HomeMy WebLinkAboutBuilding Permit 03-1058
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
~:? '1 U 1-' l)s. L.,,-_ 't--
III Lt.J
LO~LOCK
I
LEGAL DESCRIPTION (office use only)
ADDITION
S-r~dl:...,
c:;;o'
OWNER
(Name)
/h ,f)r,,~JJ CCJ-~"'t-.
(Address)
BUILDER /1 {
(Name) /11 Plr.--JJ CO~""" ~
(Contact Name) -.... t 12 Coo. 11(5 ~
(Address)7(.o< l VJ 1_ ~T' c..v_ S"7,
Date Rec' d
8, I.Q~
1. While File I PERMIT NO I
; ~;;'~w ;~ili"", ~ I' 03' 1058
I [
ZONING (office use)
17UlJ
sc)~
PIDQ5-' 30/}- 05/"'-'0
I
(Phone)~,)~-L: ?.21-? f..o(
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I
(Phone) 9$'~-l.t ~..J - ?" C>(
(Phone)~9"~ .~~~'-<-r 1I
s:'S- r.::J L{
Ai'v7'-c. .dL A.
i:/
~ew Construction A,Deck ~orch ORe-Roofing I JRe-Siding
~ower Level Finish A;j Fireplace DAddition DAI'f:ation ' ~tility Connection
o Misc. PROJECT COST IV ALUE (excluding land) $." ~ L.,/ ( ( 99-
. (/ I
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. '!\usa cerl".fy 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 an~m p 'oceed 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 nero rty to perform needed inspections.
TYPE OF WORK
x
V.
I Permit Valuation
I Permit Fee
1 Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
3 '14 000
$ d~(oO, IS
$ I 5 B 4, I 0 1
$ ,.7;). - I
$ I
$ /00,- I
$ tOO.- I
$ 8S,S--DI
$ Ut1..--1
This Application Becomes Your Building Permit When Approved
~~
Building Official
~/d3
Date
(?!_0-':-?f_
Contractor'sLicense No.
/'-;- sl-03
I Date
I
~ 6'50.-
~ 1:J-7S--
~ 300.-
~ 70.-
~ /;u)O,-
~ -~o()_ -- I
~ 1.'7GY/--1
~ I
1$ /t),J3fo, 7Sl
I
I Receipt No.
Bv I
I Park Support Fee
I SAC
I Water Meter Size 5/8'f1Y
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE l'A1l.&V .a,t ( , OJ
#
#
..-
#
#
Paid
Date
10, :) ,") h. ~!'J
'5-1':).- ~.-
/ 1___
70-:;//.../
/J
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee( 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 Ce tificate of Occupancy must be
~anningD~~ ~/rl'~t? ~ ~ondit~i~
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245 l
16200 Eagle Creek Avenue Prior Lake, MN 55372
--.----------..-.-... .--.---....- ----,,--- -..."..-- ----~._-_.._~"~._~--- - --'--'~"--'-'--"-'-..~.-
~~
C Wh;t.. ~ BUildiliQ-.:::.
. Canary" I:ngineering
Pink . Planning
The (-tnIPr nf lhr I..k.. ('ounll"l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
)1!tdrJ1talcf ~
x:; t!-cf\3
The Building, Engineering, and Planning Departments have reviewed the build ing permit
application for construction activity which is proposed at:
/f}Jlj(J&J1#/J/ ~
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~,
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,--..
9~)..J Date: rP// / ~ 5
aU ...h~ef7~~' ~~-
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Comments:
. ,
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"The issuance or granting of a permit or approval of plans, specifica :ions and
computations shall not be construed to be a permit for, or an approval of, any liolation of
any of the provisions of this code or of any other ordinance of the jurisdictior. Permits
presuming to give authority to violate or cancel the provisions of this COdll or other
ordinances of the jurisdiction shall not be valid,"
~~
White Building
Canary ,Engineering
ct'ink t Plannmv
Thl' ("('n.t'. nf lhl' 1....(' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
/
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,
,
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( ,//!..=)
/ (.. .~. .'
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The Building, Engineering, and Planning Departments have reviewed the builcling permit
application for construction activity which is proposed at:
'..
~.
Accepted
Accepted With Corrections
.......-
Denied
~ l~ Date: R/;I/os
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TA' ~ t/ U r I ~
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Reviewed By:
Comments: ~
/('
"The issuance or granting of a permit or approval of plans, specifica :ions and
computations shall not be construed to be a permit for, or an approval of, any' iolation of
any of the provisions of this code or of any other ordinance of the jurisdictior, 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
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. Main File
White ' BuildinQ
.~rv "Enaineerl~
Pink ' Planrting
The- ernl!'r or Ihe- l..kiP Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"A'I /
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'II.' I'. (7.//t..C
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il.,"L.-'"f..--(_/
APPLICATION RECEIVED
/?~' {I-C);:::)
The Building, Engineering, and Planning Departments have reviewed the builc ing permit
application for construction activity which is proposed at:
-;j"7- : ( ;' 11'::~'-,"'.,~,'1 '"1 /1 /':1':>' <.;~.::,.:~.;1-,),.,.f<~'7.,'.;.7/~-- L'
///c J..'{//'/,,':L..J."tJ," -,-,'" -..,.:./ __
Accepted
~
Accepted With Corrections
Denied
~~.~'- Date: atlli0
Drivewav Must Have A Concrete Approach
Reviewed By:
Comments:
See Reverse Side for Additional Information!
See Attachrilents: I) Grading Plan, 2) Erosion Control Measur~s
"The issuance' or granting of a permit or approval of plans, specificc tions and
computations shall not be construed to be a permit for, or an approval of, any liolation of
any of the provisions of this code or of any other ordinance of the Jurisdictioll, Permits
presuming to give authority to violate or cancel the provisions of this cod 3 or other
ordinances of the jurisdiction shall not be valid."
I'"''
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please .type or print and si2D. at bottom)
I ADDRESS -
28.57 W/t---OJ L.../JA/t/
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BLOCK
APPLICANT Of J
(Name) ~ '-y)", / .,p) __I< G _
(Address) L.t.J-te I (~ ! ~. <) '+ C I
(A'a'dress)
(Contact Person) (; C'/./ () 1.$0
APPLICANT SIGNATURE ~ ~-
Quantity
,
I
fW-
I
cl-..-
\
I
:<
tJ. Z6. ()J
; ~.::;~ ~::, I PERMIT NP.t}3--/()5-(), I
] Yellow Applicant U
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I ZO;;~~r" "'")
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PID z.5: 3()7. 051.>, U
I
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(Phone) _b / ~ "7 f) .l4<r:
,Li -Pf II V,I) ll.{:1 ,,<)-<- y_
(City) ~ (Zip Code) I
(Phone) c:: /..). 7 6 ) if J5t-
DATE q -r:; ~. rl6 :{
I
(Phone)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of F~xture
I
I
Water Softner I
I Stand Pipe (Washing N1achine)
I Sewage Ejector I
Backflow Assembly I
Backflow Assembly Te~t
Lawn Sprinkler I
Other I
Rough-ins
Water Heater
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Far lily $99.50
Residential, Additions & Alteratic 15 $39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~J-/()5fj . V ^
II) 6,~
~.. r~L'ILA?
Building Permit #
$
$
$ -----
~
IP~
I D~_~CD)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
I Receip1 No.___
)!Itl P /
I By ~
7'
I
- I
SEP.25'2003 16:06 651 633 8884
FIRESIDE CORNER
#3459 !. 003/005
Date Rec'd
CITY OF P:LAKE
REA TING/AJR CONDITI~ J' /FIREPLACE PERMIT
FIRESIDEiw
me"", ~ or min. Ind sip .r bonom)
jADDaESS
2837 Wrr~DS LANE NW
H ~ A t{'J' 1-1. (.,.,J1. U M. J:."
~:~ I PERMlTl'IO. A-/"clS
^"plltllJlf_ ., I -' lj.J
I
ZONING (.m", UIlC)
I.F..GAr. DP.5CRJPTJON (omce u", only)
LOT
BLOCK
ADDmON
PID
OWNER.
(Name MCDONALD CONSTRUCTION
(Add.:ess)
(Phone)
I
I
I
I
6S1.1\33.ZS61 I
I
I
55113_
(Zip Code)
APPUCANT
(Name) o\LLTF.D FTRI'.5URDBA FlllI';'slllE..HEAm:l..s\tJ.!OME
(Phone)
(Address)
2700 NORTl:J FAJRVIEW AVENUE
(,Add",,,)
R.OSEVJLLE
(City)
(Contact Per.ron)
13RENDA HUSTON
APPLICANT SWNATURE
BRENDA HUSTON
(Phone) _651.633.2561
DA1lE Q/2s/h3
APPLICANT PLEASE COMPLETE BELOW I
xO NEW CONSTRUCTION 0 RF-J'I.ACf:.1'vfENT 0 AI.TERATIONi
FURNACE 1'vfAKE AND MODEL FUEl.
FLUE SIZE RETURN OPENINGS INPUT ouiUT
TYPE OF SYSlT:.M BEATING On. POWER PLANT
PllEASE NOTE:
Ai c Conditioner Units
C, Mot Encroach int.o
R(quired Side Yard
S. rbaeks
JWarm Air PI""I'
JGravity
J Mceh~niCllI
JAir Condirjoning
JVenr. System
OSt",,",
o Hot Water
o Rodl.,j.n
o Speci.1 Devices
D OJ.h.r I)..ie","
FIREPLACE MAKE AND MODEL
HEA TN GLO 6000TR-OAK X 2
Induslliel. Commtrcilll & Multi-F.mily
FEE SCHEDULE
J % ~f job eosl Resident,lnJ. G:tS Fitopl'c.
$39.50 minimum
$99.50 Resldenriol. Additions & Alter't.ions
$64.50 Residential, AC Only
$39,50
Residential. Heating & NC (New Consf11JClion)
Re.ldential. Heating Only (New ConS1ruction)
EstlmallXl Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAJ_ PERMIT FEE
Building Pcnn;t #
:I>
:I>
$
,50
$39.50.
l:l A $39.50
'4, ~/D
. 'D/1\I, f19"'L
G ..o~ ,.,
~4f1)'
(omce v.. Only)
DC{ (I :i '10,0',
Tills Applic:ation Bccom",_ V our Building P)lrNU,)lIt'l!IJ ~OTPIJtrn )I01i~Q"d . I Rec1pt No,
~. /Jul/der nivi,,;,," I gaj."" I B I ('
....P lJulldlrllr Of'flt("l) l~a.lrVIi.:w AvenlJe l"onn J'\.(\ltjttlllC, JVlI't JJ I I oJ Cjho~c 5~ I ~(ljj';'-Z5(Jl-P~x--6-SJ ~3r-8~84 f
nUlI,Dl1ru. ;:t.UI,. .)i:'l.JIJ V\'l.:S~ J"JIJ!llway I j J'IJ(n~VJlU::, JVJN J.)jJ' ,"'none 952.890M07S8 f'nx 952-890-54( 6 U
24 hour notic. for., aU,in.ncelinn. 19S'l441'.,llRSO, r.. I.q ~12) 447-424S
www.flrql 1:11........1:<110 1"1" t:l)llrr ..:I;lr J;,;OIl~(l '" Z'/J119f11f1
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~'1ILRJ'~\~~'W~':!
FRGr1 : 8 I NDER HEAT! NG
PHmlE tlO. :
Sep, 16 20'l3 12:44PM P1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please tvDt!. or nnm and sim at bottom)
ADDRESS ZONING (o/Ilawe)
n:. S.....I PERMITINO'3-;o:;&' I
';<<63l
W \' \ d c., L a..1f\ e.. IV lA..J
LEGAL DESCRIPTION (olllce use OIl!y)
LOTS1..BLOCK ( ADDITION S+f"f \ ~ v'l~ ~" + h
OWNER
(Name) m (' i)r" '^ CL\. d Cr--. '" c::. +0 \).f -h' r'\ V\
(Adchess)
A~ r \e
\Jo..\\PtA
I
APPLI~ ,
(Name) ~io(\()\,Q ( \~<(o.:\-i. n~
(Address" ~d;).. \-\Clrv\mClY\ Ave.
(Addre..)
(Contact Person)
APPLICANT SIGNATURE ,
PID
A),
I
(Phone) q:;;J.{ '--f;;::2. -, (,., Cl \
I I
I
<r.s 1- Lj<;. '1 ~<6-' ~ \
r11 N I s:-s- 0."'7 s:::-
I (Zip Cede)
DATE Q, - \ \at <J 3,.
I
(Phone)
S . S, -to fOo..u.-I
(City)
.. (phone)
/t'..../. / P1 A~
.....
APPLICANT PLEASE COMPLETE BELOW
IZlNEW CONS1RUCTION 0 REPLACEMENT 0 AL TERA nON~
FURNACE MAKE AND MODEL COMtt> '( t-mcU:..2 r C C( t'Y\ P D I DO FUEL d a S
(I
FLUE SIZE 5 RETURN OPENINGS
TYPE OF SYSTEM
, ~Wann Air Plants
DOravity
i Meehani..1
Air Conditioning
Vent. SYStem
FIREPLACE MAKE AND MODEL
INPUT I 00, et::::f:)
.. lJEAJ1NG OR POWER PLANT
DStcam
DHoIWatJ::r
D Radiation
D Special Device.
D Other Devices
01UT 100, a:::o
PT,EASE NOTE:
A r Conditioner Units.
CI Mot Encroach into
RJ quired Side Yard
Sf>aclcs
I
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum ' ..-. 0'- "."
$99.50 Residential, Additions & Alteration$
$64.50 Residential, AC Only
BuildingPennit #,()'2,- \C>S<3 ..'f1 "
~ .50 ~~~~Ii
S .) CPQ~.
~.Jrn ~ J: ~I ill ~ rilP:Cejpt No,
, II', I r
mat~EP 1 8 2003 I, ~y I I{
24 hour not;'. for AUlnspe.tions (952) 447-! ~?, Fax (952) 447-4245 ...:
I.nduslrial. Commercial &: Multi-Family
Rc:sidential, Heating & Ale (New ConStruction)
Residential. Heating Only (New ConstnlClion)
Estimated Cost $
S39,SO
S39.S0
S39,SO
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Us. Only)
This Application Becomes Your Building Permit When Approved
Bul1ding orn~ial
Date
01/14/2004 05:18
9528815975
BOB JECHE
PAGE 01
,.
CITY OF PRIOI~ LAKE
SF.;WER ANO WATER PERMIT
Date Rec'd
(PleJ.,t: !(I)e or Print a.nd s:ig!! .'Ii! bottom\
ADDRESS --=
J.)( ~1 f1 UWlL._wl W_~"_
/ 0-, ..,/, I PERMl
, YoU- 0, T NO"",OZ IA-.J.
J(Jold^ppJt~lnl ~
~ONING (olli" use) )
--"---
LEGAL DESCRIPnON (offic' u;;;;;-- --.--.-.-----
LOTbl9BLOCl<~~~lT!ON i) ht1 ; ~ ~ fJ,
~':e~~ (\6Ud-~~~_i1_...
PIP
(Phone)
(Addrcs>) __
T^Jd;;~-;)-"-'_._-"-_._~"---
-------___ _~Cjf~:1____~~~~=--=..=....(~ ip Code)
APPLlCAN1'-- ~
(Name) J e.e.. Iv.- t.Yf'.
(Address) J3l f) JQ~..1la..~ J ~ _
(Mdt'll)
(Phone)
eJ fJflJ11 ~~fo H
( IIY)
{..;;} '),;J[) 71.LL/o
N AJ 1i.fi '':13/
(l Jp CodC)
(Phone) ---1dtl. 1:;{ b 7.::ii];
1 ~rL.-b'1
DATE
(Contact Pcrson)
APPLICANT SIGNA TURf
-
APPLICANT PLEASE COMPLETE BELOW
Size of water scr;oicc I inchc~.
Location of any couplings from structure 0 feel.
Type of sewer pipe, 0 ARC [J PVC 0 Cast Iron
Estimated length of sewer line '2.0 feet.
Clean out (if required) located;;r- feet from structure,
FEE SCHEDULE
Residential sewer and water IlDe connection $35 SO Indust"al, Com '1 & Multi-family 1 % of job cost with a \ 39.S0 minimum
Sewer connection only $17.50 Water connection only $11.50
Estimated Cost $ ~.11 Building Permit #
SEWER ANI) WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT HF; $
PAID WITH
BWL~G PERM' r
(Office Uu Onl)')
Thi9 Application Bec:om~5 Your Building Permil When Apprnved I Paid
, Receipt No.
auilcJinl/; 00'1(:.11
f~p.ie-
),e11404
By
24 hour Ilotil' for.1I '"pHllon. (')~11447-9RSO. fax (95:l),447-4145
PRIOR LAKE
INSPECTION RECORD
~, /..IvJE JJ.IA.J.
NATURE OF WORK AJelAJ ST~/tJ" I
USE OF BUILDING .'. I
PERMIT NO. 0 --1056 DATE ISSUED t:Ji, .1,'1 I
CONTRACTOR ~ ~, P~~601
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONfiELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
OAT~
I FOOTING / /M. ~~
I FOUNDATION (Prior to Backfill) I IIW I ~-'fh:r3:>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG~IED
ROUGH - INS
SEWER I WATER I SEPTIC Y/I(/ ~ /).{J- fI3,
FRAMING U ~ jr/) .-7 ;;t~<p I
INSULATION Yvr /' Jb-ul-0
ELECTRICAL I
PLUMBING ~ q?~M
HEATING (if required) n _ . /O''''''''c () I
FIREPLACE _ we 0"'6 /0- ("d- I
GAS LINE AIR TEST Ff/ i/'Ij ~~ ~ I
. COYER NO WORK VNTILABOVE HAS BEEN SIGNE~
I!H!.lF /4 'I. ~ I Vvj-z ~
, \ FINALS I
GRADING (Prior to Sodding) I ).)6 to,/' 04-,0 . I
BUILDING("jJ- f" g;,~ov 1M II/) 8-L\/ I
ELECTRICAL !. "" ,.., , I
PLUMBING / r A / <'0-- I
HEATING ff'; J - 1"5 I
DO NOT occurjv UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspe :tions
and maintained until all inspections have been approved, On buildings and adc itions
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
-.--......-.--....-r-.."
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 1<' - S -07 2. : 1"1
ADDRESS ;;;lE';37
w,lk L<A
OWNER
CONTR.
PHONE NO.
PERMIT NO.
$"- /050
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;Iii( PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I, l~a.f;V ~r 1"'1 -I [)
'15'-
l{ql-cr~9~
7, r:: I hoP. U. I.ew... ~
~,~~~
\'
~K SATISFACTORY, PROCEED
CORREC ACTION AND PROCEED
o RRE T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ) Owner/Contr:
7-9~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"-t----
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETYI
ulSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 28 -3 '7
LJ,IJ-.'\
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...a1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
OA TE TIME
I-i J-D'!
/
LYi,
?-IA~fL.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I, M /l "IA>~ lJ-o~ilCA-,...
2 _ h'~ t::,}fi<~L-- j ~Il
,), <" ar.J ..f I 'H.c...J
li, 6{oucT~ SJ-tt' ~~~{\~
,H ru- 0 -1.;,
~
f~,,-}~ ~ ./I
I ._ -I
-~ - 10 ---;
IJ -!\~ Y
r~~_J- ~ -r- ~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
f'.. CORRErp)K, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: \ I I Owner/Contr:
CALL\!7At~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~Q~/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN!NOT1
DATE TIlle:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/0-1 tJI,;{
ADDRESS
21<37
tAl. '1r1.5 Ln.
I11t-Do$kI
PERMIT NO, f) _~ - PSg
CONlR,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.)(.fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Jl4xt~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
C\JI~ &I- -/!tJ{
V WORK SATISFACTORY, PROCEED
'o\:ORRECT 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
oaNOn
QIttfifitaft of OOttupautl,!
CITY OF PRIOR LAKE
@.t}lllrtmeut of ~uilbiug Jjuspedhm
;1 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:
Type Construction _ VN
Fire Zone
Bldg. Pennit No.
N/A
03-1058
Zoning District _ PUD
Use Classification
Occupancy Type _ R3
Legal Descriptior L55,
SINGLE FAMILY
B1, STERLING SOUTH
Owner of Building.
Contractor's Name & Af~ss MCDONALD C~~,
ROBER~. HUTCHINS / r/ '/
..)~i. 'hUng Official l/ f
Date: ,0 Z lj_..
SiteAddress 283fWILDS LAbjE"N.W.
7601 145TH ST, W" APPLE VALLEY 55124
DON RYE
City Plannp-r
Date: