HomeMy WebLinkAboutBuilding Permit 03-0877
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ?- I ;;L - '3
(Please tvD~ or print and sign. at bottom)
ADDRESS
~ q,2 fo !?o ~AT fRM L
,
I, White
2. Pink
J, Yellow
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT /~OCKP"'A~DITION jj)/ rh Sc?Uti-
OWNER
(Name)
-(&:l4u)
(Address)
~
-
~~;~)ER /ftt .dtJW~L !5fA.,1 de-a
(Contact Name) lh'l!Ir~
(Addre~s) &10( r~.fitUS1D~~
f)r,
TYPE OF WORK
')i3'"New Construction
ODeck
DLower Level Finish
o Misc.
I Permit Valuation
I Permit Fee
1 Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ -l~/-J
~b~e7
Building Official
(Phone)
(Phone)
(Phone)
I PERMIT NO'OJ ~' 0011 I
I ZONING (,~) I
BI '
"
PIQ:;25'O ~.? - 0/5'-C
95;; -;(50 - 3J'~1
Jl(Hr~
15av~
!It AI 55'378
DPorch
ORe.Roofing
ORe-Siding
#
1 $ <;:250,-
1 $ J J..1C;.-
1$ 3tY? -
$ 70.'-
$ I :uTt9. --
$ 7/'J0.- \
$ I~D.-
$
$ Q5~l/, he!,
o Fireplace DAddition DAlteration DUtility ::vu.,,<~~.
PROJECTCOST/VALUE (exc1udingland) $ ;(75': ()(?(::J. DIf>
-----
I hereby certi at have furnished information on this application which is to the best of my knowledge true...aad correct. I also certify that I am the owner or
authorized t the above-mentio d pro and that all construction will conform to all existing state and local laws and will proceed in accordance with
;~::o p. n I 1m a;;btSlgntatuerede~c;li sp /' an revoke iliis pennit for ius;;3 ;:~;; hereby awee ilia' ilie Ci/,04b'~atJteO~ designee may
;^{r4 'Contractor's License No, 1't:
/7'....
~'7S: oro-r
/{//]g. '75f
. Id.-p,ql./I
13/}. G"q
1
IN'l.- 1
!Q().- I
,?'5.S0 I
lj 0 . ----1
1 Park Support Fee
1 SAC j?)
I Water Meter Size 5/8"t.!/f
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
1 Other
1 TOTALDUE ~ 1,'),.01
I Paid
I Date
<'/ 5&<T. to C'J
7 /~ L~? .
#
#
#
/1
I Receipt &0.
Bv 1-- .
()
~~lrzJu
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 commence. Before occupancy, a Certificate of Occupancy must be
isSU'J.1A ~ '"'J_ ~ 17. /J
~lannin?;;~ 0,h~? K4J ~ec\j~d~~n~
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
.
~~
White - Building
Canary - Engineering
"..inK - ;:;ia~
Thf ernlfr of thO' I..k.. Counlf,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"'--'
/;'
,/ "
./)' '! j
I .
" /....J
!
,
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'-
APPLICATION RECEIVED
1
(0-1)-:::>
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
""; -I _/
'\1 ~. / [' ) JP
'-,L(
i-""
Accepted
Accepted With Corrections ~
Denied
~
A(J, ~ ~
~J~/Je ~ 4d-~.
f/
Reviewed By:
-
:;(tU iJ../L
Date: tihtJla J
, I
~~
tJ
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."
~~
C While - Builrl.i~
Canary - Engrneering
Pink - Planning
Thr Ctnrrr of thr L.kr <.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAMEOFAPPLlCANT ~~ ~Lu/
to - 1;)-.--" q
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construct~afV;ZhiC:AZ:~~;d
j - - . -
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~~
,
';Z.,. 111-- Date:
~~
t:/1?6/0 "3
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."
~ 0' PRIO",
@~
Tht' (""nlfrof lilt' I..... ("ounll1' .
White . Building
~n!lllry ~~_ ''i,:. '~"~"~
~rnK - t'lanning
BUILDING PERMIT APPLICATION DEPARTMENT C'iECKLlST
NAME OF APPLICANT
'"I 'J "~l / /
r f / ,:' 1/' 'Y"Vi
.,. I ".......(.' f~>. --f.", (.:: .
" I..
. /l/~/'0
/..- /' ,) /
", ",,,y, ./
_-<. i..{" (/L.l.t--
APPLICATION RECEIVED
~. /'.').' ::::;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructio~.activity which is proposed at:
, J ,,;').- /- -' I Ii...., i'
~:,/ ~/"I I f< '~-l::_....-1__ ~"I '. __/.~.) .~._ /,1
\,-,' 'i I,,:.'?"!J:) \j //.' &r l/,). i. .,,-/ t _A...,....i...t..~.r ,,_
Accepted
x
Accepted With Corrections
Denied ~
Reviewed By: 1L ^~ Date: Cc? 111 (03)
Comments: See ~everse id~ for Additional Information! '
See Attachments: 1) Gradino Plan. 2) Erosion Control Measures
3) Erosion Control Plan
"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."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
gJCf.O.3
; ~:::w ~ii:~, I PERMIT NO. /i?_ oll71 I
3. Gold Apphcant V-> . l:J
(Please type or orint and sien at bottom)
ADDRESS
2-92-& 6oe~ --;7~
ZONING (offico "so)
R:4
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
,- ,
PID7~~ ?R;?_.()/~, L
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT I
(Name) ~h) \i'htt'f ",,n Cf.ll)pr fAr
1q3lt:~ !.-.n.
(Adiliess)
(Contact Person) (Y): }~-p _ ~fi rd () ~ .I
APPLICANT SIGNATURE A\\..lv "j-h" I~_
(Address)
~lf..rJ
(Phone)
t--B:iC\ {' .
(City) ,
7-fs - -}t:;SrLJ?fl3
Ml'\~1 J
(Zip Code)
(Phone) l~I2--1;b7- <-/li'3
DATE '9,- J 1\ 6<.,
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure
Type of sewer pipe. D ABC IS] PVC
Estimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
feet.
D Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
0:1-u017
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ ~
/'
~
~!
pfJ. O~
f5()IV
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
IP~
I "Dai?? ' I g . 0']
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFlREPLACE PERMIT
Dille Rec'd
~~::. ~:~ I PERMIT NO. 3 - 0'17\
) V.llvw "FP1.' 0
(Pleur;!(pC or DriDt and sitm at bonom)
I ADDRESS
;17,?k ~6c#t-/- ~-/
\ \ ZONING (on\c,."1
J
LEGAL DESCRIPTION (office u" only)
, LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(AddIess)
/"l-7.eA.~ ,srpZl.JG 6",' /~-o
\
v7P / H".R.~.5"~ iY'.
. (Phone) 'J~,;:J-;;J.~-g8'~7
(Address)
~"l-h:.
~ltJtJ5"
/ncc;-Aa.-(~ ~~ne) _ 9!if;l.- W'.,7-/<V<VitJ
L4'77~rd AtK .:r:::....!.
(City)
b/;z'-Z-Z/- ?"?~5
ib?/cJ3 _
ft.<- -5:$ ~5".J.-
(Zip Code)
APPLICANT
(Name)
(Contact Person)
(Addrc,,)
RO/7 -...e d
APPLICANT SIGNATURE h~~
, (Phone)
~ 4-.L. ',J..
DATE
, APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL p~ 90 "7" /ttnJ/ tWV ~L ;r.<4'
~ '
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
, oWIlll11 Air Plants 0 Steam
DOravity D Hot Water
~echllnical 0 Radiation
~onditionlng 0 Special Devices
oVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot EncroAch into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential. Heotlng &. Ale (New Constl'\Jction)
Residential, Hr;;atlng Onl)' (New Con:nruclion)
FEE SCHEDULE
J.Yo of job cost-- .. Residential, Gas Fireplllce
S39.50 minimum
S99,50 Residential. Additions I!l. Alterations
$64.50 R.e~ldenti.l. AC Only
$39,50
Industrial. Commercial &. Multi.Famiiy
S3950
Sl9.S0
Estimated Cost S
Building Pennit H
HEATING PERMIT FEE $
STATE SURCHARGE .J>,
TOTAL PERMIT FEE [!)5'" "e< ii,: :!r
(om<< U" Only) I,; ,-
ThIs Application Become! Your Building Permit When Approvl m ~iclil
.;L , "1
'.l
I
I.
PlIIII PIiID ~
'OING '117-t
, PI:Fi41rr
I iUUJ b
I Receipt No.
I" 9:
Dulldlnl Official
nate
..., 1 Date
..J ___
y, ~u_
2" hour noti~c ror alllnspt:dlons (9S2) 44'.9850, {ax (952) 447-414S.
,.
cd W<i[I?:m: D:J0C: /.c '5n<i
91?1?C: c51? C:S5: n~ X<i"
l<iJ W<iHJ3W Hmos: WOd"
.LISle ,KIa; u
CITY OF PRIOR LAKE PLUMBING PERMIT
;~: ~:,', I PERMIT NO. :-:==' - (' ^71
) Yell,;". "",liul" L-) 0 / .
O?ll;asc: t):pc or onnt and :u~ lit bottoml
ADDRESS
,)..Jj' ~ ~k.a.~ 77Z~- /
ZONING (om" "Ie'
LEGAL DESCRlPTION (office u.e only)
APPLlCANT /7
(Name) I ~U"f1'~ /lJI'~;v,"':-J ~ .i-nA~LM (Phone) 9;J::';Z-~f?,7-'~9'cJ
ZICO.5 Id//'~,J /Jk v,,::k.......... ,.t.t-......... ..5'..5f~~
(Address) (City) (Zip Code)
~/?Rt'~ . (Phone) jfd~-Z.z./F~?./]
~d!?~ ~~>e.e-
4- , -
LOT
OWNER
(Name)
, (Address)
(Address)
(Contact Person)
ADDITION
PID
BLOCK
/f1"'A.~, ~'''h?-'C 15t<.,./a?~.s---
~"/O / M. +L.--<5...,{,n..e..- J:rr-t'v-t:.
.~(Phonl:) ,C?5)z-";~-&f7~ 7'
DATE
j"-Z?-":5
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity
.P-
I
!
.J
r
I
I
,$--
Type of Fixture
ijatn 1 ub with or without shower
i:>isnwasher
-" -
1"loor Llram
Lavatory (:daiiuooln Sink)
i.aunary Tray (lor 2 compartment sink
Shower ;iaii
Sinks
Bar ;inK
Water Closet (Toilet)
Quantity
:J
(
Type o~ Fixturr.
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler .
Other
FEE SCHEDULE
,
111du~lrlal. Commcrclal &. Multi.ramily 101.. of job cost with.. $39.50 minimum
r:.c----..-_..
m .':::::~::,::... ""' ,.",,", '"'.,~:'.. .",,,,, IIJi~ :;~c; ~ ;' 1~';" il "
J
14 hoor notlee for allln.peetlon. (952) 4' 8~850. f:_ (9~7-4245
-_.----=-~------
(Offitt Un Onl)')
Residential. New One & TW(I~F..mil)' S99.50
ReSidential. Additions &. Alterations S39.S0
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE
STATESVRCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAl
eUILDIA~ Wi,.,.,
'yG PI2
f:141rr
Rc;ccipt No.
c:r,
,d "J,,>:t':m >:00C: 1'<:: 'on"
9t't'c: C:5t' C:S5: 'ON x,,~
l,,:' I ~~"HJ3"J HlrIOS: WOd~
FIRESIDE CORNER
#1999 P.OOl
rPlea&\" ~ or minf and sftu1 AT b"ttom)
. ADDRESS
CITY OF P&IOR LAKE
HEATING/AIR CONDITI~GIFlREPLACE PERMIT
FIRESIDE".;w E:,~, I PERMIT NO'd - g/j~
HEARTH&HOME'"
Date Rec'd
2926 BOBCAT TRAIL
I ZONINGtofficeu,e)
LEGAL DESCJUJ'110N (offiee "" only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name MEADOWBROOK BUILDERS
(Address)
(phone)
APPUCANT
(Name) ALLIED FJRESIDSP..llAlJBlltl21';J:I~AJjQME
(Phone)
1\5 J .:.P1W.6 I
(Contact Person)
BRENDA HUSTON
ROSEVILLP
(ary)
(phone) _65J-633.2561
55113_
(Zip Code)
(Addres~)
2700 NORTH F AJRVIEW A YEND"
(Add'''')
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
R/25/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
Ow."" Air PlAnTs 0 Sl~om
OGravit)' 0 !lot Water
o MechanIc.1 0 R,diOlion
OAir Conditioning 0 Special Device.
OVent. SysI.em 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
C3nnot EncTo3ch into
Required Side Yard
Setbocks
FIREPLACE MAKE AND MODEL
HF:AT N GJ.9 SJ.-750TRS-C
FEE SCHEDULE
Industri.I, CommcrciBl &. Multi-Family 1% of job co". Rcsi<Jcnli.I, Gas Fireplace $39.50
$39,50 miniml.lm
Re~jdentjoJ. Healing & Ale (Neu.. Con~r.n.l(;rjon) $99.50 Resldenfi:\I, Arlditions & t'\lt.elilr.ion$ $39,50
Re.identi,l, rieOling Only (Now Cons,"JC!ion) $64.50 FC;---Ral:i<tCOJ.i!I, AC Onl)' $39.50
"'om" ;;:1TIN0 PERMIT ~ tu;t;'!"';:l 't.~4J() '"
STATE SURCHA I:: $ . (UUJ I I .50 \tIQ '1l'J-t
(omecU"Only) TOTAL PERMIT J!:.'!:',-,-,-.,c,$.._______ / ,o~I;'~7'
This Appllcstion BccomC!l Your Building Permit WhcnApprla'cd I ~d' Receipt No.
A lIellrtlt .& Hdl11e lee11n1 'Iog;es -ffrnnd
~ e"ilderJ),'"i<f,n L~~~- By
"I -I BUildln20fl}"':f~hFrlirvip!w~vp.nueN(,rth R".l~'~ 551111'ho ("'1'1...,t;'S.1-I~"Q,.~~'1_QQO..t
nUll."'.' ';'.''''. 3850 West r-lli%Yfn~ J.;jI~'f[.p1.'1IIIRlrMW.~H~MJ1jlf-~8Wl8.~~9g11M!lh2~2-89().5408
M'l'W.Ml'IlshlttlllQ.cl)m Mr" CI)I'!trT1(I'I'lr lI(1e"~ H UKJ~I'I?ll
NO\)-14-2003 09: 31
VIERECK FIREPLACE
861 0456 P.01/01
Dote Rec'd
IP:eJ.lC i',~e 'Jr or,r.~ &l..!'i.a. sj~ .H bCC'tQrn)
.'\D DRESS .
(?;n~ ;;1,
z (".....,~ C'II
:; y":,,,.., .:.,:Ik~r,l
i PERI\1IT NO'3 -f,?) !
::l9d..("
;.J()I/6.r.:'~j
~/A 4-<;'/. -_hJ/.~~_4
-
LO~TI'i~.(""':<O:J
I LEGAL'[)Esi:iuPTfO;'/(omce m onl))
! LOT :lLOCK ADDITION
"~-""""'---'-
PID
~-'_._----.-..,
OV/NER r .---- /J ..----::--.
(Nam~) -~C~, A A /'J~ iY._ /:).1/ _,Id'/-:YJ_ /
rCJ/J ,g t2.c/1 rl7 ~ /'"" A?..-l
i
(Phdl<)
""--'-
I (.'"".,:.c:r::siJ
----~---
-'.-'---,-.
A PPUc.", NT ~ -.. /.- "cJ? I ,;;;----.-
(l";"iT:cL 'JtJJ.,~ --I /.~ / a .Lr::'J (Phone) . ~ 9.7~p :....5:0;{ ()
I (.^.C."css) .-L?z.LI:.r /11 ~ J A 1..b€. ,');::: ,___? li(eL-{""....6;-", . . .t2:t...tL. J6'.5 7 c2 ..:....
('\d.jress] (CIC"jj (Zip Co!.'!!!)
I (Con:?CIP"son) ~.b_L""?'"" 1;a~f}7"-:~/7 (Phone) _ -9"'-O<>J /~fq,fL - ,5&,20 I
L APPLlCA,';T S((-;'JA TURF; __. JJ-""'.A-PTA ~_.~c-,<"./ /<<<.d D,~r;:: ==-_'/ -.!~/ ~ 3 _ j
- t1 ' . ,-..
APPLICANT PLEASE COMPLETE BELOW
Bi'jEW CO\;STR{}CTfON 0 REPLACEoMEi'\T 0 AL'(ERATIONS
FUR.;';ACE ;..r.'.KE AND MODEL AA !ki.' .PA J.~ .;3 (<> Q HJEf. LJ r.:..
FLUE SrZE "7 '___ PJ2TUR..\i OPEC:r;.:,{s _._.__ ~P(JT 20000 K OIJ~'LT ......:2.00"'0_
TYPE OF SYSTEM
HEATl1-iG OR FOWER PLANT
OS'WTl
o Ho~ W!'!r~r
o Rndi~(i'Jn
o Sp~cial De',ic:s
o OLn~r D~~'ict.::S
./~~ (0 r, ..fZ..,c: A.)
PLEASE NOTE:
Air Conditioner Unirs
C.::nr.r)! F.:r.cro2.ch. ini>J
R:quircd Side Yud
Serbacks
OI.Val'!n Air PIa;;,.:;
UGi'J',ily
o Mc:\~r.~11:cal
OAir Cor.dit!on!:"6
~'<"l. SYS"01
FiREPLACE MA KE AND 1vfOOEL .AJ" -' p-,
/
!
__I
rndu:wicl. CI~;-:-;f"j',~~~I:':l.: &. ;"'flJl,j.Fn.,"iI:
FEE SCHEDULE .
1% of job ..:o!;: R<!:iI..!''::it~l!L G<lS F'r::'pL~cc
SJ951) minimum . 1
S~19.5() . RC:;ld.:;ui:!!. A::i HiIJl'iS~: Alt<;,:,-.:.::'Q!lS
S6~_5!) R:::;~':~n'i,1i. AC Only
(5390
$3950
$3950
t\r.:$idCl1rl:d, E<:,lCt"g "-:. ..;'C (':--':C'.I, Con.s,r.;~III'r,)
R.~;~l(lcntl~J. r,::J:.::g 0,,:/ I?<,=\v Cor~:):;-'~;:;;(;:1)
E.scima~,~d Co::;, S
8;;Jiu::-:g Pemw i~
(Orliel!heOI"I.)
[-lEA l!?\G PER.\rrT F'EE
STA TE SURCHARGE.,
TOTAL PER,\lIT HEi.
S "::J'1 .::r,:,
$ .50
S 41), ~o
, PAID WiTH
BUILDING PERMI,
ThiS Arr1icHion BeComes Your Euiltling Permit \Vhen ."ppro....ed
i P~ld
I R:ec=:IOl \:0"-' I
'.oV 2 6-13~y . ~.~
TOTAL P.01
elJildln~ Oflie.i.:11
D:'Il;:
i Da,e
I
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ,J9~' U OAr 7/(A/t.
NATURE OF WORK AJELtJ ~~srl!iitd'fb~ J.
USE OF BUILDING . S:F: Do -
PERMIT NO. 03- _ 77 DATE ISSUED ~r
CONTRACTOR -. A:8H1,,"DU' PHO~Em - 21""-8IlJ.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
() ~ INSPECTOR DATE
I FOOTING r /'>'<"Y)vL . n I ) ..../i)
, FOUNDATION (Prior to Backfill) I ~ I /-,?C!'!'-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I~?
ff
tPcB ,1'"'1 (>
,
f/P
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE rJP
GAS LINE AIR TEST /u.':'" Ffl if ~ ~ -2 ~ ~'VtI% ~
~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
::t 'tJ7U~./ J..N1IE' I I
I\~ FINALS ,)
~'-' GRADING (Prior to Sodding) AI 1$.
=1 BUILDING/V-'/) +0 <fl- I -(\", r ):;
"' ~ ELECTRICAL r
~ PLUMBING VI; (
HEATING f j)
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.
DEPARTMENT OF
BUILDING AND INSPECTION
c:9, ~ s-
~~~~.
~-'Y-oY
/l-(~
It-{J'
FOR ALL INSPECTIONS (952) 447-9850
@rrtifiratr of Ql}rrupanqz
CITY OF PRIOR LAKE
.' ~rpZldnumt of ~uilbing Jlnsprdion
ltiFinal Permitted D Conditional C.O. Expires .
~h;S 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-0877
Occupancy Type R3
Type Construction VN
_ Fire Zone N / A
_ Zoning District
RI
Legal Description LIS, Bl, WILDS SOUTH
Owner of Building
Site Address 2926 BOBCAT TRAIL
Coutractor'sName&Addressl1EDOWBROOK BLDRS.. 6701 FEATHERSTONE DR.. SAVAGE '>'>378
ROBERT D, HUTCHINS
,/ )'..J Building Offici"
~. 'I' I t
\ II' .
_ City Planner_
DON RYE
Date:
Date:
.
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
2~2 c,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
$FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
l\-l3-D~
~\n~
CONTR. /
PERMIT NO. '3 - znj
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
J1I'1LUMBING FINAL
P'MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. ~ ~ IlIAUl ~H &o~A ,~..l- ~.
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.
$AJ ~6 1,..CMcLt
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRECT RK, CALL FOR REINSPECTlON BEFORE COVERING
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CO E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"''''''''
DATE TIME
CITY OF PRIOR LAKE 3-l-{-cr
INSPECTION NOTICE SCHEDULED
ADDRESS 2.cr2~ ~lrGl
OWNER CONTR.
PHONE NO. PERMIT NO. S- &77
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~NAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
.6)
'~I
\~
~J)
FACTORY, PROCEED
-rON AND PROCEED
IK, CALL FOR REINSPECTION BEFORE COVERING
Inspec or: ( J OwnerlContr:
CALL .L~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
::<I)~ J3,iJ("e,f- 1,/
CONTR. m(..r.lo~/blL, ~4I,f-
ADDRESS
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
if:SULATION
FINAL
ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
kl"~LING
o CClIII'D.INT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(;rc,t& -01(,
Cvr6 130f- - c9 ,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 4/f~ Owner/Contr:
~ .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,.-.n
DATE TIME
CITY OF PRIOR LAKE 1-1-03 1':00
INSPECTION NonCE SCHEDULED
ADDRESS ~~2~ --&Ic~
OWNER CONTR.
PHONE NO. PERMIT NO. -:<-()~T7
o FOOTING o PLUMBING RI
o FOUNDATION o MECH RI
')(FRAMING o WATER HOOKUP
o INSULATION o SEWER HOOKUP
o FINAL o PLUMBING FINAL
o SITE INSPECTION iJzf MECH FINAL
COM)'IENTS:
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S.T~.u. (2) ~.~""- I~ q,,,.... M'lYL
c.A. t_~:...:..: '
o WORK SATISFACTORY. PROCEED
)(CORRECT ACTION AND PROCEED
o CORlC ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeete .: OwnerlContr:
CA 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIIS/'10TJ