail be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ftr2f;"-oFr
ADDRESS ~~ ~C2::0 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-:) - cr~
Cl FOOTING
Cl FOUNDATION
o FRAMING
Cl JlSULA TION
)iYFINAL
Cl SITE INSPECTION
Cl PLUMBING RI
Cl MECH RI
Cl WATER HOOKUP
Cl SEWER HOOKUP
Cl PLUMBING FINAL
Cl MECH FINAL
Cl EXIGRADlFILLlNG
Cl COMPLAINT
Cl FIREPLACE RI
Cl FIREPLACE FINAL
Cl GASLlNE AIR TST
Cl
COMMENTS:
/"
/ WORKSATI ACTORY, PROCEED
Cl CORRE AC N AND PROCEED
o CORR CT CALL FOR REINSPECTION BEFORE COVERING
ins peete .
OWner/Centr.
50 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
QUlREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETYI
"""'"'
g)bu.d-T/I
TC (4"$ L.
(!)5-~i
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1o~9
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FDUNDA TION
[J FRAMING
[J INSULA 110N
6l'FurAL
[J SITE INSPECTION
[J PLUMBING Rl
[J MECH Rl
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
COMMENTS:
G rad:t ~ t5} /I
Lrd6 I~~~~
0/
\0 .
DATE TlIIE
'-I-~-rIf /;00
~~ILUNG
[J COiIPLAlNT
[J FIREPLACE Rl
[J FIREPLACE FINAL
[J GASUNE AIR TST
[J
~K SATISFACTORY. PROCEED
[J CORRECT ACTION AND PROCEED
[J CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspeaor/1/'dfF OWner/Conlr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNfNtm
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & S.4FETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
r~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
rJ' FINAL
4Ei SITE INSPECTION
DATE TIllE
SCHEDULED ~ wfPo
~~~J
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
; MECH FINAL
:3 -qcP~
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
J!. FIREPLACE FINAL
o GASLlNE AIR TST
o
"
. \
~ It /t9L( 'j?
---
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o WORK SATISFACTORY, P~OC~ED \J - .
o CORRECT ACTION AND PROCEED
.0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/', -
Inspeelor. ~
v
Owner/Contr.
,
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOT'
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
3-1'i
ADDRESS 30~ \r--
OWNER CONTR.
PHONE NO.
PERMIT NO.
'? -,{,~
o FOOTING
[J FOUNDATION
o FRAMING
[J INSULATION
o FINAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)!(!>LUMBING FINAL
o MECH FINAL
[J EXlGRADlFILUNG
o COMPLAINT
[J FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I.
1._ Gh~ (I'D'.. ~I
~. ~~,,~..Q.. Qrr....._ {.... z...I.....EJ (l~
~- .
o WORK SATISFACTORY, PROCEED
XCORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector. .' OwnerlContr.
gALL ~'~OR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODEZ:E~ARE FOR YOUR PERSONAL HEALTH" SAFETYI
"""'"'
-.k-~ .......-.._
Ql~difirat~ nf ~rrnJlanrl!
CITY OF PRIOR LAKE
@.rpar1."".lf nf '!'J.uilMng Jfnsprdinn
binal Permitted D Conditional C.O. Expires _
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 SINGLE FAMILY Bldg. Permit No. 03-0968
Occupancy Type R3 Type Construction VN Fire Zone N/A _ Zoning District R1
Legal Description L39, B1, THE WILDS SOUTH
Owner of Building
Contractor's Name & AddreSS7~STR. .
ROBERT D. aU.'!t'4~~s
Building C/fflial
Date: 1_-'7I:::;_~'v/
" '-"
Site Address 3088 BOBCAT TRAIL
P.O. BOX 51. ELKO. MN 55020
. City Planner_DON RYE
Date: