HomeMy WebLinkAboutBuilding Permit 03-1464
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
10, ZI. 03
(Please tvl:!e or print and silW at bottom)
ADDRESS
153 S- 3 .=k-Ir:~f"
~;~;:' ~::, IPERMITNO. 03-/lff /f I
Yellow Applicant I - TlII
~~s.
ZONING (office use)
~(
LEGAL DESCRIPTION (office use only)
L0'l;221BLOCK;( ADDITION
K€J'C/ ~~t-
PID Z5". Jtt? .o4S. D
OWNER
(Name)
(Phone)
(Address)
BUILDER ;/ {! 'J
(Name) (" /).It ~c 'f" , ':J
(Contact Name) t: cArl / r-
(Address) 79.20 Lae,oo ,.//r>
J.b/11~
(Phone) 9<:::'2-~6<;- /;'70ZJ
(Phone) ifJ/.2 -1c&'S-- .-?-20L
R/od
, TYPE OF WORK
l2f New Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
DAlteration
o Utility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $
.~ t/c} t;1c Cj
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 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x~ iI~~ 102()7 /O,..J/-OS
(/ Signature Contractor's License No. Date
I Permit Valuation I -#3L.Jtcoo(J. 001 I Park Support Fee # I $
I Permit Fee 1 $ 'L,~ 7/.35' I I SAC # 1$ 12--75'.00
I Plan Check Fee $ 1<:; 4J.'Ssl I Water Meter (~J."; 1$ ZS'a.oo
I State Surcharge $ 17.~.oO I I Pressure Reducer 1 $ LJ'S .00
I Penalty $ I I City SAC and WAC # I $ /2.00,00
I Plumbing Permit Fee I $ lOa. DO I I Water Tower Fee # 1 $ 700. (!)o
I Mechanical Permit Fee 1 $ 100.00 I I Builder's Deposit 1 $
I Sewer & Water Permit Fee I $ S5. '5tJ I lather I $
I Gas Fireplace Permit Fee I $ Lit) . tJ () I I TOTAL DUE [\tWJ. 1 $ 7. f!!~/. z.3
I
This Application Becomes Your Building Permit When Approved Paid ~ /f" J /.~;r I ReceiDt~ ~OZ/I
~ ~ /o/z-BIo;l Date j/. (#.tJ 7 Bv "
/
Building Official ( Date
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
~~I ~~? !()/zs!a3 See Main File
Planning Director Date r Special Conditions, if any .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/'
See Main File
White - Building
fCanarv - Enqlneerlna...>
't'ffiJ< --Planning
Tht' ("mlnor lht L.kt Cou'"ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
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NAME OF APPLICANT
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ;:' ", 0"'- -. ','''E."j ,- "", ' '-, "..1'1'" I".'S'
, ,. '. -' ) f L t. ','-, ,-, "
'--"-J-~ "'-, '-<.- ~~I ..l_...,.'.-.,.....;',-; . 1...._'.
Accepted
x..
Accepted With Corrections
Denied
Reviewed By:
;n4l5
~ Ifltrl/1
Date:
I t)~ 30 -"3
Comments:
f:'; I r
"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."
~~
See Main File
~ IjI1i1dinej)
canary - Engineering
Pink - Planning
Th~ ('tnlr. of Ihr I.akr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~()(A/~G 6 <2-/ 7V Ho/165
. ,
10.2--/03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
V f::::.,rrEJeS fJASS
Accepted
/0353
/
Accepted With Corrections
Denied
Reviewed By:
~
~~
Date:
/6/z-8~;?
Comments:
Soo-Main File
"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."
&~'t
See Main File
White - Building
Canary - Enaineering
r-=m< ...-o-Plannin97
l"~ Crnlrr of thr L.kr ('ounlr,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT
APPLICATION RECEIVED
,I Ie ( ( ("I t-
..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~~353 j C//'{jc;:' 1'-'f'C':"-
1/
.
. Accepted
Denied
Reviewed By:
J
Comments:
,.
Accepted With Corrections
""
~~
Date: / d /z.pIo3
...
.
See Main File
"'
-,
"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."
tW~ PRI0'l'
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Nay,IO, 2003 6: I 2PM
GENZ RVAN PLUMBING AND HEATING
Date Rec'd
Na9708 P 913
CITY OF PRIOR LAKE PLUMBING PERMIT
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lJ:lluc Pile
2. Cold Cty
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~iit{
I PERMI'f N--,':,:;-l~" "-,',/10
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r.Please ~ or print and SU';ft at bottOm)
ADDRESS
\t6~~ JfH-~Je. ( tJ~'S
I ZONlNG (o~" ';")_1
, LEGAL DESCRIPTION (office use only)
LOT2nBLOCK & ADDITION 12.utaL- (lj0..t-r
v
PID
rn 1I.f q/J C1i1L1 f-!nyylPJ--1h f. (phone) q?) 1-- 4 fa0 -It:C( DD
lQ'X) (cUt/vil!t) 1%1vd, Ltd4,v1l1-f ~tI)YI ~Lr
(phone) 11T/5/- 4'2--3- I J~Lf
tlouvnIJ'lAA1A. rYJ VI 'J~&'8
(City) (Zip Code)
_ (Phone) (ct=7I- L12-3-!IY If
~ IA/) DATE I; !i!J.1 ()Q ,
OWNER
(NalDe)
(Address)
APPl.ICANT Q.,pi/\-:l-_ II) 1'/;411
(Name) ell f /7., ruv! / L J
~- I
(Address) lL/7q~ S. yZOOOZ.j TlGd"
(Address i '
(ContaCt Person) D/1 J()'J-/1 miif
. ~'PLrCANT SIGNATURE (1L( j~ )
""",
Quantity
1..-
I
i
,~
I
(
I
\.~
APPLICANT PLEASE COMPLETE BELOW
Type of Fi:xture Q'Jantity I
Bath Tub with or without shower Rough-ins
Dishwasher I I Water Heater
Floor Drain T2:r I Water Softner
I Lavatory.fBathroom Sink) i I Stand Pipe (Washing Machine)
Laundry fray (l or 2 compartment sink Sewage Ejector
Shower Stall BackiJow Assembly
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) Other '
Type of Fixtnre
I
I
I
I
I
1
I
I
FEESCffEDULE
industrial, CommercIal &: Multi-famIly 1% of Job cost w,th a $3950 minimum Residennal, New One & Two-Famtly 59950
R.,identiaJ, Additions & Alterations $39,50
Estimated Cost $
BujJdmg PenIllt #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL pE:RMlT FEE
~ 50 eIJIL~1~D WI7h
$ ",,__ G t~~FlMr,.
__" ,_,~__"W""~'.'~'_"_~"__' _ I
C Pai4 ' ',' '" ,~,! Receipt No,
',_J ,__ \ !
(ome< u.. Only)
-,is Application Becomes Your Building Permit When Approved
Building ()([jciaj
D...
D~'bv 1 2 2003
By
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24 hour notice for ,II io.pectio" (95Z) 447\-9850, f." (952) 447-4245
~:::'l__,,_ -----'- -
2003 6: 13PM GENZ RVAN PLUMB[NG AND HEAT[NG No,9708 P, 13. [3
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT :'
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(fJe:ase 'Y:2e or prine andsi9Jl arbottom)
ADDRESS
1t];3:X~ <- jpfftar
1 Pillk
2.Gn:='I
).. Yen-
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~ I PERMJ.T N~71 3 _ ),( / k / /'
Applicant: t .," ,-~...,. ,'::70/7
- . ~
. ZONING (ofli,,:u;'),
Y)a05
::. ..
LEGAL DESCRIPTION (o/Iko use only)
LOT1cnLOCK,9 ADDITION Iffl#.f d (};2!t(r
V
:Pro
OWNER
(Name)
I (Address)
~ln1ef1{ (!U'-1 l-f]zm~ Lnr.
J .
1tfW I (ilk.olf/J~ 1~1rIri, U/Lt:/I/I/r
(phone)
qh2- L/11q~(c7q1YJ
09)1./(/
fhY)
~::;~~ANT nfVJl- jf'UtfJI1/ (phone) rh/-L/3-3- IIL/L/
(Address) 1Lf1'-f5 J, ~()lofy,d-loJ I IeD~mlfuJtf, nlYi ~<,,(J..#;
(} ,(..;.ddre.. (City) (Zip Code)
{ M ,J (Phone) (()SI - 4,?-3- J I L/(/
,,") ~/7 DATIl /1-/IJ4)-:;;:
,
(Contact :PeJ'on)
APPLICANT SIGNATURE
. t" APPLICANT PLEASE COMPLETE BELOW
,,, ~w COWjTRpCTION ..0 REPLACEMENT 0 ALIERA nONS
FURNACE MAKE AND MODEL f-et1J1BJt' fJ ZitlfJ:3' 75 FUEL nflT -0f1tf
RUE S)7...E RETURN OPENINGS .2 INPUT 7 5( ego OUTPUT (p}J fJDV_
~OF SYSTEM HEATING OR POWER PLANT
AIr PlantS 0 Stearn PLEASE NOTE:
. OGravity 0 Hot Water Air ConditIoner Units
. Q,Jl1echanical 0 lUdi.tion Cannot Encroach into
.~r Conditionmg 0 Special DeVICes Required Side Yard
OVen', System 0 Other Dc:vic"" Setbacks
FIREPLACE MAKE AND MODEl-
lndustnal. Commere..1 &. Multi-FamIly
F'€E SCREDULE
I % of Job cost Rcsidenti.sl., Gas Fireplac~
53950 minimum
$99 50 Resldonl1al, AdditIons & Alterattons
$64 50 Residential, AC Only
539 50
ResIdential, Huong & NC (Nc:w Construction)
Residential, Heating Only (New Construction)
$39.50
$39 50
F.stlmated Cost S
BuIlding Pel1JlJt #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
. PAID WITH
dlJlWING PERMIT
'c Ute Only)
.P.ujlding Official
~ '; ,i';.-J (-", :- __ "1
I r:~~L1 . i~ U ~j L: 1 i~jptNO
I ~e NOV 1 2 2003 I ',sy'
J)l1te , r..Jc.J ,J ,',
24 hour ootic. for alllnspeetion' (952) 441-98j;O;'fJlX.(2~~j4?::4_2~_c::J
~/
,is Application Becomes Your Building Permit Wben Approved
Noy,IO, 2003 6: I IPM' GENZ RVAN PLUMBING AND HEATING
N0.9708 P 513
Date Rec'd
CITY OF PRIOR LAKE
SE'WER AND WATER PERl\UT
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jjji/
i ~:. g~ I PERMI~N~:; - r ~ ih ~(I
J. Gold AppJi~,
(Plea.st:.!YJ2~ oToT.intl,UldmJ:!:n atbouom)
I ADDRESS
16363 \.. JPff,f)(L\
fJf1&<'
ZONING (oltk'V$<)
-,
I LEGAL DESCRIPTION (office we only)
, LOT 1-fi'BLOCK ~ ADDITION f!J.e at tlt1(+
OWNERr. I ' (I . i--h".,,,.
(Narn~) lD. \eO{e JfL1 IIVY V\e~ (VtQ .
(Address) 1QW la;~~II~ 'Blvd., UJkfJVjll~in1
PID
(phone) t/fti2-L.II#l-I12CffJD
ilt1 Vi - CY::;D ljl~
(Zip Cod,)
APPLICANT r:... -Vl--' _ If) /1/1 M
(Name) Ctr 'L I'(,~ lAin}
(Addre,s) 1L-J7Y<; S.'VOJrdJetT1al.. I
~di-e,,)
((:onract Person) (WlIer<.lH & / IJ
'LICANT SIGNATURE (I j 11 ~ P.J..I V'l
(Phone) {JV] 1- Lf'2-:S -I I l/L/
k!JJr.-r J'Y}(J}A}'lf WlVi ~
(Ci'1) (Zip Cod<)
(phone) 100 f - Lf 2--3 -w+0
DATE uJJJ)j()?--Y
';~~~~,
APPLICANT PLEASE COMPLETE 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
FEE SCHEDULE
R..,dentJal sewer and water Ime conneCtIon $35 50 InduslIial, Com'l & Multi-famIly 1% of Job cost with. $39,50 mmunum
Sewer connectIon only $17,50 Water connection O)1ly $1750
Estim ated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
$
$
.50 is 'I PAID WITH
U (DING .
P€Rlvirr
'Ollie. U.. Only)
This Application Becomes Your Building Permit When Approved 11f3il;! ;----~>o..-,-~:~eIPt No
SniJd;ng Official Dat, I J;)ale '1fW; 2 2~J3~1 !~~
24 hour notice for aU ;n5pection. ('52) 447-985Q;nlx (952)447-4245 '--"
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Date Ree'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
!7\1:ue ~ or OMf md ,lu it botrom)
ADDRESS
, S' '3 53 ~ //e-..Q.<:::)
I LEGAL DESCRIP110N (olll" ux only)
l Lor.2~LOci< ~DITlON K.e. ,Cj dL CA.u.:Lt
IOWNER f> A I . I'~ \\__
I (N,me) '--'(J'v"-f 012 L-<-A4 nu~
o \
i (Addms) 79).0 L~ S (c.J,g
,
I
(Addreul
r APPLlC~
: (N,m,.) l=Scu.\<=t/k ~ xC' (., u~
I
'(Address) 'D~7S- W 7cJTl^- S"1Y.a.ct
(Addi<u)
(Cont,ct Person) S Cr"'<.L..." ::; ( .'/1 C/V'\
APPLICANT SIGNATURE --"r-_',~-~
: ~:. ~;~ I PERMIT NO, a.<_ IL1/ JJ
l. CoI~ "'H'l1CW J 7~ I{
I ZONING 10"'" .k) 1
PlD
(Phone)
La-ke~
qS-l-'i~c;-H;oo
j7\f'J '::> :::,dfl(
(Zio Codo)
(CIty)
(Phone) SO 7 - '7 '--( Y' - ~~S'--s--
L,~" c.JJ> S-50Yc..
(City) (Zip Code)
(phone) <;;;-O(-iYcr. S-,:,CO,<;-"
DATE /~~ '7'-0'3
APPLICANT PLEASE COMPLETE BELOW
Size of W1.ler sorvice I inches,
Location of any couplings from structure =- feot.
Type of sewer pipe, 0 ABC ~VC 0 Cast [ron
Estimated length of sewer line _5Qfeet,
Clean Qut (if req uired) located at _ feet from structure,
FEE SCHEDULE
R"idential sew.r lIld waler lin. cOMeotlon SJUO 'ndUllTi.l, Com'l &. Multi'(i/llily 10/. o(job cort with aIJ9.l0 minimum
s'w" cunnctrion only $17,50 W.ter connection only $17,50
Estimated Cost S
Building Pennit #, .'"
SEWER AND WATER PERMIT FEE
STATBSVRCHARGE
TOTAL PERMIT FEE
(Omert'tOnly)
\'
ThlJ Application Becomer Your Bulldtnc Permit When Apprond
Bulldia; Omoltl
Pile
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PAiD
dUff, Wf77.,;
'-,)'MG .';)1::' .
"- OVrr
).. PaJd' 'i j,l.eCClpt No.
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'; 111 Date : IllY'
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14 hour nollto for allln.ptction. (051) 44 "9850, fax (951) 41f~l45 i
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or nrint and sism at bottom)
ADDRESS
: ~:,~" ~::y I PERMIT NOA_. UU 1iIL-
3. Yellow Applicant V...."' I~
ZONING (office use)
15353 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLTED FTRFSTDR DRA FTRFSTDF HEARTH & HOME
(Phone)
651-6:B-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/9/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
o Vent, System
o Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64,50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
:-'\10 WITH
,50 BUILDING PERMIT
(Office lJse Only)
Date
I Paid
cia! 1
Receipt No,
This Application Becomes Your Building Permit When Approved
Buildin!! Official
':' r". .'
4- ~iI 'i!
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
See Main File
PRIOR LAKE DEPARTMENT<Il'nn
BUILDING AND~CiION
INSPECTION RECORD
SITEADDRESS -1S~53 -::rerr=-a~ PAs,"
NATURE OF WORK ~lA1 CQNS"'~"CT";o~
USE OF BUILDING SIr:::': A. . .
PERMIT NO. ().:s-/~ DATE ISSUED J1:L[..'Z.'iJO'1
CONTRACTOR Cb~l.e-cs.E' QirY H.~ PHON~- 320'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING tJ,'soJ U A ':t:H
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~~ itt. .jh. 3!:t7;/~L/
" , ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS :p~J:.~
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GRADING (Prior to Sodding)
BUILDING7~ lod'-/-oyW
ELECTRICAL /
PLUMBING
HEATING
DO NOT OCCUpy 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.
f/b
.
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3/;;3/0'1
FOR ALL INSPECTIONS (952) 447-9850
../..
QIrdifitatr of (@ttupanq!
CITY OF PRIOR LAKE
~epltdtueuf of ~uilll:iug Jluspediou
'qJ Final 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:
Occupancy Type
R3
Type Constructior,
SINGLE FAMILY
VN
Bldg. Permit Nr.
03-1464
Use Classification
Fire Zone
N/A
Zoning District
Rl
Legal Description
1.25, B2, REGAL CREST
Owner of Building
Site Address
15353 JEFFERS PASS
Contractor's Name & Address COLLEGE CITY. HOMES, 7920 LAKEVILLE BLVD., LAKEVILLE 55044
ROBERT D. HUTCHINS
BUildi,'~ Official
'\ ^" ,,1\
\\
City Planner
DON RYE
Date;
Date:
-------
CITY OF PRIOR LAKE
INSPECTION NonCE
DATE nilE
jJH/o" 3;"0
SCHEDULED
ADDRESS
15'553 ~~
CONTR.
OWNER
PHONE NO.
PERMIT NO. _()3 - 1 '-{ eft t.f
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
III PLUMBING FINAL ~ fl! GASLllIE AIR TST
ti MECH FINAL 0 """ a....a. ~.
CO~MENTS(] W>tlt-L ~c.fI7o ~ r I
~~.
() V'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
-
~It.> ~ - ttl..--
/'V\..(~-"-' ~,
o WORK SATISFACTORY. PROCEED
)r8 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~_ Owner/Contr:
CALL "7-98:Q;~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
U<SNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
IE3n
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
D"lNSULATION
.d FINAL
o SITE INSPECTION
COMMENTS:
It f
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DATE nMe
SCHEDULED 9 -"?,D -r'l~
.Jolt.'\J3 p~
CONTR.
PERMIT NO.
'3 - /4c.oc..f.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,/\ pi
~_ IVlO_
/'
/
~ WORK SATISFACTORY. PROCEED
/ ~ CORRECT ACTION AND PROCEED
o CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
50 FOR, TO''': "',=l(T IN~PECTlON 24 HOURS IN ADVANCE.
Owner/Contr:
CALl-
\)
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1.'lL
ADDRESS It:) ")5"; JS~
OWNER CONTR. ~/
PHONE NO. PERMIT NO.
D FOOTING D PLUMBING RI
D FOUNDATION D MECH RI
D FRAMING D WATER HOOKUP
~SULATION D SEWER HOOKUP
NAL D PLUMBING FINAL
D SITE INSPECTION ..z: MECH FINAL
~tf,
D EXIGRADIFILLING
D COMPLAINT
o FIREPLACE RI
r;J. FIREPLACE FINAL .
)It.GASLINE AIR T~
D~~
COMMENTS:
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V.!:l. '1kL'~l-01.r ~('~'tn. _
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I
Iro
,
15 - I -t'll4-
I
/"11'
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~
. .
I.k.,.. .~l.::....
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: a At-. Owner/Contr:
CALL~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY!
UlSNOTl