HomeMy WebLinkAboutBuilding Permit 03-1174
(Please type or print and si2l1 at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
;. 9. oJ
; ~;~~' ~:~y !PERMIT NO. O'?-/ 114- I
3. Yellow Applicant I - - ~ '
L.:zne
I I
3f06
/ha / rs {, I:::..
w
LEGAL DESCRIPTION (office use only)
LOT SBLOCK </ ADDITION kt"~4 / (l1?~S+
r
OWNER
(Name)
(Address)
ZONING (office use)
.er
PID ZS_ 38(P. O~fJ.. 0
(Phone)
BUILDER/? J / /1 J I' /
(Name)~OI/"'}C: c: /"j 7-om r'~
(Contact Name) I-=:dd/e S~,vnld'~_/
(Address) 7C}.;2t) .L...adc::'~{.),/le Blvd
TYPE OF WORK
o Misc.
/
---------
Permit Valuatio i
r Permit Fee
I Plan Check Fee
[ State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Phone) 9 .5.;l-~~'7- 10 90eJ
(Phone)?/';>- !r?::rS- 3.:207-
Let Keu ,//-e 1h,tJ S..:50(,/</
c)New Construction
DDeck
DPorch
ORe. Roofing
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 e above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
ans. I aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~e neede;:ectiOns.. / a oq .+/ q J fJ3
sitna~ Contractor's License No. ~ Date -
\.....<'
W ~ Llf... 800.00 I Park Support Fee # $
$ / Jf /I . 3s:: . SAC # $
$ i /7?, 3'~' I Water Meter Size 5/8~ $
$ /2-3. 001. I Pressure Reducer $
$ I I City SAC and WAC # $
$ /0 ('J. C!) 0 I Water Tower Fee # $
$ /00. 00 I Builder's Deposit $
$ 3'5. 50 I Other $
$ .t./6.00 I TOTAL DUE $ 5. q3 Z. Z3
,
~ '{ do=/.. ol 31 Receipt No. iitJ3iI't,
q~ K- ?) By J-
DLower Level Finish
o Fireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
2'15. {p5D
This Application Becomes Your Building Permit When Approved
I Paid
I Date
~cia?~ ff/~:?
oRe.Siding
DUtility Connection
/2- 7$00
~OO. 00
7t'J.otJ
12ao.oo
700,00
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
"~ :?-..fU J;f-
Planning Director
/'
~'jJ
Special Conditions, if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~ y{\~ ~~
TIl.. ("tnlr. of Iht L.kt ('ounlry
White - ~ulidin9
c;gnarv - Enqlneerlng:;:>
Pink . Planning
BUILDING PERMIT ~CATION DEPARTMENT CI{ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
(1 Ii ( I .F(; C:, (."
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: 1
-';;-. (:;" (~ ( kl Li -J."'" C,.' ".'-1"-" /1 ! f', )
,_.,'; (j :) (; I r\ .~ ~./_.;" \_....,; {_._. ." ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M4A
--=---
Date:
9/t.//(9?'
.'.. ...,
Comments: Drivewav Must Have A Concrete Approach
Sa 1Ylc.,'Y1 f=,'/f
"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."
~~
CWhile .Iluild~
Canary . Engineering
Pink . Planning
The (rnler of lhr I....r COUnl!)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
~OU)~~~F, ~/I ry
"7. q .O~"3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlication:3 g~U~iOn aMviA:c~~7s;c~ LrJ.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
r
cJ3fJ~- -:;~,t)
Date:
t?'~ /6 :5
I '
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."
.~~
Th~ ("fn.... of Ih..I.8k.. Counll'"
White - Building
~ - ~n~' eering
'2!.nk - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
I ' .-- (~ (-
, I r _1.-,
/
(/ I /r --J
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. ~../
IllI
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
- , !
t _ i ( ,\.. L 1"-) .
(,/ ( I
,;' l r \'
~..----', '-
:' : /\
, .
Accepted
/
Accepted With Corrections
Denied
~
-
?~~
Date: F(i/03
Reviewed By:
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."
89/11/2883
12:54
5877445555
BADGER EXC
PAGE 81
- '''.
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1".'01 '-'i (1\.L',IC\ 1...'\tI.",
>lLJ Vl.I.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Dlte Ret'd
!?,k,U' ~ Qr IUV\t DC '.lIP &l bocmtl'l'
I ADDRESS
! 3:7c,G, (YlC'1f-s;&"; L..~
: ~:. ~,; LPERMIT NO, .-'. If-JIJ' I
l, <W, "'....'- J/I -/,
ZONtNO~-;;)l
LfOAL DI!SCJUn10N (olll"'"J< only)
, Loro BLOCl< l{ ADDITlON Q..t1~..t ~
I OWNER
. (Nlme) Cn1 ~r.,& ~ t~
I (AddJes.) 7<1.J 0 a L..~...,.J. k. Id / u/)
I rAd~..l - ".
PlD
(Phone) <:is 1...-::~<?_ ~ 9,..,d
I~~
lel"') (lio Cocll)
I APPLICANt-..,
i (Nlm,) K/Arp Fx. c c, C)~.
I (J ,
I (Addre!s) ~ :1'7 ~ U:!J :C!-H-.. ;9-r..e.rU'-
(Ad4><..)
(Conti'" Pc"en) .S", J -< J S ,'/Y"I~
: APPLICANT SIGNATURE __~ ---L....~
'-../ r
(phon.) So',-7'-T'-T' -S:$'2;, -s:::. I
LCff'.sJJ.:; .I--h1J S':SDYC:;
IClry) (Zip Code)
(phone) 51)1- rY' '--I - Sse. ~<;-
DAn q - ,r' /-=3
J
APPLICANT PLEASE COMPLETE BELOW
Size of W1ller nrvice 1- i1\Ones,
Location of any couplings from structure -=- feel.
Type of sewer pipe. 0 ABC t2tPvc 0 Cut Iron
E.stimated lenith of sewer line ::fill feet.
Clean out (if reQuired) located a\ feet from structure.
Ruidc.ntill UW'f and water li1\t e~MeOIJofl
Sf:\l,'~r c;unnection onl~
FEE SCHEDULE
SlUO Ind"'tri.1. Com'j & Mvhi.Comily 1',\ oCJob <Oil wilh I $39,l0 ml11lmwn
SI7.l0 Wltereonneetion only S17,50
Estimated Cost S
Bulldial Permit N,... ,
SEWER AND WATER PERMIT PEl!
StATE SURCHARGE
TOTAL PERMIT FItl
$
S
.
'~9
fOmtr l.~ O"l,~
l'
I ',; ~~
,
I', LS
fee;
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DIAI~ ;tlJ
l\Jj1di..omcht
O.l~
. "! -:--
. ~~'I$)Cr 1 f, LUUJ
I Date
. fly
--:..:::::.:.-...-..
TOI. Application a.oem.. Your Bulldln, P.rmlt When Appr...d
H l." notice Cor 11I1"p.ction. (~S2) 44':9150, re. (95~) jjf~l4$
,
','
Sen,!5, 2003 10:42AM
GENZ RVAN PLUMBING AND HEATING
No. I 5 i 0 P i 0 i 4
~llii PR/O",
.>. -('
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- "
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l,\~.,~~:~~
_'JvNESO"t~
Date Rec'd
en Y OF PRIOR LAKE PLlJl\falNG PEIDvIIT
j'
..:
~ ,
\ 81.." fil_
l. Gold City
, Yellow ~pplJelInt
..
-,I'.
; ,~;/ J
-I;;:;; !f
fPE~I\1H)~L~'! 3 -11(711
ZONJNG (offi<=~)
Q?lwe lYEt: or priIlC and Mgn at bottom)
ADDRESS
3~tJ?
lw1 ~~('.J
!Y1.
LEGAL DESCRIPTION (office ",e Ollly)
LOT '6 BT.-eCK q ADDITION 11 P 0 tl ~ rJ1 Pd-
. g.=~{i11 _ ffnynpj Lhf.
(Address) I q 'XJ (tt~t/llllt}11f1 vd . Lat4WIII-(' VM fl
(phone) [lc]/- Lf'2-3- 1J4L.[
. f2.o e-umrn;i.lbi, m VI ':?SU&'8
(City) (Zip Code)
(phone) trPi 1- U'2-3-1 jlfL(
DATE q./to"o0
PID
(phone) q t5~,Lf (;,?CJ -It;Cf DO
0StJ1L(
APPLICANT (L III I . J:
(Name) clfYll:.- YG1AlAflJ
.- )
(Address) ILJ7L1<;' S:. r2()bt~ T/C'.J..
(Address)
(\ /, .;-~-:~~-. [;, {/ (
(Contact Person) ~Ql/. \ .
".~~LICANT SlGNATIJRE 0 j j A fjj;J --4ih<1
APPLICANT PLEASE CO~I:PLETE BELOW
Quantity
~
I
i
--!be
I
I typeofFOrtu~
Bath Tub with or without shower
Dishwasher
Floor Drain
3 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
I I Sinks
I Bar Sink
AIk .. ~ Water Closet (Toilet)
Quantity
/,
v
I
/l-t
I
I Type of Fi:c:ture
Rough-ins
Water Heater
Water Sofiner
Stand Pipe (Washing Machine)
I Sewage Ejector
I Baclcf)ow Assembly
Backflow Assembly Test
Lawn S orink1er
Other
:FEE SCREDULE
IndlL'tn.l, Commercial &. Mult,.famlly 1% of Job COst with a $39 SO minimum Reoidcn"al, New On. &. Two.Family $9950
Re,"dcntial, Additions &: Alterations $39.50
EstJIn.ted Cost $
Building Perollt #
PLUMBn-TG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
eU'L~i:~ W"/-f
'vGP€
F?M"
(Otficc USf.: Only)
I "'.is Application Becomes Your Building Permit When Approved I 'I~tt .._-,
ffl'te
Dat. :Jtj SfP 1 8 290;
24 hour notice for.lI i"'p.,tions (952) 447.9 iSO, flU (952) 447-4245
By_ ___
Building OBIe:lal
"-;j'~ecejpt No
I "'I
.:1 Sy
, .
,..,
rr
r.
2003 10 43AM
GENZ RVAN PLUMBING AND HEATING
No,1510 P 1314
CITY OF PRIOR LAKE .
BEATING/Am CONDITIONINGIFlREPLACE PERMIT <.
":~f
Date Rec'd
J2m cJ ('/2J1J..+-
J
GWNER f\,.() fY . '...J..,..,....~ A . A. I
(N3roeLJ.J,Jl1f(~{ f)J1J1. I, VfVLf4J nr.
(Address) 1qW I aJuAI/I!p/ j~htd,! [gILtlli/!r;
i '
...~(
(Plwc~ Of'Dr1.nr andsi,e;n atboUOm)
ADDRESS
(~810(/ JAf{j({~-h('.,;
V
LEGAL DESCRJPTION (olliee "'" only)
LOT? BLOCK 4 ADDITION
1 Pink
2,Gr~
). y,,1ow
.,
~~.J;./'~~/
~j~ fPERMITN~:b_ }/1}., '/1"
AppllQtU -. -.--.~'S.,D' /f.... 7f
i!
ZONING (.!lke:~)"
Un.
f;. ~ '.
PID
APPLlCANT C CPfI1 10 II /l I
(Name) 11u I?::-- fl,..0 fll /11 J
(AddreSs))LI745 ~, ~ k?fJi1J li2J .
(fit . .
(Contact Person) (I (; 1 j) ; s. h /15 _
(Y /.1 i~ '':.ilir1( f
(phone) qt/)/.-, Lj (fq -(cQ1Jl)
!h YJ Vjq)?)cf
(pholle) r6/~LIc)-3- (!L/L/
/0)KmfJUllti , m n ~<-,(JAIj
(City) (Zip Code)
(Pholle) (OS! - L/ ~B- /Il./(J
DATE q -1P5tJ?J
APPLICANT SIGN A 11JRE
APPLICANT PLEASE COMPLETE BELOW
~:EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEAJ;'MODEL U)7f7DX q2lP-..,C:: FUEL)2ll.1 bJYts-
FLUE SIZE RE1URN OPENINGS X" . INPUT E,D7fD OUTPUT Ifl/i ,OIJD
,.
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hot Water
o RAdiation
o Special DeYlccs
o Other Devices
~arm Air Plants
DGravity
QMtchanicaJ
R'JAir Conditionmg
OVenL System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLAC.'E MAKE ANP MODEL
Industrial, Commercial & Mula-FamIly
FEXSCHEDULE
1% of,job cost ResidenlJaJ, Gas Fireplace
$39 50 minimum
$99 50 Rc>ldenn.l. AddItion. & Alterations
$6450 Rcsid"'tial, AC Only
$39 50
ReSIdential, Healing & Ale (New Constru<l1on)
Residential. Heating Only (New Construction)
$39.50
$39.50
E-sti.mated Cost $
BuIlding Per:mit #
HEAl1NG PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERM II
., U"Only)
; ..is Application B.com~ Your Buildiog Permit When Approved
BUIlding Official
Date
._~'r"_'..'~".-~~-:
'\I;~p;; 1003
uL
, Receipr No.
By
cr
I
24 bour notice for aU inspection.' (952) 447. '850, fox (952) 447-4245
By ~.. =::::.=-----~,_=..
SeD 15 2003 1041AM . GENZ RVAN PLUMBING AND HEATING-
No. I 5 i 0 P 7. 14. -
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
v\~
. '"
.::::.,j
';;;:";:!~,f
:-'"''''~7
~. 2d-.id: .J _
, ..,-,._~,,-c
:. ~w ~:~ I PE~nT NO:3-I/ 7' 1\,.
3. Gold ,\pphQnt '-t.,
q'lea.se!vpe orprinr andstP3l atboao:ml
I ADDRESS1 Or n. (. /)
JOl;r..lt' )W\~e:g-HC/ Un..
ZONlNG (oin", U~;~
LEGAL DESCRIPTION (olliee use only)
L016 BLOCK 4- ADDITION Q OdiAL (~J2is.t
. )
\ OWNER'. I Ie (l'f1A I-h-",~ - (
(Name) lOqe. ,lL.-J ~lUyV\e~ V1.Q~ .'
(Address) '10 W Lctke, I.f;/ I-t 13) vd.. UJ,Iu-J V) 1I{, ,
. (Addn:,,) ,- (Cim
PID
(phone) QC)l-LfIu<1-lo,C;;(J{J
WlY1 - ~6l/4
(Z;pCod.:)
APPLICANT r:.. _ If) 11
(Name) CtrV11:. - K..fA l.1/n I
. J
(Address) ILlILiS- S. !to) ruse!: liaR. I
(AddIesf" _
(~ontact Person) 0Vi ai$:H tZtU ~ _
"LlCANI SJGNATURE (lh f::;5~)~//\
(phone) (j0/- U-Z-;S -{J l/J
0J~j1I]ou.ni {;1/lV) ~t.X.P6
(City) . (Zip Cod.:)
(phone) (00 f - 42-'3 -1/4'-1
DATE q'-rV5.{)~
APPLICANT PLEASE COMJ>LETE 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
FE.E SCHEDULE
ResldenllaJ sewer and water line conneclton S35.50 Industrial, Com'l & Muln-family 1% of job cost with a $39.50 miDlmum
Sewer connection only $1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERi\ITT Fa
$
$
$
.50
PAID WITH
BUILDING P.~qMIT
(oma: Use Only)
I. Thi. Application Beeom.. Your Building Permit When Approved
BlIildlDg Offic.ial
I~IC' ..-.
fill'..,"." I ,
"I I '.r 1,.__ ,C1 , I
li~e~ u" c 'Cc "" ',~I
Dlue H-W--.... -:: i
'i J"F 1 (} LUUj iT
24 hour notlc< for aU inspection' (952) 447-98 lo,Lf". 0'52) 4474245 LJ
Lg,eceipt No.
~
By ___________
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 3 - 1("'71,
(Please t>'\!< or vrint and silll at bottom)
ADDRESS
ZONING (ollieeuse)
3866 MAJESTIC LANE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name COLLEGE CTTY HOMES
(Phone)
(Address)
APPLICANT
(Name) ALTJRD FtRRStnF ORA FtRFStpF HFARTH & HOMF
(Phone)
651-6JJ.2561
(Address)
7100 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/13/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent, System
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO PIER-HV AND L-CORNER-TRC
~ .
FEE SCHEDULE (t ~\
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions & Alte~lons
Residential, Heating Only (New Construction) $64.50 Residential, AC Only ,.,
Estimated Cost $ Building Permit # ~
HEATING PERMIT FEE S \ V ' ocr 1
STATE SURCHARGE Sq: _\", ,\j'), ,.
TOTAL PERMIT FEE _& \J
paid\
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
7 2003
(Office Use Only)
Date
Receipt No.
~
By (j/
This Application Becomes Your Building Permit When Approved
Duildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
.
INSP,ECTION RECORD
.
SITE ADDRESS ,~ ~
NATURE OF WORK c:r (~,.,
USE OF BUILDING . .
PERMIT NO. LB - / F/ 4-. DATE ISSUED ~ _
CONTRACTOR S PHONE-"'L-~ZD9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
L
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS A
I f..f4(;
I fYlS
I /zf
I
I /II/jf/:
I _ &PIJ
Ir~ _ l~ ~"?~
~r~
l
J
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING lJ.c lIiS
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
q-/tf-~
/P'LB
->
/&7-?,p
I
I
I
I
I
10 -J...C'-f/)
/0-- 25
GRADING1Prio.r..to Sodding)
BUILDING ~;, f ~ FJ-I-Oc.f
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I ~ ~~ t--:t1e
"-..
"-......
~/~ /.f'-~.
I l,f~7 1- '2.>-DL/
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.
FOR ALL INSPECTIONS (952) 447-9850
.. . .'-..,.-
@trfifitaft of @ttupautl!
CITY OF PRIOR LAKE
. ~rparfmrnf of '!JiuilMng Jlnsprdion
pinal Permitted D 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 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.
Fire Zone N / A
Zoning District
03-1174
Rl
Occupancy Type
R3
Type Construction VN
Legal Description
L5, B4, REGAL CREST
Contractor's Name & Address COLLEGE
CITY'HOMES,
ROBERT D, HUTCHINS ~ \?
Site Address 3866 MAJESTIC LANE
7920 LAKEVILLE BLVD., LAKEVILLE 55044
DON RYE
'~I
,h
If
.
Owner of Buildil'~
City Planner
Date:
Building Official
q, l.
Date:
,
'.
l
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /-2.-o~ .1;-
ADDRESS _.\ P,(~,? Ml(./~~~"(' Q"r'
-J
OWNER CONTR.
PHONE NO. PERMIT NO. ~-I{7,/
lJ FOOTING lJ PLUMBING RI lJ EXIGRAD/FILLlNG
lJ FDUNDA TlON lJ MECH RI lJ COMPLAINT
lJ FRAMING lJ WATER HOOKUP lJ FIREPLACE RI
lJ INSULATION o SEWER HOOKUP lJ FIREPLACE FINAL
.;M'INAL o PLUMBING FINAL lJ GASLlNE AIR TST
lJ SITE INSPECTION ~ECH FINAL lJ
ICOMMENTS:
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2. {I..1.....I.J......;.. blnvt O~."
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d.rr~.~~ ~~V-J
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lJ WORK SATISFACTORY. PROCEED
lJ CORRECT ACTION AND PROCEED
j-EORr ~RK. CALL FOR REINSPECTlON BEFORE COVERING
Inspect r: ' n Owner/Contr:
CA I J,.t850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
r~n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED t:), - SO-Q3
/{:=
ADDRESS
<;'J;CeCp ~l ~""
OWNER
CONTR.
PHONE NO.
PERMIT NO.
<_ III Y
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
;i( PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~~~ (Z""t ~
()... CWJ.. ~r- MIl \
1.fl{1-"tS'ic:!>
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
b CORR ~ORK' CALL FOR REINSPECTION BEFORE COVERING
" "
Inspector Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~. '
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
",,,,,,n