HomeMy WebLinkAboutBuilding Permit 00-0861
QA TF RFr.FIYEQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
r. B.OO
Permit No. 00 D%..L
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
12/1~~5~
/5rOiJ),- <;";,/,.
Ja Nt'
0'. .?i" - QA'
)!!2S.J:)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
ADDITION
14. OWNER
5. ARCHITECT
/ ,?-. BLOCK
G'/vNW tl{1'N
/
(Name)
/
.1 r '"
PID .:l5 -3" 7- 0/.)..- 0
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
(TeL No.)
Fireplace [j
Alteratlons [j
(Add1ss)
/5 ~5 fll;Z.<' Dr
(' q r.tl. /J /1! /J
'ePtic 0
Addition LI
(Tel. No.)
65/- y,,(..7'yvu
15. NUMBER OF OCCUPANTS OR SEATS
6. BUILDER (Name)
t.J (' NJ /Tll( N,N
OCCUPANTS
V" hef
1. TVPEOF WORK
New Construction~
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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~at all onstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 9U1ial can revoke tt). ermlt 10' t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /J ~ r. ~ _ _ /y<;y d.~e--().)
// // Signature License No. Date
DeckLl
Finish Attic LI
Re-roofing 0 Porch ['J
Re-siding LI Finish Basement LI
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
V
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
B.ok
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
if?J::A
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~~.I"'J~
-
PLANS & SPECS LI
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee .............. ..................... $
Plan Check Fee ............. ..............,. $
State Surcharge ...........,................. $
S U
City:
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
8-.SO .l':M
(,I 6(') .00
r!!8o.00
59.~.4JL
~.sn
.. $
Pressure Reducer ..:1e,................... $
Plumbing Permit Fee ....................... $
lJS.a~
Water Meter .................................. 1 ~5.~
Sewer & Water Connection Fee ........... $~t:JO. ~Q
WaterTowerFee ........................... $ "7 no .l!:)l)
Water Tap ................................... $~
Builder's Deposit ............................ $ ~
Other ......................................... $_
Total Due .............................. $....:2,.J 56. 'Ii)
Paid R.cei~t No. ':9='l '1"iA
Issued
~/!}M BY((ft.
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 cbcument when
s:~:rZ~esatemporaryCeV~?WmPliance~~~~~c(~~n~iC~;~~SSued.
City Planner Date Spec~1 Conditions if any
L ElO.OO
I (<')() ~O
~C;.c;n
Meter Hom ........... ........................ $
Penalty ........,.......................,...... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Ga~~t. . .................. $ !(() .~
Thi' our Building Permit When Afp~ed.
By 1ate .,-( '-I-az>o
,.
Certificate of Occupancy
24 hour notice for all inspections (952) 447.9850
~~
00 .O~ (
White - Building
Canary - Engineering
Pink - Planning
Th..rIPnleroflh..l..bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHE~I(lI~T
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSMANN
q. f3.00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
155.=,3
BJeOOK.s/D6 LN.
Accepted
Accepted With Corrections X
Denied /I Y2 1
Reviewed B,wfi. ~
Date:
7-1c/-24xJ
Comments:
8e<2. 15"SSJ i3too~S"t!.It. ~. C.... ~O--~; ~t1~,. d,.-.
"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 'O&ta (
Th" ('.,nter of the La"e Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
APPLICATION RECEIVED
l ~ E I\~- 11.1/\ N IV
q, p.,. (/0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
//3~,.s.'~ /.okClJ::::.:/L.i~ L/\/.
.....--
Accepted Accepted With Corrections
Denied
Reviewed By: 9'.AA f~.A." Date: q/.to/' 6()
ments:
~ ~leL1\ ~ ~ r ~1k!lJA~ r4-
_ ('J,;{):{J. ~ Aw~l p~ ~
C~A'-J.b-r~ '5".d ..~CVl,
Wt1,M~ <5:7J~Jve-~.-JJ. tk.- f/\)tr'hw.
t AP(r.;~ ~P'VJ~ !~ ~~
<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."
~1
00 'O~~ (
White . Building
Canary . Engineering
Pink - Planning
Th~ C..nl..r of lh.. Lllk.. COllOlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WEN5fi1ANN
CJ'BI()Q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I3RdtJ J::.5/f)E LN.
1555.::j
/
Accepted With Corrections
Accepted
Denied
Reviewed By: (:'r,ur (!,"'/Sc:rr<-... Date:
Comments: 11'~ 5;//~_ /.lv2ft:Old Au,,!
fa/~/!,LLPf;:~~/~,' .. . . .'
. '.. . .~jJ'k)/1~~.rE kw:Oi~/;{/ty.,,~ d>. /l~?!
h ,h/;?r!~' //.0"/ ~.. & '>>td?r/t . /./4,* ;Z,~ 5...:#2
~/5 . /3 dt1;; /fI'~R ';/-~~/&tf' :elt?I/t1~J~>
!itan~ 41 51~d1 ..d'/[ & 6?~Jl/k. .... . . . . ,
~a. lie 17t/t!/.5c,.~~r dcl1:,z;lm#'>~~tW(.-
~ . ,: ' .
Set' a II-at:~~~: if ,6/ h'bf/c ~~r/l(&tfltt:?t5~/I'0-
3~ ~c;/~ ~~~/Z7/ Ih~t:/ n:r; ~ 5i?tm.. tl~1 /ft1L-.
1hlk
1,1 .
4';:: ///I'Is-
.fo
"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."
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CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. (J ~
Prior Lake, MN 55372
~(ol
HEAnNG APPLlCAnON J PERMIT
PID .JS:--~&1- 01;2-0
A.~r.bJ:JJ 'h ~
Adcllion (2j{j jUlJ..X(. fer ~ p
)J..a
Dall II- /3-00
S~I Address !:jTS.J
Lot 12::- Block I
Own9r.s Name Ii ),At&"&I~
Addllss
HealingCcmllador ALLIED FlRESIDE dbe PIRESID!! CORNEl.
Address 2700 N. FAIRVIllW.
Telephone' ~51-633-2561
YIREPLACE
~IIP Make & Modll ..lb&t JJ ~ ~
MOOIl SilO Jt. 7.fb ffl,
ROSEVILLH, MN 55113
Conn. Load
Fuol ~
Flue Sizl
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Conditioning
Vlnt. System
HEAnNGORPD~RPLANT
Sleam
Hot Watll
Radialion
Spodal Davieo.
Supply Openings
Return Opening.
IlIpul
Ed!.
Oulput .)3.0::;>
OIlIer Dovieo.
Clm.
lYPE OF WORK
A1toralions
Replacemlnl.
Est Comp. Dall
New ConsllUCNon
y
11- /J..OJ
Repair.
Est Cosl S I/oo.ll)
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMiT FEES $.
. Building Permil'
PAID WITH
BUILDING PImMIT
.50
Reclil'\ .
I. ""l
T. 0...-
J.YdIa.
1'Ik
""
~
TYPE OF STRUCTURE;
Single Family .
Commertiel
. Two-famly
InduslriaJ
Fee Schedule
Indualrial, Commercial & Mulli-Famlly
Resldential, Healing & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential Addllions & Alterations
Residential, AC Only
Mull-FeniIy
Publlc Otbar
1 % 01 job cost ($38.50 minimum)
$99.50
$64.50
~9.5O
$39.50
$39.50
Remember 10 add lhe Slam SUrcharge on lhe botlom 01 lhis eppIceticn.
The price 01 your healing permillncludes one roug~.. and one hi inspec1ion.
Additionallnspeclions witl be billed at $35.00 each.
Houel Heating Tesl Reconl must be lubm~led wilh Ill!ikIiIu IIImiI DIIIIIllm: be""e bui1d-
ing certilicel.. aI occupency wi. be issued.
J:fW CALCULATIONS REQUIRED wlh number ottuppl, ""d ",tum OlHlllllllls.lsted pi
room with CFM's pel' opening. New alruclur..1 Of additions ...nd nDOl plan MIl ouppIy
and relum localloros shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAlLED TO THE CITY OF PRIOR lAKE, 1S200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55312.
C~y Hall bu0ines8 hOUri ara 8 I.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-lN AND FINALj' CALL ClTYHAll
447-4230
I hereby apply lor a mechanical systems permil and I actmowlltdge thai Ihe
in/ormelion above is complete and accurale; lhallhe work will be in conlorm.n....
"II" Ih. ordinances and code. 01 Iha clly and wilh Ihe slale bulldlngfm.chanlca
codes; Ihat this lorm does nol become a pannil unlil signed by Ihe 8UllDING
OFFICIAL; tholthe work will be In accordance with the approved plan in the
case of all work whiCh requires review and approval of plonl.
&uL ~. /fpvo
, ' pplicant'. SignaIUII Dall
'1/16--- I(~ /3-d)
BuDding Oflicars Signalull i - Dal8
CITY OF PRIOR LAKE' ,
16200 E8lIIe CrHk Av. S.E. Pe,mll No. () ~ f 0/
Prior Lake, MN 55372 -
III
....
"-
::: ~ HEAnNG APPLICATION I PERMIT
a: Dale----l.Q ~ I~ I CO PIDI85'"'- .~1,"/-Q2.rO
III SlIeh""'ss I~~ 'Bv-~lo.c..lbe. l,....l
....
ci Lo! JL. Block I Addlllon C-/YA/l/4J+,qf- c~ rd
z .
OwnataName. u)~VV"\~ ~V"\ 1:lomLs'
Add'..... 1~~1b "P\o..~"1")r- ~ 2.b(-:') eAr..~
Healing ConlradOr.flab ~2~ t.~
Address _~'U.'"1lL~ ,c:.r. ~bue....~ rL.~ ~ouY)r
Telophonel .L:G:>\ - ~ 2:0 - II U '-'
TYPE OF SYSTEM
Warm Air Plants'
Grevlty
Mechlllllcal
Air Condllionlng lL 2.1 h.. ~O~
~TVenl. System
HEATING OR POWER PLANT
Steam
HolWater
Radlallon
Spedal Devices
Furnace Mak8 a Model ~""D--'
ModelSlte ~"2...~ Q2.h..-.,~
,
Conn. Load
"" ~ \- .\
;:; Fuel ,.........."\ Go.~lue Size \.{
\1l
~ Supply Openings I \
....
ill Relurn Openings 4
~ Input:l~ l'mO Ol/lpullaA lIl()
'"
~Ed'.
w
"'Clm.
OIhar Devices
E
a.
C1jMelallons
(T)
Repair
TYPE OF WORK
x
Replacement New Conslruclion
Est Comp, Dale
~Esl. Cosl'
IS)
"!HEAT1NG PERMIT FEE $
en
.... ,
,..:STATE SURCHARGE ,
U .
o IUIIILI'I:HMII ~I:I::; ,
BuildIng Permll#
.50
PAID WITh
BUILDING PERM!"I
HeC9.pl.
~
Single Femlly -X
Commeroial
Fee Schedul<l
TYPE OF STRUCTURE
I. PI.,
2. 0..
3. Ydll
PUo
04J
Co.......
Two.Famlly
Industrial
MiJlti.FamQy
Public Other
Indu,trlal, Commerelal & Multi-Family
Residential, Heeling & AC
Residential, Heating On"-
Residential, Ges Fireplace
Residential, AdtI1Uons & Allerations
Reskfantial, AC Only
1% of Job cost (139.60 mlnlmlNll)
199.50
164.60
$39.50
$39.50
$39.60
OCT 1 9 200)
Remember to add (he Slala Surcharge on the boltom 01 this epplicaUon,
.~
TheJmce 0' your healing parmi! Includes one lough-in Bnd ona 'InallnslHlclion.
AddiUonallnspectlons wIll 00 billed al '35.00 each.
House Healing Teal Record mual be swmllled wllh building \lilIIIlIlUIIIbar balola build-
ing car1ilicale 01 occupancy will be Issued.
I::IfAI CALCIJLATIONS REOUIRED wllh number olaupply and relurn openings listed per
loam wilh CFM's per opening. Naw .Iruclural or IIddIUI>n9 send lloor plan w1lh luppiy
and ralum locallons shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, IOroll EAGLE
CREEK AVE, S.E. PRIOR LAKE. MN 55372.
CIy Had bualne88 hoors are 8 a.m, - 4:30 p.m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)- CALL CITY HALL
441-4230
I hereby apply lor a mechanical ayslsm. perm/l and I acknowledge thaI the.
Inlolmallon above Is complele and ecculate; Ihatthe work will be In conlorm.nce
wllh Ihe oldinance.. end codes a' tha clly and wllh the alats building/mechanical
codes; Ihal this 'arm doe, nol bacome e perml! until algned by Iha BUILDING
OFFICIAL; Ihal the work will be In "ccordanca wilh Ihe approved plan In lhe
case 01 IllI work which requires review and approval 01 plen...
~ -
,pllcanl'S\Slgniilurlf'
: -----
Bulldng Ollicsl', Signal I
_ID,q~
Oal,
/6/-7&/110
/ DSl&
SEP.14.2000 8:32AM
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GENZ RYAN 6513226147
NO. 863
P.4/5
_......
ftU.DW . ..- tc"..-r
-.. . "'"
CITY OF PRIOR LAXE
SEWER AND WATER PERMIT
NO. tJ- o~01
NOTE: Sewer and Water
contractors must
be reqistered
with the city.
APPL:J:CANT:..GcYl.;J - ~b\~ I:m.r" \f'~ PHONE:-",51-42:!.-, /4.Ll
ADDRESS: 14'LlE:.Sn (l,..tIJr2..T" "T"Q.I ,,~."'~.. ~cldtDATE:
SIGNATURE: ~_ .... BLDG. PERMIT II
SITE ADDRESS: IE:I,c;....~...;:)., ~<....I1"lP L~l PIDtt .~'i - ~//?1- 0 / ~-O
FILL :J:N THE BLANXS
40'
Estimated lenqth of water service
I ,r
Size of water service inch(es).
feet.
Location of any couplings
Type of sewer, pipe. ABS
!
Estimated len~th of sewer
from s~ructure feet.
PVC l Cast Iron
line~' feet.
Clean out (if required), located at
structure.
feet
frolll
This application becomes ~our permit when approved.
BY D~TE:
:;;;~;;;,---~-=::========~-,_.__...,.._--======--~,.~~......----.....----------..., ."
FEES:
$
$
i?
35.00
.50
35.50
Sewer and water line connection permit.
Surcharqe
TOTAL
· Fee for either se~er or water individually is $20.00 plus
$ .50 surcharge.
.
Sewer and water permits issued for new construction must be
recorded on the buildin9 permit card at the time of issuance
to insure that no- dupl~cate sewer and water permits~A~e
issued. r'AID WIT..
~IJ.DING PERMIT
AhVUl... PAID _ //) .
REC'D BY fl' (jI-/~
DATE PAID
RECEIP'I' II
. 4629 Dakolil SL S.E., Pnor ~ Minnesota 55372' I Ph. (612) 4474230 I Fax (612) 4474245
,I AN lQUAL CPPORl\JNrT"l' Elo1PLClVER
OCT. 19.2000 3:02PM
GENZ RYAN 6513226147
NO.415
P.5/15
TIw C"'Il!I' ., ,... ub ~_I."
1. B1sac F.iJs
2. ""14 ClIy
3_ Ya!Jow AppliClllll
# 4J -1((0 /
Appilc:ant: ~2- fLt,V-" Phone:..I.4.,~-U.~-\lL.i4,
Address: ,11.l"'\ \.I, c:., ~.i:::fz::""'" "'" "t"" .,.~~ (2 t"(C..tI'.~T ~<<ia&
SignatlJre: ~ "~ ' .J
Legal Description: Lot I;:r- BlOC; I Sub 0l{1\)/i/J,,+ur j y<J-
SIte Address: 'oS~?' ~"-,,,.. r I """,. ~ .
Building PermiU PIC #....?<'t)- ':JL/7- U {d-o
NOTE: This permit wjll not be processed without complete information.
FIXTURE UNITS
CITY OF PRIOR LAKE
PLUMBING PERMIT
Qual ~ity Type of Fixture Quantity Type of FlXlure
4~ \ Bath Tub with or without shower .3 Rough-ins
l Dishwasher , Water Heater
, Floor Drain foil Water Sollner
2_ Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
\ Shower Stall Baclcllow Assembly (RPZ, Double Check, PVB)
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinl<ler
2.- Water Closet (toilet) Other
FEE SCHEDULE
~
Industrial, CommBrciaJ & Multi-Femily
(1 "I. of Job cost, :ii39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
Stale Surcharge
599.50
$39.50
S
$
$
s
.50
GRAND TOTAL $
~
PAID WITH
BUILDING PERMIT
This pennil is ~tod upon rho o'press condition rhat said
conU'aC:lOr, sh:l11 comply in all respects ",irh rho orclil1l1ncos
of rhe Sill'" Plumbing Caclo and thc~;a,!,o9,\$ }IJ~~
REPflfT'YO. //J. ~Vg,m
( d{../ A TrEST
Call for all insp~ons-;4 hours in ~dvllllcc.
OCT I 9 2000
16200 Eagle CreekAv. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FA-X (612) 447-4245
An Equal Oppot'l1Jnil)' Employer
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ,555'~ ~\cqd.,., €.v,.
NATURE OF WORK 1Jf.A"
USE OF BUILDING SFA-
PERMIT NO. 00 . Of?JiP ( DATE ISSUED 1-1lf-'7,,^CJ
CONTRACTOR W~~ , I.DSI-4o/,,_c/l!OO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
~f.PECT. OR
I FOOTING 't)<?(..k.. 'l.L-J Y+ I /c/~/tn
I FOUNDATION (Prior to Backfill)~ I~. 1~/c{1tk> I ~. /D~!1Jt)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I t:j'- '2~
'bL-V
-6~
SEWER I WATER I SEPTIC
FRAMING L L... l~}!'3,!ro 1:,r \
, INSULATION r,~~lfI~\"e-,
ELECTRICAL
PLUMBING ~t-V )) )njoo
HEATING (if required)'bL-V ;.;ljr",loo
FIREPLACE '~ /I JdO/ro
GAS LINE AIR TEST ~ ~WI
COVER NO WORK UNTIL ABOVE HAS B~EN SIGNED
I WALLBOARD I I
FINALS
~r7
~ \~/A,W"
I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electri~.!II.serv,ice 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.
I[).-~-OO
lri- -~ 400
J
/O.;:M.-.C)(
I. ~l RCl Or)
~V'M
'1, -0...1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
(:"';i-~":;.-:'~":::~~~"'.~-.-.-" "
',:.J, "OV:;;', ~,,-" ."~ '-~',', ",'~"" i.". "",-. ""~':!::'~~'''.''~'',''''','~ '~, '''' .,..., I"~'-I""',~
~ .:~' <.~: 1!? 'c1ii~'~".~~ "t!r.t"""'"I. ''.i#Ii.'...... lit .<c...,,", ~"'
~,~; I QLtrtiftruu of ODrrnpanry
(t:.~ CITY OF PRIOR LAKE
~t 1Bepartment of .uilbing 3Jn~pedion
(~. ~Final Permitted D Conditional C.O. Expires
(r>
Cil."
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(~,\
( 1"'~
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( - , \ Budding cpm:ial )
I!J~ 0.1<: --g .\J(J J>>I ,tZ/o4 0/ . 0.1<:
( -:: r 'POST IN A CONSPICUOUS PLACE
(,. , " ' ~...' "''"'''''~L'~i~,~ef",';:::'''''''' ."~,"'~".c:l.',~""""'''''''' '" .... ",",'
. , ',"" ..,', . .....'I:..-'...~.~:..,., . -, "'-. ,..,', ""'-, " -.,.~,:'" ....,.. "'-~ ,.-~_""',... ""."-".,: -.~".I ..,......,
(.7""~",. ""'.t'lt. .'1\'.:.... S';t-:I"" '~'F~ ~'...if.' :"..."'~ "'t.:-, "'I\',.."~" ~"~fj;!' ,ot, ",:'~'--",.,..:-:".1'-.-},"1'! ,~-,t':"'tt. '''''::'" :ot'J;:'j,I; -",,'.,~:", lIB....'__;
~=---=~~ ~~="" ~ " .~'='~
This Certificate issued pursUQllt 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 Classificatior
SINGLE FAMILY
00-0861
Occupancy Type
Type ..._.....__..jon VN _ Fire Zone
L12, B1, GLYNWATER THIRD ADDN.
Bldg. Permit Nr,
N / A 70ning Dislrict R2 SD
R3
Legal Description
Owner of Building
Contractor's Namc & Address WENSMANN
~il<Address 15553 BROOKSIDE
1895 PLAZA DR., EAGAN, MN
LANE
HOMES,
ROBERT D. HUTCHINS
DON RYE
rity Planner
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Iz!Z'J /Od L /: 30
ADDRESS
/ 5553 ~t2LJ<!J/<'S'/O€ //.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ - g>1o /
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
lil FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Ilf PLUMBING FINAL
iii MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
I:;l; FIREPLACE FINAL
o GAS LINE AIR TST
o
,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~Rf\CALL FOR REINSPECTION BEFORE COVERING
Inspector: "\J ,AI (bAlE Owner/Contr:
CALL 447-9850 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I ;;(F~) 6/
TIME
ADDRESS
15553 BROOKSIDE LANE
PERMIT #00.861
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
O..)NSULATION
11 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:
:L~5Lle C,C),
dos.e~ ~;\e..
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOlf- CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ -\v, .vllj Owner/Contr:
CALL 447-9850 FORITHE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY!
INSNOTJ
\
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~~-() / ;~
//)')5/, .r:3,S"t; $'7 'ZroofSlde!v.-
I
CONTR. -;/0 r>/ .:+,
u--- ot.P D <.,.-
PERMIT NO. ~/ ;?t;.-3
o PLUMBING RI 0 EXC/GRAD/FIl.LING
iECHANICAL 0 LKSHORE/WETLAND
A TER HOOKUP 0 COMPLAINT
EWER HOOKUP 0 SEPTIC FlNAL
OPTIC INSTALL 0 FIREPLACE
o PLUMBING FINAL 0
o SITE INSPECTION
TIME
ADDRESS
,
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULA lION
o FINAL
o FOUNDA liON
o DEMOLITION
o FIRE PREVo
COMMENTS:
RY,PROCEED
PROCEED
L FOR REINSPECTIQN BEFORE COVERING
Owner/Contr:
\k~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI