The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 03-1581 (Please t'(Pe or print and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY C0NNECTION PERMIT Date Rec'd I~ 3 }/-.- 0 / I. White File r PERMIT NO I i ;;;,:, ;:;~i"" . 03 , /58/ IlPlJ 13 t--.JO~ooiJ ~~ LOT/,,3 BLOCK LEGAL DESCRIPTION (office use only) ADDITION UcJ~,,;) ZONING (office use) Rf Sj) -~ 5'U."4 PID;J;J- Itll- O~3- / ~':~R 'M lk d. \2-ho~,,< ,h;b~~l+ . (Address) S-GgS- Pr<Aa2..-k ~__ BUILDER . (Name) GeC'<:o>\il (Contact Name) Do. "" (Phone) qs;;J -,,33. 35;;;S S~~~:(\AU ~r-os, 4-c,~~ G~~ / '5;96 '? ..r $Iq,v,) V ~ 'f-W (4j _ 'j....). 0LJ _ (Phone) QS,;;l. -/11I0 -q'l dL/ (Phone)Ca-t1 : 9Sa.-a.90-36J>6 r--... 7~"" ~(..l!>L\Z ..r'-o/'-loVL, "^ t---.> . (Address) TYPE OF WORK t5{New Construction (JtLower Level Finish ODeck )8l FireplacQ) OAddition OAlteration o Misc. OPorch ORe-Roofing ORe-Siding OUtility Connection PROJECTCOST/VALUE (excluding land) $ 565' I./SO , 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 up~e property to petfonn needed inspections. ___ X cJ::JCiA.A... ~-e - ~. - 01'70 /I/~ /1-t/-D3 Signature Contractor's License No. Date I Permit Valuation [ Permit Fee I Plan Check Fee I State Surcharge Penalty Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee \ Gas Fireplace Permit Fee $ Sc,.5. ,000, C)~ $ $ $ $ $ $ $ $ $5t.fz,5o I a. 30 z.. ,hzl c;.B2,5o I I I I I I 100,00 /~d, 0 0 ...:3~,S-O 4() , /J() This Application Becomes Your Building Pennit When Approved ~~ Building Official lo1j~ :1 Date I Park Support Fee # I SAC # I Water Meter Size 5/8'~ I Pressure Reducer I City SAC and WAC # I Water Tower Fee # I Builder's Deposit I Other I TOTAL DUE I Paid I Z/ 2- q~ I""L.- (Date /"7, /(~./j7 $ 85'0,00 $ / c..75- 00 $ :3!J(),O fJ $ 7a.oD $ I2.GcJ,OiJ $ 70<:), DO $ 1 5:'00 , 0 CJ $ $/2, Z.99. 1'2- 1/ I ~~cetiNo. d6U7~ r1 . This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance ana 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 ;,,-' 'Ln 19/C1IOb ~ ~ ' OD / Date Special C'onditiotfs, ifany 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 " Haating Contractor Nama 01 T aslar Data . C;J, Job Address Percent O2 Percent CO r. .~:--;7 -0 t/ -g: 1"7 ~ D?b -/. 2 "?~ /~Z<:> Percent CO. Stack Tamp. Combustion air is adequately supplied per /' ,( UMC See. 606 .I .. Input /IJO.n/J/) I . I , ''( r~U~KAL~WI~Kb~N~YMANAb~M~NIA0~N~Y NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE O.M.B. No. 3067-0077 Expires December 31,2005 Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use' Policy Number BUILDING OWNER'S NAME BUILDING STREET ADDRESS ~1~c1uding Apt.( Unit, Suite, and/or BISIg. {'lo.) OR P_O ROUTE AND BOX NO. \ bO \;, f\.J a.- +V\ uJDocl ~o,,-d. N w CITY 0 . STATE I I nOr L.~kt.- M ; l'cV\fSo TCL PROPERTY DESCRIPTiON (Lot and B19ck Numbers, Tax Parcel Number, Legal Descriptio'n, etc.) Lot IZ. V fl)r+'~ ~f Cot- \"-7-. tJOWn.\LOOOO 5<...1+ Co. .fVltJ. I j) BUILDI.uG USE (e_9_'IResidential, Non~residentja', Addition, Accessory, etc. Use a Comments a"rea, if necessary.) \(.es I cI "-"'-1"" "j LATITUDE/LONGITUDE (OPTIONAL) V. HORIZONTAL DATUM ( ##0 _ ##" _ ##.##" or ####11##1 16.1 NAD 1927 I_I NAD 1983 Company NA1C Number ZIP CODE ~ 531 'L ,,' e, Z~ - (4-IOB~-1 SOURCE I_I GPS (Type): I_I USGS Quad Map I_I Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2. COUNTY NAM,E, Pt';H lo-il-e.. , M/J 5<::-0++ B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL NUMBER DATE EFFECTIVE/REVISED DATE ?..70 4-~2.- OOO;,c Nov, 19,1'i'l1 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9 I_I FIS Profile I_I FIRM ~ Community Determined I_I Other (Describe): B11. Indicate the elevabon datum used for the BFE in B9: I~ NGVD 1929 I_I NAVD 1988 I_I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or OthelWise Protected Area (OPA)? Designation Date: B8. FLOOD ZONE(S) X I B3. STATE tv\. ~ '^"'-f>SD-h.- B9. BASE FLOOD ELEVATION(S) (Zone AD, use depth of flooding) <JO'}. <1 I_I Yes QQ No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: UConstruction Drawings' I-IBuilding Under Construction' ~Finished Construction 'A new Elevation Certificate will be required when construclton of the building is complete. C2. Building Diagram Number ~ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) Fu Il e,"H~ uJo..U<.- 0 ut C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR'AE, AR/A1-A30, AR'AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum IJ(,~D t9Z-9 Conversion/Comments Elevation reference mark used ~<'n. L,(.,. 1l".,J. "".<~,Does the elevalton reference mark used appear on the FIRM? I_I Yes i:':9-No o a) Top of bottom floor (including basement or enclosure) q f 0 . ~ ft.(m) .. o b) Top of next higher floor (c",,^,_ 1"1.,0') q(q .Q5.ft.(m) ~ . . o c) Bottom of lowest horizontal structural member (V zones only) , _ ft.(m) ~.. 00 o d) Attached garage (top of slab) "11'1 . 0 <; ft.(m) 11"g o e) Lowest elevation of machinery and/or equipment ~ : servicing the building (Describe in a Comments area.) q 10.Jk ft.(m) ~ ~ o f) Lowest adjacent (finished) grade (LAG) q oq, --'l.. ft.(m) ~.o- .'" o g) Highest adjacent (finished) grade (HAG) , I 'I ....Q. ft.(m) ~ . o h) No, of permanent openings (flood vents) within 1 ft. above adjacent grade 0 :3 o i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A. B, and C on this certificate represents my best efforts to interpret the data available. / understand thaf any fa'se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME \") \\ P, '" I LICENSE NUMBER \'-,u$Se \...1",,,,,,-1.0 MtJ ILEc" 1901\1', . TITLE \) r CQMPANY NAME \'-~. L~ :::;'v..v~~llr \'vol<\", ~'.,^.."v~~ Q.o""-P""':'1 ADDRESS loml 8 "rf- l <tb!:!. S./v~ CI1,~.,.V\J""{[{ S~/Xi.J . ZIPS~~~, SIGNATURE II . /Y7 .0 JJ 17 DATE TELEPHONE ~ r. ~~ 10-01-04- Q5''L- 4">2- 3000 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IIV......VK 1J-\1\l1: In mese spaces, copy the corresponding information from Section A B'.IILDLNG STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR PO. ROUTE AND BOX NO. fbO l~ I\.l D ...+t:.LL"l (l"',.( f2..ond rJ u) C'!TY STATE ZIP CODE Company NAJC Number PV10(' Ldc-11.. MN 55")77- SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) For Insurance Company Use: Policy Number Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner COMMENTS , I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE). complete Items E1. through E5. If the Elevation Certificate is intended for use as suppolting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed- see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph_) E2. The top of the bottom floor (induding basement or enclosure) of the bUilding is 1_1_1 ft (m) 1_1_1 in. (em) I_I above or I_I below (check one) the highest adjacent grade. (Use natural grade, if available) E3. For Building Diagrams 6-8 with openings (see page 7). the next higher fioor or elevated floor (elevation b) of the building is 1_1_1 ft. (m) LI_lin. (em) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is I_I--l ft (m) 1_1_1 in. (em) I_I above or I_I below (check one) the highest adjacent grade. (Use natural grade, if available.) E5. For Zone AO only: If no fiood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain manaqement ordinance? I I Yes I I No I I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, 8, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS I I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community.s floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. I_I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. I_I A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. I_I The following information (Items G4-G9) is provided for community floodplain management purposes. I G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: l--l New Construction l--l Substantial Improvement GB. Elevation of as-built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: . _ ft. (m) Datum: . _ ft. (m) Datum: LOCAL OFFICIAL'S NAME COMMUNITY NAME TITLE TELEPHONE SIGNATURE DATE COMMENTS I_J Check here if attachments FEMA Form 81-31. January 2003 Replaces all previous editions Nov 05 03 04:01p ribblts Engineerlng 320-864-5672 T/IBBITS ENGINEERING. P.A., STRUCTURAL ENGINEERING. BUILDING DESIGN 1110 Greeley Ave Glencoe. MN 66336 (320' 66A..!l<W2 FAX l320) 86~612 November 5, 2003 Gerold Brothers Construction Attn: Mr Dan Gerold 1409 E Main St New Prague, MN 56071-0128 RE" ,. Garage Foundation Wall Design for Mike & Ronda Thibault Residence Northwoods Road Prior Lake, MN Dear Mr. Gerold, In response to your request, we have carried out the structural engineering that you directed: we have determined the garage loundation wall reinforcmg for the residence identified above. We have based our design upon the (5) pages of building plans dated 9/27/03, which you provided to us, as well as intormation that you gave us over the phone. Our design is in accordance with the procedures of the Minnesota State Building Code and the International Residential Code. 2000 edition. We have analyzed the foundation wall assuming a lateral soil pressure of 35 psf per foot of depth, a garage floor live load of 50 psf, a floor live load of 40 psf, and a roof snow load ofJ 5 psf The garage foundation walls support 8" pre-cast plank with a maximum span of 26' -0", a roof system with a maximum span of 26' -0" that includes a loft mom in the attic which has a maximum span of 14'-6", and the lateral soil pressure as noted above. p.2 --=:- ~ Mov 05 03 04:01p Tibbits Engineering 320-864-5672 The foundation wall height is 7'.8"010 and will consist of 12" block as shown The foundation reinforcing shall be #5 rebar at 32" O.C as shown in the detail enclosed on pages 3 - 5 of 5 of lhis report. The reinforcing shall be placed 2" clear of the face of lac wall as shown in the details enclosed The lintel for the two walk doors shall be 12" wide x 16" deep masonry lintel with (2) #5 rebar place 1 'I;," from the bottom. The masonry linlel shall have a minimum of 8" of bearing on the CJ\rfU wall. The sides of the openings shall be reinforced with (2) #5 vertical rebar and core filled. Design stresses are as follows: Reinforcing bars ASTM A-615 Grade 60 Concrete Masonry Units Mortar Concrete Strength at 28 days Fy "" 60 ksi fm = l500 ksi Type M & S f'c = 3000 psi Our involvement in the design of this structure is limited to the individual members addressed and specified in this report. All other engineering and design remains the responsibility of others. All dimensions shall be verified prior to instaUation and/or fabrication. If you require any further information please contact us. Sincerely, TIBBITS ENGINEEIUNG (1~_ RSs/Ph M Paumen, PE, Project Engineer Enc. I hereby certify that thi$ phm, ~pecific;l.tion. or report was p"~p<\L""~ by me or under my direct supervl!lioll and dlat 1 am a duly Licensed Professiuual .Engiaeer under the laws of the State: of 1Ain..nesota. \.~ P"Hn\'~n License No. 4234Z " 1".3 36'-0" / ; v ; t: 55 ~_~._~.__ _,_ _ __ ___ _. _ ,'_ _~_ _ __~___ __ _ ___.____ __ --, - -_-_-- - -.--- ---_-. - - '-.--- -- ----:1 ~ ; V////A/////'/////~~/~//////////////////'////'~////// J :~::.::.l-.-:-::.-::.:: ::.-~-~::.::.-~~-::. -::.::.::.-::.-~ -::.-::.~::.-~_-::.::.::.-_~-::.-::.-::.::.- ::.-~-::.-::.-::.::.-~--::.-::. -::.--~- - / , ;' i : CONe 12" x 16' d LINTEL: : ~ ) V: ! REINF. WI (2) #5 REBARS I ' / J": I (MIN, BE/\RII-lG=b") fA\ I '/ ~ : '541 ~ ' ,\1 ~..... 1'/ - - -.l j_: '- -" -~, __ -- -1 Z '- 5iM ! -' L_________, I :5 ~ Tr;r;r'-///-///\ j tL , , W _ __ _ _ _ ~ '_" __0 -, /" I f_ , I W I ,-1) Ur:':' : ~, 1 U : Z\ , , 8 < : I NOTE: iNST A'_L (2) VERTICAL : /, '#5 ROARS AT EACH SIDE : //, I Of €ACH OPHIING, : , ' / 1 I : / : / \ l I \ /; I j /' ' / ' CONe, 12" X 16" d, LINTEL I / ! I r- REiNF. WI (2) #5 REBARS f: I ,/ (NI~J. BEARI~IG=8") i {~ ~ I '1 I A, I' f ' = I : t : _:~---=-.-~~-~--='---~_-:--:-~--~- ~_-:_~-_.--:_~_--:_~_-:- --:- ~-~ _-:_.-='--~'_--:_-=--~ -~--~-~--~--~_.~_-:- ~ - -~_.-:-~-j ~ /.//////J'////////'//////////////////_'//~////~~ I ~ r----------------------------------~-----~ / I jO / '/ /1 ./1 (:) <c / ~ , , CONCRETE / FOUNDATION PLAN 3fl6":::1'-O" :z 0 < 0 <11 0 W " 0 \' ~ ., 0 N '0 ....; ~- 0- 0- ~o .. III m :J (:;, .. , ~. \0\ :J "'I III .. ., ~, :J .. '- " W N o I <Xl Gl ... I '" (f) .,J N TIBBITS ENGINEERING 7:55 t11H ST. E. GLENCOf_MN55~6 (320) 8645642 FOUNDATION OESIGN FOR G,ARAGE AT THIBAULT RESIDENCE NORTHWOODS ROAD PRIOR lAKE, MINNE50TA . (;FROI 0 BROTHFRS CONSTRUCnON l/i,!; l':1;'<:HFJc...rl()t.J15 VAU'] Ot.._"f\liI,;::N::;:.".,-fOIN ;I>i<. NOCOPI.'S".~'!. !4:{N.'E:l ~.g;:;p~~fr~;;:fc~li~.~~~~~:~~;~,:;:~ ~~ l)T, CAS Tl1AfIAMA )ULY~lCfljset' l"1WF~S5IQ1oU;~~"G"'fEf:UNC~R J:JO~r 3 ThE:.V..,..",Ofl~t"'{"'l;~'YrI',~.".IiSOli'_. 0 -257 JOS:':"'H M. PI;,J/'lEN !"An, - ~' 11-5-03 ~GNAr . ~~ JJ.~~:~_;._~~,.11..L UCEf'I~ENUe-;BfJi' .~l 3 OF 5 1l ... Nov 05 03 04:02p Tibbits Engineering 320-864-5672 p.5 DESIGN STRESSES: REINFORCiNG BARS ASTf+615 GRADE 60 Fy ~ 60 kSI CONCRETE MASONRY UNITS Fm = 1500 pSi COr-JCRETE STRUWTH AT 28 DAYS Fe = 6000 poi r RUBBER MEMBRANE AS REQ'D BY #5, 24" DOW"lS @ V~'KT r MIN 2" PRE-CAST PLANK MANUFACTURER REINFORCING SPACING CONCRETE / ____ (2) C. 8" CMU TOPPING BY /' PRECAST ! OTHE.RS ' /, PLANK BY I / I OTHERS. MAX. . .... # , 5PAfj ; 26'-0" // //(/I//I'~/_/1TI' l "'--'~"'" ,,',," , l'~\, " >>;, " '>.." ':, I . /,--,//. /'(;F:/~~ " ,,- . . " '/' - f'RECAST j'LANK I 12" BOND BEAM WI J CQt,NECTlON, DESIGNED (2) #4 REBARS I BY OTHERS, fa RESISl 410 FLF REACTION @ I' 'I TOP OF FOUNDATION I I WALL FROM SOIL /~ I PRESSURE. #5 '/ER'S. @ .32ft O.C. - -1'_ I ~l 2" CLEM: (12) C. 12" CMU WALL L BEf\l<mG PAD, BY FRECAS' SUPPliER "? t'. O. 6 OO~O 0'0,0 "000 ,,00 DMINTiLE, BY OTlIERS ] (. I ~ ,! 112" EXPANSiON MAfERIAL 'I r r 4" CONCRETE 1, I / FLOOR, BY OTHERS ~ I i ---, ,- II ~ori~~Oj~'-:.pi::P:~~"-';":/(.. (1"".0,'0,,0. ,0,0.,,11,0,,'- _ .... . c>,:?~j~'::t:?~of,)o'. , ':IOQ.O?r:"o,~?!>::..!.;!~ C^j,AF'CIC.'n ~ 'V.I" '-...... '- GRNWL!\R "-. FilL ~.- ?!,\"'X ,-.. "Tt: ' 'I _.,' It.:: I '_" W, (2) #5 RE'BAR5 CONT. ~) ~~~_o~lDEWALL GARAGE FOUNDATION T!ilS cr?T'FI(AfIClN 15 '1}~!D ('Nt Y'il1ltN '_W:;~IT;r.J It~ f~W 1>0 :.or!!'"5 MJ ,1UOWW T1BBITS fOUNUA11UN lJESIGN fUX l~AKA(;E Al ',;~~;~::e~~;~~T~~:~~r:J:H~~I~)~~N:!~~~~~~~:~~.~.~.~K~~~~~ !OWG~Y' C.A.5 ENa.mEEDIN6 THIBAUL r R.E51DENCE :~::.~.~~'~F~~~\~I~~~~;~,r,L~~:;)~~OMAL~N(,IN~F~lt.n1[ !JQa03~257 1" NORTHWOOOS RnArJ JO!',FPHM ?AI)t-IFN .'^ . .. . ..-" ~ ~I/ i 'n-5-0.3 PRIOR LI'.KE, MINNESOT/\ 0<""'''''' U{(/)IJ<t ___I""'" _ G[RO~.D BRDTHEF~S CO,\lSTRUC:-iCN .....,'0. /' 11";-'11L-. '..<=_'J'_~"'_~':"E~,~I 4 OF ::J 7,3'j 'l~H ~T. f::. GLENCOE, Mill ~B3,"'6 (320) 864-5642 Nov 05 U3 U4:02p Tibbits Engineerlnt OESJr:3N STRESSES: Rm,mRCING BilRS A5TH-615 GRADE 60 CONCRETE MASONRY UNITS CONCRETe STRENGTH AT 28 DAYS 320-864-5672 p.6 Fy = 60 ksi FNl ~ 1500 DS; Fe = ?i000 psi r- RUBBER ~.1EHf)RM1F A,o REO'D BY r HIN 2" / PRP-CN3T PL.ANK HANUFACTURER CONCRETE . TOPPING BY ~ PRECAST OTHERS >;' / PLANK BY // I OTHERS. MAX. .# ''i~_ SPAN = 26'-0" I ' #5 X 24" DOWELS @ I'ERT,\ REINFORCING SPACING r ~ (2) C. 8" CHU _ fl I ~ I '" I if . '.... ' llJ'~ /1 J \ ~ PRECAST PlANK 12" BOflD BEAM Iv! _/ CONNECTION, (2) #4 REBARS! DESIGNED BY OTHERS, TO RESiST 410 PLF REACTION @ TOP OF FOUNDA 1101, ViALL FROM SOiL PRE%U?,E. J -. /1 #5 VERTS. @ 32" O.C ..-./'- ,- (12) C, 12'1 eMU it/ALL BE/,RING PAD, BY PRECAST SUPPliER d:l r'.! -1l-'" 211 CLEA R --t I I ; ;r 112" EXPA;o: :~;::::~ --1 / FLOOR. BY OTHERS I 1-', ". .... / ../'/ .,'/ / . "V<'>(/R~"'::"/<V . ,;o;';N;"';fi;eyp,;",;; - COMPACTCD "~/>>>9,t}l)5>;!~:;/> [,~~~~~~~~~~~~~~~~~r~ GR./\\-.lULi\f, , "-' .' '-'. ;< '.,// \ ~d>:.:f'g?~<I~~&;Jo4~<t~<t~.;,~,;; ':: "'.'-'-., -B' d" """"",,,,,, ,-Ill - -/ op,"p"J')'':i'-,o::;'''i.)Q~f~':2..' - .--.. , I Xo~o#>~oj>oo';>~D:<>j''f,l~':i>o<7' ~ (41 r 1?" rr'>l!! -" ':P"'l!"O;~'"oJ''j'')n~'J'YJ''':I:'} y \_ ) -', - l, J" ' '?~~%!p~~~?~:~,1~~i'~~,i:~ ,~> ~ 'R'~!,~~~,~~~*~?~,~,~~25" X 12" FTG. \~/f [? DR.'~i~ITlL.E. err OTHERS -\ . I '.~~~f,oo~';?:~~'J>.'f~(2) #5 R EBA.RS :D I "~"'i~"J>~J"'()"}.~o:b~GCONT o. 00 ~,~".tJ ~,O""f."-"(.' _. _~-' oiiO;\ 0 I I- ,; f~<="k;"<ci~,,,~~,":,,;o~~~a, o o~ o' I _ ~ ,~Jr?g;I'?J:<,?;~~,.o;r:l'b,,,J' '" Q;"- 0 J "<:Fio"'~Od~'?d'~"(I"~<>'-" ~__.... __~~';P,r!~,~?p~;",p~~'" ,I " ~) ~~,!)?IDEWALL GARAGE FOUNDATION HilS C:",11.fii'IC,\~iUN IS I'ALlI;I ON\. Y WHEN SI(;NW IN INI(. NO COPr~S ARE A\.lOW'ED. TIBBITS II-()LlNj)A11()1~ UI:".Co!',N ~U!< I"A,,~A,(jt f\ I EN6lNEERm6 ITHIB~;,;T ~ESI;EN~E m'!,HST, .NORT.,O"D5,.oi\", GlENCDE ,.,N55336 Ipf/OR l.AKE, HI~I~IESOT!'\ (320} 864-5642 GERDUJ BROTHERS CCHSr?,JC-r:CH ~k~;;;;:;~~';;'~~ :o;~~:~'~;~;i;~~;;~~~;:;/~'"~~ (1(, O~, ,CAS rH,\T: !\I" _,I OIJIJ i JI:'~fiS~() ,"f:C-Ft:~5:C"ML fNGil:E(/i: [j!,JCFi( I J'~~ n 3 "0;7 THn^WSOnfjES~~!;~~~~~~,., ' '_", -'i-'~i . ;:.~,~~,.J, '.' ~,-" ,E.~ \DJ.1t.: I ~~!I.#' I '1"- 03 ,,/ - ...." j"";]- '- I'5\Gt4A.n.~~. _ m m , 'tZ~'___ :-"'~~__ IOAH" Z. 0: LlceNSENUM5e~4~' t> OF 5 m~~~~\l]~~ 00 JUN 0 J 2004 I --' Bv June 2, 2004 City of Prior Lake Re: 16013 Northwood Rd. NW Prior Lake, MN 55372 To Whom It May Concern: This letter is to inform you that we have no intention of renting out our basement. Also, we will abide by the fmal approved survey for the construction of our driveway. We will not have our retaining walls over 4" in height. Sincerely, ~~~'".~ Mike and Rhonda Thibault / ~~ uer r Whit.. . Buildiiia> Canary - Engineering Pink - Planning Th~ ('rnlrr of the L.kr ("ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~~. APPLICATION RECEIVED 1./ //- /'d--"3 NAME OF APPLICANT The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i Cl I- I,;). 3 IlpDr3 Lf1n-Uo)ocxl K!-d ,(J~d Accepted Accepted With Corrections ~ Denied Reviewed By: ~~ f?()~ rLLfl ~~ -~ ' Date: /d-/3~ 7 Comments: -7 ,,/? -. V' ~ ' n '-(-&(",V_&-V<l __ O~~:~'J ~ -; ~ .; ?X>~~ un../'/..J ~ 0 ~~ "A.d/', ~ . ; v '0' . /" W.b7n s::a~ ~. ~ .4/hV 0> #-T_.R~ / ,J / ' J~.L bdpt'J, L~ ~ ~ ~rn:f- ~ ~~~~~~~~~~ , . v ~. ib j/~. 9~ ~o<f- ~~ ,~ "h ~-d a-. 7:ct.tJ. - ~~ ~ uJ .I , ~. </-o~~~k~~~ V r -J T: c..a. ~ (A ....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," ~~ rh~ ('~nl"r nf Ih.. I...... COllnu'}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ./..,.- 7. /"'" . '>(....- t.._ /)..- ~ .Jbe Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;' /- /00/3' ~I <,,I , '/ / , /' I {"".;:, "'-!' ;f ,/.' v Accepted Accepted With Corrections /' Denied Reviewed By: , Comments: R~ Date: I;J / '1 ;; '3" ~ c7jl ~ .-J- ~ ~ ~ 1f" ......... fo ;->C!,o. ~. ..... ~o-o.:t- V<1/>. I _ / /" v~ ~ f' C! ,0 '. iJ-v..UI ~ <L'.. ~ ,'~ ~ JV.a. S(~f4~ ~~, A.C, ~ o /- ..L/ (!g,..~ ~ I~ h-t. .4..4~ c::?'-1.-1.LJ.'VI C,L. c "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,:. ',-". '~,..'.....~,.)I.;,::"~.'.''!; ,/,.' ."","",'>' "'" ~"'_._- "'->--""""'~""""""'>--'- '>, '., ,.. Whi~- Buildin<l C Can.. - En\l.ineei'lnll"';> Pink - Planning Tht' ("tnltr of Iht' I.akt' ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED OOAr,.fd ~. J ;/_- /d--- 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / () ;L l;l-:: /J 'd <C... , " f"CJ(S '-1/71?fl (! Jocd I~' , ICkr [;tv./t"Jt:.(j Accepted 'X Accepted With Corrections Denied Reviewed By: ;{1Ar-~~'llr,- Date: ~ Comments: See ~everse Side for Additional Information! "'-.\0 S/....:.)~<-MF' '\0 I::-xQJ:::n....jJ" Af.LAS S1r-<"FE:K\.>\4", v\: \ 0J:1.1....L... 10f.f:1\ \"n F--f_ ~t.1 kr.k)( 1\ (JtfZ (-;f.i'T" c;-(AD[JMe ff-, . vo-- See Attachments: I) Gratiiag Plan, 2) Erosion Control Measures "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." - ,II)) 138: 18 Pr obe Eng i neer i ng Inc. (FAX)852 432 3723 P. 13132/13132 January 8. 2004 To whom it may concern: Per field survey information Probe Engineering has determined the proposed lower level finish floor elevation of the house under construction at 16015 Northwood Road NW (Lot 123 and a portion of Lot 122. NORTHWOOD) will be 910.37 feet. ~ i1J-.- Russoll P. Damlo Registered Land Surveyor Probe Engineering Company. Inc. JO-2003 TUE 09:43 AM GEROLD BROS CONSTRUCTION fAX NO, 9527584070 p, 02 IJtO INST ANT TESTING COMPANY 7125 West 126th Street Suite 500' Savage. MN 55378' (952) 890-7366' Fax: (952) 890-5883 Proctor Test Report GEROLD BROTHERS 1704 280 STREET WEST NEW PRAGUE MN 56071 K ~ ~\\\ Proioct: 16013 Northwood Road NW. Prior Lake Date Sampled: December 23, 2003 Submitted By: Tom Warner, ITeO Reported: December 29, 2003 Performed By: Tom Warner, ITCO Standard Moisture/Densilv Ta61 I Curve Number: Visual Soil Class: standard Maximum Drv Oens~l/: I ODtimum Molstu",: I Rec",senlative Of: 2003-01 Sand & QHlIVel 120.0 12.0 Densilv test 1 Remarks: CopIes To: Charge COdes: Standard Proctor Saml'le Pre~ _ #303 1 #302 1 '... ~ 'I1'jUo-, fir Oaniel J. Naughton. ProfBssional Engineer - Regiltration No. 20191 JO-2003 TUE 09:43 AM GEROLD BROS CONSTRUCTION FAX NO, 9527584070 p, 0] 'IT = =CO INSTANT TESTING COMPANY 7125 West 126111 Street Suite 500 Savage. MN 55378. (952) 890-7366' Fax; (952) 890-5883 DENSITY TEST REPORT GEROLD BROTHERS 1704 280 STREET WEST NEW PRAGUE MN 56071 uv--W ~ r)f- . -..'\!..--'"te. ~ ",\- -~,.... f"t- .f~\.'-- \0\ucl~ Proioct~ 16013 Northwood Road NW. Prior Lake Date Tested: December 23,2003 Ordered By: Curt Reportell: December 29, 2003 Field Technician: Tom Warner, ITCO Inplace Density Results Test Number: 1 2 Locallon: Rear walKout footino Center of basement floor Death Below Grade: Visual Soli Clas.: Grade Sand & araval Relative Moisture. Percent: Field Densltv. peF: Standard Maxtmum Dry Densltv. PCF: I Relallve Densllv. Percent: I Reouirell Minimum: 3.7 12.0 31 118.6 120.0 'l:''':ig 4.0 12.0 33 123.7 120.0 'l'l'1"l 103 r Proctor Curve Number: I Percent Moisture: I Ootimum Moisture: 03-01 L/ 118 , ~~'f Il6 RemarKs: Pads constructed of engineered flll could be subject to a loss of consolldallon If lert unbullt upon over a single winter. Penetrallng frost combined with a season of freeze-thew cycles might loosen salls to the depth of the frost. This applies to fill composed of either granular or ftne-gralnell cohesive material. All padS left e'pasell for more than one winter should be inspected by a geotechnical engineer or technician. Charge Codes: Density Tests 1-2 Charge Per Test Mileage #601 #306 #612 1 2 5 . ~ 'J1"jYo.-,PrO Signed ..~_..__ "'".'''_ ._...,..~"_ Daniel J. Naugtlton. Pr0181iliionall.:nOinoBr. Aogistration No. 20191 12/16/03 TUE 13:31 FAX 6128902753 STOCKER EXCAVATING ~001 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please Me or Drint and sim at bottom) I ADDiiESS 16013 Northwood Rd. NW I C~, m,. I PERMIT N~9~ J 2. Vtllt1w Clry l. Gold ....llpllCM/ ZONING (o"<<.se) LEGAL DESCRIPTION (om" ",. only) LOT I^'BLOCK ADDITION NQ r+-h VJ ODd PID OWNER (Name) Gerold Brothers ConStruction (Address) (Phone) New Prague. MN 56071 (Ciry) 952/758-2842 (Address) P.O. BOX 128 (Zip Code) . APPLICANT (Name) STOCKER EXCAVATING COMI'ANY, INC. (Address), 12336 Boone Avenue Savage. !iN (Addr"'lj (ConractPerson) Curt L."~~f:!/. / APPLICANT SIGNATURE .,/ IA'/~~ A(4Y'~ APPLICANT PLEASE COMPLETE BELOW Size of water service _."' inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. (Phone) 952/890-4241 55378 (City) (Zip Cod<) (Phone) same DATE 12/17/03 ----, Estimated Cost $ flEE SCHEDULE $35.50 Industrial, Com'l & Multi-family 1% of job cosl with a $39.50 minimum $\7,50 Water connection only $17.50 Building Pennit # ~../~I Res.idential sewer and watt:r line connection Sewer conncction only SEWER AND W ^ TER PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE $ $ $ ~WITH ~G PERMIT . (Office Us!: Only) This Application Becomes Your Building Permit When Approved ~aid. ?nn1 De. Building Official nUt H hour notice for.1I ;nspccllans (952) 447-9850, r.. (952) 447-1245 ,.... ..___.._m_.__.___.__.___.......__.___.__~ FROM : SOUTH t1ECHAtH CAL FAX NO. :952 492 2446 Feb. 05 2004 11:24AM P2 CITY OF PRIOR LAKE HEATING/AIR CONDlTlONINGIFIREPLACE PERMIT Date Rec'd (Plea,c ~~ or nrinc Ul.d 1!l,Rn at bottQm) I ADDRESS / ktJ/3 I(,~rl..( WiP"c! ; ~~ ~i~. I PERMIT Nonoz Ie .1/ J V.Uow A.''lIIWlI v.iiii' . J..;il..!!j .ReI /1/ W ZONING (ol!lc, ure) LEGAL DESCRlPT[ON (om" us. only) LOT BLOCK ADDITION PID OWNER (Name) 6~..[c/ '?-&>7"~ ~d- , )1eil/ /ht.(-~ /'fA- _. (Phone) 75$'"'-Z~.y.;L (Address) (Contact Person) .. APPLICANT (Name) (5~"cl.::;( /YJ-ee;,h-z <~rc.".._C ;z"/c>o5 bu",/~ ~ (Address) /{O;J4-.{d /Jd.n?<j' di:.LC:~ (Phone) 91f.?-1/9;2- ;;-,,~O .:::r;;~ ^- /<<......... S5" 35.:z..- (City) (Zip Code) ,(Phone) 1'/12-- ZZ/-59"~ DATE 2.-.?"-O~ (Address) APPLICANT SIGNATURE _ APPLICANT PLEASE COMPLETE BELOW .~w CONSTRUCTION FURNACE MAKE ANb MODEL ;tJa..~"...e- o V' FLUE SrZE ,",___ RETURN OPENINGS TYPE OF SYSTEM o REPLACEMENT 0 ALTERATIONS &J 0 ,.., / DO. ODO 87k FUEL INPUT OUTPUT REA TING OR POWER PLANT OWnnn Air PI3IlIS OOrovily o Muhanical OAJr Conditioning OV',nt System o SteRm o Hot Water o RadiRtion o Special Devices o Other Device, PLEASE NOTE: Air Conditioner Unit, Cannot Encroach into Required Side Yard Sotbacks FIREPLACE MAKE A ND MODEL Residenti.l, Heating & Ale (New Construction) Residential. HeRling Only (New Construction) FEE SCHEDULE 1% of job casl Residential, Gas Fireplace $39,~0 minimum $99.50 Residenti.l. Additions & Alterations $64,50 Residential. AC Only $39.~O Industrial, Commercial &. Mlllti-fl1rnily $39.~0 $39.~0 Estimated Co,t $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $- $ PAID WITH BtJllD.lNG .D~.O~"T' (omce tI.. Only) This Application Becomes Your Building Permit When Approvod Building OrndA) Dille I Paid I m 0 6 2003 I Receipt No. I By 24 hour notice for RlIln,poelion, (952) 447-9850. rAX (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Re. 1. Pink 2. Green 3. Yellow ~::, I PERMIT NO.;.t_/cvll Apphcant &:J ''WI 0/ I (Please tvve or lJrint and sip- at bottom) ADDRESS ZONING (office use) 16013 NORTHWOOD ROAD LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name GEROLD BROTHERS (Phone) (Address) APPLICANT (Name) AT TTEDFTREsmE DBA FTREsmE HEARTH & HOME (Address) 2700 NORTH F AIRVIEW AVENUE (Address) (Phone) ROSEVILLE (City) /\51-/\33-256 ] 55]13_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 3/26/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm AiT Planls OGravity o Mechanical DAir Conditioning OVent. System o Steam o Hot Water o Radiation D Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEA TN GLO ST-HV & EM 42 Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ .50 $ $39.50 $39.50 -.....~ ...,.~ .~. :'~~ ,'1~ /0 ~I!!h.. .h~ ""Z/fill.- L""'i~~.t/ "'~~ .' Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) (Office Use Only) F;=::---'-__ This Application Becomes Your Building Permit When Approved I ~B!q u. '. "Rl\1eiPt No J <; ! J _ Buildin.Officinl Date I P~F MAR 2 6 lOad m~! (A \ 24 hour notice for all inspections (952) 447-98~~yax ~~~;~=j ~ FAX NO. :952 492 2446 CITY OF PRIOR LAKE PLUMBING PERMIT -....."......"... .. u;Y.~(7"S(. /7kd~'u~J (Phone) "7~.,;;z- ?-"r..?-d'~o/"'.o Z/oc;~ LeV~~Y-"'/ /9~ J~-__ /k"",- s.::S35~ (Address) (City) (Zip Code) /~77 tZL c( (Phone) ~/Z.-Z.z/- .?'9?.5"' /7~./?C--c./ ~~..?~'DATE Z -'51'-dt./ (/ APPLICANT PLEASE COMPLETE BELOW Type or Fixture Quantity Bath TIlh with or without shower DishwBliher Floor Ornin LavatorY (Bathroom Sink) Laundr}' 'tray (lor 2 compartment sink Shower Stall Sinks Bar Sink I Water (:Ioset (Toilet) (Please ~e Or Dont and slim ~r. bottom) ADDREJi' ru~/ 3 'II/or-/A Woc,cI ;l!cI!lw' LEGAL DESCRIPTION (office u,e only) LOT BLOCK ADDITION I ~~c~~a(,/ dr~~ a/?.5~ /Z~f 1.-4/ ftp:( A.e.... pU. A- (Address) APPLICANT (Name) (Address) (Contact Person) _,' APPLICANT SIGNATt,lRE Quantity {}- I ( 7 / I I / ~ FEE SCHEDULE lndustril'l. Commercial & Multi-family 1% ofJoh cost with ft S39.:50 minimum Feb. 05 2004 11:23AM Pl ; ~~; ~:~ I PERMIT NO^OiiI. '''~I 1.YftllO"'AMiliol'.nl ~ ZONING (olll.. U'r) PID ,. ~ (Phone) cJg--75'cf'-z..g</..z Type or Fixture 1 I I I I Rough-ins Water Heater Water Softner I Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backtlow Assembly Test Lawn Sprinkler Other I Residential. New One &. Two-Family $99.50 Residenti.I. Addltio", &. ^lteralions $39.50 Estimated Cost S Building Pennil # PLUMBING PERMIT FEE $ STATE SURCHARGE S TOTAL PERMIT FEE $ (Omet U~t Onl)') This Application Bee~m.s Your BuildIng Permit When Approved BuUdlnc Omelll O.'I! 24 hour notlto ror.n Inspeetlo.. (951) 447-9850. fax (952) 447-'1145 PA'D WITH Q~LD!roJS P=R~4!T I Paid I ~ 0 6 2003 I Receipt No, I By PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS IlcOI3 Nl)f2.iH WooD ~A.D NATURE OF WORK N€ Co\.) CON$tliU.lCT/OtJ USE OF BUILDING S.S=; b , PERMIT NO. 0.3. /.58/ DATE ISSUED '2.1'! I dJ CONTRACTOR ~!" H()M.~ PHONECfSZ" 2.9a -!to.S" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE SEWER / WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST \~0" ~tf~ (( 6'1 ~-?., -0 t.( COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED .11.AtflE/C1107JU!(J SlaPe I I FINALS - Nli 7.4,y. (h) {(jJ I FOOTING I FOUNDATION (Prior to Backfill) I /II< I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGi'\-J~N~ /~~ IN!e.- ,J:-- 1P' . ry~ 11t8[o'T / "rz ~~ , GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING , HEATING DO NOT OCCUpy '1'2cf~ I ut UNTIL ABOV-E NOTICE we... (,,-1-0'l v ....r -0'/ BEEN SIGNED HAS 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 QIrrfifiratr of ~rtUpa:nrl! CITY OF PRIOR LAKE ~tparfmtnf of ~uilMng Jfnsptdion 2:(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: Use Classification IiIHliLE FAMILY _ Bldg. Permit No. 01- 1..5..8..1 Occupancy Type _ R3 Type Construction VN Fire Zone N/A Zoning District Rl ~lL Legal Description _L123. NORTH't\TOOD Owner of Building Site Address 1 fin' 1 'tiQRTHl.J()on ROAn '.-, Contractor'sName&AddressGEROLD BROY HOMES. 1 ';9(',7 TST."ND VTEW-RD.. PRTOR 1.~55372 ROBERT D. HUTCHTNS, .11 City Planner nON RYF. BuildiJ;lg Official . . f ) Dale: ) Date: . CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ~'O l:S kJA~ ".~ IJ 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 :fi!"PLUMBING FINAL o MECH FINAL DATE TIME c,,-f ~ l( ( u <- l~( o EXlGRADIFILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL ~GAlU-INE AIR TST o \J~ COMMENJr: r ~ J ). --- r; (J I. ~ '.c.JI1~ Jar 1"\0.JJ.9.-.. VaX' 2.. ~ L.&:,t!"J..... ........ '-.t....R. I - ~D r~ . " ~,.__.AJ--- ~ ~,,~'o1 E~'~^"r- t"'t;:-('\.D"'~"'lrk- ~ 5...-..Gl.u.. 0. ro.n ..j;-- f1 I .:..-. A. a' t - ~ o WORK SATISFACTORY, PROCEED )li.CORREOCT ACTION AND PROCEOED o CORR~RK' CALL FOR REINSPECTlON BEFORE COVERING Inspector. OWner/Cantr: CALL 44 .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSIWlT' CODE REQU/REMENTSAlIE FOR YOUR PERSONAL HEALTH'" SAFETY! 7-1'1 I,m) N(),.-H.wflK.}d RJ CONTR. _I7Gfol.L13r~!'. o3-/~B/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE TIME ~EXI~ILLING o COiIIllAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: G Il4~ S // f efIc.... < v,/ ~ocf ~~ tt?tGf/' r/~~r rJ hl9u!.e ~vloJf ~/.5 / ''"' ( .t~;.. ) No 5 o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:~~ ....-............ ~..,._.-rCootr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ""film CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 11.oD I~ ~"..~~ ~-A OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION "6I(fINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL )'.MECH FINAL DATE TIME (, -1-0 l.( '7:00 A-tL\.. (-I"AI o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~t::t...J1"""~Q:'" )' "'"",,'<M (l ~o(l . ~~ta\J.~o..{ ~\uz.. FivuJ ~,..~ "1A~Ai"-y\~",,, c:y....lI . ~t:-~ ~ oil b'l-P ~;I ...hD^.... ~ . 6":'-'1. .j..j~ c::m~l1"""'" [)I'IW QU' D~ C;. F:"l. t'a.rh' p..lq_ ND ,,\L...~ ~vl;", k-lISr"'\. O'f-~. .i gu~~~ lv'tl"<>.D..L: Q>>N_IUO~" ~ml........l +,., 'i:'t-.o ;-v.rN}",~ 0,.). tlM.f"""""" c;,. <'.~ .~;\ 1.l\r-l'ic ~.;N).,Q b~~ T~ Q...~O h. ~-l-7CtOV D..,'lul c.~nL. ( ~ q5Z-~O-~3'7 ~,.~ tV'~ """"" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS )(170 ( 3. 1J...~ I' ....0& OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o )lIS1fLA TION ~ ~!~~L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE TIME 't-Z4-oj ru ~ - l S@d o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~L.- \ (\' (l\ C)~, ~ l (~")L--it_o -\ \ P_, ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE@.'CALLFORREINSPECTIONBEFORECOVERING Inspector: Owner/Contr: CALL 44 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ,NSNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!