HomeMy WebLinkAboutBuilding Permit 00-0719
~~ID
IL
DIRECTIONS r
SPACES NUMBERE~ i . ............ .. ......... ",_
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
s~ \f\~\N
i CITY OF PRIOR LAKE 1= \ \...\;
;! BUILDING PERMIT,
.. ']lJjMPORARY CERTIFICATE OF
.-U lro)' I/"nl ZONING COMPLIANCE
A ~IUTILlTY CONNECTION PERMIT
_.,,~
~-
~L5 U \~'
}. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ---ill) . D1lq
1. DATE
12. SITE ADDRESS
!,.JsY
/J"OfJ hy;jl'
j~Nf'
rf--/- OU
l2.:f)\)
BUILDING ItFORMATION
11. SIZE OF STRuotURE
(Height) ('IJICI)
(Depth)
3. LEGAL DESCRIPTION
LOT q BLOCK
ADDITION Cly At W d T "r-
14. OWNER (Name)
15. ARCHITECT (Name)
6. BUILDER (Name)
Wt'jl/J/J"lQkN
!)om(S
7. TYPE OF WORK
New Construction V-
12. NO. OF STORIES
/
JI'CY
PID ::25-3(,7- 009- 0
q,//
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
Fireplace Cl
Alterations [j
(Address)
/~95I'h2.'" br.oIof
r ~ 1'<1A/ /fJ;v
(j Septic 0 Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
(.,5/- 7u&.. YYuO
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement LI
SEAT~
16. PROJECT COSTNALUE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the besl of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned propeY:d that all construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building oglcial can revoke this ermit 10 ust cause. Furthermore, I hereby agree that the city official or a designee_'98-Y enter upon the property to perforTl)..tl.eeded inspections.
X .-0 ~ /'7"55 .r-j- (j1J
(I r7 Signature License No. Date
17. COMPLETION DAlE
1/
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION ~t'V!)O .Or...J
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUILDING
~f:"A
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $_PtC;(,,~,..,~_
City'
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Streel Fee ....................... $
Sewer Tap ................................... $
~.. $
Pressure Reducer ...1.1................... $
MeIer Horn ... .... ............................ $
B5o.",0
J I &'J .DO
.
Plan Check Fee ......................... .... $
State Surcharge ............................. ~
Penalty ............................... .... .... ~
1:)514. <(0
1{'1.<;"CL
9'S".."o
loo.~o
/00 ~D _
:l~ .;;0
Gas Fir ac Penn' ...~.. ................ $ l/o . ()O
Thi A... " 10.(.,' me uilding Permit When Ap.Eroved.
By Date A - It;; - '?r:&Jo
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $ ~ 2ClO. 00
WaterTowerFee ........................... $ ?iJo..~ ()
1.2~.()O
Sewer & Water Permit ...................... It
Water Tap ................................... $
Builder's Deposit ............................ $;
Other ......................................... $
Paid TotaRO .~................~~~~i~;~O$-?~~4f)
Date flhJm By (L/)M-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning b~dinahce and may proceed as requested. This document when
."'n~';:; ~: tempo,"", Ceite of Zoning complianoe and allows consfruction to commence. Before occupancy. ,a Certificate of Occupancy must be issued.
A.- -tf9.tIX')
City P annar Date Special Conditions ~ any
Issued
24 hour notice for all inspections (952) 447.9850
.~~
00- 61 (&
White - Building
Canary - Engineering
Pink - Planning
Thr <-~rnt.r of lh. Lak. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
LJ;\l~~Y'\ ~
fua~\:- f, ~~O{")
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ t:.::~ r=:- ;:- L I /?--, \ I. \ ~ r
.. , ). ,I ~\ (/.,' Ie \..l' , . (\ ,'-'.C--/
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
$~-t4u~
Date:
~-q-~
Comments:
"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."
OO-071~
The C..n'", of lh., L.k.. Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \A) 0 f\.,S '(\('\..1} 1\ l\ ~.t\
APPLICATION RECEIVED Ou I . v:\~ I N~ 1\ CL) U l )
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Il:~. h) ,~ Ll ~)\ IJl \ 1z.1<Ir\ J, \...0 J'..Q./
Accepte7
Accepted With Corrections
Denied 2 0
Reviewed Bf ~ ,.1'<::::::..
,..- ,
Date:
8 -(5- ZtX!JO
Comments:
~D t'j')e;? K~s.~ ~ "Fer- ~o..A S~s- C;u~ e.:tc_
"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~nl~r of 1M t.1r.~ COII.II'}'
OO-Ollq
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT LA..)0 f\.s-.~OI-.f\f\ ~f'i\Qv"
APPLICATION RECEIVED .Ou I \(\~ 1 t-,\- "i: rl.l) U l )
(j , .
I
!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It;~,h),~ LI ~ nrd2-{-.,rl.L \a ..~
Accepted /
Accepted With Corrections
Denied
Reviewed By:
Comments: >"ee
G:i Jl f: en rl So 11.
-fhp relit I'S e.
Date: f It~ I CO
/ I
~,.. aclrtl/,,1ItII1 ,i1/lyllt""h~~.
~Id~
5ee tJ.-I+a~-t5: I. hi/a.! r;r~,(~ .:IA.~f!.i;'Jlf .z;,./.n'1~'"'' .l. c.--(~ ,P/~
3 E r/J~iI'JA (Ju,1n/ &,,~vJ?< -f. Er7JS-/~" {kjr,,/ /~"-
"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."
i.Pl'"
1. elm.
J. ye....
0;1e
Cloy
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E.PermkNo..f)() . 7LQ
Prior Lake, MN 55372 -I
HEATING APPLICATION I PERMIT
PID. ../.5 -~(o 7 - OOCj - 0
Site Address ~ J~-;;. tN..,..
Lot !L Block I Adartion l:!tJW!tT6r<- 3~
tJ~;. r
'"
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N
"
'"
ro
0..
IYf& OF STRUCTURE
MuUi-FMiIy
0Ihef
Two.femlly
Indualrlal
Single Family
Commerdal
Publie
j-1l'~'"
Dale
Fee Schedule
::E
0..
"
'"
'"
1 % 01 job oosl ($39.50 rrinlmur1)
$99_50
$64.50
$39.50
$39.50
$311.50
Industrial. Comnelcial & Muti-FlI/Iliy
Residential. HeaHng & AC
Resldenllal, Heeling Only
Residelllial, Gas fireplace
Residential, Addilioos & Allerations
ResidenUlII, AC Only
OWner', Narn e
o
o
N
Add.ess
HoalingConlfaclor ALLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N. FAIRVIEW. ROSEVILLE. MN 55113
Ta/eollonelt 651-633-2561
FtREPLACE ,I
1JUnI.. M"k& II MOOel -NJA,LJ.i ~c.,
~ 7S!l
~
,
o
"
o
Remember 10 add Ihe Stale SUlcharge co lhe bollom 01 lhis , . . :'" " I.
TYPE OF SYSTEM
Warrn Air P lams
Gravlly
Mechanlcal
Ak Condkionlng
VonL System.
HEAnNG 011 POWER PLANT
Sleam
Hol Water
Radlalian
Special Dovices
The price of you, healing parmi inclldos coe rough-In and coe IIneI i1IpecIIon.
Addkionol inspocIioos wil b& IllHell al $35.00 e...,h.
HllIJSe Healing Tosl Reooro musl be sllbmilted wiIh ~ IWIIIlIllllllllr belore bI.Ild.
Ing cerliflcale 01 occllpllllCy will be issued.
tlEM CALCULATIONS REaUIRED wllh number 01 &UJlIllY rmd return operings ..led P
,oom with CFM'~ p8f opening. New slruclU.... or additions --.d 11oo1 plan Mth supply
SlId return Iocalions shown. HEAT lOSS CAlCULATIONS, PAYMENT AND
APPlICATIONS MAY BE MAlLEO 10 THE CITY OF PRIOR lAKE, 16tOO EAGLE
CREEK AVE. s..E. PRIOR lAKE, MN 55372.
City Hal busln8&s hours llfe 8 LID. - 4:30 p.m.
"
(II
(II
(II
'"
'"
co
Model SIZll
COnn. load
Fool~
Flue Slze .
~
Oil
co
Suppty Operings
Relurn Openings
Inpul
Edr.
0u1pu1~1o.x>
.
All WORK MUST 8e INSPECTED (flOUGH-IN AND FINAl) - CALL CITY HAU
441-4210
Other Dovice.
Clm.
I hereby apply lor a mechanical syslems permi! and I acknowledge Ihal the
in'ormalion above is complele and accurale; Ihallhe work will bo in conformance
wilh Ihe ordinances and codes or Ihe cily and wilh Ihe sl"le bufldlnllimeehenlca
codes; Ihal Ihis lorm does nDI become a permit unlll signed by the BUilDING
OFFICIAL; Ihal the wor!< will. be In accordance wilh the approved plan In Ihe
case 01 all work which ,equi"'s review end approval 01 plans.
&~ ;)~4 /) I ~
'.~
TYPE OF WORK
a:
L1J
Z
a:
o
U
L1J
o
H
CJl
L1J
a:
H
LL
k-
New Conslruclion
Replacement
Alleralions
I )/r~'/a>
Est COmpo Dale
Repair.
Est. Cosl$
00.1(Q
PAlO WITH I
BUl\.D1NG peRMIT
/ J DO. Do>
Building Perm~'
/)/,J;I.JJ
[lele
HEATING PERMIT FEE $.
STATE SURCHARGE $
TOTAL PERMITFEES $
..
>-
<D
...,
C
"
CJl
.50
1?~-14--00
Dale
Recolpl'
BuikIlntamcat's SIg1l11ure
AUG. 8.2000 11:13AM
GENZ RYAN 6513226147
NO. 483
P.3/9
1-
2.
J .
_. 4 .
5.
6.
-'PIU
YULaw. ~
BOlD . CIT..
-';2 D'IIn r2'. I CITY OF PRIOR LAKE
lS .\2 L51 !'$ EWER AND WATER PERMIT
1 I:
; . NOTE:
8-9. I'
, i
" )1
1L5',
NO. ()n - ('1'lICf
Sewer and Water
contractors must
be re9'istered
with the City.
APPLICANT:~n.;o_ ~l"'l PllJoo:'hll.~_ Y::a;rll\r- PHONE:..k~I-~'2";!o-1 14J,..l
ADDRESS: rl-l...,I.lE.So 1l",""'e2,:r -r"" RrSbnm,"",. ~C"cc.Ii1 DATE: R \~ \01)
SIGNATURE: ,A .k)~ BLDG. PERMIT # OO-Or7lCf
SITE: ADDRESS: I~&:-"C 1~ ~1r.:fL W PIDlI QS- ~h 7-00q-O
FILL IN THE
Estimated length
BLANKS
40'
feet.
of water service
II
I
Size of water service
inch(es).
Location of any couplings from s~ructure
Type of sewer pipe. ABS I'Ve X east Iron
Estimated length of sewer line~' feet.
Clean cut (if .required), located at feet from
structure.
feet.
==~=~~~=:=L____~~~~==~
-:=:....~-----~=------_.--~-----==--=
Thi;; aj'plica.tion b:Q;S your permit when approved. / .
BY_( .A~ . ",l-tJ Jvu......~ D~TE: g JOt /077
= - .,LY~---=- ...:-=-------.....----~--!-
FEES~ ~ 35.00 Sewer and water line connection
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surchar9'e.
permit.
* Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
DATEi::::~. / ~~,,~;t\\~OUNT PAID /
RECEIPT ~ / o>>\\P\~ REC'D BY /
- /
. 4629 Dakota 51_ 5.E.., PrIor Lake, MlMe50tll 55372 I Ph. (612) 4474230 I Fax (612) '1474245
AN EQUAL OPPORTtlNm' EMPl.~R
AUG.25.2000 10:47AM
GENZ RYAN 6513226147
NO. 138
P.14/19
: \ I
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applic;ant ~<I"'I7- e?Ar~
Address: \\.i.,wc... .1:.,.. /?';<\nf ,,, r -:-12_L-
Signature: U" ."1 ·
Legal Description: Lot '--'OJ Block I Sub r~ \ A /' y\ I I rk tcr .
Site Address: I ~JC{"~ ~.,\/~ I i~L l.u ,~(C{ U~ )
8uildingF'ermit# C'JD-n"lc\ PID# ;:;I"'-sh'l-OCR-(?
NOTE: This permit ~ill not be processed without complete information.
FIXTURE UNITS
I. BI... File
2. Cial< City
J. 'fellow Applil:ml
# (f!J-t\"[tCf
Phone:JpOI-L.('Z~-114U
nf ('mIH.f Iltt ...... C""lIlfY
m-- ~c" c;-
C ",'..--, I ;._'.' \~
-' ,~--- ~. ~,
_._...,,_._~~-~._-- -,~
-l
1S28m
)
I Quantity Type of Fixture Ouantity Type of Fixture
I I 8 Bath Tub with or without shower ~~ Rough-ins
I \ Dishwasher I Water Heater
I \ Floor Drain r<./ I Water Sollner
I 2- Lavatory (bathroom sink) I Stand Pipe (washing machine)
I \ Laundry Tray (1 or 2 ccmpartmfllll sink) Sewage Ejector
I \ Shower Stall Bacldlow Assembly (APZ, Double a,ecIl, PV8)
I \ Sinks Backflow ASs&!mbly Test
'1 Bar Sink Lawn Sprinkler
'2- Water Closet (toilet) Other
FeE SCHEDULE
Industrial, Commercial &. Multi-Family
(1% of job cost, $39.50 minimum)
Residential. New On&! &. Two Family
Re,,;idenlial, Additions &. Alterations
State Surcharge
$99.50
$39.50
$
$
$
:;; / .50
/
J
/
/
GRAND TOTAL
$
~~~...~~ ,
?~O G \,'C:P'"
.n\~
<01,)\......
~
16200 Eagle Creek Av. S.E..
tions 24 hours in adv~nce.
r Lake, Minneso~ 55372/ Ph. (612) 447-4230 I FA,'( (612) 447-4245
An Equol Oppommi,y Employer
'"
.....
....
If)
.....
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. PermllNo. ()n -( )'71 C,
Prior Lake, UN 55372
HEATING APPLICATION I PERMIT
(L Dale 9-\ ?E-:>\t'-L~ PIO It _ ;;t,"" - '<Cl- cx;."Cf-()
rn SRe Address '. \r:F...:.f'=..'-\ 7-..or+-lI !-.INI - L~
~ Lol -3- Block I Addition (.....\lJ(\( A 'Cl{..er .:::-rcl M.oN
Owner's Naml \ l'yJ ON...v<Y\ '1\ '^ '--\'~r<\ D <:...
Addrlss ,~q~ P\I"Ltl.. ~ ~. -?Rr-o. ~"""~fH~
Healing Canlraclor f?-9 If)? - I? J "" II"
a
AddresslU"U c:- "" ful........ -r- -r.-Ll_ e",<.( ~ U'l.
I nt1l- u2~~ l\4L\
fUlnllll8 Make & Model L~'f,.
ModelSi~e r"'?~-.l7j ~-,'
~.j-~
Telsplmnl"
Com. Load
FuelNtrl r -t1.~Jue SIze
TYPE OF SYSTEM
Warm Air Planls '(
Gravlly ,
Mechanical
AJr Condhionlng 'l( 2.' h.
~t,.ytr Venl. Systlm
HEATING OR POWER PLANT
Sleam
Hal Waler
R adlaUon
S""dal 08lllces
Th~'
l'-
..,.
.....
<.D
OJ
gJ Supply Op..lngs
.....
i2 Relum Openings
z
a:
)-
I:t:
N Edr.
z
w
l!l Cfm.
4"
, I
L-J
tnpul.'S ,fiOt) Oulpul l <:f). ,...ni)
Othel Devices
:E
a:
~ AR"elions
IS)
..... Repell
~ Esl. eosl $
IS)
"! H EA TtlG PJ:AM IT FEE $
If) 1
OJ .
;j STATE SURCHARGE ,"
::J .
a: TOTAL PERMIT FEES .~
TYPE OF WORK
Replac&menl
New Conslructlon
"-
Est. Comp. Date
, BuildIng Plrmll. .fJb - 0 '1/ 9
/ r-. PA\O wrn-\. .-
L .. nU-lG PER,VII \
/.50 SU......
/
/
RKelp1 #
-
TYPE OF STRUCTUJ\E.
l.Pi,,1r:
1. GEe
J. VeiL.
file
Ck,
eNlrlda,
Single Family
Commor.lal
'I..
Mum-Family .
I
. Other .
Two-family
Indu81rial
Pubic
Fee Schedule
Industrial, Commen:181 & MLlli-Famlly
Resldenllal, Healing & AC
Reslden.tial. Healing Only
Resldonllal, G 18 Firepla""
Resldenllal, Ad.tlllens & Allerallons
Resldenlial, AC Only
1% of lob cosl (139.50 mlnlmum)
$99.50
$64.60
$39.50 :.. i'
$39 50 Ii. \' :
. .I:,! I
$39.50 '1'\/
.U \
----.------------
~_. ~ G0!7 ~ i~:;~
.'- II.
1al28~U
Remember 10 add Ihe Slale Sun:harge on Ihe bollom 01 lilt.. awll..llc_
Tho_price 01 your healing permll includll. ono rough-In and one IlnallllSpeclian.
Addflianallnspecllons will be blllod 0.1 $35.00 each_
House Healing Tesl Record musl be submllled wllh ........".. gaanlI ~II."''''''. bolore build-
Ing certiflCBle 01 occupancy will be I.sued_
""<IT r.j11 r.111 .TIO"'~ RFOIIIRI=I) wllh oomber 01 supply and return openings Ilsled per
room wllh CFM's per opening. New slructures or additlDIIS send 1100/ plan wllh supply
and rllurn loeallons showrL HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55372.
,
CIIy Han business hours are 0 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
I lIereby apply for a mechanical syslems parmlt and I acknowledga IlIallhe
Inlormalion ebove Is complele and Bccurate; Ihallll& work will be In conlormance
wllh Ihe ordinances and codes ollhe clly and willi lhe .lale building/mechanIcal
codes; Ihellhl. form does nol become a permit until signed by tho BUILDING
OFFICIA ; IlIelll10 work will be In accordanca wflh Ihe approved plan In Ihe
case of a I work which requires review and approval 01 plans.
\A ~lS ~
L/~J- kl;~/u7J
C .- Building 0 / Oal...... .
./
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15ssi./ ~i& 12........
NATURE OF WORK .srA NIL.-,
USE OF BUILDING <::.Fp:\..
PERMIT NO. (J()- 07 /'1 DATE ISSUED _~. (~-?oo~
CONTRACTOR ~~"-'^- 4-...n... ?~N~iL (".c:;;-~.CfC(co
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I t7n. I '! / I 't /czY l
I FOUNDATION (Prior to Backfill)~ I & ~~ I ~. 7/d-6/1n r,:;:;/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED t:Ar
ROUGH - tNS
~ ' ') 11':;/ rfl
~ tJ~ 1 )04!OI .
. i211. (~% /
b.\j I:). A\tnl
"R.~fWttllp4-J"1
'7 ~ I ~.o+1~i
w\r.1A...4l' ~vJ'J04
. . .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1__ 'W'" nrr I I
FINALS
"'I ~
~.~/\
~-~~
1,/\)~
OCCUPY UNTIL ABOVE \HAS
NOTICE
SEWER I WATER I SEPTIC
FRAMING 1.l.fi0A?r=#16i::Jf- (~ ;A,,l.r;tll
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
IO:?/lr D\
;tL'1IDl
, .
~Jo~ 01
lj
-(1.. r1--!C>1
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. Qn 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
,
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Q!:trUfirau at ~rmpanry
ell i OF PRIOR LAKE
J)tpaftmtnt of liutlbing Jn~ptttion
gFinal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code
certifying that at the time tJfissuam:e this structure was in compliance with the various ordillQ1lCes of the
City of Prior lAke regulating building construction or use. For the following:
SINGLE FAMILY 00-0719
Use Classificatk-
Bldg. Permit N<'
Occuponcy Type
R3
N/A
Zoning Oislrict R2SD
VN
. Type Construction
Fire Zone
Legal Description
L9, B1, GLYNWATER 3RD ADDN
Owner of Building
15554 BROOKSIDE LANE
1;l,ite Address
Contractor's Name & Addres"
WENSMANN HOMES, 1895 PLAZA DR., EAGAN, MN
ROBERT D. HUTCHINS
- J BuIlding otiifial \
Dale: 'K (~ 1;;1.14/01 Dale:
\ ' POST IN A CONSPICUOUS PLACE
City Planner
DON RYE
," ....
~~
/5554 ~roo)<s.~Ae..-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D)HSULATION
Jd FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
"ef'MECH FINAL
COMMENTS:
-
{9 I (') \
APr ()~(o\b\
\ I I
. J.v1t"l IJ{ ~ IfJer
-,
TIME
.;(~~
00 -7/q
o EX/GRAD/FILLING
o COMPLAINT
a./'1REPLACE RI
FIREPLACE FINAL
o GASLlNE AIR TST
o
f,+- Ci <rlcL'r
do~f'^~+-
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
.
o CORREC~R~' ALL FOR REINSPECTION BEFORE COVERING
Inspector: b.... \.ov.q Owner/Contr:
CALL 447-9850 FOR THJNEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,
/5C:;~'-f '1" /S-57tJ
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
~ PLUMBING FINAL
/0 MECH FINAL
COMMENTS:
DATE TIME
l../?lol /1:~O
t1~r~
~ - 71'1
'" -
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o F.IREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION A11ID PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ \) ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
."
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~I
TIME
ADDRESS
15554 BROOKSIDE LANE
PERMIT #00-719
OWNER
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
To<.,~u,o_ C.O.
Clnc.,o 1-,-1",
y(WORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~._ \)r1"1 Owner/Contr:
CALL ..c7-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
INS/'iOTJ