HomeMy WebLinkAboutBuilding Permit 03-0702
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
$- Jq-t) 3
I. White File I PERMIT NO I
2. Pi.k Ci~ 'O'? "0"'70 Z-
3. Yellow Applicant .> (I
qtlease .!VtH:. or Drint and silZll at bottom)
ADDRESS
(J.79~ W:Us:.. L.-...L-
LOT ISBLOCK
ADDITION Sl' 4\:~_
jh ,/)~...iJ C'~ <:" 7 /
_"SCP A- -.. (
ZOp;;D-~e) I
PIDd"<~n7 'OIS-d
/<1 c.J_
LEGAL DESCRIPTION (olliee use only)
OWNER
(Name)
(Address)
(Phone)
-
~~;R m ,,1'1-,.1) (>a-~ -I ~
(Contact Name) -<tatfJ 0~LS"--'
(Address) ?(;c> I (!.r c.. '-'j.r!- '"a"" c:u..- ~ .
"-
(Phone)q~,1..I J,=,-. ?bC) (
(Phone)q~~,l(?.:;/o-~ ?f..OI
1.4/I(..LJI~ /4.-;...... <~-,:J~
TYPE OF WORK
~ew Consbllction
llJDeck
OPorch
ORe-Roofing
ORe-Siding
~ower Level Finish
~ireplace OAddition OAlteration
PROJECTCOST/YALUE (excluding land) $ <:) r (){)'t).
~tility Connection
a...
o Misc,
I hereby certify that I have furnished information on this application which is to the best of my knowledge tru.e, and correc;t. 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enteru on _~.1 to perform needed inspections.
x /~e.5) "'??(~ .;,~_/y_c>"?
Contractor's License No. Date
I Permit Valuation ,~ILoOO,"""" I Park Support Fee # $ ffS-D ,00 j
I Permit Fee $ ;J.J'7$.35" I SAC # $ j-:)..fJS. ()O ,
I Plan Check Fee $ 14/3. QIH I Water Meter Size 5/8"; I"j $ -~qO.-W:
I State Surcharge $ I.,,'-j, ,t;"" oj I Pressure Reducer $ 1()~OO ..,
I Penalty $ I I City SAC and WAC # $ , -
I ~OO,C'O
I Plumbing Permit Fee $ lot), ()O I I Water Tower Fee # $ /7,,~.oQ
I Mechanical Permit Fee $ /fJt'l, oQ I I Builder"s Deposit $ /50{),oO
I Sewer & Water Permit Fee $ 3~,50 lather $
I Gas Fireplace Permit Fee $ s.fO.OO I TOTAL DUE $ Q'J15.33
I I , ,1 -)
1lJ~_~SY:UIBuil~Awoved I Paid er crtJ. J.,J I~O ~/~tf::J
I Date 1.4.0 )
I Bui!dingO~ Date
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 conunence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 bour notice for a11lnspectlons (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Plior Lake. MN 55372
White - Building
Canary - Engineering
Pink - Planning
Tht'C...nlt'r..flh..I......Counlry
BUILDING PERMIT APPLICATION OEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J1ZI)_i~ ~~
_-5- /9- \3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;;2-/}qy /lltJd.4 ~
Accepted v
Accepted With Corrections
Reviewed By:
Comments:
uti----
G?llJ
Denied
Date:
~. P <./-I.'V >
"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-
-,.
Th..C'pnluoflh..l.lkf('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CH.ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/11, ,
//1//
O;?/(/:-//( ((t/:;;.<iz::::.-
5- !?- 1..5
The Building, Engineering, and Planning Departments have reviewed the building permit
,~pplication for construction activity which is proposed at:
-') /)(j::--/ -j---' ;'fl//J --' )/, '''_~
.' I' u / _ /A> U",.,;} _ ,~- r
Accepted
/
Accepted With Corrections
Denied JJ ~
Reviewed By: !2JJ~
,",omma"'" t; /:V ~
Date:
~fi3
.
'7 A(V]
, .....~
~. J
~
..\
u::~
-,i,
"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. C'.fll.rnflh.l.ak.Co...11')'
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERIWLAPPLlCATION DE~RTMfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/J /"1
; ,,-,} ,i ' .' / /,# --r-'
-'..' ,I,/l) i/ /::'~-7,.1/'.. ~~/l'./ I...' 1:., ~',?,"/~./;-4
/ /I{ ,_,:,~" ,_,'/"/~.,-(.' '_~ r:./'.~_.--"--
r 10. ,'01
.::.;.. - f ...;.)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-,. " 'I' ,1 /J '/
j. -1 (1 "~ .. -It./'Ce,,;! /cL-<K5i--------
Accepted
Denied
.~
Accepted With Corrections
Reviewed By:
/JJJ4 Is
Date: (;-2-t!2)
Comments: ~F'\flL.Reyerse Side for Arlrlitinnl'lllnfnrmatinnl
See Attachments: 1 )..Qrndinl! Plan. 2) Erosion Control Measures
"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: BINDER HEATlt,G
PHONE NO, :
Jul. 02 2003 01:49PM P1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ret'd
A
(Plea.sc: Noe or urine and si.m at bottom'
ADDRESS
d-l q ~ V-l ~ \ d. S '-0-'" e._
:::. ~~. I PERMIT NO. 3 -7oJ--..j
:s, Vellow AppliQM
ZONING (O_UK)
LEGAL DESCRIPTION (offioe use only)
LOT (<.j BLOCK
ADDITION 'S\.e.l" \; '^ ~ <;"ev..."'''''''
PID
OWNER
(Name) ffi( rJr"'l<'\ (LI. rl. CD '^ <;:.. ~ (' II (' ~ 0 V'\
\
(Address) f><: '0 C, \... '-' c...\ \ " \ 'I
(Phone) qS;;).-'-! "'- '::1.-(1,-,0 I
APPLICANT ,
(Name' B \ (\.de (" ~ Q('l.,h '^ 'j
(Address) ~&.. \-i-o...('dl^A.Q.(\ 'A,W?_ W
(Addn:ss)
(Phone)
\oSI-Y c::;, -%., ~ I
M.tv 5$lJ/~
(Zip Code)
'S,s,"i-, QOJ_d
(Clcy)
(Contact Person)
'" (Phone)
-c:-.lt:~ ( , ,.f //J A ~ DATE
., - ()d-. - C)3,
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
jlgNEWCONSTRUCTION 0 RE~~EMENT 0 ALTERATIONS
( (,,"'1:5\00
FURNACE MAKE AND MODEL ()fY\.-+(),J,.-"",,, k...:,- I f\C'\ (',('\C'\ & Tu FUEL 'J Q S.
FLUE SIZE REnJRN OPENINGS . . INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
" OWarm Air Plants 0 Steam
OGravity 0 Hot Water
2l Mechanical 0 Radiation
Q9Air Conditioning 0 Special Devices
ti9Vent, System 0 Othet Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroal:h into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial 8< Multi-Family
FEE SCHEDULE
I % of jOb cost Residential, Gu Pireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential. AC Only
$39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (NC'\N' Construetion)
$39,50
$39,50
Estimated Cost $
(Orne, Use O.ly)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # 0 ~ -(Y'l O:;L.
,,,;i-,
,-,""t. Il.
$ , <I ' \ ~\\(
$ tYv -, \ Cr,6j)
s f vr .e.J
!
This Application Becomes Your Building Permit When Approved
Building Offi,ial
Date:
I Paid
I Date
I Receipt No,
I~
Ii
14 hoq,~ notice ror .\Ilnspec!lo.. (952) 447.9850, fa. (952) 447-4145
r
I
l' L:J !,.:.')
L!~ U \'J l'o, \ I: II
o 8 ~~~trd
CITY OF PRIOR LAKE : .<
HEATING/AIR CONDITIONING/FIREPLACE PERlV i!\f JUI
,By
lE:. ~~i_1 PERMIT NO'03-010LI
crl.... tvIJ! or mint and sian It bottom}
ADDRESS
~~~'
ZONING (ollice=l
-
...",.;;,".
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
u'ftJ.Ull\.
(Name) MCDONALD CON~TRUCTION
(Phone)
(Address)
APPLICANT
(Name)----1-J J .TFD WFR.TnF DRA FIRESIDE HEARTH & ROMF'.
(Phone)
651-633-2561
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/8/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
......,....
.
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVen!. System
HEATING ORPvw.,,,, PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO 6000TR-OAK X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
(Omee Use ODly)
Building Permit # 0.3 -07 () L ~~ ....
~ .' p~\O p~~~~'
'f.~ ~, n f!>.!!~s "",. ..",I ~\~G
i." I n~~ ~ ~ ~8~\} ~,_._.,~
This Application Becomes Your Building Permit When Approved ""'" --' Receipt No,
Byl Date By
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BuildiDI! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
From JECHEEXC
PHONE No,
612 8926396
J~I,08 2003 5:40RM P01
CITY OF l'lUOIt LAKE
SEWER AND WATER PERMIT'
",..' "',I'l,i"
, ,,': l~ -'I,: i,,'l~.; ,'"
I.~~.... [t@i~...:~;<.::'i~';.,.r-lii~;
I \1, ',j.,.' , . :')1
; r J Vi 'i).112mn ..
U I,.
, ,'" "
,"1,
11\"'/-'
,., ' ,~,
~'j;i,\'
..
By
'".' j
\,(.- ",. 11'J!:KMll"l'oIO. ,'11I3 .Or'1a~ \
,. v.n..... CUt . "\" t:J-. ,-- ~ / ~
J_ 1.Jo.l. A..II..... ' " "
I -0."" 0 N W,...-
'\ Z..Ji....1) (olIoellM)
BOALDESClUP'I'ION (om..... 0.1,)
t~~':~t'B~6CK ADPlTION <s-iOvo (;U1 ~'2>
;;;~.,.....,."... .110 ~n}1E_t~:u_'~__'___""'''.'''''.''.II' (.P..h.on.e)'1J"2 4~~. ....
:'~'~~'~'+~I';!;:hi.""'I':;;;:'::J4n\I\~, J~. ,I~, II..! ~,. . ..', ..""l:illI;;:':",.,
t\ddre.lS) _(\~, I _..._," .1--JLLKl fV . . '~'
"""'~~.""l/(....,\I''''''W.'''. . tA,_.l. (Cill) '0(.,." . . .' ~.., '.'1". ,,:;
-. .""~....",,...~'.". ,- ----,--. -... '" . . ,', '( ,~I"
~_"p:..("",r.y;"'t~~"l"-'.'.",ij"":'
~~J'i(~~
~;}.tl~it4;"~l~.';/' "",( ,,'-, 't/':t
,I!" ",
. . . '~lWlj~ t,';:
\ .'.. "''':''',:.'
;',~..'''~.4:l'~( . ,~\~<~::
COI1t&c* P~tIOn)' "
~')~"~"'~i.;t~itV'-;:,;::,i;i, ;
lJIPLlCANT SIGNATUItB
r' ~, ~J ,,:' , .,"
..' "1'\'.' '
l,~~T.
PIO
',.'
€"'C'.
C PI,I'lI''''.~
CAdclrclI) .
(Phone)
.._,_,_BIDflI11 i~ if) VI
( ilY)
Co/!} ?;JO'l'-'D ,,'
M)),l I)~~" ,
___. (Phone) ~ /J. '70? 0 7'1.5t .
D^T~ 'L::l-:;;91~:" ,"
.fL:.:::"'-_
APPLICANT l'LEASE COMPUn'E BELOW
.-.- ---~....- ----.--.-....
Si%e of water sel'V j~e I inches,
Location of any coul'lirllls l'rum slru~l\lre feel.
,Type of sewer pipe, 0 ABC [!j1'V COCas! Iron
E$timated length of sewer line 2-D feet.
Clean out (if l'cquired) lo~.l(:;d al feel fruUl slru<:lurc,
:t..ldenllallowor and water Une con.nec.tlon
.ower ~..lion only
~3S,SO
$17,50
Estimated Cusl $ _JS r.; i)
I~E.E SCHElllll.Jo:
1I\dU~llit,I, Cum'! &. Muhi~rwuily
Water connection only
I ~ ur jol> 00'1 with 6 $39.$0 minimum
S17,50
UL.ilrJing Permi! II .... '.'_
SIlWER AND WATER PERMIT 1'1':1',
STATIlSURCHARGE
TOTAL I'EnMIT FEE
$
$
$
,so
PAID WITH
BUILOiNG PERMIT
"
10m.. u.. 0.17\
T.... AppU..tloa "com.. Villi' Building hrnlil Wilen Approvcd
.lIl1dI8, ORicl_.
~_.'~ifM..[ TIIKocelPI N~
)"Ytll 0 9 2003 ,:IaY
._0..__.._ . _....__:::;:;-'
"l~';
24 hftu.. ""lie' ror AlIln~I'I~\.4it)l1ll (t)~l) ....J? '1fl,,:n, rlU ('):;/) ,t''''-414~
By
Hair
.
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PER...'\1IT
'!'!!!f.!VP.J.3" IIIiDt aDd sitrA al botloml
I ADDRESS ;} 1e;;} Wi Ids La n e tI if
; ~ ~~, I PERMIT NO. ~ - .70 ~
lV""'AppliGIm J---1
I ZONING '_lilt) !
. LEGAL DESClUPTION (ollicc UIl! olllYI
LoolY BLOCK 0 / ADDITION Sie,.f,'hq -S:Odh
PID
&".::e~':..l:L!JOI)Cl.1d ~i1.drv.c.:fiOh lAc. .__ (Phone) 9.:\J~y.j;;;-?GO(
(Addled) -'/C;()/ JY~fh -s1. Ji;p,'~~/p' f!ajif.':I_~)1h ST(~ Y
:fANTRvp, S1o.f P/Unth;hj ,..jhc' (phone) Gs'/- Yr9-&,/J'a
f(Ad4ress)7cY93 ~rt/e! Av'e.~" Ootla_qf? ~"()i/I' l)1h -S--S-O/15
I n (Address)' (CIty) (Zip Code)
i (COntacl Person) I.. /0. U P ~rn :fA _ I - (phone) 1", \J '- Y .r9~ rR I ~
I APPUCA.NT SIGNATUR2 .~~, J(>/~ .. DATE 7 ~J>-o,_ y
APPLlCAJ'llT PLEASE COMPLETE BELOW
. , . !Yf'II~FItgare
Bath Tub wltll or WithOllt $l10""er
blshwasber
Moor Draln
LavatOry (Bathroom Sink)
LiuDcIiy tray (lor Z compartment sink
Shower Stall
I SIRks
I Sar Sink
I Water Closet (Toilet)
. I . QUlUltity
I.
I /
/
I Typ4 of 1I'IxtD'"
I Rouah-Ins
I Wiler Heater
i Water Softner
StlInd Pif!' (~..hinll MlIl:lljnll)
sewll8e lijector
BlIl:kt'1ow Assembly
BackHow Auembly Test
LaWn Sorinkler
I bibe.r
FEE SCHEDULE
Industrial, Commercial" Multi-Mily 1 % of job cost with a 539,SO minimum Residential, New One & Two-Family $99,'0
Residenllal, Additions &. Alterallons 539,50
Estimated Cost $ / ~ ~(), (X) Building Pennit # () ~'- () :If' ~
PLUMBING PERMIT FEE $ ~ AM. fM.~ SUl ~O IM-_
STATE SURCHARGE S . .s!!. 'LDING";;:"'"
. .. TOTAL PERMIT FEE $ '~c:'F1M""
(0lIIt. u.. OtIlf) , I
~ Tli..App/l~tioD .s....ec:o.. .~y ,.''!'d'i......., Wio. ..~I1lfi. m .. ~].I:~eipt No.
I . "olldl.. Ofllelal ' 'D.. ..' . ,. te- - 'HlAA: ( ,f
.. .111' . I U "uu~ )
24 how. noli.. for aU ......<<i.ns (9!l2) -tMi, lex (9a) 44'~1
By
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ;}/19;:;' LVIL.,O S L.A/
NATURE OF WORK NEW'
USE OF BUILDING'S F /J
PERMIT NO. 03- O~O2--. DATE ISSUED
CONTRACTOR pJr-.i)/Jlf/a /d CtJ IU~ t r PHONE L./1~. 7t. 0/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,
I FOOTING ~/~ Ilk.,- f,4.v~c I ~
I FOUNDATION (Prior to Backfill) I /J;? ~ -/,!? I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
m :;>.?y
rQ'&,tO
JIl<'>-./p
~/tk~
,I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING {l/R - '1-)1
HEATING (U required) r-!! d-_~
FIREPLACE f5:) rg ,~
GAS LINE AIR TEST ':J .::,~ ~ ~6
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
I
GRADING (Prior to Sodding)
BUILDING 1" e<f ~ $-(
ELECTRICAL
PLUMBING
HEATING
DO NOT
P$
rd e-.,,;.
W)
OCCUPY UNTIL AsbvE 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.
6..~
,
FOR ALL INSPECTIONS (952) 447.9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE.
SCHEDULED Cr ')f; -d t.f.
L.. iA h, LU\
ADDRESS ?-PI 7.
OWNER
CONTR,
PHONE NO.
PERMIT NO.
)-70~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ _;Q J-1ruu.- '3 ~ ~
/7 ,I) . ~ ~ fl /}
~ 1"L....~...Y. ..\~
~ ~ ./
/" WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO iRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspeeto Owner/Contr.
CA 7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODI REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
;) 75::2 lAI/l/s ~-
CONTR, I11r 0.,,,,.,1/
PERMIT NO, D '<. --0 70 z..
ADDRESS
PHONE NO.
D FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~~'INSPECTION
D PLUMBING RI
[J MECH RI
[J WATER HOOKUP
D SEWER HOOKUP
[J PLUMBING FINAL
D MECH FINAL
~LLING
. [J COIlPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GAS LINE AIR TST
D
COMMENTS:
f?/ottc, Ot.-
~1(
(XWORK SATISFACTORY, PROCEED
~ tORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
...4 ./-::?'
In.pector#'t~'lYAot"" = Vwner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 2~ HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & 8.4FETYI
uaNfm
CITY OF PRIOR LAKE
INSPEC110N N011CE
DATE 1lIlE
SCHEDULED IO-2-C~ c;:J6
ADDRESS ;:z IJ "1"2
\.J;\&; ~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.~ - 670<.
a FOOTING
a FOUNDATION
a FRAMING
a INSULATION
a FINAL
a SITE INSPECTION
a PLUMBING RI
a MECH RI
a WATER HOOKUP
a SEWER HOOKUP
~ PLUMBING FINAL
a MECH FINAL
a EXlGRAD/FILUNG
a COMPLAINT
a FIREPLACE RI
a FIREPLACE FINAL
a GAS LINE AIR TST
a
COMMENTS:
L (l,.~ ~y
.2. T\Ml,~.)J., ~'~~
3. Q....ll c,........ /.A-l T( )
(j, "f~1. tJa.,.".-.~ ~r~,.......,,",~ ~
~;Il ~_ ~
a WORK SATISFACTORY. PROCEED
l- CORRE ACTION AND PROCEED
a COR CT RK. CALL FOR REINSPECTION BEFORE COVERING
J
/') Owner/Contr.
:laso FOR THE NEXT INSPEC110N :u HOURS IN ADVANCE.
C-lLL
V
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""'"'
Qtntinratt of <IDrmpanq!
CITY OF PRIOR LAKE
~eparfttttuf of ~uHhiug JJusptdiou
~Final Permitted D Conditional C,O, Expires
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code cenifying
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:
Occupancy Type
R3
_ Type Construction
VN
. Fire Zone
N/A
Zoning District
03-0702
PUD
Use Classification
SINGLE FAMILY
Bldg. Permit No.
Legal Description L15, B1, STERLING SOUTH
Owner of Buildinr
Contractor's Name & Addres< MCDONALD CONSTR.,
ROBERT D. HUTCHINS ~I
Building Official
Date: /, -'/-(--0(/
Site Address 2792 WILDS LANE N.W.
7601 145TH ST. APPLE VALLEY 55124
City Planner
DON RYE
Date:
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