HomeMy WebLinkAboutBuilding Permit 00-0946
nATF RFr.FIVFn
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l.
2.
3.
Permit No.
/6-/0~0C>
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
\l::):l'A..~ W,\~"
1. DATE
3. LEGAL DESCRIPTION
LOT q
ADDITION (I'..); \ ~ "-.
(? or 'i "" iLl ~
.J
IO-5-0C>
~UP
.,5'-- '?;J3-0ttj-()
BUILDING IN
11. SIZE OF STRUCTURE
~ight) (Width)
;::)'"'> ,-(-
12. NO. OF STORIES
I
~t')
BLOCK i
AAr\,\.:~
PID
4. OWNER (Name~
}.-~t.\oPm'\,,,,p \-,,,X
5. ARCHITECT (Name)
~<1r>:". ~,_ . ~r~
6. BUILDER (Name)
(Address)
';,-:'1"1 bb",~+ Pc-,....L,,\'p
(Address)
\'ir;0\ "5 ~ \ op",,()C:t\;::){;() r "''Y'"'
(Address)
(Tel. NO.1
q'5::l..4I.\()-R\~\
(Tel. No.)
~">I-Yu"44lY)
(Tel. No.)
13. TYPE OF p,ONSTRUCTION
Wa-o,1 ~. _
14. FLOOR AREA APPORTIONMENT USE
\,W'>
c\ \~ l~,o\56>~tJ:.,ID(t) t-4<l.",." ("F)t-y/h-r440 I
7. TYP'E OF WORK Fireplace LJ Septic LJ Deck LJ Re-roofing 0 Porch LJ
Newconstructio~ Alterations LJ Addition 0 Finish Attic LJ Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. ~ /'\ ~ ~
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COM~(Ettd~ ~~f1 J
Sq.Ft. \q ,L\Q4 Width Depth Yes No A. v, ~-\C)-()I
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certi~m 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 pe,fl'T\It for Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
X v-)..~~~ \-k.<W:>~ ~ ILl ~-=t --1/)-I=)-<Y)
Signature ~~_ i' LlCenseNo Date
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS ~ ---dp C......; 1Lb
SEATS
Front
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 26?> fl=.<<'l""" PLOT PLAN 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING .s F 0
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 c.f ';2 t)
Permit Fee ................................... $~ .2"'\
Plan Check Fee ............................. $~::l.'l.~
IO~.ClO
City:
Amount Brought Forward .................. $
ParkSupportFae ........................... $~ 850. c:x::!)
SAC ......................................... $ 1./ Do. 00
State Surcharge ............................. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
" $
I
.................. $
Pressure Reducer
'70. 0 a
Penalty ....................................... $
WaterTowerFee ........................... $
Water Tap ................................... <t
oomes Yo r Building Permit When ~roved. Builders Deposit ............................ $ I. 500 . e>b
Date /n-"A5"-.:Ol:2:l0 Other ..........................................
'-' Paid ~i3u~.3i~0l>...~~~i~;~O$ ~.~if-6t,
Issued ....
Date GJ.J/'llJ,LJI" By t1 ('....
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~y proceed a~uested. This document when
Sig~~ ~;~~m~~ ...:..~rary cel~i~~liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~~J'-;;:nner .. Date SpecialCondltlons~any
100.00
In/') .00
35' SO
I.{O,1>6
Meter Horn ................................... ot
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Water Meter ................................. $
':::25n.OD
Sewer & Water Connection Fee ........... $--1. ~ 00 . C:::>D
. '7 on .00
Sewer & Water Permit ...................... ~
24 hour notice for all inspections (952) 447.9850
00 '01~
Th.,('"nlnof th., Lalr..,Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /J./I 1!/",jJlift, -fJnJl1eS
APPLICATION RECEIVED / 0- ) 0 - 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ij;,' lei 5
/5- ,-;1:), 5"
//1:: Wj
Accepted I/"
Accepted With Corrections
Denied
Reviewed By: ~4~,--r' -- . . . .
v ....-- "-
Comments:
2-'-1 A- to,~_}(~AM~ W~~ ~)~yt1;t. y.~
~ ~ VJ.1{)ttJ ~ ~ I
Date:
IEJ/tH /w
"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 - 14&
The enler of Ihe L.ke Counll')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT )1/1 /J!}c,ma IV fJnmc:5
APPLICATION RECEIVED 10- }O-OO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
UJ//d5
p~/
Accepted ~ ~/ Accepted With Corrections
/5" ;)'::l. S-
Denied
Reviewed By:
LLL"
Date:
'.
/0- 24--(1)
Comments: ~ LJf0tem/lT1oA) /)fV 0:va?-SE .5/CE:
.:sEE A7TAcHmEAlT5: I) fiOA'- G~AOIZ ~ .:LvF1JmlATloAJ Z)6RAOJAY, PtAAl
3 )cft)5/f},V CnIl/TI2Ot- m~ 4) ERIJ.9?/A/ c",mPn'.. IVw
t-"-
"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."
,
..___..~.._~_._ _.__~~_.L._~...__
~\
QO'00W
Th., C.,nl..r of Ih.. 1..10... Counlry
White - Building
Canary - Engineering
Pink -- Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W.f.4/.S/i7atJ il1meS
10- 10-00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
LIJ " Ids
/.-J .::l:l. S
pewv
/
Accepted With Corrections "><..
Accepted
Denied ~ . i
Reviewed By: ~ , /
Comments:
I. e&W~ Jl A.--l-kh PrJ. ~
Date: /0. 2~ - 2coe>
"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
CITY OF PRIOR LAKE I .
. 16200 ElIgle Cleek Av. S.E. Permit No.1) - () if L-/ <a
Prior Lake, MN 553U -
neE OF STFtUCTURE
I. PI"
2.<l..
). Yell..
Rio
fir
e_..
HEAnNG APPLICATION I PERMIT
lal7_LD \Dr) . PlOt
8fteAdd,.... 1~2'l..~ I \ ')\ \T:1c:::... Y~lJ..J'.1l _ Fee Schedule
~lel C\ Bloc:k t .Addftlon Jh I U Ji.VfLo ;:).. ItJcL (Jd~ Induslltal,Commerdal&MuIU-Famlly
2 . , ,.., .,..,. tlrrrrJ , Residential, HeBUng & AC
Owl1e"'Name~ ~~ "'_ Rll81danllaJ, HeaUngOnlv
Addresa \~~ Dlo.:;zo. ~ S,-e... 2.00 Residential, Gu Rreplace
. J"_ _ .~..., p, u'l """"' Residential, Adtlllions & Aneralions
Healing ConIrBClor ~ I '-- ~U- - . Rallldenlfal, AC Only
Addl8U I W'1 W~ ~ 4~r ,ILL ,( ^<I!..Y'n:n I nr ~Io'&
I C-..l I I '"1 ~ _ I \' I U Remember 10 add lhe Slale Sun:halge on lhe bottom 0' thle applfcallon.
Telephone' n ~ -....,. L. ....... '-t
Furnace Malle & Madel J..eV\J"b'l( TYPE OF SYSTEM The.pllce d' vour heating parmlllncludea ona rough-In and one l1nallnBplICllon.
, Walm Air Planls )I..
Modal Size ~~ Ii -I csD . Glavlly , Ad<llIonallnspedollS wI! be bIlled all35.00 each.
Mechanical House Healing Tesl Record musl be lubmilled wHh IIYWlog IIIUIllIl!llllllll belora buld-
AIr Cond.lonlnl JI. ,~ '/"7 'T1\..J 1119 certll1l:ale 01 occ:upanc:ywlll be laaued.
Venl. Srwtem
HfAI CAlCULATIONS REQUIRED with number 01 aupply end mum openings IIslad per
HEATING OR POWER PLANT loom with CFM', per opening. New sl1uclurea or addiIlolI8 eend Iloor plan with supply
Steam end relur" looalioM ehown. HEAT LOSS CALCULJrnONS, PAYMENT AND
Hol Waler . APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
RadIalIon CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Special Davleas
Sln91e Family
'J.-
Two-Family
Industrial
PLblic
Mun~Famlly
Other
Commsre!al
.
1 % 01 Job cost ($39.60 minimum)
$99.60
$64.50
$39.50
$39.50
$39.60
CoM. lead
~Fuel UPO~Iu.Slze
....
UJ
8:jSupplyOpentnle It ^
[T) ~
iJ1 Reluln Opanl~s ..
UJ
~ klpul Jl'nt a.no Oulpul ~ I . o-oD
~
Edr.
N
z
~Clm.
Cfly Hall busln8ls hours ala 8 a.m. - 4:30 p.rn,
Other Devices
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINA4. CALL CITY HALL
441-4230
E
fl;Anora1lons
ISI
....R.peIr
TYPE OF WORK
ReplllCament New Constnll:lion 'f..
Est. Comp, Dale
.50
PAID WITH
BUH.D/NG PERMIT
~
I hereby apply for a mechanical systems permll and I ecknowledga that IhB
in/ormation above Ie complele and accurate; Ihallhe work wi' be In conlormanca
with Iha ordinence8 and codaa 01 the city end wllh Ihe .Iale buildlng/mechenlcal
codes; thallhie IorIO does nol become. permit unlll signed by Ihe BUILDING
OFFICIA~ lhel the wOlk will be In accordance wllh the approved plan In the
c\l~ a;~s revlBw ~nd ~pproval 01 PI~~ 7 I. I~
.~
10 -';)7-OU
ISlEs!. Cosl .
ISI
~HEATING PERMIT FEE $
UJ
"!STAlE SURCHARGE $
~
~~"'I"'AI D~I:U..IT~D .
.-...-. -........ --- ...
. BuUdlng Perm. .
rt.___J_.........
..................
1iU1:~n~lCars l:ilgll81Ure
Uale
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CITY OF PRIOR LAKE Me
16200 &g18 Cn,ek Av. S.E. Pennil No.
Prior Lake. MN 5537Z
HEATING APPLICATION I PERMIT
Dale /d-II-(k) Plo,1.15-323-nrl1-D
SbeA</dleS$ /S-~.> 1..!;Jd.r A_~.hJ""A I
Lot !t--- Bbck I Addition --!lLlr...OS' ~ ~
Owne", N.me {; lp.-lU~ ~)
UPE OF ST61ICTUR~
Two.FlI/1IiIy
InclJstriaJ
Commercial
Fee Schedule
I nduslri.l, C. ," ; ;al & Mutti-Famiy
AesidenflO', He'ling & At
Resilenlial. Heating Only
Residential. Gas Firepl.ce
Residential. Additions & Alt..alions
Residential. AC Only
Address
HealingConlraclor ALLIED FIRESIDE dba FIRESIDll CORNER
55113
Address 2700 N. FAIRVIEW. ROSEVILLE, MN
T~~e' 651-633-2561
F1Ul'LACE II. .1 /'
I.lUntP "'eke 8. Model ~ I" (Dc,
ModelSiz~ f),.", '1).1'. / .5L'1.I1l~
I
Caoo. Load
Fuel ~
Supply Openings
Relum Openiogs
fkle. Size
Inpul
Ed..
Oulpul ~ I ;,))/)4l>
f
Clm,
TYPE OF WORK
AIler.tions
A.placemenl .
HEAlWG PERMIT FEE $
STATE SURCHARGE $
.50
TOTAL PERMIT FEES $
L "..
t.l1nn
,. YellOW'
m.
Ol,
c..._
M~
Pubic . 0theJ
1 % 01 job cosI(SJII.50 mlnlmuml
$99.50
$64.50
$39.50 DEe I I 2LXXl
$39.50
$39.50-
Remember 10 add II1e Slale Surcllarge on lhe boIIom 01 this appIicalion.
TYPE OF SYSTEM
Warm Air Plents
Gravity _
Mechanical
Ak Candilloning
Val\l. Sy91lm
HEAlING OR POWER PLANT
S'e_
HoI Wall(
Radiation
Special Devices
The price of Yll'" healing permll includes one rough.1n end one Iktallnspecllon.
. Additional inspections win be billed aJ $35,00 each.
House Healklg Te51 Record musl be submilled wUh bl!IIdilll JlImiIIIIllIllII before bulId-
ing cfltirocale 0/ oocupancy wil be le8ued.
tlfAI CALCULATIONS REQUIRED wilh numbef 01 supply end AllUm oparings lisI8d pl
room wilh CFM's pet' opening. N_ slruclures or adOdio.. ..nd Iloof plan willi ~
and ...Ium locallon1r ehown. HEAT LOSS CAlCUlATIONS, Pl\YMENT AND
APPLICATIONS MAV BEMAILEOTOTHtCITYOFPAlORl.AI<E. 16200 FAGl.E
CREEK AVE. S.E. PRIOR LAKE, MN 56372.
CRy Hall business hOUl1l are 8 a.m. - 4:30 p.m.
Other Davlces
,
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINALJ. CALL CITY HALL
447-4230
I hereby apply lor a mechanical syslems permit and.1 acknowledge Ihat Ihe
inlormalion above is complele and accu.ale; Ihallhe work will be In conlormenc:e
wllh Ihe ordln.nce. and codes or Ihe cily and ..ilh 1I1a slale bYlldingfm..chenlce
codes; thellhis form does not become a permil unlll signed by Ihe BUILOING
OFFICIAL; Ihallhe work will. be in accordance wilh Ihe approved plan in the
casa of all work which requires review .nd approval 01 plans.
New Construction
\<?
Rapair EsI. Camp. oal. 1~1.1(6)
, ,
Est. Cosl $ ~.cr.:> . Building Permb. (\0 - Oq~
P,.\O VJ\i~\i
eu\\D\tlG pe:
Roceip\'
t
~le
11.,. 1\. DO
Dele
OCT,26.2000 1:03PM
GENZ RYAN 6513226147
NO. 643
P.4/8
_. "-I
,.."..... . -.JcA1IT
GOLD . err.
CITY OF PRIOR LAICE
SEWER AND WATER PERMIT
NOTE:
lJLJ Lib
NO JtV-q.!11o ,."
-,
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: p-"Jr\:;I-- eLf J'") Ph~","b,~ Yfa;r/..r~ PHONE:.I..~I~42.3-114/..I
ADDRESS: 1l.l'lJ~~" "'1".., "'''.~'''"'1.I.a'' '5"""ccJt_DATE:
SIGNATURE: "'-- " ._ BLDG. PERMIT II
SITE ADDRF:SS: IS'Z.LJ . \",)~In., '""j)t~y PIDiI!;75-3d3---c::::t1~-O
l.
2.
3.
4.
5.
6.
FILL IN THE BLANKS
40'
feet.
Estimated length of water service
/"
Size of water service inch(es).
Location of any couplings from s~ructure
Type of sewer pipe. ABS pVC X Cast Iron
Estimated length of sewer line~' feet.
Clean out (if required), located at feet from
structure.
feet.
===~----~=--------~~--~--~~---==-------------------======--~~
This application becomes your permit when approved.
BY
o1>,TE:
=====~=~==~======-----__==:L____~===Q__~_====--=___~====~=======
FEES:
$
$
$
35.00
.50
35.50
Sewar and water line connection permit.
Surcharge
TOTAL
* Fee fOr either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water per.mits are
issued. .""-}{[c, .
Ih -' 71-00 ,BUILDING PEHfVllT
DATE PAID tv ~ AMOUNT PAID
RECEIPT II REC'O BY If ./
U
. 4629 Dakota 51. S.E., Prior lakll, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
i>J>I EQUA~ OPl'ORTUNITV EMPLOYEI\
OCT. 26. 2000 1:03PM
GENZ RYRN 6513226147
NO. 643
P.5/8
CITY OF PRIOR LAKE ~~;... ~._
PLUMBING PERMIT # n -q t/ 6
Apphcam: A A ."''7-.- ~ ~ IF'\. Phone: 1.d:;J': 4l.:31..,- II ~
Address: IU"~ "--'.. ~ 1?'T""'~ /Lo....~CTr~
signature:~ ...
LBgal Description: Lot Q Rlock \ S~) D~ (}.M! IIfI.-r--
Site Address: I ~?-?- ~ 1...1.) rt n~ -:Plr t... "\ '" .
BuildingPermiltt PlOtt ;:)s-3d1-fJCIi-o
NOTE: This permit "(ill not be processed without oomplete informlltion.
FIXTURE UNITS
Thl (nurr" Ole LaI(c eM".,
au, lntity Type of FIXture Quantity Type of Fixture
2- Bath Tub with or without shower ~ Rough-ins
\ Dishwasher , Water Healer
r Roor Drain ~I\ Water Soflner
4 Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sinK) Sewage Ejector ,
I Shower Stall Backllow ADembIy (RPZ. Double Check, PVB)
\ Sinks Bac1dlow Assembly Test
Bar Sink Lawn Sprinkler
?, Water Closet (toilet) Other
FEE SCHEDULE .
Industrial. Commercial & Multi-Family
(1 % of job cost, $39,50 minimum)
Residential, New One & Two Family
ResldBnlfal, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
s
$
.50
GRAND TOTAL
$
ThIs permit is &Tantecl upon thell1P"'Ss condition that said
contractor, shall comply in IIlI rospc:clS with tlto ordinances
of tho 51... PIWTtbin, Coda and tho amendment< moroof.
------ R-ECElPTljO.. 10 <) 7-OUDATE
(Afl ...TrEST
Call for all inspections~ h-OIU5 in advlIIlcc.
PAID WITH
BUILDING PERMIT
16200 Eagle CrcekAv. S.E., Prior Lake, MinnesOla 55372/ Ph. (612) 447-4230/ FAX (612) 447-42~S
An Equ.l Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .J..5.Q~<:::r WilA-..... Q...kl.L~
NATURE OF WORK t..Jl?W 0
USE OF BUILDING 8FJ:)
PERMIT NO. (Jf) . (jCJ4? DATE ISSUED /0 -2:5- ~oo
CONTRACTOR \,.,/4'V\....lM~"'-S ~5'- ~Sl- tlaG.- WOO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I /L _. INSPECTOR DATE
I FOOTING f2i 1// /3/1)7) i
'FOUNDATION (Prior to Backfill)~ I ~ 11/'1/t"I I dJ/ 1(/1#01:J l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGf.JED
ROUGH - INS
SEWER' WATER' SEPTIC /i2 ,/ I J(/, J '/IJ 0
FRAMING .~\ V~.;2114)c9o -r
INSULATION l!.Ip ':7.!/Blo; iv
ELECTRICAL I ~ I.
PLUMBING I th. I /d/II /~
HEATING (if required) \ ,I :B~' 1 ~141{)n I
FIREPLACE IA.pt)QC' ':4 ,'V)() ~ " I
GAS LINE AIR TEST MQ,J '8 if 1~/~()1) I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I /j/~
I ~1l1i4
I
I 1> -V 't"(.
1~~\1
OCCUpy UNTIL' ABOVE1AS
NO.TJCE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
J
j, I K/() /
:if t:lJ VlI
I ,
I ~ I It. 1)1\
I. ~'Jr~ 101
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
-,..-=-..'- --. .- --', ." --=--=~ - - - -,...;-' ,- -, - -
..~~j~;~~~;~. .,,-,...1..., ..".."'... ,,,I'. ''''.'''. ''';'''''. l!tl'", ,"'I'. ,,,,....-..,:..
..... '~:;'t'.5~'\.. ~~. ~~.,'. .v...... .,_.,r_~.."......., . ~
~ 'F I u" ---,---~ '~
"
QLtrtifirau at OOrrupanry
CITY OF PRIOR LAKE
/ 1Department of lSuilbing 3Jn~pettion
jfFinal Permitted 0 Conditional C.O. Expires
This Cenificate issued pursUQ1lt to the requirements of Section 307 of the Uniform Building Code
cenifying that at the time of iSSULlllCe 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
. VN
Type Constructlon .
00-0946
PUD
Bldg. Pennit No
N/A
Occupancy Type
R3
Fire Zone
Zoning District
Legal Description L9. HI. THE WILD~ !;ECOl!D ADDITION
OwncrofBui1ding ~iteAddress 15225 WILDS PARKWAY
Contractor', Name & Addres'WENSHANN HOMES, 1895 PLAZA DR., 1200, EAGAN, HN
RO'jERT D.. HUTCH. INS-17II DON RYE
I _ -blL-- City Planner
-8 ludding OffiCIal
-, '''\f Date:
Date: --L. J.-'
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
)-a~f ~
ADDRESS
/5225 W,'IJ5 PKwv
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t9o- 9q};
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1GRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
J/VSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
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OWNER
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PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
p-W'OR FACTORY. PROCEED
o COR T 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,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
::l.l2.Ql
Wi Jcb <:Pkwt/
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
[J)lEWER HOOKUP A.,
~ ~LUMBING FINAUV
o MECH FINAL
COMMENTS: ~. _
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DAtE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTIC'N AND PROCEED
o CORRE~O~~ , CALL FOR REINSPECTION BEFORE COVERING
Inspector: .' _1\ (j.).)(j Owner/Contr:
CALL 447-9850 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
\
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ
fL-II.-/- rP .) ;30
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CONTR.
O-C;tf 0
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
PHONE NO.
PERMIT NO.
o FOOTING
~UNDATION A-
D FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI 1L
~WA TER HOOKUP !l
\lI SEWER HOOKUP 17
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
50t "?V G
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: '~-1 Owner/Conte:
CALL 447.985D FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/