HomeMy WebLinkAboutBuilding Permit 03-0704
(Please.!V1!e or print and sim at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec'd
~- ;(-()3
; ;i~i:e ~:~y I PERMIT NO. 03-- --1FlI II
3. Yellow Applicant /l/'-1
~8cr~ R,.sptP~\ R~ RoerO
LEGAL DESCRIPTION (office use o;;Iy)
LOT.2=; BLOCK ..::2
ADDITION 3~
OWNER
(Name) I~",""",,,,,
(Address) lcnq,,\ P'lA.~
f~_,. ~~~
I~.
{)N\e.
BUILDER
(Name) 5c. ~_ C"" q ~
(Contact Name) ..1>"", 0 ~
(Address)
TYPE OF WORK
o Misc.
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~ew Construction
DLower Level Finish
ODed<
D Fireplace
PROJECTCOST/VALUE (exc1udingland) $
./65) CJe.c)
$
$
$
1 $
1 $
1 $
1 $
1 $
~CO;;~ding~/;~;OA;roved
Building Official Date
NtJ
.~
ZONING (offi" use)
R/
PID .::2S - _~~."Z' - n<;:f-
. C
,
(Phone) .f c..s D-..q~c.. - 440n
~L~~
(Phone)
(Phone)
DPorch
DAddition
ORe. Roofing
DAlteration
~,~""^
U
fru.J
-551..2:2
'\5.;2. 4<-/0 - c'l~
ORe-Siding
DUtility Connection
5/~7!G3
Date
$
$
$
$
$
$
$
$
1c?-'75.-
. ;:).50..--'
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
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
enter upon the Y'~Y~"J to perform needed inspections.
X J. )"""'-'S~ n^ H~ ::eN>,
Signature 'I'. \ p.:c-4' n...
16~o{)()
10;),,1-75
(,,04./41
~
1
/00.'-1
100, - 1
3s.S0 1
(/1),- I
,
1!-1S9.
.-.~_c~actor's License No.
I Park Support Fee
1 SAC
1 Water Meter S;z{5/91";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
(.L2Y K ,"1 . X,
--7- /~--,
#
#
#
#
I Receipt No.<J'1 X4:J
Bv bM' . ../
!
I'
/
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
~ing1~ .~/J~l63 /~
, ~r
Ad L.-~' / ~ br-J
Speciai Conditions. (( any
24 hour notice for all inspections (952) 447-9850. fax (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
tJ3- 70lf
Main File
CWhile - ~uildinq)
Canary - Engineering
Pink - Planning
ThO' ('nlr' or lhr I..... ('ounu}
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
_I.I) tfI/J1.4/l1(tZ1t/1U
~ - ;? -0 '3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~q3 Ra..sp h~rYy 1<; ric;e RJ
Accepted
Accepted With Corrections
--./
Denied
Reviewed By:
~
;f:pAJIJ
~
~f., Date: !a/I ra/o '3'
CLd .~-~r
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."
~1
()3- 7(Y-1
Main File
White - Building
Canary - Enqineering
(pink - P1arliiii't9.>
Thr ('..nlt'r of tht' l..kt' ('ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1./ ) I/A'J-'"}la'1t,~J 1/;);- H.a.J
APPLICATION RECEIVED
~ - ;4 -0 (',
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
""3 '613 f\ () ,jJ j r r ,I
, ,
i./' .{,,,,
; \ ) '. / (""...00"
'J
,k;' ,,"
Accepted
V'
Accepted With Corrections
Denied
Reviewed By: ~
~
9- t1 ,,tJ j.J
Date:
to It G:./CJ ::?
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."
-----'--" ._,..,~--
~~
,. "';.
~ I ''''1_
L/ '-"
"-7 ';,1 I
I C,"-,
- I
Thr("rnlt'flJflhfll..hCounll'}'
Main File
White - Building
'-.....!,;anary - t:ngtneerln!t>
Pink - I'la-nntng
NAME OF APPLICANT
BUILDING PERMIT .APPLlC.ATION DEP.ARTMENT CHECKLlSr
/ I
// / ~A,'j-,1i"'::Z'H,1,t...i /1&-;:1if2-.<I/
APPLICATION RECEIVED
/:.-. - -:J --0 ~
"--..:;/ c..-... \,..;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j ~~q:3 !\ 0. S iJ h,4' r r II
!
Rile- e
, I
'--. J
k
,.4
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4B
Date:
0-9-63
Comments: See Reverse Side for Additionallnformatinn'-
lik/n (,'t(
See Attachments: I) Grading Plan. 2) Erosion Control Measnres
"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."
..-. "-"'----"J 9
. Iln. .'
:003
8 36AM--GEN2 RVAN PLUMBING AND HEATING
N0.6693-'-P. 9 =4"-""'~"~'
.>.~~~ PRJo.p(
... 7
- "
() "'
:,\\f:~~\~~~: ,
",6~~';I\'.q:':~;;;,'4 to
'1(ii!~\\j;;r'.-Ii~ESO"'"
Date Rec'd
CITY OF PRlOR LAKE
SEWER AND WATER PERMIT
fPlea...'le tvDe ormiDt and:ne;n at bOtIOJl1"1
I ADDRESSJ8'r3
:, ~d!W ~;~ I p~nTNO. 3-70C/1
1. Go.!d. ~bnt I
LEGAL DESCRlPTION (otIIce use only)
LO:J..~OCK:;;" ADDITION
~pbeleJ2Lf ~ ltd.
--.;
Jeffe/GJ
ZONJNG (office ",oj
PID
OWNER
(Name) Wensmann lIomes
~hon~ 651-905-3709
(Address) 1895 Plaza Dr. St:e 200
(Addnoss)
Ea~an, MN 55122
(City) (Zip Code)
APPLICANT
(Name) Genz-Rvan Plumbine: & Heat:1ns<
(phone) 651-423-1144
(Address) 14745 Sa RoberT "l'rl Rasemounr _ "N 55068
(Addre<') . c.. I I ,(City) (Zip Coclc)
(C=,,_) _ Ch te-IS h mJA (" (1'ho~) "'-<"7~/.'
" '.ICANT SIGNATIJRE r.M....u~ ') -7l2.JA./"L DATE /L) tio~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
'Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residennal sewer and waler lino connecnan
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'! & Multi-famIly 1% of job co.t WIth a $39.50 minimum
$17.50 Waterconnectionon!y $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PA.ID
.50 EJIJIL.DING w,p""" .
'SRMI7'
(OtBl!C' Use Only)
I ,This Application Becomes Your Building Permit When Approved
(I~.""'.
i\', - Building OlUcW D...
24 bour notice for all inspections (952) 447-985(
~ fr;; IE D Ii] lli Ir\~~CeiPt No.
~-~ l\1~
~~N 1" wro \_'\
(932) 447-4243 ___., J
By
(j(
~O
I'
I
--...
......- - .,.- ~ -
__ . GIn
CXft OP 4".......- LAD S:w.Na.
~tIwA~ DD D~ ,~~~~~,
.~" ......; SeWer and Water
contractors must
be registered
with the city.
APPLICAIfT:~~f:JI"'k. ~ ~_"",.,,,,:j,J;) -;k)J~3f;;)O
ADDRESS: ~~~I"'') T fT~D&'1'B:-4Pr'h3 -
SIGNA.......,,: 4<, ~ 9LDG. ""_.c,,IT .
SITE A..~: ,q ~ ~P:rDt
FILL IN THE BLANXS
L Estimated length of water service ....0;-0
feet.
2. Size of water service
J'
inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVc-X- Cast Iron
5. Estimated length of sewer 1ine 50 feet.
6. Clean out (if required), located at
structure.
feet
from
~=------_...__._~,-,._,----===
- -
_~~____~=--""'~=lIZ
===
This application becomes your permit when approved.
BY DATE:
___~ =r.sDl:___-====--~~~-.-=::::=.L-------., ___________.____--==~=za=...___,.
FEES:
$
$
$
35.00
.50
35.50
Sewer end water 1ine connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
:eco ~ .~.~~ ..' IlCJ i:=t f~ne:t -tb.~~~i:~ ~~a~
to i tbat no' ')licate sewer and _ter peraits are
issu JUI 1 5 2003 ill'
DATE PAL . AMOUNT PAID - PAID WITH
RECEIPT Y -~~c:;"d REC'O BY BUILDING PI=:BMIT
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph_ (612) 447-4230 / FAX (612) 447-4245
." 'Flnn.1 r ~ Iv p...nln___
2:0*d
89t>oL paa Z!;;6
.~X3 ~ ~Nlawnld ~~iS Wd L2::2:0 2:B0z-t-l-.nr
f~~
y, <L::}~.,.~~l:IN"2!.SO~ to
,~\~tii.,-;;\'\\"
.-..._\~~i.
Sea, 8 ~OOJ ~: OSPM
GEN2 RVAN PLUMBING AND HEATING
No 0460 P 6. i3
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVIIT
I :ilolu. iile I PERMIT NO
;~~w~;~i=l -3-70(./'
(Plea!:t t'(Oe OttlrUu ands11'J1 ar'bottom)
ADDRESS ,
08q3 l2a___,pbf ,ee?4
\j
Q,{d C( V,
<r
ZONING (0,"", ",e)
LEGAL DESCRIPTION (office use only)
LOT'?~OCK a ADDITION uff leJ2.s. \J7)/{fn /
Pill
. OWNER
~~e) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
~arnp' Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert: Trl
(Address) _
(Contact Person) (;i'ij0sn h ILr
APPLICANT SIGNATURE (3u Jli'F>)
Quantity
;;;.,
I
I
4-
I
(
I
13
(phone) 651-423-lJ.44
Rosemount, MN'
(City)
55068
(Zip Code)
~
(phone)
651-423-1144
q/ fjp6
DATE
APPLlCANT PLEASE COMPLETE BELOW
Type of Fixture I Quan_tity I Type of Fixture
Bath Tub with or without shower I ~ Rough-ins
Dishwasher / Water Heater
Floor Drain IZ----c Water Softner
Lavatory (Bathroom Sink) f Stand Pipe (Washing lv1achine)
Laundry Tray (I or 2 compamnent sink I Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
1
I
I
I
I
I
I
j
FEE SCHEDULE
Indus,,,,I, Commercial & Mulll-fwllly 1% of job eos' wIth. $39 SO minimum Re:lldenuaJ, New One & Two-Fanllly $99 SO
ResJdentisl, Additions & Alterations $3950
Estllllated Cost $
Bullding PermIt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
(Office: Un Only)
:rhis Application Becomes Your Building P~rmit When Approved
Ih.tt:
I Paid
I Date
I Receipt No.
I By
Bujlding Ollici.l
24 bour Dotice for allln.pretiono (952) 447-9850, fax (952) 447-1245
r P 8 :001
.)e. . _ _
2:05PM
GENZ RVAN PLUMBING AND HEATING'
No.0460
P 10/1 3
CITY OF PRIOR LAKF; .
HEATING/AIR CONDITIONlNG/FIREPLACE PERMlT
Date Rec'd
~ E:.. S,,,,,, f PERMIT NO. :3 - 70 </1
(PJease type or p:r:int and Sl~.1.[ bottom)
ADDReSS
~xq2)
Q ,
1J..'a..jpb f JZ../2..t.4,
V
/2ida/0
u
ZONING (offl",,,,")
LEGAL DESCRll'TION (olliee use only)
LOXBLOCK a ADDITION 0edfe./?..j,
JfJ!Jjtv
Pro
. OWNER
~ame)~erc-,-- u__.~
(Address) 1895 Plaza Dr Ste 200
(phone) ~<1 0('<_'7..('0
Eagan, MN
55122
APPLICANT
Q"fam.e: (-~1"I?_~~7.::l" 'P'l1ml-);_n~ & Heatina.
(phone) I\'il_u?_11H
(Address) 14745 So Robert Trl
(Addr'f
(Contact Person) J'i!l,K ish fUr i l S
~ '\ ~
APPLICANT SIGNATURE ( A;' J. 1 A A _ -)
Rosemount., Ml't
(C~y)
55068
(Zip Cod<)
iO if /.'I
(phone) ,,~ 1 _& ?O_ 1 1 1b
DATE -,,-gjKW'?~
APPLICANT PLEASE COMPLETE BELOW
- ~NEW CONSTRUCTION I;J. REPLACEMENT 0 ALlERATIONS .
FURNACE MAKE AND MODEL .Lennny ill OM H - .')(0 R.. qn FUEL ODl . (-fA']
FLUE SIZE RETURN OPENJNGS 15 INPUT 114aDD OUTPUT .fI: 000
TYPE OF SYSTEM HEATING OR POWER PLANT
.Q!lWarm A1r Plants 0 Steam
OG",vity 0 Hot W.ter
o MecbarucaJ 0 Radiation
.8IAir Conditiomng 0 Speci.l Devices
OVcnt SyStem OOther~lec:l
PLEASE NO'TE:
Air Condil1oner Units
C3ll1lot Encroach intO
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL __
Industrial, CommercIal &: MultI-Family
FEE SCHEDULE
I % of Job cost Residential, Gas Fireplace
$3950 minimum
$9950 Resldenllal, Additions &: AltcrallOOS
$6450 Residential, AC Ooly
$39.50
ResldenUal, Heating & Ale (New Constnlcl1on)
Residential. Heating Only (New Construction)
$39 SO
$39 SO
Estimated. co.t S
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
('''''-~<'' Use 9oly)
Building Ofiici.J
Dart
I Paid
I Date
I Receipt No
I By
__", Applicatiou Becomes Your Building Permit When Approy.d
24 hour nottee for an inspections (952) 447-9850, fa. (952) 447-4245
SeD. 8. :003 2:04PM
GENZ RVAN PLUM81NG AND HEATING
No 0460 P. 2 I 3
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
~lease.!VD~ orUrin[ andsieD atbottDm)
ADDRESS .
J~q3eaR Ph02(()!/L f!J(jeW
J U U
LEGAL DESCRIPTION (olliee "'" only)
LOV5'BLOCK r-9 ADDITION \. Je. ffgz,s . \Ol/~~
1 G~~ 'no I PERMIT NO
1 r.lI;., c'.y. .< - 71\4 J
J. Gold Appll~t ......;) U
ZONJNG (offi<euae)
Pro
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
Eagan, MN 55122
(Cny) (Zip Co~)
(Address) 1895 Plaza Dr Ste 200
(A~s)
APPLICANT
(Name) Genz-Rvsn Plumb in" & Ileatin"
(phone) 651-42.3-1144
(Address) 14745 So RobeTt Trl
(Add",,) r "
(j)/j 'i/ ('C" -7i r i '
(Contact Person) _' I',~. 'V 17 " /v'~' i. \
o ~\...J)
"'.ICANT SIGNATURE . (J. 1 , ~., ,~ --t?"'/
Ro~e!')ount. ''N
(City)
'i'iOfiR
(Zip C~)
'.
0,/0
(phone) fi'i1-42~-11aa
DATE q I g/03.
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
ResJdenl1a1 sewer and water line conneroon $35.50 Industtial, Com'l & Multi-famIly 1% of Job cost wrth a $39.50 mmimwn
Sewer cOlU1ection only $1750 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(O(fice Use Onl}o)
This Application Becomes Your Building Permit When Approved
Buildill'l:Ofticiol
Dalc
I Paid
I Dare
I Receipt No.
I By
I'
I
24 hour noti.e for.n insp..tio.. (952) 447-9850, fn (Jl52) 447-4245
~
CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Dale Rec',]
i ~ ~:; I PERMIT NO_ =. _ "C)/ / :
J. Y1;lh'.J\or ....ppJj~1 .:) (C 7
(PI~a.:5e tYEe or princ and sign ~t Pol;tOm)
ADDRESS
S6q3 R~ ~ I2co.d
I ZONmG(olfiCl:u.s,)
LEGAL DESCRIPTION (office Ule only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) l~~ ~ ro.,"""" ~ (Phone) (6/- LlDc., -L/l.IOO
(Address) l<;<q S POo..U Qa.;..u-f I-**~ . f~/n: (Y)n '5Sld~
APPLlCe>.NT \ r . 1. -r- . 3
(Narne{~AJ.~.n-.u.,~l~U~~Q ~ ., r.....u:.f:..O.C'.~ (Phone) ~ll; -3i5.-75OC
(Address)q:;IO l.JuCrr\i 1'1.:;' Ud'_U, (l-,rLA1:"*-Q;~ R::1-1...k rnn S<:::l.tI..{C)
, '. ,')'ddrtsS) 0 (City) (Zip Code)
(Contact Person) .t<,':,,,.IJ. . (Phone) i""Jiu;3-3i S-7S/lP
APPLICANT SIGNATURE :1f;;....:2' :111'1. '>",."""0""::' DATI 9/3o/d3
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE l"D MODEL ~EL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Ait Plants
OGravity
o Mechanical
DAir Conditioning
OVent System
o Steam
o Hol Water
o Radiatlon
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditionet Units
Cannot Encroach into
Require1l Side Yard
Setbacks
FIREPLACE MAKE AND MODEL l"'r\l'\j.,,:i-.~ ~!~____._._,_
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job l:oSI Residential, Gas Firepla.ce
S39.S0 minimum
$99.50
$64.50
S39.50
R:sillential. Heating & Ale (New Con.$tn.lction)
Residential. Heating Only (New ConS1Tllction)
Residential. Additions .I< Alterations
Residerllial. AC Only
$39.50
539.50
Estimated Cost $ Building Permit #
REA TING PERMIT FEE $
STAlE SURCHARGE $ .50
TOTAL PERMIT FEE S
(;1/. .t:>
v~ ~/b
0,11/."\ ~h
('., L,
~ ~~ ~ 1
.:~
-1;;,)-
(omc.c U~~ Only)
This Applioation Becomes Your Building Permit When Approved Paid Receipt No. -
. Date Ue! ij 3 2883 l3y i ~
nlLlldin~ omc:l.Il Date ','-" :=j-
24 hour notice for 011 inspections (9S2) 4~7-985J.!..._(95Z)44~-42~_= -' V
~'---------
--'
coo lEI
,\::11<1111.:1 ::I:lVlIV:l :>IlVIIOli1V
.OLOSIC.19 XV.:I 6S:Cl
CO/OC/60
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3~ q3 Ra.s ,cl,e Rd
NATURE OF WORK ~W
USE OF BUILDING _<: ED
PERMIT NO. ..f) 3- 70-q DATE ISSUED
CONTRACTOR --f.L}~~AJ PHONE '-LlID- f{Sr1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
D . IA.IJ /1-~ h)"1
_ ,JL vvy VI-:\}'SP€CTOR
I FOOTING (:;) pryi ,t'1) ?-Ia I f/!! YtM, /F I
I FOUNDATION (Prior to Backfill) ;Y(.,z..Y ~ .-:J,~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
3V1,5c/-~~~~71t6ROUGH - INS
SEWER I WATER I SEPTIC Y'''ft;'~'//;:' 7-/0-
FRAMING /p ",b-{'"~
INSULATION m "00/'1"
ELECTRICAL
~,~.P
PLUMBING , '--"' p -=',......~ ~
HEATING (if required) /Z? /a-/,a
FIREPLACE I'/b /a'~,d
GAS LINE AIR TEST t'\1011" J.- r: (I ~ <{- J (J--r/!>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Nt> //.:1'. OJ
/If]
DEPARTMENT OF Main File
BUILDING AND INSPECTION
DATE
GRADING (Prior to SOdding)
BUILDING ~~L .h, IA-t. t:I \ rf' }1-21
ELECTRICAL
PLUMBING w j c--
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
-6- (;, -<=>Lf
r:rr-
fA) 1\J" te3
/1'>-<:rJ
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. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
C!trrfifirafr of @rrnpanq!
CITY OF PRIOR LAKE
;!Elqmdmrnf of ~uilMng JInsptdion
~Final Permitted i~ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance fhis structure was in compliance with the various ordinances of the City of Prior
Lake regulating building cjmstruction or use. For the following:
J
Use Classification
'SINGLE FAMILY
Bldg. Permit No
Occupancy Type _ R3 it
t' Type Construction VN
. Fire Zone
N/A
_ Zoning District
03-0704
R1
Legal Description
L25, B2, JEFFERS SOUTH
Owner of Building
Contractor's Nnme & Add.-esJ'.!'NSMANN l"l6k)ts,
ROBERT D. HUTCHINS / r
.~ . Bnrding Officinl ,J ~
Date: ~_. /r~ n l
Site Address 3893 RASPBERRY RIDGE ROAD NW
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
City Planner
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
?fft3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~TION
2'~I~Lu
o SITE INSPECTION
COMMENTS:
DATE TillE
SCHEDULED ~
~. d2-~~,
CONTR.
PERMIT NO.
..:3 - 7 (Y-I
/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINIi AIR TST
o t::;JoT
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
rf.h b~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORG'/ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: . \'I) Owner/Contr:
C/I/ L L7' 4 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~.REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIISNOTl
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS
3g93
OWNER
PHONE NO.
lJ FOOTING
lJ FOUNOA TION
lJ FRAMING
lJ INSULATION
~L
lJ SITE INSPECTION
COMMENTS:
l::m:lt1t <, -/OJ!..
SCHEDULED
~c,!fJberN
(
CONTR.
PERMIT NO.
lJ PLUMBING RI
o MECH RI
lJ WATER HOOKUP
lJ SEWER HOOKUP
lJ PLUMBING FINAL
lJ MECH FINAL
Curb T!x:,lt5- C9t
DATE TIllE
1/-303
~IJp! tJ
Wf'7\/l1",",'" Hr?ll11'5
(') ?,- 70'1
A:M~~~,LUNG
lJ COM INT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLlNE AIR TST
lJ
(WORK SATISFACTORY, PROCEED
lJ CORRECT ACTION AND PROCEED
lJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor.4~ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOT'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 11.:u:>~
---
ADDRESS 38B \?a.~~~'t,~.(
OWNER CONTR.
PHONE NO.
PERMIT NO.
03- 7Cf1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;e FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o S HOOKUP
o MBING FINAL
MECH FINAl(:) t.-
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. ~.....J... t;~ ,11-$10.
2.s,.t"- 1t\.AW a...r-~~ (VI........
=1, ~ ,.l.. "",",-,-i~:e:. ~""'<k. G...:;;;tllJI
4, f-\\1.) ~
~. No. ~ ?~if'~
p~ IJ.n~~_
o WORK SATISFACTORY, PROCEED
o CORRECT I AND PROCEED
XCORRE we LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
./
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
""NOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
LA ! tlt /o'J.
ADDRESS
~$CL3 r2t~~~ fu~
OWNER
CONTR.
PHONE NO.
2y ~ "7 o-!
L
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
.It PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
t,t., ~~ - ~4A. f'YY1~h" L~ 0(
'7.- \.,}PA.MI~A~ (/~A,;
~ I (/wJh V7 V~I\.""4~
-. .
L-t/ "j.&.vt.. c( t. J ) M> ! A ,-a~/" ~ ,
it..
~~ ;:JLcis, ~
V '-
o ~K SATISFACTORY, PROCEED
\.d' 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 & SAFETYI
INSNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 31ler~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
\.~.......
L. ~~,. 1J1.
SCHEDULED
~-
,
~I
DATE TIME
7- '2p.-
<-070 (j
I
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
)lr::l;ORRECT ACTION AND PROCEED
o COR~RWORK' CALL FOR REINSPECTION BEFORE COVERING
Inspeeto 1M Owner/Contr:
CA~ Us8S0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CONTR_
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
pLUMBING FINAL
o MECH FINAL
-~~\
~I/ r-; ~~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
no""",