HomeMy WebLinkAboutBuilding Permit 00-0733
~~
[j ~ ffii, :\' I CITY OF PRIOR LAKE
D ~' : BUILDING PERMIT,
.. 2 8 2lXXl MPORARY CERTIFICATE OF
.. LZONING COMPLIANCE
AI. ~TILlTY CONNECTION PERMIT
_ ...J
DIRECTIONS
, ..........
SPACES NUMBERED" THRU 17 MUST BE FillED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS /<.[3 z..G, O{) <.1 L.
3. LEGAL DESCRIPTION
LOT 'X SLOCK J
ADDITION !\ /to Ii? I-lill
14 OG!rll1 Jl;"k. IT V \ <.r?u.)
15. ARCHITECT (Name)
6. BUILDER (Name)
[0...-1'/'
s-Ll-)
(Address)
rJJc..
(Address)
(Address)
Fireplace [j
Alterations CI
SeptlcCl
Addition [j
Deck 0
Finish Attic 0
j./e;-
1. DATE
7~2..r-0.::;,
Ri
PID. ;::;)~-~c''t- ()O~- 0
(Tet. No.)
~ 6't!J ST
(Tel. No.)
tA-tN s:ro'i "t
;;If'f9 jilw
I<<co8~M
""
:SfO'''l ('.. rI' '7 60-"{zl L
(Tel. No.)
Re-roofing 0 Porch CI
Re-siding 0 Finish Basement 0
Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
9().-()133
BUilDING INFORMATION
11. SIZE OF STRUCTURE
(Height) ., (WIdth) (DeptQJ..-.-_
2.., (00 ') <.
12. NO. OF STORIES
'Z-
SURVEY
o
13. TYPE OF PONSTRUCTION
<!IY'/I.. K-'!'I( '-'1
14. FLooA AREA~MENT USE
./
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS ~
SEAT/"
16. PROJECT COSTNALUE
;:; ~O / DOt::,
17. COI\l1PL'ETION DATE
Dt.. Co- . l \" 2. D ;:, tl
I also certify that I am the owner or authorized agent for
the above mentiOnTfd perty and thai all construction will cQRform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware thaI the
building official can 0 e this it f r I cau~ F~ agree thallhe city official o~ a designee may enter upon the property to perform needed inspections.
X VI( 4 \f f., ..-;~ 7-f{ ~Co
~ Signature l License No. - Date
~;
iI
7. TYPE OF WORK
New Construction J!(J
Chimney C"I Mi~'
8 PROPERTY AREA OR ACRES 19 PROPERTY DIMENSIONS 110 CULVERT SIZE
Sq Ft {()f tnl ~ Width CJo Depth '3 f<{ Yes No ><
I hereby certltJ" that I have furnIshed mformatlon on thiS application which IS to the best of my knowledge true and correct
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
USE OF BUILDING
~pD
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
MATERIAL FilED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Side
PERMIT VALUATION
'L. l-C) ,C7G el. ~
TYPE OF CONSTRUCTION: 1 II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $.J ,1./'3'7 . '2S-
Plan Check Fee ............................. $J~. -Z(
State Surcharge ............................. $----1I'\C\. r,a
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
100 00
100 .(?G
35.~
q(J r>d
Sewer & Water Pennit ...................... ~
es Y r Building Pennit WJl.en Approved.
Date }If-{/. ?~
Issued
City:
~b
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee .... .... ................... It
SAC ......................................... $
Collective Street Fee .... ............ ....... ~
Sewer Tap ................................... $
dr. $
Pressure Reducer .......f~.............. $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
COPIES
Ei9"r"",
//OC>.r>>,e.,
.. .
I
'i6:. ~
I :;u;: O~
/, :t't;rJ .~
/~f9 .t"~
WaterTowerFee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $ I. (; bl"'J ~
.,
Other ......................................... $
Paid Te,/z"; /;;,.......~...~~~i~;~o$ 3~~iL . 7h
Date A7 ., I q to By (l(Jit
24 hour notice for all inspections (952) 447-9850
e request in tile above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
nerco= temporary Cernti'il1Z~mPlian~ndallows nstru commence. Be re~upan~( ~~~:ue(l
. . ~. 'Y"~ 5 .'0 ,'~ .-.
ityPlanner ale pecla on ns .,y
. ...,.-...----,.-'
~~
00' OI7.J5
Thr {"rnt.. of lh. Lak.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ ill 'R!..J.U..D" r2 ,-, \ n. L .
APPLICATION RECEIVED ~ y ;::)2< In ranoo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l'l....~ (r-> nOVE: ( .Cl. ,,;, NE
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~!/~-U~
Comments:
Date:
i>" tt... .60
~ 1?J<=L~'o'J A- M~ (5D H
, ~\lt)&~ ~~~ (j2, ~ JCO&/fv MtJL
I~~ cW- Ctiq,c~r. As Idr~~~
-pflA~.d-'P ~~ I}SeA ~-~'~~e
~~ fV-~ ~< ~_ M.;r~
~l e;H .4.!/~ L~ dJV~ ~91-(\c--.~
~ LNVl--tu/&~ 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."
00.Dl1-6
Tht Cnltrof Ihr L.krCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (e::\ ~ ~ '12.,,,,, ~~." \M
APPLICATION RECEIVED \I." ;::)~~ d(){)O
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lf~(~ 'L)()VlC. (_,l'\I1r;>T" NE
Reviewed By:
Accepted With Corrections
(~f
I "
Accepted
Denied
Date: ~- c..( -r~Y'l
Comments:
U ab /,fRkj ~ ~
"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."
OD.{)lZ6
Tht" Cfnl~r of Ihll' Lab Counl!')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ ill R\JII t',....I;><... \ \nc.
APPLICATION RECEIVED ~ ht V ;::)'K ~ 8J) ()O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/CJ;;{ ere:> DovJ;. (,01112' N E
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments: Set".
c;rattr Ca'~M~
-liP. ('PIll r <;.p <) ide
Date: ~Im
-I1r p~.~O/M/ ,ril2//>tqf,Or7.
5p-p ,.,-U-a ck""e"+<.. I Hhal. ('""lQlI.Je.
3. &0510"'- ~",ln>1 N..t:d$ures
~e.,.:l-iol'\ Ln-!;,..t>Ia.-h"o",- ,;J. Grqol::, ~
~ G-()~/"'/t aH !rlf)/ FIa.'l
"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."
,~
.Permit'
.JobA.ddres.J~
"Heating Contractor
..
.r eslerslSignalure
.Gas Une
Pressurized
Inspected
. Percent CO2
.Percenl02
Final Inspection
.
~
METRO AIR
~l
Dale
Time
PERFORMANCE TEST
)J./%
,&;:8%
. Percent co
.Slack Temp.
Date
C/.
Pounds
~
0%
960
"
733
a~-_
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Parm" No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PIDII d,')- rsLS<. 0011-0
()Cf0t, C+.
'P (' I c:, ~ \.()~
Talephone # .
Furnace Make A Modal
Lt\V""Y"" ~ \~
TYPE OF SYSTEM
Warm Air Plants .k
Gravity
MechanlCIII v-
Air Cond"ioning .~
Vanl System
HEATING OR POWER PLANT
S1aam
Hot Waler
Radiation .
SPeQaI Davice.
Model Size (\\ >< 1\ ~ \ a ()
Conn. Load ~ \;\ l ~ CII.
Fuel N o...\;' Flu. Siza {hi C
Supply Openings
\\:,
j
~~.~
Ral1J,n Openings
~nput \ C<:l t)l:\..."l Output.
([ . .
&!:dr.
f-
,w...
i ",...m.
,
Other Devill8S
lSS'<J
. '"
'0..
. cnAllenotions
"
-<Repair
TYPE OF WORK
ReplacemenlNew Co~ructiX
Est. Comp. Dale
~ C\ ~ c..\ ~/ BuRcfmg PermU
OC- I d. ."
PAID WITH
_1MI.DfNG PERMIT
~ Est. Cost S
~
~
,,!HEATlNG PERMIT FEE S
~
.-; STATE SURCHARGE $
f- .
u
o TOTAL PERMIT FEES S
.50
Receipl ,
Single Family
Commercial
x.
TYPE OF STRUCTURE.
l.PiIli'
1.(;".0
). '\leUOW'
fl1c
Ci~
Cocnaor
Two.Family
Industrial
Mult~farnily
Public
Other
Fee Schedule
Induslrial, Commercial & Multi.family
Residential, Heating & AC
Residential, Heating Only
Residential. Gas Fireplace
R&$idenlill, Addilions & Aherations
Residential, AC Only
1 % 'of job cosl1S39.50 minimum)
$9950 PLEASE NOTE:
S64.50 Air Conditioner Units Canne
S39.50 Encroach Imo Required Side
S39.5C Yard Setbacks.
S39.5C
Remember Ie add the Stale Surcharge on the bottom of this appiication.
The price 01 your healing permil includes one TOugll-in and one final inspection.
Add~ional inspeclions wUI be bllled at ~5.00 sa"".
House Healing Test RecDr<i must be submilled willi ~ ~ ~ before buil<i.
ing certfficale of occupancy will be issued.
!1f6I.!<A\ ~l/I ATlnN~ REQUIRED with number 01 supply end return openings listed per
room with CFM'. per openi"9. New structures Dr additiclns send loor plan with supply
and I9Il1m locations snown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPUCATIQNS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. s.E. PRIOR LAKE, MN 55372. .
Cily Hall business hours ere e a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-lN ANO FINAL). CALL CITY HALL
447_ FM 44"7- Lj.v+5"
I hereby apply for a mechanical syslems permit and] acknowledge thallne
Information abOVe is complete and accllrafe; lhal the work will be in conlormance
with the ordinances .and codes 01 the city and with the state building/mechanical
cod...; Ihai Ihis form does nof become a permit unlll signed by the BUILQING
OFFICIAL; Ullillhe Work will be in accordIOn"" with the approved plan in Ihe
c::au work ~Ch ~qUire~ review and approvar 01 P\a~_ \ ~ fJ:J
, '\ C>./Wo,,, 1\ / ~'"
a ill;:::;;:) 1{)-1(~00
u Bullcfln9 Qllical'l Slgnal1Jl8 - Dille
!, . I
_____l ~ .________. --_____,__....._.________
,
----~-._-~------~-----_i___.-
-_..--~~ -t.
.-<
IS)
"
.-<
~ " - / HEATING APPLlCAll0N I PERMIT Single Family --..,(
I '2 I c::. -') I C - 000 -() Commercial
<D Date 0 - ~ ~ - {.;Iv PIO ft Of d 0 Co 0 <:> .
I ~ Site Addrass ll.\ '5 d.b ~ L" .. Fee Schedule
i ~ Lot J Block I Addilion -4:/\ ) u h ili/ I $LJ... ~ Industrial. Commercial 8. Multi-Family
Ow N /I - '<V' C) u' \ ~ '" Residential, Heating &. AC
nBfs ame L.- )--...,. er ~ . .
~ Residential, Heating Only
Address \ "-\ ~ d-b \) rvV:~ c. ,- Residential. Gas Fireplace
. -...J . fL t _ II. fA n (I ~ _ I. A Residential. Additions 8. Alterations
Heating Contractor \ Q &.J - 1;;.. r. ~ ,~ R'd t' I AC 0 I
- ' eSI en la I n V
Addrass ((., f '5 I ~ \A...J r .' II r- LA-b
Talephon:_' 9&S 'i- l.f 40'S 6 ::tu
Furnace Maka & Modal 1V\ 0:\ 1Z.tvh' Co. AIR CONDmONERlINITS CANNOT
. 1"1.. J R I ENCROACHINTOSIDEYARD SETBACKS.
Model Size \::) 'I ..... bON
'1 J..., '::I
fl'MN l..i Ndu....
CITY OF PRIOR LAKE S~ IruI J..-ft)
1620? Eagle Creek Av. S.E. MC 0- ......, '2 -r ?;/ \ /0 - .l ~
P'lor Lake, MN 55372 Permit No. I 'J :;) .,
<W1D-;..(j
TYPE OF STRUCTURI;
1. Pink
2. Greeb
). Yclluw
File
CUy
COllClaclCl
.-<
IS)
n.
..J
a:
t-
O
t-
Two-Family
Industrial
Public
Multi-Family
O!her
1% 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remembar to add the State Surcharge on !he bollom 01 this application.
~ Conn. Load
a:
..J
Ib Fuei Ne. + ""lY1.Flue Size
t:t: v
u: Supply Openings
'"
W Retu," Openings
t:t:
w
51npul
Output
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System.
HEATING OR POWER PLANT
Steam
Hol Water
Radiation
Special Devices
Olher Devices
The price 01 your healing permil includes one mugh-in and one r.nal inspection. .
Additionai inspeclions wiil be billed at $35.00 each.
Edr.
House Healing Test Record mlJSt be submitted with building ~ IlYL!lbm: belo re build.
ing certilicale 01 occupancy will be issued.
liEAI CALCULATIONS REQUIRED wilh number 01 supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan w~h supply
and rahlm iocations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRiDR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIDR LAKE, MN 55372.
C~y Hall business hours are 8 a.m. - 4:30 p.m.
ALl. WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)- CAl.L CITY HALL
ctm.
If)
If)
~ ~nerations
Phon.: (952) 447-9650
Fax, (952) 447-4245
TYPE OF WORK
~ ~epair Est. Compo Date
IS)
~ :sl. Cosl $ BlJiIdlng Pelm~ #
"
N
,r. iEATING PERMIT FEE $
u
o HATE SURCHARGE $. .50
rOTAL PERMIT FEES $ Roceipt #
PAID WITH
BUILDING PERMIT
,I hereby apply lor a mechanical systems permit and I acknowledge lhalthe
information above is complete and accurate; thai the work will be In conformance
with Ihe ordinances and codes of tho city and with Ihe stale building/mechanical
codes; thallhis lorm does nol become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
cas:K:;whB~e;:;;view and approvat of ~~~ 0 L/ _ W
/~licanrs S/gnalure Date
UJ c.-..- ;b -,;;q~
Vluilding Omcal's Signature i Date
Replacem ani . New Construction
09/05/00 TUE 07:56 FAX 7638621223
JD Excavating. Inc.
1aJ002
"A ~.. D9:24 FA.~ 61:~4TJZ45
OJilli ~ ftCoV
ern OF Pltl~ LdE
;i~OOl
i PRIO
0;--;:-:--< ..f>
€(~E\
", .{I'-
'1It/llf,SC>
_-oaR
~..~..r
,... ....."
"
..
CITY OF PRIOR LiUtE
SBlifER AND WATER ~ ~.....,u
NOTE:
s.w.No.J)().0]33
SeWer and Water
c:ontract:ors llIu,,~
be reqlstered
wieb the City.
x APPLlCAN'l": ID EXCFlVATINC,. INC. "'PHOBE: T-('''''t-4:5'82..
)I. ADDRESS: 11-42. - i~ 2,ND fWE.. COON K/'tPI~DATE: .
,,; SIGNATURE: II 1.", ~ I..io ttJ.. J. J6.Jr"\ BLDG. PE'RKIT' ()(j. 0733
X SITE ADOIlllSS, \ 14 bd..{p "\'ru >R CUr. prOf
FILL
TN Tq B~ANKS,
c..n
2.
Siz. or wa~er ~.rvice
inch(.s) .
IlRlrn @ IT; r:\] .
fe~J\
!\\I SEP-62tXXl
,.,!,\~
. . I}/
U ,""":.... iL.:/
L
Estimated lenqth or vate~ ~er~ice
J.
Location o~ any Couplin~s from structure
4. Type of sel.l'er pipe. US PVC X
5. Esti~ated lenqth of 5~wer line &;~
,
Cast Iron
-
feet.
6. Clean out {ir required}. located at
structure.
f....t
frol11
--==-=-==--=~-
'-"- .....___ ,_ . , "0 ".,.'
This applicati~n
p.rmit when ~ppraYed.
DATE: q, / r . d ()
BY
--==!!I____'.____
~==-----~-----.-.::._----.
0_.....................--..__ 0 _ .. .____,
.~c;;
FEES:
$ 35.00
~.. _ .50
$ 35.50
Sewer and water line connection permit.
Surebar<Je
TO'l'AL
*
fee for eith..r sewer or water individu~lly is 520.00 pl~s
$ .50 sur~har<Je.
.
Sewer and wa~e~ p~rm1ts ~s&ued tor new construction must be
r<to;:orlied on ~e building permit C"A et. 'th.. ~!!Il. Qf i...uenc:e
to insure that no duplicate seWer and vater peraits are
issued.
DATE: PAID
AHOt1Ji1' PAIl) f,O>.\O 'N~p.tII\i
Rae'D By ~\\J)\tle
RECErP"l' t
16200 .Eagle o-k Av. S.E.. Prior U1ce. Minnesora 55372 I Ph. (612) 447~230 I FAX (612) 447-4245
AD Equal 0rPmu1lil,\' &.play....
-
(\ *~ :t',\Q, S
V '\~o
CITY OF PRIOR LAKE
"LUI8ING ""Mn-
. - re 5~QY ~lumbi(\Q
a ~~rI\".fC\" C'iVTlo..J c;;:",<;:'
_. ~: .\~
-. f (
UIIl ~ " T..: LaI \{ / Itp:k
.. . U : , Ll ~ ~ \ 'riVO ~().j(i
.rrn.~.
NOTI: T1lII .
I.... ....
L CIoII c::"
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PPNa. ()-/~_
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B:.i 0, lo.k.LJ .
8uD..M.~QlrH~TA!!;t
CJ
PIC .;}.,t) - ~~- ()(~
'....... " .. .' IIIIlIoour COIl'lplel. Info.......IIo".
flDrrUIIII U~ r.
r CL~
t Type a'I F1Jft1.1re
AoUVPl.i".
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1.IIt.~ CI .." .lrIIl) Sland PI". (""."""11
1- 11&;,..., (1.2:. , " ,.Ink) ....11. ej~llt
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-- - .... . ., .. .~II'I." (..
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. .50
. 2000
II' __ 01.11___ . Lf . ......~I~
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GIIWiID TOTAl,. I
..... ... II ... .. ....... ....... _ ...
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-.. - ~IIIL ~.,.. -l"-"I.
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. ~.( AAA 1,..4... 1__ ..~ __.
c:.a.....; "._ aa...._
'6200 ea.1. e... Air. I.... Prtar LIIIII. Mil..... "372 I PtI. (612) ...7....230 I FAX (611'447.01245
Aa ..... <:t , '., ......,..
PAID WITH
aII.OING PERMIT
~
--
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1l{~2c... T'la!.- ('.\-.
NATURE OF WORK fJe.....,
USE OF BUILDING S~
PERMIT NO. 00- O~ DATE ISSUED 8-Q-Zcocl
CONTRACTOR C).l:-M. u"""'\I\"-'PHotlc. t(..D- <f2..L--7 _
- -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT \
INSPEC~ DATE
~ 2.) ..(f()
,& -).9\.-00
AS B~EN SIGNED
I FOOTING ~ e&-f~ 'J.5,~,
, FOUNDATION (Prior to Backfill) ~~ I ~
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
1fJJ.
/t.
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~1c..1
ELECTRICAL I
PLUMBING I
HEATING (if required)~, /l/at;/m I
FIREPLACE 'I f};n
GAS LINE AIR TEST ~ ~ I tD 1~5'/tft
q -d ~-tJU
It) j)~ / tJrJ
,
J/)}9f1/~
fir.
~,
I/"..'l~ In
I 1i>/".'ZJ1 {Jo
lID (':;5"100
F~ h, g/r/Ih
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Iw-'. D I I J
FINALS
GRADING (Prior to Sodding) _ Il1P 9 _ .;} 3-01
BUILDING;(.t..O. ~ ~/)/or .~. IzlfS/61>
ELECTRICAL ' I '
PLUMBING W/L/~ 12..117J~ ~~~.-
HEATING rJ{~ bf;r.' ) 2,1,4 1M
, ,.
DO NOT OCCUPY UNTIL ABOVE 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.
Call between 8:00 and.9:00 A.M. for all inspections
FOR ALL INSP.l= T'IONS (612) 447-9850
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-
71is C~rtifiCtll~ issued pursuanl 10 1M r~quiremenls of S~clion 307 of 1M Uniform Building Cod~
c~rti.fying lhal at 1M time of isSIIIUU:~ lhis slruclur~ was in complianc~ wilh 1M various ordiN:l1lc~s of 1M
City of Prior LoIc~ r~gulaling building conslruction or us~. For 1M following:
Use C1assificati" ,.
SINGLE FAMILY
00-0733
Bldg. Permit No,
Occuponcy Type
R3 . Type ConslrUction VN Fire Zone N / A
L8, B1, KNOW HILL FIFTH ADDTTION
Zoning District
R1
Legal Dcocripcion
Owner of Building _
C;ite Address
14326 DOVE COURT
C&M BUILDERS, P.O. BOX 460, SAVAGE, MN 55378-0460
Contractor's Name cl Address
DON RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
-(tw-.
i~
SCHEDULED
ADDRESS
ILl 3:Jt. T)n'/f'_ ('" r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
PB(FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITe INSPECTION
COMMENTS:
!J/,,,U
i
t9K...
DATE TIME
9-;)3-01 fJtY?
(,)()-7 <3
VEX~LL1NG
.....Q.l.KS~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECT1QN BEFORE COVERING
Inspecto~~.' .-..Qw.ner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IzjJ z/ ()O
f{~30
ADDRESS
I i3Z.<O
J),.j1/e:- C1J I.A/ff
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{)-'(33
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING '7\ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION (~O SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL ~ l ~ PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION VJ I ~ MECH FINAL 0
COMMENTSfi)) ~ . ! .LJJJJ/i ~_
~ 11-1~ / ,;::J:::PJ.
@l (1~' /. ~ a... ~ ~ tr) tz...I-.
-~~~- 0
~)~rk. .~~ ~/r.-L
~f:!) ~~ r?~ (I~, /
@) ~ f1-,..J..ol-A4-~1i jl~ '1-1 ~-I (~~
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~ (2.) IVdrJA- ~ ~~ ~~ .
~{J.Jii::b:...1 ~Vw. ~ &-c ~ /'~ ~
12.e~%.~ ~~/'
tJ'dJ (ILL l\~ ~ ~~
. U
---
~ -tTu-01
~
o WORK SATISFACTORY. PROCEED
~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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q. Za-DO 3: DO
ADDRESS
1432(0 DOVb C--I.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()Q. 0733
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 0 MECH RI
o FRAMING ~WATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:1'fj fJA>>J~ -:1$' ~
~~tJJ.d ~~
, (lOQ........... ./Uv~
kc ~.
I
v'1
~I 1,
~ I,l /V(!., 4f'.h/~l!. AkJ- S=-A-;r:
.''''-. I '~-l:L ~!J '
,1... II ,"f1MAn" J(." C'.~ \ ~. ~
I A . n 't;.r , ,
~ - r'-O ~ - ~I~. I!L,
I
o WORK SATISFACTORY, PROCEED
~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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOT/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
\7'7
SCHEDULED
1~'1/oa /d:=
ADDRESS
IY3,;)..~
J)otl~ CTt
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() - :i.'':: 73'5
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA TIO 0 SEWER HOOKUP 0 FIREPLACE FINAL
j8: FINAL d PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION v:5/' MEC~L 0
COMMENTS: 751&"" ' ([J ~ f2a.- p,,- ~ ~ ~
V.&~~' .-~
If;Q-l ~ ~~ k~:J! -
.~ ;-JI:;~ W,,- 4- ~ jJdJ.0
. .)./fl"'l-T _ y(j) '?--' ~L Rfll uv,jl~' ('~
_k.fJ~~ ~"~m-~
~ ~ )~.~ ~~.t~~,'
~ ~ ./l.J-~ ~ ~~,
~ .L2<-<A f-<.e. ~ ,- ' Lt
; ~jI< JUL'. _ .4.~.';f-,
,.. . .~.~- P7-1-t:~~ ~~
Ifil Jdjz <2 t~ 0 1/2J2--7 (/~, v
'IfZJ ~ ~ ~ trFtJ ~ ~
- ~J..f:'" '- ~/J I
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED ~,
~CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ '
Inspector: ~ . Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl