HomeMy WebLinkAboutBuilding Permit 00-0877
6~~b\J~~r~~t-rucl-lmress) (61~) (~'~~ -1 ~Ol
'ry~(), - I L..Jstn 'b\-. W A\)~\e..-\(<l\.\"~l MlSSi"d,<I
7. TYPE OF WO~ Fireplace LJ Septic LI Deck tJ Rs-roofing 0 Porch 0
New Constructio Alterations 0 Addition 0 Finish Attic D Re-siding 0 Finish Basement CI
Chimney 0 Mi c.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS J 10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby cart '.fy. thmt have furnished information on this application which is to I of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above m9f1tion d roPti and that all construction will conform t Isling state and local laws and will proceed in accordance with submitted plans. I am aware that the
building OffiCia'r r ke . permit for ~t cause. Furthe ,ereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ',_ 'A/7/)
(J II Slgn.~ Ucense No. 0818
~~
~Fr.F"'I='1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
fS JdY/OO
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
aqnq
3. LEGAL DESCRIPTION
::J. ~ BLOCK \
~-\-er\\ ~Tl hi--h 'OJ
(Name) ~
"" li..lclJ..
t'NJ
1. DATE
't; / aLl / (]D
PdO
\ rU\O.
LOT
PID QS- :SO'1-0ax-0
~ LA) ;If'lt
ADDITION
4, OWNER
(Address)
(Tel, No.)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
'/ IV
SETBACKS: ~eqUired
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION ---1!1.5..IJCJO. 06
USE OF BUILDING
>\t-h
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
1. White
2. Pink
3. Yellow
(Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
Ll
PILING lOGS 0 PERCOLATION TESTS 0
PLANS & SPECS ['] SETS
SURVEY
PLOT PLAN
o COPIES
Ll
Division 1 2 3 4
Permit Fee .............. ..................... $
II' \:t. 2 c;- _
'1~~,"lL
1')280
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .u..................uuuuuuu...... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
City:
R S U
Plan Check Fee ............................. $
State Surcharge ............................. $
BV"JaL
4(CJn.~
/00.00
.s~ (. ·
Pressure Reducer ......Jr2'............... $
Meter Horn ............. ...................... $
.......
-
Penalty ....................................... $
~o
q .1--'
115
Water Meter ................................. $
I 2 C===
I. ~t'I2l,oo
"1-]00.00
Sewer & Water Pennit ...................... $
Sewer & Water Connection Fee ........... $
24 hour notice for all inspections (952) 447.9850
.
OO;()~11
Tht Ctnltr or lit.. Lib Counlry
White - Building
. -. Canary--Engi..__.:....
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\'l\r.~NY1 trA C,CV\..<:...-tn ) ('.l-1r.f\
o Il~ I~-\- &L\ 1 ~tiY)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
c;)"!-09
/
'-A/i J()L\ LaJ\e Ny.[
Accepted With Corrections
Denied
Reviewed By:
Comments: ~
arwrf (J,JsoIl
+h~ r(lV(J/~e ~icle
Date: g/';'''kn
V {
/Jr (tdd,/-i/Jl'la / ,itf;rMako-ot.
Sf''' a Haflj,MerJs: ~I arnd" :Ihs/?-fth~ Ji~~'M1. ;>,~,.d~ I~
.3: Erar;iH'\. (1h71~ I M~fl!.gu~~ 'I. Gflffl. r2.h/ /~
"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~11
Th. emIr< of thf L.kf Count"..
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \'l\ r . ~(j\'l1. \rl C~ +n.) 0_*", (J'\
APPLICATION RECEIVED ~ l~.J- &L\., ~ft:{)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/;)t':f()q '-A/i /O}...(;.. La.l\e NW
Accepted
Accepted With CorrectionS"<'
Denied
... A ~ Date: 7' ..f-~
7
.:db.c~ ~9_
Reviewed y:
~,:;n~ 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
OD.D311
ThE-C..nll'roflh..t..k..Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!;T
NAME OF APPLICANT
M C. '})r;\Y1 \,! C Ic)~,,+n 1 (;hen
;^\- L (",. '\ IVV
(_~_I_)(~\i:' \ t:{l\, Nt u ')
,~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'2-)'7 () q V\ II J rL" L CU\E'
jV ItI
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~<t<J{~/~
Date: C;/7~/ .0,'")
,
-JL0 f=' M.ivUWlMA ~~ld~(11 ~~~ &ev1_..
"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
PLUMBING PERMIT PP No, 00. 0 877
Applicant:fll- ,5, bJ pLUm!j-/J;J Phone: t..J.<:J. ~ {)7~ lj
Address: c..~ /:'1 I :Sf -"<<-( /";j' Ii pol.h vAl If; V} I71v- ~<: ){I \
I - - ,'0'0-
Signature: . (" ~
Legal Description: Lot Z.e Block' Sui' ":.1 t"'JcU...,1 ~ 'SlHJ-n-l
SiteAddress:..:l{6~ W4CLD5 1...11""'( Mil... lHe WILDs
Building Permit # f'ln. ()~77 PID# Z.5-~(")7-()ZPr~D
NOTE: This permit will not be processed without complete information.
The ("..nl..r "r Ih..I,.k.. COonlr)'
FIXTURE UNITS
Quantity Type of Fixture Quantity
I ' Bath Tub with or without shower .-
'~ Dishwasher t
I Floor Drain 1
~~ Lavatory (bathroom sink) J
-
1 Laundry Tray (1 or 2 compartment sink)
:> Shower Stall
-
I Sinks
Bar Sink
-~ Water Closet (toilet)
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
GRAND TOTAL
I. Blue
2. Gold
3. Yellow
File
CilY
Applicant
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State PIUmbiO! 1l mendments thereof.
R1' II.I+'OODATE
. ._ ArrEST
Can for all ins ctions 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
HEATING APPLICATION' PERMIT
Dal. flIno PIO'. d5- ~ 0 '1- 0 :J..Y;-6
SKI Addr.u ~709 11);JI'tir La... L.i.J '1188 Schedul.
Lot g;;) Block I Add.lon ~'-, tUlly ~~ ccrw ),1)1 ~d~lrlal, CllltlIJIerclal & MulHamily
IvI 'j) ~; 0 R8Sidenlia~ Healing & AC
Own.fs Nam. ---fL'c.. IChtJ.P ;dio.. R""ldenlia~ H.aling Only
AddrHS ResidenUa~ Gas Fireplace
Residenlia~ Addllione & Alle,allons
Re.id",,'ia~ AC OnlV
CITY OF PRIOR LAKE Me ,
16200 Eagle Creek Av. S .E. Permit No. i)--
Prior Lake, MN 55372
8'1'1
HsalingConlractor ALLIED FIRESIDE dba FIRESIDE CORNER
AdM.$ 2700 N. FAIRVIEW. ROSEVILLE. MM 55113
T.lephone' 651-633-2561
FIREPLACE ,I.
/liImMII Mak. & Model .f::l1.tV tJ C;!A. TYPE OF SYSTEM
f _ _ ~.I""'v "l"'"'\ Warm Air Plant.
NodefSlz. (t;('Un~ / GUMly
Conn. Load Mechanlca'
Air Condllbnlng
Fuel .u Flue Slz. Vent. Syslem
Suppl, Openings
Relurn Openings
Input . Oulput ,J 7 (Xl)
Edr.
HEATING OR POWER PLANT
Sleam
Hal Water
Radialion
Splldal Device.
Other Device.
Clm.
TYPE OF WORK
Alt.rations
R.placement
x
New Conolruclfon
R.pai,_ Est. Comp. Dal. i {. IV-OJ
Est. CoslS d)Q)cp 8u1ding Permit'
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID WITH
BUILDING PERMIT
....
Reee,,1 ,
TYPE OF STRUCTURE
!.Pinl:
'-r~
l.V_
CI>
'"
:J
'"'
RI,
Oil)
Cooo"" '"
'<
Singl. Family
"
H
:D
m
CI>
H
o
m
o
o
:D
z
m
:D
TWl>-Femly
MulHaml1y
Olhel
Commerciel
Industrial
PIAlIic
1% 01 jCJb CDS! ('39.50 rnirWmum)
$99.50
$64-50
S39.5Il
'39.5Il
$39.511
A.memb....lo add lIle SlaIe Surchafge on the boItom 011hi$ application.
Ol
'"
The price 01 YOU' heating pefmillncludll$ one fovgh.in and one Ik1allnspeclion.
Ol
Co>
Additionall"""ecllo"" wiH be biUed at $35.00 each. :
III
House Healing Tesl Recoid musl be submilled wilh buIding IlIIfIDilIlllllllle! belore buiI ~
ing certilicale oroccvpancy wil be issued.
tlEAI CAlCULATIONS REQUIRED wilh number 01 supply and reun operinll" Msted I
room wilh CFM'e per opening. New slruclure. or additions send IIoof plan willi .upply
and fetum location. shown. HEAT t.OSS CA.lCULATlONS, PAYMENT AND
APPLICATIONS MAY BE MAilED 10 -mE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 55372.
Cfty HaD bust..... hours ...e B e.m. - .4:30 p.m.
z
o
<
III
,
o
o
,
ALL WORK MUST BE lNSPECTED (ROUGIHN AND FINAL) . CAlL CITY HALL
'"
'"
Ol
"
I hefeby apply lor.a mechanical systems Pflrmil and I acknowledge thai the ;:
inlo,mallon above is complele and accurate; Ihat lhe work will ba in conlormenc
wllh Ihe ordinances and codos oflhe cily and wUh the slale building/m.chanlc
codes; Ihal Ihis fo,m does nol become a permit unlil signed by the BUILDINI
OFFICIAL; Ihallhe work will be in accordance wilh the approved plan In Iha
case ;?aU work whi~h requi....s ,evi.... and approval 01 p1anl.
~ d..~ !/1-aj
Api>1~s SignahKe Oata
VL./ I(-{j-O
BulJdng 91'icaf's Slgnalu'a Dale
447-4230
"
OJ
<0
'"
Co>
-
Co>
HEATING APPLICATION I PERMIT
D.~ //-..0 _~ PID' ;;::Ci-~~"Yj~ D:-:J..rc-i5
sn.Add'.11 ~7C'lC} ~1fJ~~... ill) ,
lol &BIock \ Addlllon_ ~if,yJ.L~/; S/)~
OWnI(INlml~"~")('l,,{) rf'>h'iSlJL, .
Add'l.. _Ap.p/pl/&lA
HIIUng Conb.e1or (';..,,, ,1-1"(")//t!!/:) 0 ~ t'"
Add'IO ~./;::;)IC €a In" 1 A" e.,' '1f'. n",-, ~~~
T.I.pho.... Jc..s'f )----1'c,1'l - c..DO>-;;:!.
FUlnlCl Maka ..-Model-I',._ ~""'/~tt lYPE or: SYSTEM
'/I' Wlrm AIr Pllnl,
Modll SlI. (;M (175".... 7s::' llro G,..lly
Machlnlcal
A~ Condlllonlng
Va.1. S,o\em ,
.....
eo
"
1'1
eo
~
o
z
U1
"
N
"
~
"
"
N
.....
\D
t
U
I
([
Q
Z
([
l!l
Z
f-
([
llJ
I
~
-
([
Q
llJ
..J
..J
o
~
f-
Z
o
u
Conn. Lo.d
Fual.M4:1-
Supply Oplnlngs
A.W,n OpenIng.
Input
Edr,
elm,
"
N
N
.....
An"lllonl
eo
eo
"-
N
eo
"-
.....
.....
Rlpalr
ElI. Co,' ,
CITY OF PRIOR LAKE MC ' _ C1 f) 7.
16200 ElIgl. Crnt Av. I.E. P.,mll No, D D .
Prior LIke. MN &5372
Flul SiLl 3.:.PII~
/Q
.c;-'
./
V_
......-'/
V
OUlpul
HEAl1NO all POWER PlANT
SI.lm
Hol WilD!
R.dlallon
Spldll DlvIce,
OIh" Dwlcu
llPE OF WORK
v
Rlplaclmant . NIW ConslltICllon
&t. Comp. Dill
, Building P.rmn .
HEATING PERMIT FEE S
STAlE SUACHARGE S
TOTALPERMfl"FEES .
,50
PAID WITi ,
BUILDING PERiv'1i1
'-
Rlclfpl ,
Slngla Family
Commlrcla'
LOn.. 01
,,_.-
~PE OF STRUCTURE
ulJ..FMdly
IndUlblal Public: 0hP
Fal Sch.dull
Indulllla~ Commercllll .. MulU.F.mly
R.,ldlnU'" H..lIng .. AC
Ra.td.IIUaI. H.allng Onl,
R.IId.nlllll, ell FI,.plac.
Relld.nlll~ AddlliDn. .. AIllllllonB
Realdlnllal, AC Onl,
1% 0' Job cesl ($38.&0........
1811.60
$84.50
saUD
$31.60
t39.50
Rem.mbll"10 .dd lha SI.'. Surch.rg. on IhI bollom ollhll Ippl1cIllon.
Th. pllc. 01 JGU'f haallng J19,mlllncll'dea one ro1l\lh.1n Ind ene linllln .., ' , , ,
Addllhtnalln.pacllcns win be billed 81 $35.0B HcI\,
Heus. '~8IlIng Till AlCOn! mUDI b8 IUbmlllonl wllh JudkIDg IWIIII 0lIIIIIa1lllDrl.....
Inn clIlIllcel. 01 OCCUplncy wi be llau." .
liEAt I;AIJ,I.IJ,&IONS 8J;:QUlRED wlV> numb.r ol.vppI,.IIII lelurn ", ,.....1'1l'
loom VIlli. CFM'. per op.nlng. NtIW .IlUClul8I or add_Ion. .end nDDr pl.--....."
el1d ,elmn 10e.OoRlllhown. HEAT LOSS CALCUlATIONS, PAYMENT lID
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE. '62l11tl11ElLE
CREEK AVE. S.E, PRIOR LAKE, MN &6U2,
Cft, HID b11llna.. hll1l18 ell' .,m, . 4:3B p.m.
All WORK MUST BE INSPECTED (ROUOH.IN AND FINALl' CALL CI11".AL1.
W-4UO
I her.by .ppl, 10' a mechlnlcal 'YI'lm. p.rmll .nd I .cknowl..... 1Ih&I'"
Inlormlllon a,",v. I. compl.l. Ind ICCIlIa,e; lhlllhe wOlk wIN be tn..-o " "
wllh Ihe oldlneneu Ind cod.. o'lh. elly .nd wllh lilt I'll. bull~ .,..11
cod..; Ih.llhl. 101'" dOli nol b.come . permit unlll Ilgnld by ..IIUIUJIIIIO
OFFldIAl: 'hallhe work will be In lacoldanc. ",Uti IhB .pprovld....."...
cua 0' .11 wOlk whIch I.qulr.. revlaw and approv.. 01 planl.
I/. J 7~ JI-~-OC>
~a- Appllftnl'. Slgnatunl ' u.g'
..rx (1- 3-c1 ()
/~,J u__
(/ Bulllng aplcal'l SlgnllUII - 11IIII
GRU. . FlU
YI1UOW . APPLlC....T
oo..D . en ~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No.
~o'O~71
NOTE: Sewer and Water
contractors must
be registered
with .the City.
APPLI 'ANT: /}II efJ'/'lJJ rc')r;c::,7;
ADORE S: ')~( ./I--1S-7..... ~f--c.u ~i6/(4?-
SIGN!>.' 'URE:~I)~ . (/
SITE. DDRESS:_f9:-709 Cv;(,)S 10--<' AI LlJ
PHONE:br..:J -4.'(f)~ )'#:,01
DATE: E?-~s -00
BLDG. PERMIT # gT1
PID# Z5 - '301- 07.-'(;. 0
FILL IN THE BLANKS
l. E: timated length of water service feet.
2. 5 Ze of water service inch(es) .
3 . L cation of any couplings from structure feet.
4. r pe of sewer pipe. ABS PVC Cast Iron
-
5. E timated length of sewer line feet.
6. C' ean out (if required) . located at feet from
s ructure.
---- -
-----
===e~::=:~====~=~=========================
This.
s your permit
when approved.
4. )q.()I)
BY
DATE:
=====, ======== =============~=====================================
FEES:
$
$
$
3'.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* F e for either sewer or water individually is $~1.~ plus
$ .50 surcharge.
*
S wer and water permits issued for new construction must be
r corded on the buildin9 permit card at the time of ~ssuance
t , insure that no dupllcate sewer and water permits are
i sued - \1'\"\ - ;to
'AID AMOUNT PAID' ~f\.\t!~ilE.~"^X
eU\UJ~ -
REC'O BY
DATE
RECEI 'T #
16200 Eagl : Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportuni.y Employer
TIn -:'>F.-'='r\nn ,c:;:?q
1=.''='.:1.1'7,,']":>,11:::;
q7%
p ",
..... - ......
"'.LLOW . .f""'It'~.'T
CIO~_D . niT T
CITY OF ~nIoR LARE
SEWER ~NO W~TF.R PERMIT
s.w.l'hQ:..rf22
NOTE:
Gewer nnd w~tcr
contractors rnu~:;t
be rogi!::tcred
with the city.
JECHE EXCAVATING
APPI.ICANT: 2310 JONES PLACE PHONE: t fJ.. 7d~J'IJ l::J
ADDRESS: ,jl.hGTO' M 55431-2834 DATE:_.~.._
STGN'A'T'URF::.4~ . ..BLDG. PERMIT #. .---6
SITE AnnRRSS:--d... L.JJ....~e...~..__PID# a-5'- 3t1?-._02f5
FIL,L IN 'rHE BLANKS
1.
Estimated length of water service
"';{6
f....t.
;a .
size of Wdt~~ ~~rvice
J
inch(esl.
D
[....t.
4 .
TYPQ uf ~~we~ pipe.
ABS
from structure
PVC /' C:"'t Ir.on
3 ~.._fe..t.
) .
Location of any coupling$
5.
Estimated length of sewer line
6.
C l~('.ul Oll t
structure.
(i f required I ,
located ",to
fact'.
f rr)~'n
~ -:-;"""~ o!!:i!'!'\!!!=========~ == =:~===::::;;;:;;;:;;;=;;:;;;;;;:-=~:====:=_=-..,.._=====-",,; ==='- -- ,,~"'""===== "",,_.'-1."-'==
Th l,; <lppl ieation becon,as your permit when approved.
O'l
DATE:
~=~~~~~-=~~====~-=~==~~~~=~~~=====~~~~====~====~-'--~====-_._~==~-_..,
n:ES:
$
$
$
,)5.00
.50
35.50
Sewer and water line conn~ction PQrmit_
Surcharge
TOTAL
.. Foc (or eltlltH' sewer or water individual.ly is $J"I.5tJJ pIllS
$ .50 surcharge.
.. ~ewe[" i.;lurJ wat.'::IT pormits is:;;ucn for now cons.t".rt.](~t:.ion must be
rtl<.:l,Inled on t.h" buildi.n1 permit. card at th.. t.ime at issuant:"
to insure that nu <1upll.cate ..ewer and ",a l:.e r. per.mits are
issued. PAID WITH
rJNm PA I D j o..::J2:-=(! () AMOUNT l'A la" aJ~IN.G.p'ERMn
R,"CI':IP'l' 1,___.. REC'D BY (;7^~
~
16200 Bagle Creek Av. S.B., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 1 FAX (612) 447.4245
All l-':qunl Opf'lol'tunity Employer
T0d W~TT:S 000c cT'loO
96~9c68 cT9 : 'oN 3NOHd
::lX33H::l3.r wo...!"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~'1()Cj v..LJ.J. c:.. ~ P_
NATURE OF WORK ~,
USE OF BUILDING SE'~
PERMIT NO. ()().Oe,7 DATE ISSUED 9-i-2sJbe>
CONTRACTOR f1~D-.,~ ~ 4~2.1("o l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
A INSPECTOR
I fh-;
DATE
1/t7/ih/OO
I FOUNDATION (Prior to Backfill)r1";;:". I tfA. fIJI/ell>!) l-br, 1/)/1 z./d-s
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~, 'I /~/I.:3/ tJt)
FRAMING !nUl.... Il'AJd ~0 ~.\)r.lAN1 116/70 _,
INSULATION Icwe-r- 101-1.;1010.0 %- \~ 'I J~ /, /IJr7
ELECTRICAL ,_. . . L'~ " I I
PLUMBING f/J;f {! II f51#D
HEATING (if required) I/J?-; U(U/~
FIREPLACE (~o' ulllr/,,-IJ
GAS LINE AIR TEST ~~ 1-.Q.~. t1'hii~
I' \
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'~aQP\ I I
FINALS
Nb
1< -~~
,,!I)~, I )~){)t
h~' ' . \ ~ d'bl
OCCUPY UNTIL ABOV~HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,1~vltJ1
I
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
ilir~"~~~'~~I:~"!~~ . ~~ "
'.:" ., '. ' ,." ',,-',' f," ioti' -"; ,.( t.; ,!fl"''''' i"':" ,,;",",,' fl'" r;~t;~,.. "~to
~. T~'''''''''~~''",,~'''''''r'' ,..,,".
:t;: ~trtiftrau at OOrmpanry
~)[ CITY OF PRIOR LAKE
-1~i 1Dtpartmtnt of jSuilbing 3Jn~ptction
~~i )(Final Permitted 0 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:
.,
u se CIassificatio~
SINGLE FAMILY
Bldg. Permit No
00-0877
Occupancy Type
R3
VN
Type Construction _
Fire Zone
N/A
Zoning District
PUD
LegalDescription-LZR. 111, StIlliUNr. SOTlTILAI 1'HF. WlLOS
Owner ofBuiJding
Con_Io,'sName&Address MCDONALDS
ROBERT D. HUTCHINS
<;teAddress 2709 WILDS LANE NORTHWEST
CONSTR., 7601 145TH ST., APPLE VALLEY 55124
DON RYE
'''':ity Planner
Date:
,,19.101
(
Building Official
Date:
,-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~ 7tJ '1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'l/rFINAL
B' SITE INSPECTION
DATE TIME
SCHEDULED /~1~i
uJJ~ cL .
An
CONTR.
PERMIT NO.
~-177
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
I
COMMENTS: 3 'I It
,
p~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'b _ \) D 1JJJ Owner/Contr:
CALL~~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETYI
INSNOTI
P-i?
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
SCHEDULED
Cj-2?
ADDRESS 27 oc;
W,U." LVI.'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6-()877
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
%f.. EXIGRAa/FILLlNG
o COM)jj'INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6rcuh. - r? K
(',I/" B~ - R",,\, ~/()(~ ...n '!-( (?r~r/<-
1)1( - EV 11 h,l~ I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~t:::: Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
c;{ '7 {) :J
NI LLJs
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
~ ),(WATER HOOKUP
SEWER HOOKUP
4 PLUMBING FINAL
o MECH FINAL
DATE TIME
IIJI/ :;>/"0 /tJ/dtJ
1
LN,
tJ -877
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: f/)) 61........... ~
@J. (l4''<uz. ~ ~ ~LM/~ 'in F'
0') 4/1~ ~~4/J: J ~ .
I
I
~ /1
f
(" T11Z" C~- O"r'--<- 0..
f' {};/o;f2.-' N)~" ~_"'_I 40' ~:... '_0. "'j/
I L- . ~ / 10..u:t-,
-, /~' 3~ - i.[" /r/C- ~,
'10 --: c:::;tt=- AT: r .
o WORK SATISFACTORY, PROCEED
,)ell CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: n ( Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-------.-
ADDRESS
:;2 70Q
J -f::) TIME
SCHEDULED ~CJ! l'J~()
uJ (- / d, ttl N LJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/-0>377
o FOOTING
o FOUNDATION
o FRAMING
OJNSULATION
fl FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)Ii PLUMBING FINAL
~ MECH FINAL
o EXIGRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS: J
!l1J\j1AAOvl/\ e-l'e.I uk'
tM~~pnipA
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ . CALL FOR REINSPECTION BEFORE COVERING
Inspector: b .\ fV^'^1 Owner/Contr:
CALL 447-98S:FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl