HomeMy WebLinkAboutBuilding Permit 00-1054
7. TYPE OF WORK
NewConstructionj(, l:Oo/!j~~_~ ~. TiXA~E/'.$2--
ChimneyCJ Misc. eT..:::. m oz..0
B. PROPERTY AREA OR ACRES I B. PR~ERTY DIMENSIONS 1'0. CULVER~ ' . COMPLETION DATE
Sq. Ft .J:..f? 'J R ~ WidttV~e. ~ ( Yes F./ .$ - :5 I - 0 I
1 hereby certify that I have furnished infonnation 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 menti ad property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the
building iei n revpRr this prit for just cause. Furthermore, I hereby agree that the city official or a designee)llay enter upon the property to perfo'l\ needed inspections.
X 11_ ~ {)wf'J.<. /(P I;;;. _Lj-OO
/- 7n fiiiitur~fA a.'; - license No. --, Date
a~~
]lAT" ""r.",v"n CITY OF PRIOR LAKE
IZ.- 5 - 00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE A9f'RESS ~ f\ I
--14)::L I t-n 't. 1/<::'<.1.:
1. DATE
12..-5 -00
pusp
3. LEGAL DES~TION
LOT r- J
-,-1,<..
AIm
ril
PID ;?h-;>(n-Ol?:'-O
ADDITION
BLOCj<
"J:IJc;
4. OWNER
(Address)
(Tel. No.)
(Name)
5. ARCHITECT. (Name) I (Address)
Sl""/~rJ- ....Jl'l..,"'./I riA. /j -rIJ
6. BUIL9I'R . I ) (Name)..,... ~ \-AddressL_ ~..,..,.) r I (Tel. No.)
/YI~ L.fJ~<W/ CO'6 " ., t:JV' Lt.s- r'- ''V '1:>lt 4fd-.-?hOI
!t{::fJ 1-(.. tJ()-lr~JJ7."Sr,':lLf
Fireplac~
Alterations 0
(Tel. No.)
Septic 0
Addition 0
"mckD
Finish Anic 0
Rs-roofing D Porch 0
Rs-siding 0 Finish Basement ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :;}5;2J ~ or ~~
USE OF BUILDING
SFD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
1. White File
2. Pink ell)'
3. Yellow h~t
!i'".."
RUCTURE /
(Wldthl.93 (Depth)&O'
12. NO. ~TORIES
13. TYPE OF CON&TRUCTION h.-
~. Je .;;
,~..r ,WI'
14. FLOOR EA APPORTlON~Ni USE
15. NUMBER OF OCCUP1NTS OR SEATS
OCCUPANT,o (
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
D
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS 0
SURVEY D
SETS
COPIES
PLOT PLAN
D
'. LA "7 . 20;-
Plan Check Fee ............................. $ I, Dca. 71
State Surcharge ............................. $~. t:r)
Amount Brought Forward .................. $
Park Support Fee ........................... $ aso.OC
SAC ......................................... $---..l,.-' t"J/'l .n"
Collective Street Fee ....................... $
Sewer Tap ................................... $
if' , $ '- s.&-
f -- e
Pressure Reducer ..... ................. $"';t) -,_
Meter Horn ................................... $ 2..C;;O----
fro . t~ -..
Water Meter ................................. $
Sewer & Water Connection Fee ........... $ 1,7Dt!). e~
7110 . t'rf
S U
City:
Penalty......... .............................. $
IOO.t)O
Plumbing Permit Fee ....................... <t
Mechanical Permit Fee ..................... $----t..~ . &")
~S. 50_
'In .00
Sewer & Water Permit ...................... $
~oo
Water Tower Fee ........................... $
Water Tap ................................... $ _
Builders Deposit ............................ $-1,. ~a1. /'r7'')
Other ......................................... $
Total Due .............................. $. s::; 7PJC1 4lo
Paid A -U;!I,q' ~ Receipt ~o. *( rz;.,
Date 0./fr//) By ~
ce With the City Zoning Ordinance and may proceed&:' requested ThIS document when
ctlon m _~~okT~,aCe~f~~~.
Special Condilioos n any
GaSFirePlacepermit';l.... .........:......... $ .
Thi Ii Beco :: _. w'. ling Permit When ~proved.
By Date 17. -~ -lt2!;IO
Issued
t the request in the above application and accompanying documents is in accor
lanner constitutes a temporary Certificate.Pi ZoninjJ compliance d allows con
. L2-/ N /U:>
Dale
24 hour notice for all inspections (952) 447-9850
~1
White - Building
Canary - Engineering
Pink - Planning
The ('enlerof Ihe L.k, Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Mc..DONAL-O c.-oNS I ~
12...-5 - 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
zqZ! ~O)( 7l2..AI L NW
I
Accepted
Accepted With Corrections 0<.
Denied ~ r}
Reviewed B0. . ~ fA..L
. <::? V
Date: ('Z -8.?4d~
Comments:
~<tlQ a.~ ~~
"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."
.
White - Building
Canary - Engineering
Pink - Planning
Thr rrnlrr of Iht L.h Counu'y
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~.\cDC.f"?\L.O C[;r,j.~
12--6 - CO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
ZQ21 PCX 7kHI L (\/ tV
I
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~._. - - Date: / )...Ag/ et::)
Comments:
;24 r;:::, M~vd ~A)..I~WQ~ A r
f7~~t:ui~~ I~ t-WJ vQ\()cLj k
(~., -J~-' I
!4--/~ ~o~~D~u:\/J~~
~ ~CkV~ ~8(()8V'~rvrl$.~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-l.~f~~<
t:..~
u... . [T1
While - Building
Canary - Engineering
Pink - Planning
Thr Crnln or Ihr Lskr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~'\c..DONI\~O c..DN,:::> l ~
12..-5 - 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
zqZ I r:oX 7l::!.A I L N N'
I
Accepted
v
Accepted With Corrections
Denied
Reviewed By: L L L Date: /2. / /2/ OD
Comments: .5,E1-:. REV~E StOE r/)2 /Jo:;J/77/Jp,*- :IivFti2J1J/l77fW.
5'~~/P~; J) /."~..nI? itA,} 2)Et<:J~L$~Le~
3) C/ox//IYJ ~t' IZ&J
"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 ~. ~~r~w ~;li=t
PLUMBINfl PERMIT # t)O -I 054-
APPlicant:FivP s-f_aLf)/t),"I.b;~(l j=tl<' Phone: h~J'" 'ts-'9-.r? JJ'()
Address:~.:J (feu;~J AYf!,~tia.!jft (}."~II(? IMI" ......"0.-0111
Signature: ~J J ~/ . ttI~
Legal Description: Lot t')'7 Block (") ~ Sub TI, ~ W1H!J;,
Site Address: a q ~ I -1=())( Tro;} N. III
Building Permit # (j(1- J()~ PID #
,
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
~~
The CrOll'r of thr Lab Country
Quantity Type of Fixture Quantity
.~ Bath Tub with or without shower
/ Dishwasher /
/ Floor Drain
,,\, Lavatory (bathroom sink) I
/ Laundry Tray (lor 2 compartment sink)
'::l Shower Stall
I Sinks
I Bar Sink
'-I 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
Type of Fixture
Rough-ins
Water Heater
Water Soflner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check. PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
. .1\"\'(\ /,
"'0 ~Q 'I' ~~~.I\'
.- ~F" ~G '"
<QU\\..~'\
$~~~
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing C d amendments thereof.
RE 2-t,,-OLDATE
ATTEST
Call for all ins{ections 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
GAIn. ftt.1
Yl!1I.0W . APPLICANT
GOLD. en.,
CITY OF PRIOR LAKE S.W.No. (lO/OI054-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with .the City.
APPLI 'ANT:/Jle.ll"'l~/JCo.-s'1;
ADDRE S: ?'=o ( 'w,<tT.,I. Rnu tJ{/JIP:JcJ/-;.
SIGN1\' 'URE:=.hJI (J~ &
SITE . DDREk/,:~1 Fn.... j~;/ AI t.J
PHONE:Qs-J- '13'd-~,tol
DATE: 13.- /.{- 00
BLOG. PERMIT # 00 - to"" 'l-
PION
FILL IN THE BLANKS
1- E: timated length of water service feet.
2. S ze of water service inch(es).
3. L cation of any couplings from structure feet.
4 . I 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.
FEES:
::::::::::;(~
---:---::~~_:_--:::::.::::-::::::::::=:::::~::::::~::::===
$ . 50 Surcharge
$ 35.50 TOTAL
permit when approved.
-----
-----
=======~=============~==================
This,
BY
-----.
-----
* F e for either sewer or water individually is $~1.~ plus
s .50 surcharge.
* S wer and water permits issued for new construction must be
r corded on the buildin9 permit card at the time of 'issuance
t ' insure that no dupllcate sewer and water permits are
i sued. ,.
DATE 'AID
RECEI 'T #
AMOUNT PAID
REC'O BY
16200 Eagl : Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
. An Equal Opportunity Employer
JUL-26-2000 15:29
6124474245
97%
P.01
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Address
Model Slz~
CITY OF PRIOR LAKE Me
16200 Eagle Creak Av. S .E, Permil No. 60 - I as4-
PrIor like, MN 55372 .
.
Com. Load
Fuel .JOe
Supply Openings
Ralum ep.nlngs
Inpul
Edr.
Clm.
A.erations
Repair
Est Cosl .
Flue Size
Oulpul ).1lla1
I. .....
1.0,..
J._
Rio
ao,
"'-......
IYPE OF STRUCTURE
Single Famlly
T__FIIIIlII~
Induslrlel
HEATING APPLICATION I PERMIT
Dale c:2js;h/ PIO. 25 - Z. q1- tJ( ~ - 0
SheAddr9!lS ~9~/ _:3~w~..{ A/;.!
Lot 7 Block 2- Addilion Il+E; 'N \ LO 5
Owner's Nama /Y)t!.. Vo-n..u (A..J-
Healing Conllaclor ALLIED FIRESIDIl dba FIRESIDE CORNU.
Address 2700 N. FAIRVIEW. ROSEVILLIl.!lN 55113
Tolephone' 651-633-2561
FtREPLACB r!
IlnnMI> Make & Model -PJlI'f ,J r; t.
kcn.7ZrA
Comrmt",1el
Fe. Sch9dule
Induslrial. Commen:illl & M~N'Famlly
Residential, Healing 110 N;
Residential, Healing Only
Residential. Gaa FIreplace
Ae$idenUaI, AddRione & Altel1lllon.
Aesidentia~ AC Only
. Public:
MuIl.Famly
Olllar
1 % 01 job cost ($311.50 "**,0011
$99.50
164.50
$39.50
$39.50
$39.50
Remember 10 8lId lhe SlaIe Sun:harge on !he bobom olIN. applic8llon.
TYPE Ol'SYSTEM
Warm Air Plant.
GrlMly
Mechonical
Air Conditioning
Venl Syslem
HEA nNQ OR POWER PLANT
Sleam
HoI Waler
Radiation
Specilll Devie..
The price 01 your heating ""rmllne.\fd8& 0"" rough-n II1d ona IIlI8l inspection.
Adcfitionallnspectioos wil be biled s' m.DO .aeIL
Hous. Healing Test Record musl be submitted wllh la!iIlIing IlIIIIIIIlIIDItr berm.1NIId-
Inll cer1illcate or occupancy wi. be sued.
l:IfAI CALCULATIONS REQUIRED will number of 8\J!lPlY end NIl.m ~ lisIad PI
room wilh CfM.. per opening. New structurM or oddiJionc Mild lloor plan wilh IUIJpIy
and mlum locaI,,"s llhown. HEM LOSS CALCU\ATIONS, PIIoYMENT AND
APPLICATlONSMAY BE MAILED ro THE CITY OF PRIOR LAKE, 18200 EAGlE
CREEK AVE. S.E. PRIOR LAKE, MN ss:m.
Cfty Hell business houlI "'" 8 Lm. - 4:30 p.m.
OIlier Oevlces
,
ALL WORK MUST BE INSPECTED (ROUGH-lN AND FINALI. CAll CITY HALL
4'IT-4Z30
ReplaClll1lelll
TYPE OF WORK
. New ConslfllClion
v
I hereby apply for a mechanical systems pe.mil end I acknowfedlle lhal the
Inlilrmetion above is complele and accorale; Ihal Ihe work wHI hi in conlotmanee
wllh Ihe otdlnences and codes of Ihe cfty end with Ihe cleta bulldin!JImechanlcsl
codes; lhellhi. lorm does nol become a permit until signed by Ihe BUILDING
OFFICIAL; Ihal the work win be In accordance with the epproved plan In Ihe
case or z.: Wh~qUItU review and approval 0' plans.
~. .2/Jit!
, A~, : -~eJure Z- _;~[)I
Building OlflCaJ's SignallRS 0aIa
Esl Comp. Dele ,;} / rJ OJ
,
Building Permil. D 0 -! 0 ~4-
PAID wrrH
euU.DING PERMIT
J lili""
HEATING PERMIT FEE $
I:
, t:
l,jl
.50
STATESURCHAAGE $
$
TOTAL PERMITFEES
Re.eipt ,
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CITY OF PRIOR LAKE Me
1&100 ElIgl1 Crellk Av. 6.E. P"mll Na.
Prior Ukll, MN 61372
00 -1054-
/
Two.FamUV
IndU8lrlal
P~bIkI.
tAll1j.FemJv
0..
iJ'I
I"l
I"l
d
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Oa'I.
HEATING APPLICATION I PERMIT
/- ~_(") I PIO' 2-5-2-17- ()fS-O
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Slt Addrl.. r49,Q1 ~
Lol 2- Block 2- Add_loR
Own.f. H.1Il1 ./--??-;.~.. uJI)
Addt... A fil't/,. ,"IA
H.B1lng Canl,.clor ~ J~~/J"'() ~ () ,,.,
^dd,...~/.o.ll"l En~ AJ)", .,e-oAJ
. ()
T.llphDn.' (~~ ") ~ - ~d.-
'"
Fu,n.l:I MBlIt ..Mad.1 ~
Mllll.ISI~1 /oc.fXX) ~ TtJ.
Jo??.J ,
f"~o> "I
CDnn. load
FUll .1JUt.1- Fluo SILl ~ /I PlIG-
SUfIIll, Oponln". ~ ~ .
.. -... - - -- - .- -. . ~
fl~lurnOp.nlnV.' . IT
TYPE OF SYSTEM
Wllm AIr P1anta
Gravlly
M.cllIlIIlcal ~
,.., Condilionfnll 1/
Van\. S,ol.", _ t/
HEAllNO OR POWER PLANT
. Jil',,"
Hcit-W.ioiP -.
-. -Asdhltfon -.
Sp<<IaI D../cH
Inpul
Edr.
Clm.
OUlplll
Ollle, Dnlc..
TYPE OF WORK
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IJ1
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N
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AIlII.lIon.
"apl.cerna'" , Nlw ConlllucdDn
Ell. Comp. Dal.
"epalr
Et'. Coil'
HEATING PERMIT FEE .
. Bolding P.rml .
{jO-fo64-
PAID WI,,",
BUll-DING pERt-A\1' .
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STATE SURCHARGE t
.50
mTAlPMMlTFFI''' .
R~
lIef. OF SrnUCTURE
L_.
I. VdJoo .
.1Jlr
-
Single Faml1v
Conu,"IIcl.'
F., Schlldule
Indu.'rlal, Cammerclal 6. MullI-FlIIllly
R.IkI.nlllll. Hea~ng . AC
R..ldtnIlaJ, HolIng 011"
Rtsldllllfal, Qu fbeplllce
R..ItII1lU.~ AddlID~' . AlII"IIDM
Rasldtnllal, IIC Onlv
,% 01 lob 001111311.&0......
'99.60
....60
$SUI
139.5D
'39.&D
Romamb., ID aIId Ih. 8lal. SvlCh8lll' Oftlhl bolklm oIlhlt appDmUDn.
1M pricI DI your h"~9 ....mllll1l:lUdel .~. roug\H1l1111ll1l.IInBl I , , ,.
Addillanallntpec11Dn1l will be bl1ld al $35.00 lach.
HOlIIO B..llnll T..l Raco,d muel bl .ub",,'ed wllh IIIdIlIIoa IIIIIBIIIIIIIJIB b8IIn......
1"11 celllIk:.le al acCUplllcy wll b. IClued.
!:!EM CAlC~TIONS DEDl/IRED wlth nllll1be. DI 'UfIIllv and ,,'urn . , I. .......'
'aam wUh CFM', p" apllnl",. Naw .I,ucIU," Dr .de11l1on. Mnd DIID' p!aII'" -.PY
ell!!'!ju'"1l!Collan. .hDV'lTl' HEM LOSS CAlCULRIONS, PAYMENT AlII
. i\P1'Ur)Afi~ 1iIl\Y.~l{AH:.eIJ r~'emrClFJsl!iiiJH Ou\I;.';;'ac"';o-Li'" .
. CREEK AVE..$.E. PRIOR.l.AKE,JIIN.&&31l.. .
en, Ha" blllln..1 hDur. .relll.lll, . 4:30 p.m.
All WORk MUST BE INSPECTED (ROUGH-IN AND FINAL!' CALL CIlTIfALL
441-030
f h,r.by .pply lor 8 mllehanleal ,y'llIma pam" and I ar:knDwle. IItBlIhe
IIIlolmallDn abaVlI. campl,l. alld aeculale; Ih.llh. WDlk will b.ln...._...,.
wllh lh. ordln.ne.. .nd CGde. Dllh. clly .nd with Ih. al.'e bulld!,. ,*al
CDd,.; Ihlllhlslorm dD" nal blcom. . pllrmll Ullm algnad by lit .,ADIIiIO
OFFI~I^L: Ih.llhe wDrk will be In aocDrd.nca wlllllha .pprov......."..
. CltI 01 .11 wDrk which requllea ,evl,w .nd .pprDva' .1 plan..
:"J/
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. lIBIlII
2- -t. -OJ
IIIIIB
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ;2"t.:l. I Fl"\'X. -r........:\
NATURE OF WORK 1.le.>
USE OF BUILDING _ SF{}
PERMIT NO. (;()-/O~ DATE ISSUED 1"2-~-7._
CONTRACTOR .t\",- t)..,V\,^,,-Lr:R.. 0.w.. PHONE3~2-~1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR . DfoTE
I FOOTING I 'K\}1UuJ I IDtJ~1 00 I
I FOUNDATION (Prior to Backfill) I ~ '6V""'1 I 1 iO:2ffJ' 11~)otl
PLACE NO CONCRETE UNTIL ABOVIE HAS BEEN SIGNED .
ROUGH - INS
::~,~~WATERI ~~~I~i K~ ;;s\ :h,.." ,
INSULATION J.;.L- 9..!~7il9[ ~\\1lM4 :l1:J:1.Jhl
ELECTRICAL t { ,
PLUMBING ~,\Jf4 Oi./pllY\
HEATING (if required) 13\kww '~L~)ot
FIREPLACE -rr;,..~"'-\ ~ (rf) I . 2.'-~ - MJ
GAS LINE AIR TEST ~~'l ~~6t1:8.V L()LQer ~J ~l~?jo'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I 7Jl~ I j/J//7hl
I - "R J fUfJJ 4.1~,~-rlJl
\ I v
b-~4 \ 4JJJpJ
l1, \I llwj 41~{71
OCCUpy UNTIL ABOVE HAS B~EN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
This card must be posted near an electrical service cajlinet 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 (952) 447-9850
Occupon<y Type
Type ConstruCtion
VN
PUSD
,--=:-~--~~~~
" :':.J. ~ ,~. "--" . h; ;"" 00;, ,",," ..' .:"'" Io;,:-i"':' '-,";0" . ""Z."I,j,'" -
~r~'~-.-~~~u ot (tCIlljllUlty
~.t..~~~.! CITY OF PRIOR LAKE
it~ i t ~epartment of Jluilbing Jnspedion
(~" Final Permitted 0 Conditional C.O. Expire~ _
('1".'
I( ~.: i..l:,.,. ' This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
7'. certifying that at the time of issuance this stfUCture was in compliance with the variOIlS ordinan<:es of the
City of Prior LoJce regulating building construction or IISe. For the following:
(~-'~..'.,
SINGLE FAHILY
l r;t. Use C1usificaticm
;t~
It:
>-
:~,
~ Contractor's Name & Address
~....., ROBE,RT I). HUTCHINS r;tyPl_r
r: _ rY'IF ~I~ ;" -
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Fire Zone
Bldg. Pennir No
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Zoning District
00-1054
R3
Legal Desc:riplion
L7, B2, THE WILDS
OwncrofBuilding
SiteAddress 2921 FOX TRAIL NW
MCDONALD CONSTRUCTION
DON RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ,:;(,9;;;.1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
-erI"INAL 1=3 /...
o SITE INSI'ECTION
DATE TIME
SCHEDULED J.j - )Ji -() I (~;OtJ
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CONTR.
PERMIT NO.
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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:
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/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCE
o CORRECT WORK, CALL FOR
Inspector: '1) . UlMNJ Owner/Contr:
CALL 447-9850 Fok THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1//;&.;;"/ /d:3o
I -
ADDRESS
,,;2Ja../
hN 7d..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I)IJ - la S</
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
\ '/8 MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ,
1M a.tA.nIMP./i"P..r-O k'
v1A?-t~J' ~~/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~,\ fLL FOR RElNSPECTION BEFORE COVERING
Inspector: b <~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
10..$.0 I
.4. r..
ADDRESS
z q 2-/ r0)( n:::.rJ I L.;
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.s 00 ~ 77e.6 &:"
COMMENTS:
L
()O -10.94-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: 'h J )WAJt Owner/Contr:
CALL ....:7.9850 FOR THi NEXT INSPECTION 24 HOURS IN ADVANCE.
\
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl