HomeMy WebLinkAboutBuilding Permit 00-0698
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7-/7-00
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
4513/
3. LEGAL DESCRIPTION
LOT :::3 BLOCK 3
IV" () f) k I/J c 1:>
1. DATE
'7 II 3/ (jrJ
D/2.. . ;e I
PID fl )53 Ilu /';;0
PRRK:.NOOO
ADDITION
-sJ/J
p~/~ u,tlJ:el~A/
71'1,:J~(5305'1
4~e JtlM~€r- 9/Oa,
5. ARCHITECT (N.me) S.A tM;;
(N.me) SM/;:'
(Address)
/,/'1,F1t
(Address)
(Address)
(Tel. No.)
6. BUILDER
Permit No.
1. While
2. Pink
3. Yellow
File
City
Applicant
OO.O&CJ8
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heig~:7~ (I'I~l (Depth.:.s-3
12. NO. OF STORIES .,"J
J
13. TYPE OF CONSTRj.{CTION
~V,) C) f.)
14. FLOOR AREA APPORTIONMENT USE
..1
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
Ll
19. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
7. TYPE OF WORK Fireplace r Septic LI Deck LI Re-roofing LI Porch 0
New Constructiol)..l!1' Alterations 0 Addition LI Finish Attic LI Re-siding LI Finish Basement 0 16. PROJECT COSTNALUE
Chimney Ll Mifc. / /0 0 CI ()
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETIOJDATE
Sq. FI. /0, ifo 0 Width J>-o Depth /""3-J Yes No /0'// s I 0 c>
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
building official ca. rpvoke this pe~ fo!just cause. Furthermore, I hereby agree that the city official or a deSignee. may enter upon the property to perform needed inspections.
X i/)J~'" _ .1. ~
/ ~ s~natl.lJM" V" - license ~No. ______ Date
FOR ADMINISTRATIVE USE
Front
Side
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .....~............... :
Meter Horn ................ ................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tot.1 Due .............................. $ 7, 6~9. ~
P.id ~ 5'~'f. eft. Re",,~ ;3!Of>
D.te !3 .//. 00 B~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procel€ as requested. This document when
s~~. e Ci nner constitutes a temporary Certificate of Zoning compliance .JPd allows c~struction to commence. Before occ~.c c.y y" a a C6JPfic8te ol-.p~_cupancy must be issued.
'. ,_ _"_~A "")-'2.7<90 ~ V~^,,_('~ ~ (' ~L.
Cfty Planner ~ Date '" Special Conditions if. any ,..
SETBACKS: Required
Actual
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
13'J.~. oe
USE OF BUILDING _ >: P-D
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 I C1i'l /'"'
Permit Fee ................................... $ I .?.. L,
,,&>. '{ (
(,(,.194
City:
Plan Check Fee ........ ..................... $
State Surcharge ............................. $
Penalty ....................................... $
~q.()O
a.
Plumbing Pennit Fee ....................... $
too .00
loCl.oS
Mechanical Permit Fee ..................... $
Sewer .terpe~rmit ................... $ 3S".~)
Fire ermit ......:............. $~
is i our Building Pe~~e&f\~roved.
B , Dooe~~l~-t7~
Certificat:~ ocJpancy
Issued
24 hour notice for all inspections (952) 447.9850
SETS
COPIES
\
,
a50.a5
I , 00 .nO
,
~f!S1
J'2S.C>O
1.'21'J1!J.06
"7{')rJ .C!)~
J I SCXJ. fClf"')
..
Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
.
4'!"-~1 ~(\al4nn,1
.4...,.)....,~'" ~
-F--
5""-;)..-01
?~
~h' /
o?
J. .3'-'.'
,
,
~1
00- O~ qq
Thf (""dIe. of the I.ak" Countl')'
White - Building
Canary . Engineering
Pink . Planning
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/' ./ J / /,' I .-- . .
'/
i
7. 1-7. CO
APPLICATION RECEIVED
...
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t:./ r c;. /
I --... (
/ /
/
L,~J~
,"'--.. .
Accepted
Accepted With Corrections
/"
Denied
Reviewed By: ~.P-e""::. .
Date:
7-1-7-eo
Comments:
A~{ru~/~ ~ ~ ~wJv&J'i ~
4~-~~~ e;~~yeev\Wee.-~ ~
I~\l ~ ~'! IIA /i.~~~ w flv_ J
~ 2- 8"~'0-.#',;] Q V'ee~_
2(r:-r ~J~ VJrIl>eoY~ Wt.J~_ d5A f7~
~~~~ I.~ .J-i1vIJ r2-~{).lA.) 10 Curb,
"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,"
~1
on'O~1(
Th~ ("fnlrr of lhf l..kr Counll')'
While . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
J11I7HtJN6Vj :ro~
I
7. /7.00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
458/ 'P~.t:::.f/II()OD De...
Accepted
x-
Accepted With Corrections
Denied /i7J? r2--
Reviewed B{ ~~y 7"
Comments:
Date:
7-:2 {., .-2000
I. f2eJ.. ~j t7{ &~J k/-ArrJ.~
"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."
00. Ower!
Tho: C~nln (If lhe- Llh Counl')'
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)1;' I-I 1/(/1./ ~. y/
" '-"" \
/
7. /7. 00
----;{~, --
J \...- I::.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
458 I ?/1/2J::"/I/CCD DK.
Accepted /
Accepted With Corrections
Denied
Reviewed By: (.; ran...+ (' n r 1<; ntl
Comments: Se:F' +he reverse
Date:~
51'de +6 r aofrl..+-......, ",CJ1 i.,4........+iO!1..
"'7F>P ~: I. Fing,P Qrn~<:..ppr'+"OI'l rn~......,..j...o" d. GrG\J;~ PI<t>
3. &o~~ ~1I+rd/ /'t1e;,s-ur{':5 t/. E05'/JrJ ~l1lr/J/ ,P6a
"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."
_ ~o~.:. QI) fill 11: eo HI e12HH2~S
CITY OF PRIOR L\KE
t:\{I(ll
LYI'/O" ~A;t 4J7- 424-e:;
..... . .LI
"..Lo. . .......~...1
eo.... CI,..
.."." -....,
~~O~;1,tR~~! )~
W / I . ~
-.:}
I
'J .,.
""~NE~'~
.......... -"".
CITY or Pl'l.loR U,Xl!: S,W. JII", 00- 9(rt.!!e
SEWER AND WAtER P~RKIT
NoTE; sower and water
contractors must
be r..~ i ~ter..d
with tho cit.y.
IIPPLI :/lNT: L. (...0'10 6JttMV
A;;ii ~ _ f/"l. I? 0./ Sir PI'u;t;...J-.Kt'P
i'lTC:NJ, 'URE: ") ~ ~-P
- ,J,; ______ ~ '
!lITE: ,DDRESS I 4-.;A C..8!1~J:;.NooD 012..
~.~ '1~o f.?J;)O
.DArt. .3' I. o/L..... _
llLOG. PERMIT tJJo-Q(P9B
PTnW_ '?_"!5- :Jll:::.QJ:k=O
rILL IN THr. Br~N~S
1. l' ,I. i m..t.d lenlTth ot water ...rvl.ee t/ 0 raet.
2. I, i z.. of W!l.tllr oo=rvl.eo L~l.neh lOR) .
3. :: ,catior. 0: any couplil'HJl'I from atruct\lr~,.MW~feet.
4. 'I fpe of ....WeT pip... ASS PVC4- ca!lt Iron
~. :i 5timeted. l.enClth of ee....r 11r1oJO... _teeL
<I. '.'UrI o"to (1f required), located ,.1 ~f..t
! tructure.
fr"'"
_~~I.' ____=~~.___._.~~s~~~~.__....z=:~.__._=:~_S==~~M_~~===~__._.~~
Thi~ .pp1ie.tion become. your pe~it
~~__.~~r~ld)
.,\1../1 I>pprovlId.
:J /- ;;OO{) __.. ..
DAT~t
.-1IIIl.:.l ll!!!...I::.-====::IC.....___I,;,=;;;..~....:....._.....:.IlI'______""_.._-_u_-~_....':"'"~lII";OO:=*_:iliiiii;ll;l....__s: ,; ~=;ao.
FE!!:!
~
$
,
35.00
.'0
35. !.O
s.....or ancl w.t.r 11n.. conn..r.t.ictJ fJl?nl\tt.
surcharg..
I'oorAL
. ... for either sew.r l-'r wat.eT individually ia ~.a pill"
.50 II I.U'cha rill e .
.
ewer anc\ wat.r permits isr,;u..d for n..... eon.true~:I.Qn !:lust, bll
'ecordea on th.. bui1d1ni pe;r1l\it. card at the time. or i ssuanC.
.0 insure that nu dUl'l eate s.wer and water JOormi t.. ;u...
,o"ue~. ~ at(
tJA'I!: l'A:tD AllOUNT 1'l\1'D ..JJJIttffWl"l
R!:t:f: 'PT # Rt:C'U ij~ - .-'
lfi:200 Il! :1\1 C~ckAV. S.E., ~ricr Lake, Minnesota ~~3721 Ph. (1'l12) 447.4230 I FAX (61~) 4'7-4~4~
An Equal Opp"....nlly I!mplnyr.r
-"." --~ -....,-
te-d
Z99L+9:2L+Z!i;6
~HI ~HIi~^~~X3 cr^O" Wd :21:Z1 e0-10-d3S
rn~rnn'Wrgl\v OF PRIOR LAKE H=:. :
"I'. '\!\~i PUJllaWG PIlRMIT ..~. () -0 <iP'
". "I',lJ(\Sc..nC2..\Q..\," 9lut'r\bin9 . .Ph:'!,..: 9Scl..LjLj,-1073'-!
;,~ ,~~~~'~\~f"Cl~ . ~~ rrl~ Lu~., _
_c.",.",'~ _-1 ~~iA-t"C{
.. ~1I. III: 4 ~:91 \ PnY'~lJ.X:ICd Dr. _
~"...~. PID' ,~-~/7- ()/d-o
NOTE: ". pelftllt .. I'al .. pc,: -,.., ~ cornple'e 'nfomwlion.
IIIX'rURe UNmI
--
\\'~~
~
OUMllly TYPe d F\ldurw ~ Type of Fillllolre
'2 ..... Tuo ... Of IiIIlrloul I'-r ~ Rougll-inl
1 DWt .M_ I Waler Heater
\ ,., DIain Waler Sofloe,
Z. LaVIIID'Y c-.'I'nIom link) .L SUlIId Pip. (wa.hinlil machinl)
( ......1IdIy Trw)l' (1 or 2 COIIIpa " , .ink) Sewalll EjlClor
I . , ~ .....rntll'f (APz, 0NlIa CIlIdI, PVS
lhA.lItIr Ita"
, -
2.
il_
ler link
1 Wa.., CIoMt (IDHet)
Backf'ow "I"mbly le.,
Lawn Sprlnlcfer
I ertle,
,.. 8CfrllDULII
'~t_I, c. , ,& .....F.rnily
('" d JIltI.... _.10 m1rM1lml)
lII..rISJ..... New One & Twa Femily
"""'1St.... a'" :... & A
..... ......,.......
s
s
s
s .SO
G1AAND TOTAL. S
16200 Eqlc Cntek Ay. S,E.. Prior LUe, MiDneaoca "372/ Ph. (612) 447-4230 f FAX (612) <W7-42.aS
~ .... 0 " " II)l' Empl.,...
'11III..... II - .... ... __" COIIdIIion _ Mid
" " .".u....., iii III ........ _ ... __I.
or................e...... '.,. ~f.
- ~C.-O DA1E
r .- ,AT'lUT
CaD ~...,. '.,. z,&....... ill . , ,...
PAID WITH
..... ~ PERMIT
~
-
CITY OF PRIOR LAKE Me () L q r
16200 Eagls CreekAv. S.E. PermilNo. ./ ()
Prior Lake, MN 55372 --
"
0>
CD
D..
.,Piu
t. r""",
]. Yd....
,,~
ll>,
c.o-...
TYPE OF STRUCTURE:
Single Family
Commercial
'Two-Family
in....trial
MuIli-Famlly
Publi:
Other
Fee Schedule
~ f. ~ (I.d ad~d"~lrlal, C. ., .,j 8. MtJlHamily
- Residential, Heating' AC
Resklenilal. Healing Only
Residential, Gas Fi,eplace
R osidenlial, Addilions 1\ Alle"'~ons
Residential, AC Only
:;
<(
...
...
<II
o
o
'"
Healing Conlractor ALL lED FIRESIDE db.. FIRES ID"E CORNEll
+'
(J
o
ROSEV!LLE, MN 55113
Addrass. 2700 N. FA!ll.VIEW,
Tolaphone N 651-633-2561
FIREPLACE ,).
11m1I.. Malia & Modal ~ j) b (;.
Modal SJz~ fo(xp 7IZ.
TYPE OF SYSTEM
Warm P\Jr Planls .
Gravity
Mechaniali
Air Condlbning
Vanl. Syslem
HEATING OR POWER PLANT
Sleam
HoI Waler
Radiation
Special Oevlces
...
<II
<II
<II
'"
'"
'"
Corm. Load
Fual~
Flus Size
~
"'
'"
Supply Openings
Aetum Openings'
\npul
Ed..
Othar Daviea.
Oulpul~lli)
Clm.
rr:
UJ
Z
rr:
~I
o!
~I
H
LL
TYPE OF WORK
':J
A"erations
Replacement
New Construction
JO/ti>f{}:J
I t
BuUding Perml'
Est. Comp. Date
/ / Ofl.oo
Repair.
Esl. Cosl $
-,-.
HEATING PERMIT FEE S.
STATE SUACtlARGE S
TOTAL PERMr FEES $
>.
OJ
.50
PAID WITH
BUILDING PERMIT
I
+'
C
"
C1)
Roce ipl N
i I.
'0
Remember 10 add the Slale Sun:l1arge on the bottom of this applicallon.
The price 01 yout heating perml1lncl"les ona rougIHn ....d one nnal inspllCllon.
Additional inspections will be billed II 135.00 ~ach.
Housa Healing Tesl AeC<li1l musl be submilted wilh bJIiIlIilll ~ D!lIIiNI before build-
ing c""lineala 01 occupancy wil be issued.
I:iEAI ~L.AT10NS REQUlREO w~h mmber 01 slWly and relum openings listed pt
room w~h CFM'. per opening. New s1IVC1u,es or additions send 1100r plen wilh supply
and return loce~on. shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Cily HaR business hou.. are 8 a.m. -.4:30 p.m.
ALL WORK MUST DE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
441-4230
I hereby apply lor a mechanical syslemS perm;1 and I acknowledge lhatlhe
information elwve is comple'e and accurate; Ihalthe work will be in conformlnct
with lhe ordlnences and codes of lhe c;ly and with the slate buildlnglmecbanicl
codes; that this form does nol become a pe/mit unm signed by the BUILOIN(
OFFICIAL; that Ihe work will' be In accordanc", w~h Ihe approved plan In Ihe
case of all wo,k which requires review and approval at plans.
!Jt1Jm.OL 7JJ~
/J ,&pj>1.C8m's Sign.aa'l\Ifu~.
g~
V Building Oltical's SignalUre
Jo/wOo
( , Date
It:/'- g ~ oV
Dam
I
CRY OF PRIOR lAKE
'6200 Eagle c.eek At(. S.E, f>eJrPit No.
Prior Lallie, UN 55312
,
{2.~0W
., ,,/\.,,,
,..(',r~"""" ..~q~,
'::..'1 1:.'
.....l ,n
. \ j
. -
'. ,_./' NEATlNG APPUCA110N I PERMIT
JJJ',,___JO--.fJL~__.,.._ Pill/!. ()5 BP-m~D.-
>lie Add'e$ _45&.lJ&"<.~~.~-j2\.{/\MjI -d
.oi _2Jclbh.3--~J~f'-~ 3I~_-
:Jwnel's____~i::K.~l-.O.., ~." ~O",t;J-
I
\iktI""'S _..__ .
:::"'.;3 -;;.fff:/2~}i '~t,~.,,-;,i
lot4!fIhone I '7 C::-k:::.JLLf.( . J 9~L_.__.__
r-urmJI;eMak........ ..~r-t4n;-, 1YI'E(Jf~",,->> oj
?... ' Warm IIIr PlanIs
tMdel Sire.LJ$:)1I.f If:.QQ1hO~_ GraviIw ___
. 1..1 {" ..... ",.'~'
Cmm.l..owI ' j ..--.--
-' - Air Condil' .
Fool iI.~-b'L..j.f\Ja SiD -I!J! Lo._ Va sv: .
SUpply OpInings -..j.-lJ-.------ ::-08 POIIIERIUNT
R"turn .If>....ings -.-2-----.----- Hot lit-. ...- - --'
I"Put~~--~73r_b.ao.---- =~
E.et,.
Ollrer Oevites
Cfm
---~-----_.~-_.__._--_.
A~eraliMs
TYPE Of WORK
I\IlplaooIlllJllt '__""_" NewCon9lrudan .-X-.----.
flepa" _..______ Est Comp. Oa18 ___...
-..-....-----.-------
f..1. CasU
_ Quldlng Petmft, ___.___
HEATING f'fAMIl FEE '_..__._._
SU11:SURGHARGE ._____. .50.
TO! !\l POlMIT FEF~ ,
Ra,*", f .
IWD WITH
. .....PERMIT
,
1YP.lUlfJiJ~
1.1-'1M
, t~~l
.I 'i~"!Ju",.
h_.:
{"f)
llJi:""":"
I
."
'"
o
3:
Singi& FfIIIIily
..-x--- rwo.Famll~_____._. M......Family ---.-.
ro.t.astrial__...... . ..... PWlIc._. __ _ Oller.
Cammer"""
ftJe Sc:hfdoIe
tllduillrial. CoIlt/lleroiaI & MIIIIl-t'ilmil'/
R..;dooIial, HeIlllnQ & M;
ResldtmIiaI, .tDaIiIg Only
ResidBnIIlII, (}os p. " ",.,
R ~, "." , " J. AddIons & AIleAIIioos
Re9ldenIie~ N:; Only
1% 01 loll .-. (1$.50 mioli.-nj
-~ rn~ rs ')\\/7
184.~111 :"---~_~_ L '~'
539.50'/ .
l39..'5lI,i' OCT'.6_
589.5D . '.
..; w
,/
'i../'
RClflIIOl8ber \Q lIdd !he St.... Sun:hBrgr. on the bolIom otitis iipjiCiifiiii:--- .
TM prioe 01 yIlUI hualing penllillNlludes one rough.in and """ Mol ftSpOlClion
AddiIioI".aI i."." .:. ItS will be IliIlld al $3&.00 eadI.
H_ HeaIlngTellt IleconI nusI be IIb1lIIIIld with!I!MJg 1Ill!l!!!!.~ -,. WIld
"9 cer1IIIl:ale .-... ',' "y wlI be issued.
!lW~llEauIREQWhnumberof~andltllum.., , " IisIlIIlper
room" CFM's per . , _ ',. New _ Of addiIiana S8lldtlDof ..... wilt> apply
.,........Tn '. ~ .. "IftoIm, HEAT lOSS CAlCUUlTIONS, ~WENr NID
APPLICATIONS MAY IE MAILED lU llfl:; CO'V OF PRIOR LAKE. 16lOO ENiU
CREEK AVE. aE PRIOA lAKE. UN 55312.
CIIy HlIlIlJusi1Ms hlllllS are 8 am. . 4:3ll p.1I\.
AU. WORI("lISt BE 1HI!lfI.,..._ CAOlIGft.tN MIfj FINAL) . CALL CI'JY HAIL
441-tz1O
."
D
X
Ei
:3
~
'F
I hereby applv 11.1I R mechanical syslems permil and I AcIIllOIl/loo9" lhallhc
inkumatil'll1 abo"" is oomple1.. !ll1d .coural..; Ihallhe wort< wiH be i" C""'"rmBI>CO
wi'" 1l\e O.dinIDlCOS and codes 01 "'It clty and wilh the s1ale buildiJlil/mecMllic,;.
<;<Jde$; Itlat this form does nol heeD"'" II permil unlit signed by Ihe 8UllUII'IG
orne tAL: that Ill.. work will be in accol'dance wiltl tile aJlPfoved plan in tile
case 0.( All work whidl requires. review and approvat of plans.
~_...~~......
.. r;:: ~'1f;;.ature - - .
ISI
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ISI
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ISI
(.oj
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lQ..:Lf.,...~_
t1J ~l<>Od'
. ...'1( 7/ ___
(- ~id~
""U
.....
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l./58l --:PaJkl.l'~ ~t:l..vc;:>
NATURE OF WORK }Jp-"" ()rMc..k
USE OF BUILDING ~.D
PERMIT NO. (f).OCZlf3 DATE ISSUED 7-2"- 26>0>0
CONTRACTOR ~ ~'1nl.~ PI\Ot.lI!. '/cJO.S~c:;<)
NOTE: THIS IS NOT A PERMI"fJFOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING
&,~SPECTOR
DATE
I i/21 / l'/t)
, ,
, FOUNDATION (Prior to Backfill) I ik-- I r-rlll'1J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH _- INS
I~.
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~ ,
ELECTRICAL
PLUMBING f:J:r, /b/i7/t-o
HEATING (if required) ~: I all'7/# I I
FIREPLACE ~ ! W..?//h.
GAS LINE AIR TEST ~ ?R. /4/7//JO ~F '5f~3.I~v'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
Alt:5
~.~~
R,;{I
II /~/p!)
" r;f.4,
II//C?J
, ,
GRADING (Prior to Sodding)
BUILDING
I ELECTRICAL
PLUMBING
HEATING
DO NOT
(P'>rO/
5/1010!
.
~II.
("f, ,()aA~
occupy UNTIL ABOVE HAS
NOTICE
>/17/0) I
;{lrAPc D)
BEEN v SI~NED
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 shali be placed near main entrance.
. . . .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
1iJfS~-~~ ~-~--
~~.. ;J..:~.,:~;~~,~,)....~,;..;.~~~......W~.~'1Y~~~'J...~~.1,,~,,~":~'~ci""~~~fi'!.;.:1
( "'f !. - -- ~ ..""-~~- . -=- ...,~ u:' ,
I. 'X '
(~.'I attrtifirau of ~rmpanry :: ~..7,(
:;-I~:.~ ,
I~ ell i OF PRIOR LAKE :::;'1
;.~ 1Department of Jjutlbing Jn~pettion ;: ~
~~:- 'Ii! Final Permitted 0 Conditional C.O. Expires :: ~ .
'~' ~'.( This Certificate issued pursUQ1lt to the requirements of Section 307 of the Uniform Building Code [1 ~.
.. certifying that at the time of issuance this structure was in compliance with the various ordinances of the
I ..:.
City of Prior Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit N'
00-0698
Occupancy Type
R3
_ Type Construction
VN
Fire Zone
N/A
Z . D" R1
onmg IStrict
Legal Description---L.,'l , R'l. WooDRIDGF. THIRD ADDN.
Owner of Building _ ~iteAddress 4581 PA".."..."JD DRIVE
Contractor', Name &Addres, Joe Mahoney, 4102 174th St., Prior Lake, MN 55372
Robert D. Hutchins
City Planner _
Don Rye
'~
...
"l."
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
1.-'(,
SCHEDULED
ADDRESS C/ e::; B (
-~
ti,) i<. <.>.l,)c)J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(1-
I. Lr'C)
(II r-)
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..e1'INAL
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:
C"n-
L
,),
./1
~ I \,
( {.J. f
.~ \v\u
LJ
)~
rORK SATISFACTORY, PROCEED
o cORRE~~ON AND PROCEED
, I
o COR~CT ~ . K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1/ 7. Owner/Contr:
~A~~7~:850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
SCHEDULED
DATE
1;.-1;"-0 I
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ft-M
ADDRESS
4SRI P~~K..WODJ Dr.
PHONE NO.
PERMIT NO.
..Jf)f Mc,t,,,,,,..y
Oo-c'9~
OWNER
CONTR.
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 GASLINE AIR TST
o
COMMENTS:
C."A:1 f3m...J...
/lJ1<.
{,.t'<u//" J
t'9l<.
A/o !"g,,/'tN.~~
.x.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
f/, ".....
Inspector:11?" ~; -( _ 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
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
lj,S?/
SCHEDULED 6" - ;l.7,-GJ I
h;'~L/~
//.{:R)
cONTR.
PERMIT NO.
O-C7?f-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
^. jl P PILUMBING FINAL
~ECH FINAL
LocK M/)-J...
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~ 0 FIREPLACE FINAL F P
jfi:l"'GASLlNE AIR TST
o
-Jnt{
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~. tfALL FOR REINSPECTION BEFORE COVERING
Inspector: n ~ '(J))..J Owner/Contr:
,,'1.)'
CALL 447-9850 FOR TH : NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
i
I
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 4S"81 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
a irE ~ TIME
..,~ 1/:3Q r-
O-{/j,f
o FOOTING ~ 0 PLUMBIN.GRI
o FOUNDATION ~ECH RI
o FRAMING ATER HOOKUP
o INSULATION EWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:(l) ~ ,/ e,.J~"t:I...... iJv_... J. -d. .
2nA-/;~;{'-~k 4~ j/___ I .
.. .l>,A-<r~p. ~ ~ &;:/)~ oh ~o,
r\ (1 (}r }. J-
~f::r'Y"-~',t...a
@ -T-~ ~.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I \L. {
-# . ,
~~'lI' )ff Tj. {7"/G'/~ ~~
/J !. '{Jf~ ~ (/"" ~ . ~.JL: "-
f:~. ~/ ,
/ '56':' L/~ J:;....J,...JJ. (J~ L{a-
d L7#- A":T. ~
o WORK SATISFACTORY. PROCEED
;i! 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 ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
~ 17-0) tj~
Lis? / fJ I21k>>o d
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
cONTR.
PHONE NO.
PERMIT NO.
DATE TIME
o -to y'tr
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKU~
o INSULATION 0 SEWER HOOKUP
o FINAL ~ ...-!!'M>LUMBING FIN
o SITE INSPEcTlm 0 MECH FINAL
COMMENTS: (, / I/--~""
t{)~~n rr4 H{~lkP
~J^ r-A,rW
l I
AI ~ fh'zi,
f '
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
J
I A./':iP ""
^ WORK SATISFACTORY, PROCEED
o CORRECT ACTIO'~~D PROCEED
o CORRECjZW '.: L FOR REINSPECTION BEFORE COVERING
Inspector: ,........... Owner/Contr:
. .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!