HomeMy WebLinkAboutBuilding Permit 03-0411 NC
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please typ~ or print and sign at bottom)
ADDRESS
---.' r 3 LJJ. w,I>..J Ju",j)
7' fL.: I
LEGAL DESCRIPTION (office use only)
L While File
2. Pink City
3. Yellow Applicant
Date Rec' d
3-20- 03
~RMIT NO. ()3 -(j 4-1 LJ
1\1 W
ZONING (office "'e)
12(
LOTI~ BLOCK () ADDITIONI,t... u,:/Jt;. Su<J-r~
I
PID?S-:~ ~J /!-d
OWNER
(Name)
Ih Lbt!l",~/J
(Address)
Q..-cT-.
(Phone)
BUILDER fJ I. J
(Name) f'I1 C ,.,..........V <<1.,.... T.
(Contact Name) ;)'.....J:~ ('). 4- l.r..-..
(Address)"c"OI l/.fs/iL, 6'i"""....S'f. AiJ(JI..",-1~ ~.__
TYPE OF WORK
o Misc.
x
I Pennit Valuation
Pennit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Oil New Construction
OLower Level Finish
Signature
I "'z. 77. () OOtOO I
1 $ ,
1$
1 $
1$
I $
1$
1$
I $
/"0.00
IOD . (J 0
?'S'. s;-o
4A. 0 I)
Application Becomes Your Building Permit When Approved
~ . ~ 3?9A3'
Building Official bate
(Phone)<;n.-"'3~-?(..O f
(Phone)C;O-43?-. ?(..o/
e-If '-';1-1 ol-I~ I.( f(
-<S',.:J, 41
DDeck
Dporch
DRe.Roofing
DRe.Siding
~Utility Connection
i?e.';'17~
Contractor's License No.
3-ilo-o3
Date
~t;;; 0 . OIJ
IZ-7S.00
300.00
7(J, 0 D
f2..DntQo
70()' Po
f~O.JL.Oo
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 1
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
~(u... ~ ~f-; 3~9/J3 .,(/~ ~ .1.:_ L,~____-#:-~ .
Planning Director ' Date . Special co:;rZ;::~ ~ r-
24 bour notice for all insP<ctions (952) 447-9850. tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I $
1$
1$
1$
1 $
I $
1$
1$ .~
I TOTALDUE (A.PJui -t:-1"11? I $'1;59;4-./7 I
I Paid c,o'TtJl. /If I ReceiptNo. t/q~/l
I Date' 3' //'01 Bv /lL
o
I Park Support Fee
I SAC
I Water Meter Size S/8'({VV
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
#
#
#
#
~ Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) S ,9, 71 I 4, ~
"
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 1
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 0 theY.~Y""~J to perform needed inspections.
..
Job Address
Heating ContraCtor
NlIme of Tester
. Date
,.
Percent O2
Percent CO2
Percent CO
Stack Temp.
1S~t\IIc.(~
Controlled Air
~(?
~o?L
,
laIC:;
~;J
~
\\6
I
.~
~1
VYhite . Building
qanarv . En~ineering
anK . Plannln""g""")
Th, ('rnln of Ih. Like ('ollnlry
BUILDING PE~MIT APPLICATION DEPARTMENT CHECKLIST
,4
NAME OF APPLICANT )7! /f /{;,~)If IJ If"!'./ IlJk2-IU
APPLICATION RECEIVED ;~ "-~ 0 --::.
""
The Building, Engineering, and Planning Departments have reviewed thll building permit
application for construction activity which is proposed at: .
Ie; ~t/~ - /./~oo/lckc,,'I2Y Ir
Accepted
Accepted With Corrections V
Denied
.
~ ~~ Date: 3b?;0'~
Comments: /I.r:!, ~ ~ ~
~~~~'d4/~~
t.U~ q fO) R. () J V-J ,
'----'
Reviewed By:
.
"The issuance or granting of a permit or approval of plans, sp,cifications and
computations shall not be construed to be a permit for, or an approval of1 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."
~~
(White - p'uildins.,:)
6anary - ~ng,"eering
Pink - Planning
Thr ('rnlu of IIIf 1..lIr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECK\..IST
NAMEOFAPPLlCANT /1J<f_/~/1/d / ~
APPLICATION RECEIVED r?S - ~ 0-0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I c; ~ '-I~ - /~.-JO?!J~ w Ir
V'
Accepted With Corrections
Accepted
Denied
Reviewed By:
~
p~ a.lj
~
,.
~~ Date: 3'/.;1-?43
. ,
~~~
~~ ~,-. ~
Comments:
--.!2~
,
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."
...-" -'-'-"-
~te . Buildlna
_ .arv ,Engl .....!il
fink . - 1'18nnlng
TIle C'...", flf rM .... eM"'"
BUILDING PERMIT APPLICATION DEPARTft4ENT CHECI(L1ST
(~). .,({ --
NAME OF APPLICANT )',7) l /~}/ /J A~/ 1'./1 JU1--.cLt-
APPLICATION RECEIVED' 3) - <-~ 0'-':'=
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ --.
/~ ~(/?, - (~/J70(ydtL/'P'2.-Y/ / r
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
1YJ413
Date:
4.l:f..,t;3
Comments: ~e Reverse Side for Additionallnforml'ltiM'
~ee A ttachment~. I) Grading Plan, 2) Erosion Control MeMur~~
'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.' .
erry OF PRIOR LAKE PLm.O)...IG PERMIT
Date Ree'd
1J'le!!>_"" onriJlt ond ,.ian at ~.J!!. _
i ADDRESS /~3 Y3 Wood ~(;k Ira; I
: ~~ a,,,,, I PERMIT NO.O.s-OW/I
N,W,
j I ZONING (011.....) I
. LEGAL DESCRIPTIO 1" (ollio: u"'-'.l)' .
LOTO I BLOCK 0 Y_ ADI?T'no,' TA e Wi Jd ..s ..scJui h
PIO
=~~v~M. C;hsfr~u+;Oh Ire (Phone) 9s-iY- YJJ-/hO!
~-.) "7001 / xtiti: Sf, Jt+6s+/ Atf/P. Ya/!e,~ 11fl ,~..ogY.
~~ r/'I/P.SicJY'_ P/UYh~~::ZJiC (Phone) i'v- Y-.s-9-ttY IdJO
(Addtea) 1J93 ~.~~~;;Ave .g,., ~;%JE' ~Nl V~CkYY /1", -S---s-O/ ~ZiPCode)
r=;!::uV;;:1tt!lfh~~;i5/::~~~:S
,
APPLICANT PLEASE COMl!LETE BELOW i 17'\
H1Quan1f<<L-l T~'!!!..nfFiXhlrll.
". ...'".. . .,' <.,'., ..._",!, .r.._.,. ,.".'
:.!. '. 'BIdbTub w,tIl CI' w.?t\outs!lower
I . I I Dliltwasher
I I FlOor nrain --- -
I ~ I Lavatory (Bathroo';: 'Sink)
! / Laundry Tray (J or.' compartment link
o S60wer Stall
/ slftks
J .- fier Sink
. ~_I waiirt CloBOtJ:roii,ct)
.' . Quantijy
-- ,,'f
)
J
-nv-i"'~'" ..
, . ~t
Ro~.lnl
VI.... "-fer
I Water 90ltner
Stand ,f'ipe (washllls Machine)
Sewap ~iector
BackfIow AssemblY .
! Bac\dllow AllIOII1b(y Test
I Lawn Sorinkler
I Mer
I
.. ,
FEE SCHEDULE
Industriol. Commercial" Mulll.r""d!y J 'j, Or,O" oost with a 539.50 mwrnam Re5,dential. New One" Two-Punily 599.50
RNidential. Addition. &oj\.l..ti.on. 539.'0
Estln' ate<! Cost S J 0 / ~() ,00 Building Pennit. ' ·
PLUMBING PERMIT FEE $ .' . PAID WITH '
(OfDe.VttOD~) i~~~S~~~ ~ . '50~ft~~
~~::-.":!~~~:-....... .;J..~liA~~tl~f:t(.
. ,u'li~~;D~tleefor~"ln~n'(952)44798S0 f....(9!1)447424!1 .,.-
By_
I
I
-
________._~__-~..=..:.......~- c^J.u.t<, LAKE
Iai 001
CITY OF PRIOR LAKE Date Rec'c!
flEA TINGI AlR CONDItIONINGIFIREPLACE PERMIT,
t ~~ ,~I:, I PERMJ;T NO. p../ /(1
], Vllil"" ApphulIC n -, I
l'Plu.;c tvoll! ortnint a.nd. akD at bottam~
I' ADDRESS
/53.J/::S l ~O ~J{'..K
/)n / )
I ZONING (ome,...)1
LEGAL DESClUPTION (office .,. only)
LOT
BLOCK
ADPITION
PID
OWNER [)
(Name). ~'" I:)~" "" /
(Addxess)
rt:I'\,^,r;:;1-
(phone) ~'S9' ":"X-r'\1
APPUCANT 1/"
(Name) ~..I)AJ~/(I'?IV (J.J./l
(Add:rcss)~/;:;)I(j ~aJ-(l~ ,4/le.
"'ddl"")' '
(phone)
~-~:;1
5'sO:;l J--l
(Zip Code)
~.J....J
(City)
(COlltac' Person)
?f;~
"'2:&:-~
(phone)
DATE .,q-~/fi -t"'l~
APPLICANT SIONATURE
./ APPUCANT PLEASE COMPLETE BELOW
~ CONSTRucnON . 0 REPLACEMENT 0 A.LTEM noNS
FURNACEMAKEANDMODEI.. ('.qmP~ 100 _ FUEl. -')~+-
PLUE SIZE ~" PU(' RETURN OPENINGS ,7 INPUT ~. ~~ OtJ'tPUT <fc9~
,
HEATING OR POWER PLANT '
05...."
o Hot Water
o Radl.ijon
o Sp...lal Dcv1o...
o OthQt Devices
TYPEOF~.~."",{
OWarm Air PI..ts
OGravit)'
o Mechanical
OAk ConditloninJ
OYem, System '
PLEASE NOT)!::
Air CondItioner Units
Cannot Encroach Into
llequire<l Side Yard
Sete_cia
FIREPLACE MAKE AND MODEl..
FEESCElEDULE
InduStrl&l. Comrn.crci.l &. MUlti-Family I % or job c:o~t RLstdcn.tie.l. Ou FirepJaec
$39.50 minimum
Residcotiol. Heating &. J.JC (New Cor.st1"Jctioo) . i99.SQ Res\denti.l, .Addition. &< Alteration.
Residential, Hooting Only (New Construction) $64.50 Resid""tial. Ae Only
139,50
139.50
S39.50
Estimated Cost S
Building Ponnit #
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTALPERMITF'EE $.
Bui1<llog omci,'
Date
~..,o
."NG~
-, Q,~ceil't Na. ~
~ 'ff'
I y
II
MAT 11 1 ZfIn3 ,I,
"rax (9~1) 1147-434!' .::.,1
By , I
.50
(omCl Use Cnlyj
'rbi. AI'PliCl1tion Becomes Your Building Parmit When Approv,d
24 hoor notice for &lIlnspectib[l$ (952.) 447-!
tf
__._.~._--...l
lOO~
lilY Q1f110lLLNO:>
9LZ909tlS9 XVd 11:11 naL EOOZ/SI/SO
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Ptease _tvuc; or DrlDt and slm at bottom)
ADDRESS
i =.. E>u"", I PERMIT NO'3 - L( (I I
15343 WOuuuuCK
z'"....J.~.u....G (ofticeuse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOMR
(phone)
651-6~,~-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
RRENDA HUSTON
~OSEVILLE
(City)
(Phone) _651-633-2561
55Il3_
(Zip Code)
APPLICANT SIGNATURE
}JRFNDA HUSTON
DATE
<103/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER 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
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 & NC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
e,. A
VIt..(). ':fl()
~G~
~--9.ff~
(Office U,e Only)
Suildiol( Official
f.d \~ ~",c.~- ceiptNo.
I~ 1[.' Jt
'r ate y
-A1}e. fi 7003 (
24 hour notice for all inspections (952) 447-9 . fax (952) 447-4245 {J
Date
This Application Becomes Your Building Permit When Approved
iilv
!I"'-~-
From JECHEEXC
PHONE No.
612 8926396
Aug. 05 2003 6: 13At1 P01
CITY OF I'RIOHI.A 1\ I'.
SEWER AND WATF.P !'UI.ML'
H''''ll
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lTION
(1)hone) 0 ~..
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. 2.1:J(J7'1.~.tl'"
1\1 ,r;,;:t4~~ ~ 'i
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,', I '\'.)!"~",h', "
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'j,., \. ,.., .J~ ", ,,'
~ APPLICANT PLEASE COMPLETF. BELOW ,.,1'i"~'
~9f,~at~ service I inches.-.--..... . '.~;~,,~i ~::;
',i.it',b." n.'p',',",MY couplings from structure./: ~___ fc.<-,t,
r;ry~~;ofse"erpipe. 0 ABC B l'VC l I C."'ilnm
',.Ymlted length of sewer line ~ fed,
, .J::l~ll\1t (if required) located at .__.._ kd 1'1 (l11, ., \ r\lf: I" '"
",(111
I'"
.- .
.", -
I' '
.1,' . I"
, 'j: ) ~
j,~: \ A~,i:.;;,"~j;'>':~",~:,: ",:!A:;~:<"- "':'i}:'~-~','
.,.~!.,~,,,,~.~"':\'~" ,< ':i'"",.'~':o'"J.:...
,~:ti~=~'~~'!;~~-"; ,.~/l<':~,:r,,:':.!~~':.-' )rEE SCH1(lH] I ii,
ddolllllhowerllldWI16r J~le cOMo<:tlon $3S,50 Induslrial. Cu,n I c. ~lu'" ' '''''',
~",et""OO."",",DII.,,',~, ..~Ion""" on,~'.'"',~\I,",',,".'.,, $17.50 Waler conn, ""11"" ..nl,l'
~~l#'k"':'I~~,'}h.t$'.'.'" ",:'.5ith...~,f't ,~
~ (f'f1,'j,IYi ~1t1'';'Y', ":\(~:':-;J;"<'-\' i" 0 r A.
'::'.'.> ',::':"'::?U~:';:'" '-:~~.c;,~Est~mated Cost S --11...:> () BUIld in)> FI'II'" I: I;
",""'''. ,',', .f,,'I~1
:'}}}"~':',;,:'_\<'(:", '\i( ",,;,:~"!f~,
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I~ S>>
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,SEWER AND WATER PERMIi
STATE SURCHARGE
TOTAL PERMIT FEE
1'1,,1
PAID. WI,,!}"'" I. ",
BUIO>ING'~IT"i
.!.t.l.l; ~,'.. ;:;
'J';'I\" M
/-' i
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~"4' tloli" I.....-;vour Dulldlng PermU When AI)IH'CIVI:,j -~
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r,~~~... d..... uIU II ~!I' .' na,4' . '....H ,._"
j~'~\'lf.~", . t~ 14 h
':~~.~~~~3l,,'6;~:,:~t1!, ,\'I.,.:I.t..: " our notice for aU 111)f\ccUolll: C)~-') .11 .....0. !I., ~'::L\' q.,t~."S
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SITE ADDRESS
NATURE OF WORK
USE OF BUILDING . ]),
PERMIT NO. 2~~/' c1ATE ISSUED 2
CONTRACTOR ~ Na- PHONE ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEC IONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~.....,.
V'b
, FOUNDATION (Prior to Backfill) I Y/-J I y_~
~ PLACE NO CONCRETE UN1IL ABOVE HAS BEEN SIGNED
o 0'<< ROUGH - INS
SEWER/WATER/SEPTIC L7'ib I 'Y~ C>,')"
FRAMING f>>r rv f'7 I
INSULATION 14 G,,,, I
ELECTRICAL v' I
PLUMBING .fig """......:::l.. I
HEATING (if required) ,f./. <oJ'.... I s. ~
FIREPLACE 111 . I ()- '14'
GAS LINE AIR TEST r~ ~ _ I J7lw/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
~/l.AT1fe I r'o .,)V(1'-... I
'\ , FINALS
\ GRADING (Prior to Sodding)
-BUILDING ~C-o q 151 e tD'? ..,;;\ it-
ELECTRICAL f''frL.. I
PLUMBING ' ~
HEATING vJ I C-- ,I
DO NOT OCCUpy UNTIL ABOVE HAS
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.
PRIOR LAKE
INSPECTION RECORD
~
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
I DATE
L( ... /fj
I
I
1
M
I
~..J ~
#
I
I
BEEN
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
(p -/7
f).'r~
CITY Of PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
-' t:;~'?, Lt ~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIllE
3,4/(
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE! RI
o FIREPLACE! FINAL
g G~~TST
~ r.J- '"'1'/).uA C>K...---
~RK SATISFACTORY, PROCEED
o CORREC TION AND PROCEED
o CORR T ALL FOR REINSPECTION BEFORE COVERING
In"""............
Owner/Cont..
CALle 50 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE ~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
<- DATE 1WE
CITY OF PRIOR LAKE B/~~~
INSPECTION NOTICE SCHEDULED
~
ADDRESS /5!?t../- -; r A )/Q&.1 fw-lL
v "
OWNER CONTR.
PHONE NO. PERMIT NO. '2,- Y l(
D FOOTING
D FOUNDATION
D FRAMING
A1NSULATION
FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
1fl- MECH FINAL ^
~- ~'^6V
D EXlGRADlFILUNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
o~"S.
PJ L':i ..
I"
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,~ p~~~
I .~ \"~
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F/A~
//.
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--.
D ~K SATISFACTORY, PROCEED
~CORRECTACTlONANDPROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~
Owner/Conlr.
CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
DATI! T.E
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ., -Ja .O~ ::J'.~
ADDRESS 153~~ ~L
OWNER CONTR.
PHONE NO. PERMIT NO. '(- '-II r
--
lJ FOOTING lJ PLUMBING RI lJ EXlGRADIFILUNG
lJ FOUNOA TION lJ MECH RI lJ COMPLAINT
lJ FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP lJ FIREPLACE FINAL
o FINAL gPLUMBING FINAL lJ GASLINE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
l.~~
~ ~..-
fl...-,_. fL..>~ {J.....A-1.....
7.
/
/
.hORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
lJ CORREIJiRI{, -exn. FOR REINSPECTION BEFORE COVERING
Inspector. ~ OwnerlContr.
CAL ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~RB~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""'".
<1ltrfifitaft of @ttttpanty
CITY OF PRIOR LAKE
~rpa:rfturnf llf 'liuilMng Jlnsprdilln
~inal Permitted 0 Conditional e.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:
Occupancy Type
R3
SINGLE FAMILY
_ Type Construction VN
Bldg. Permit No.
03-0411
Use Classification
Fire Zone
N/A
Zoning District _
R1
Legal Description
L13. B4, THE WILDS SOUTH
Owner of Building _
Contractor's Name & AddressMCDONALD
Site Address
15343 WOOD DUCK ~RAIL N.W.
ST. W.. APPLE VAuLEY 55124
DON RYE
ROBERT D HUTCHINS
I ~uilding Official
(tJ ~ I
CW
7601 145TH
City Planner
Date:
Date:
t.,,,;~:,' :;, .'.,",'.,~ "'~f"2:\i...~;i' <';:".,i.ii.'_ ,~1.ii::~i~" :;~;"'~~:i,'~':\;"r'ij;:;, ,> :k ,:\;, .," ,;';~';(~'~'.:::..:;\i~;i,..;....~;1;;,j~i_;:J'-'"
,(,;$Id;"lj\1~i':~'J'li~:';:;:'~'~~' 5i:;'JIl'~"., ,r":;: ;~~';;'j",
DATE TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7- 22 -Oil
ADDRESS IS 3 fJ
PHONE NO.
W~DJdt.. Trl
me. /),MV
{:),s-'111
~
OWNER
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(:.~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(~r",/'i._ <!/L
Gr l., g;O~ / 0 IC
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.# Owner/Contr: ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVA, NCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l ~:~ ./
INWOTI cY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
<j-ZZ-Oif
ADDRESS J S 3 '13
PHONE NO.
W~Dud< Tr I
/J1c./).,n4#
{:),s-~II
A
/
OWNER
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PILUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(~rQrt_ &1:::-
Cv.il, B/01!..- oIL
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ Owner/Contr: ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVA,NCE.
CODE REQUIREMENTS AR,!': FOR YOUR PERSONAL HEALTH & ~FW' /
IN$NOTI tY/