HomeMy WebLinkAboutBuilding Permit 00-0863
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t. White
2. Pink
3. Yellow
File
City
Applicant
q. e. 00
Permit No.
Ob.o f>(p7,
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS }
/55.)/ iJrJ!)uJr.5;/" /'-AN"'"
1. DATE
i -.;10>- OJ
Je25.D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT / ~ BLOCK
C/VA.... w~ll'r
12. NO. OF STORIES
ADDITION
/
.7r:V
PID.:J5-Jt"1- 0/'1"- 0
13. TYPE OF CONSTRUCTION
14. OWNER (Name)
15. ARCHITECT (Name)
6. BUILDER (Name)
f,.J(NJ /7IU,NJV
/-J 0 /11 (>1'
7. TYPE OF WORK Fireplace 0.
New Construction V Alterations 0.
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Address)
It" 951/4 2.L Dr
Ca "et.;....- ,(7J1V"
~p\:ic 0. Deck 0.
Additio'!(o. Finish Attic 0.
(Tel. No.)
45/- y06- t'y'f..)')
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Ae-roofing 0. Porch 0.
Re-siding a. Finish Basement a.
SEATS
16. PROJECT COSTNALUE
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas No
I hereby certify that I have fumished 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 aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin~icial can revoke this perr;lt for juvcause. Furthermore, I hereby agree that the city official or a deSignee?y enter upon the property to pertorm needed inspections.
X /J~ f/~ /'7S- t"-..),R-C,i)
/' / ;Signature License No. Date
17. COMPLETION DATE
!/
FOR ADMINISTRATIVE USE
USE OF BUILDING
sPA
OFF STAEET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
'1 S'-"l/Y')
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS Cl ENERGY DATA 0
PILING LOGS Cl PERCOLATION TESTS Cl
PLANS & SPECS Cl SETS
SURVEY Cl COPIES
PLOT PLAN Cl
SETBACKS: Required
Actual
Front
Baok
Side
- BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: 1 II III IV V
Occupancy Group A B E F HIM A
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~,n. 00
SAC ......................................... $~/ tjfl .~O
COllective Street Fee ....................... $
Sewer Tap ................................... $
Plan Check Fee ............. ................ $
8~.ClO
e:;;S" (., . C/ D
If'? . .6l)
1;/ " $
Pressure Reducer ...1'a.................. $
ci5:oo
State Surcharge ............................. It.
Penalty .......................... ......... .... It.
100 .~O
Icn.~
~-.50
Gas_tF~~~....... .............. <- q(').I!)c!
This co uilding Permit When t!.proved.
By Date <;'-/ -7..-...
Certificate of occupaJ{
Meter Hom ...........~.................... $
Water Meter ........~.................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Liif\'.oo
1.21')(') .J<1r.
.
71'.Yl. et)
Water Tap ................................... $ ~
Bulld.rs Deposit ............................ $ ~r.
Other ......................................... $
Total Due .............................. L.'" -ZZiS 41)
Paid Receipt No. 3A 4'S'B
Dat."l-2~-~1l By f7./!J.
Plumbing PennltFee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
24 hour notice for all inspections (952) 447-9850
~1
White - Building
Canary - Engineering
Pink - Planning
The ("en In of the l..keCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENSMI4NN
Q.B.()n
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5557
8/Z00J::::S/O f5 LA).
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date: Cj -14- "C,OO>o
Comments:
See... 15"5.91 G.tao~'!.t~
~. -t.~ e1............ . S"..v....
o
,..:Jr ..
"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. ('''01". of Ih.. Lak.. Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
NAME OF APPLICANT
v' '- ,I
it ( / I .. 'i I
APPLICATION RECEIVED
/
./ ('.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(;~~~? /;/C' (L /~/ /j L LI'vI.
Accepted
Accepted With Corrections
~
Denied
Reviewed By: CJ' -4-1.- ~
~ .
Date: 0/~/8a
.. .
com~nts:
()]~t:J) ~L~~~ 'i:;:; ~ <
. \fAp_ C-, U, (0 I~ ~~A~~J [2J&
~~ ~1AlA.}r4ev- ;~,g ~ ~
~~) ~.JvrP '~r) B.e~ L5Jt
gt9t.J/Vlo0:e--<( ...r--\AAp ~ ~.f4sy~
"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 MC
162.00 Eagle Creek Av. S.E. Permil No. a D .{J~3
Prior Lake, MN 55372 .
HEATING APPLICATION I PERMIT
Dale /1 ;;)7-Grl
Sko Addooss /~ 7
, ~---
Lot Block
Owner's Name
PIO#
g~~ ILLM-
Add8ioo .
1A..J()~..e ,.ft...
~
Addross
Hea\ingCool.ado, ALLIED FIlIESIDl! dba PIRESIDE CORNEll
Address 2700 N. FURVIEW. KOSEVILLE, MN 55113
Tol,/,,' 651-633-2561
FIREPLACE
llm9IP Make & Model ~ iJ Glo
at.. '7J1J~
Model 5119.
COM. Load
Fuel _0./S
Supply Oponings
Return Opening.
Input
Edr.
Clm.
lIIIo,.lioo.
Ropai,
Est. Cost .$
F~. Size
.OUlpul ....J ll"OD
TYPE OF SYSTEM
Wa,m Air Planls
Gravity
Mecha<tical
NT Cendkloning
Vanl. Sy!llom
HEATING OR POWER PLANT
S....m
Hal Walor
Aadialion
Spocial Oevico.
Othar DoYicas
TYPE OF WORK
''x;
Est Cemp. Dato
Aoplacomont Naw ConstfUCUOO
J/mCh
BuDding Parmb .
00 ,O~03
HEATING PERMIT FEE $
STATESURCHAAGE $
TOTAL PERMIT FEES $
,50
PAID WITH
Roc~ILDINa pERMIT
D'PE OF STRUCTURIi
I.~"
1.0.."
J. YeI,-
en
..
::l
Flk rl-
cu, OJ
ea.c.l -:=:
"
H
:D
m
en
H
o
m
n
o
:D
z
m
:D
Silglo Famlly
Commorcial
Two-Family
Induslrial
Mulll.f8mIty
OIN.
Public
Fee Schedulo
Induslrial, Commercial & Mulli.FlIIT1l1y
Residential, Heating & AC
Residanlial, HeaUng Only
ReskfeoliaL Gas FNeplace
Residential, Adclltions & Alerallons
Resldonlial, AC Ooly
1 % of lob COIl (139.50 rnnImum)
$99.50
S64.50
$39.50
$39.50
S39.50
Remember 10 add lhe Slale Surcharge on lhe bolIom allhil ""'calion.
'"
'"
~
The price or )'!lU' haaling pormillnc:Mfes one 'ouWt-n and one IIneIInspBCIIlln.
'"
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r.>
Additional I '.," ..::...lS will be bled at $3S.00 each. g:
III
HOUSll Healing Tesl Recold musl be smnilllllf wilh IiulI!fiDg I!IIIIIIiIIIlII1IItr belono 1M !:
in9 certiflcala 01 occupancy wi. be Issued.
l:I.Ii& CAlCULATIONS R ECUlRED wlh IlUId>er oIlUpply arld IWlllm . ., ^ ,. Iialed
room wIIh C FM's per opering. New atruct\l,.. or lIIkItiona aend IIaor plan wlth tuppI)
and .alUm Ioealons ."""". HEAT LOSS CAlCUWIONS, ""-YMENT AND
APPLICATIONS MAY BE MAILED TO THE CllY OF PRIOR lAkE, ,~ EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 5&72.
CUy Hall business hou'l are 8 a.m. . 4:30 p.rn.
z
o
<:
,
N
.....
o
o
,
All WORK MUST BE INSPECTED lROUGH-lN AND RNAL) . CAIJ. CITY HALL
447-4230
...
r.>
"
I hereby apply lor a mechanical sysleml permll and.1 acknowledge Ihal the ;::
Inlormallon above is cample1e aod accurale; Ihat Ihe wo,k wlIl ba In conlonnanc
wUh Iho ordinances and codos ollho cUyand wi1h Ihe slate building/mechanic
codes; lhallhls lorm does nol become a permit unlil Sll/ned by the BUILOINt
OFFICIAL; Ihat the wo'k will b. In accordance with Ih. applOVed plan in the
case 01 all work which requires review and approval of plens.
~~
AwtioaBf1e
BlIldlog 1k:eIa Slgnalure
hb7/(J.)
~ , Dale
II. z., q .<:1 0
0...
"
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..
.-
~
*.' CITY OF PRIOR LAKE .
_@ ..... _ ....,....... ....... 0'\\ ~ :,
:::: ... P,lor Lake, MN li5372
'"
'; HEATING APPLICATION J PERMIT
o..Dal. 'r""\\,cdoo PID.'J...t::;-;2,Io'l-olt.{---D
_ _ . v
~sne Addreu -..l 'is't;'1 ~colf.'t..1 be. L....J
~Lcl $ BIocIc I Add.1on ('n \tA,lV \ t Yl +t>/V ~ yd
OWnlt. Nama u)~VV"\'"" '^ I"~ML!;
/lAIdr.&9 1'Cli.o "'D\o..~ \)r- ~ 2..ba eAt;,~
Healing Contractor ~ ~.yy:z., f!..~
/lAIdre88 !.tJ,'1\J,~ ~ 2obuL'::(.. ToU.... ~rr
Tellphone If J.&tS\ - ~ 2..'0 - t l lot L\
FurnlU:8 lAake & Modell . V'\t'\t)'" TYPE OF SYSTEM
Ie... Warm AIr Plan's II
Model Size ("" L.:~ Q 2... ~ - , -oJ.. Gravl1y
Mechenlcal
'l Ab Condnlonlng 't 2.'/"2.. ~o U
~ ~';Venl,Sy~em
HEADNG OR POWER PLANT
Sleam
Ho' Wallr
Radlallon
Spedal D8'llces
"" Conn. load
~Fuel~"f" Bo.':!ilue Slza
N
lilSupply Openlnus , ,
....
If)
U)Re'um Openlnul L.\
z
~lnpul:r~ me Ou,putJc4mQ-
~Edr.
w
l!l
C'm.
OIhlrDev!ces
E
0..
If)
ISlAneralloM
'"
Rlpalr_
ISl
ISlEsl. Cos' $
ISl
N
~HEATING PERMIT FEE $
.... ,
"":STATE SURCHARGE $
u
o
TOTALPEAMITFEES ,
TYPE OF WORK
x
Replacemenl
Naw Conslructlon
Est. Comp. Dete
Building Permn.
.50
PAID WITH
BUILDING PERMIT
Recalpt,
TYPE OF STf\1JCTURE
I. AU:
1. Ore
1. Yell,
-
ell'
CGflIlIdDl'
Singll Fomlly
Commlrclal
\(
Two.Flmlly
Industrial
Public
Mull-Family
Olhar
,
Fea Schedule
Indualrlal, CommercIal & Mu~I-Famlly
RSlltdenllal, Haating & AC
Rll5ldenUal, Haalng Only.
Rellldenllal, Ga. FIreplace
Residenlla~ AdrlKlol\S & Allelallons
Rtl$ldenUal, AC Only
t % 01 lab cc>s1 ($39.50 minimum)
$99.60 ' .
'84.50
$39.50
Pi.50
~9.50
L:i"; j j
'J 2000
, \~_.-
-~,-,,--,"
Remember 10 edd lhe Slala Sur<:harge on the boUom 01 ihil.pllcalion.
Tha.prlca 0/ vour healing parmlllncluda. ona rou~-In and ooollnallnspac'lon.
AddI,lonal Inspoclions will be billed al $36.00 each.
Hous. Haa'lng Ttl$1 Record musl be .ubmllted with buildinlll!mlllllllllllllti be lore buVd-
Ing cerllticale 01 oocupancy will be Issuad.
J:IEAI CALCULATIONS REQUIRED wllh number of supply end re!urn oplnlngs llalad per
rOClm wllh CFM'. per opanlng. New slruclurla or addillon. send /Ioor plan with IUPply
end relUm locallons .hown. HEAT LOSS CALCULATIONS, PAYMENT ANO
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall bualness hours are B a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
. hOleby apply lor a mochanical Iyslema porml' and I acknowledg& Ihat tha
In'ormaUon Ibove [s complale and accure'e; 'hal'ha work will b. In contorm.nce
with Ihl ordInances and codal 01 Ihe clly and with the alala bulldlng/mech.nloal
codell; that Ihls lorm doas not become a permit unlll stgned by Ihe BUILDING
OFFICIAL; Ihallhe work will be [n accordance wilh 'he approved pion /n the
cale 01 IlJI wOlk which raqulres ravlaw .nd approval 0/ plane.
~~
IC8nrlJllgn~lur
.----.
Building OHlcel's S. n Ufa
JD ,q t'(:L
Dah
i/J/?tJ/U0
'I lfale
-'.~~S: PRIO""
fJ ~~
White - Building
Canary - Engineering
Pink - Planning
Th~ ('tnnr of lhf l_h Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
WEN5MltNN
1/, i · 1'10
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"5:557 BRrJtJK:5!DE L;J,
/
Accepted
Accepted With Corrections
Denied
(
Reviewed By: Cr-l2.lrl- (J.r!.501L
Comments: !/a-,.r. :> if). .tAft'1
(JIll/tel .!JAIl tlIel/ml
!t,lIlf;fr;T 5Wdle j~/u;tOt );lIflclJ<<6 .:b <<F dt11 ft;
/;;rro/ Wt1kr ill lit >>//#&71 I/A)i ibis- /5" -I:?)
tis !3 Mf/ If &~ al c/;;rMI ~/~yd~~ ~-*'
tf1( 4.e C?/ZTc&'}' /:,iM. ,
Ji" nY/~~ }{~ f)/ d~.&,ffld/ /d-hr/o/t:?~nr_
- /, / /
Date: 7/';?1t>t1
d/H/A/ k/ ~ ?M;/s
-b
a.5
5"~/.r/rt
~e
5~L o~db(~;: I. hM/ ~l?~ $~c~~. 1J1'm,dl,~ 2 ~717~
:? Ens/mT ('Mini }k1/5t1/"f'> ft m5//JPL c:/,,/ //rUf_
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
OCT. 19.2000 3:03PM
GENZ RYAN 6513226147
NO.415
P.7/15
~ en! ef ., 'IM U. CeulllP7
t. BIu File
2. Gold CSly
3. V,",,", AppU_
# ()-R~ ~
Applicant ~-..Au.. " I'hone:JAf:J. -U~ -Ill.t~
AddJ'8S$: II...."\\J. ~-"'" ..r:o -r ""T"a,..\- ()--- '^""""". "'.,.. c;;.o;Oci
Signature: u.. '<:> .. S.J.. ~ . ~
Legal Description: Lot It( Block f SUb~ i!/J1//t:fef :5 yu----
Site Address: J b"'~ -, ~....-.~" .- ~
Building Permit # PIO # ::;7)- '?>ro?- 0 {Lf-O
NOTE: This permit \\(ill not be processed without complete information.
FIXTURE UNITS
CITY OF PRIOR LAKE
PLUMBING PERMIT
QUBJ ltity Type of Fixture Quantity Type of Fixture
f~ \ Bath Tub with or Without shower .3 Rough-ins
l Dishwasher I Water Heater
\ Floor Drain e.11 Water Sottner
';z... Lavatory (bathroom sink) I Stand Pipe (washing machinB)
\ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
\ Shower Stall Bacldlow Assembly (RPz. DoUble Check, PVB) 1
I \ Sinks Backflow Assembly Test
" Bar Sink Lawn Sprinkler
2- Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39,50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39,50
$
$
$
$
.50
GRAND TOTAL $
. PAID wr~,
BUILDING PERI'vlll
.
This penni[ i. gmat<<! upon the .xpress condition that said
conll1lCtor, shall comply in 011 respocts with tho orcl~. anc
of lbe Stare Plumbing Cod. and the amondl"~ th
- RE~-fO. /O/dO/
~ ATIEST
Call for all inspkf'ons 24 hours in advllIlc;e.
OCT I 9 2000
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 (FAX (612)447-4245
Aft Equal Opportuftity Employ.r
~
SEP.14.2000 8:19AM
GENZ RYAN 6513226147
NO. 863
P.2/5
'.
1.
2.
3.
~ , 4.
5.
6.
_......
1'11I...... ~
lICIUI - au
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO./J- V3b"3
Sewer and Water
. contractors m~st
.be reqistered
with the city.
APPLICANT:~.;&- ~ PI4r-'bl~ IJp~TI.et', PHONE:jp51-I.J.'2."!o-II44
ADDRESS: II.j"LlI&~~,~.:r -r"" t?~'V""'al...r ~elJil.DATE:
SIGNATlJRE:-1^ I.(~ I\. /" BLDG. PERMIT #
SITE ADDRESS: 1c..,,~~1 "K~l'DL ~ PIO* /}5"# 3 (,1- 01'1-0
FILL
IN THE BLANKS
40'
Estimated length of water service
I ~.
si~e of water service inch(es).
feet.
Location of any co~plinqs from s~ructure
Type of sewer pipe. ABS PVC X Cast Iron
Estimated len~th of sewer lin~~' feet.
Clean out (:if required). located at feet from
structure.
feet.
=:a=====____=-==~:::.______~~_......_~~~u_~~~________. -
--- -====--&:
This application becomes your permit when approved.
BY
D~TE:
*-----=__~___.:::l=:=====~_.......____~_"~._,____~__.....__~=_;a;;;:;;;;;_~__"'___~=~~-'__=
FEES:
$
$
$
35.0'0
.5'0
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
Fee for either sewer or water individually is $20.00 pl~s
$ .50 s~rchar9"e.
* Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time ot issuance
to insure that no. d~pllcate sewer and water p~rmits are
issued; PAID WITh
DATE PArD AMOUNT PAID .BUILDING PERIVlII
RECEIPT # REC/D B'l;;JfP.//.4~
*
. 4629 Dakota St 5.E., Prior lillie, MInn...otil 55372 I Ph. (612) 4474230 FliK (612) 4474245
AN EQlJAL OPPORTUNITY EMPU:lVER
i
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
L.
SITE ADDRESS 1.e;:~")'7 6~k~cL
NATURE OF WORK ~ I
USE OF BUILDING :s FA-
PERMIT NO. (JIJ. () 23fa.3 DATE ISSUED '7-/t./.20C!Je
CONTRACTOR \JlI..4N;~ U,.>i...J'/ uS-I - t..{Oil- Noo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING t2l-0 uLaJ 00 'Vu.k L tJ:l., I I~/,,/~
I FOUNDATION (Prior to BaCkfill)~ I ra.. lo/c(/~ I &x /OllplmJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH; INS
SEWER/WATER/SEPTIC .;)2 f....Zcr
FRAMING ll.la .;1.Bklw((.h /;2/II/lfi
INSULATION L-L 1~~~-g,\1 ,~Jli~ 1M "'g.,d
ELECTRICAL ' I
PLUMBING ~.L\I 11 )13)c90
HEATING (if required) ,f:7:r /.?// / /cm
FIREPLACE fP:t ;).I/I/tn
GAS LINE AIR TEST ~ \\rJ 1:2}/hloo
COVER NO WORK UNTIL ABOVE'1S BEEN SIGNED
I
FINALS
N {7
'R\lo..v-t1
\
--g, _ ~fMA...'
~ - \\f\ANt .
UNTIL ABOVE HAS
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 sliall be Illaced near main entrance.
I ".,..~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
} )1 o!1;ui b I
, It 01
I I
I ~/l; ()f
II" D/
t :
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
..---...---......--..--.--.-..-.-.- ..'- '''-~...._-~,."..".__...,.._.,._.-
....~=.==- ~- ~.. .,. ~.~ -, - ~- ~- ----
(liIIl""~ ,':"" . :.':~ ,_.'!wI!_,.y :,~". ' ,," ,.'~'''' _~_" _". .' ,".
,..... ,,' ......." '...~. .....,...~~. ..._....:.,.,w..~""'.'''.'..''',..'-'I"......,..,',.., .~.:....... .,:__., '1'~..4. ,'-'I,"" '~'.'". "'.'......., ...(
(1.,7'. ,. .",.....'i\"It'..,..:-'/;...~. "It'-7Ylif ,~..,,,~... ."-~"~""""''''~,.~
i,:' - A1 " ~~~.:." I .. 11~ K
~. ~,I QLerti!ir8u of (0rcupanry IE i
l >>~~
I ~:. i
,\- ~
l ~.
,1l( .
CITY OF PRIOR LAKE
11lepartttlJnt of .utlbing lnflpe :tion
o Final Permitted )11 Conditional C.O. Expires 9J 01 O(
\
This 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 ordi1lQ1lces of the
City of Prior lAke regulaling building construction or use. For the following:
Use Classificatiol1
Bldg. Permit Nn
q41
OccupancyType J<. - 3,
Type Construction
N
_ Fire Zone
Zoning District
Legal Description
~iteAddress IESS7 ""K(oob~L..
1.J1' \'\6 Y\'\.a v\ VI I+OW\. e5
Owner of Building
Dale:
t:ity Planner
Dale:
POST IN A CONSPICUOUS PLACE
~ -,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I ~A)E. . TIME
!.j.!!.f.Ql /O!30
ADDRESS
15b!::7 '6,,?ob~~e
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DQ-et.?,
o FOOTING
q FOUNDATION
~FRAMING
g,INSULAT10N
~ FINAL R
o SITE INSPECTION
'*1' PLUMBING RI
)W"MECH RI
o WATER HOOKUP
o SEWER HOOKU~Ah
J!! PLUMBING F!'tttJ:17
')If MECH FINAI.{lY
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMErS:
v. A ot>kiJ~ VeA+ rl~ h~h..o~
11.... ~ Ie: PAA.. r ..i?LUA. ter-
fo~s~blp
-
.bt..i ~ 01 DI)
I ' I
') ()"(O.d;4 /).frove-~ nIl f'JAfVlP,o.k- ~€.-~(e d
6l) S:xi 11~:' k-e~ F c\t>Jfe \'9fWlev..+-
"1Jr\'ve-IJJo..u ~ ,..ua.llc.~ ()K
I
pORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~l Owner/Contr:
CALL 447-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I ~~l{jl TIME
ADDRESS
15557 BROOKSIDE LANE
PERMIT #00-863
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 EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
r~~lA'" (' -.J),
{'Jo~e.. +:- '\e...-
J(WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: b~ \J~ Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSliOTI
\
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED 9~-() / ;:;;.0
/.r{S5l; .S"3.I.c;t:;/S1 prooh5/de to..
CONTR. -;/ _ r:? (' ):h
u-- OU;V ,) ~-
PERMIT NO. ~J s~a
o PLUMBING RI 0 EXC/GRADIFILL.lNG
~eCHANICAL 0 LKSHOREM'ETLAND
A TER HOOKUP 0 COMPLAINT
EWER HOOKUP 0 SEPTIC FINAL
o PTle INSTALL 0 FIREPLACE
o PLUMBING FINAL 0
o SITE INSPECTION
TIME
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNOA liON
o DEMOLITION
o FIRE PREVo
CDMMENTS:
RY, PROCEED
PROCEED
L FOR REINSPECT10N BEFORE COVERING
Owner/Contr:
4~~~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI