HomeMy WebLinkAboutBuilding Permit 03-1461
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
(please ~ or 'Orint and sim at bottom)
. ADDRESS
/ .5 31./ 7 :Je f f' -ds;. fb s~
I.White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/6 ' vI. 0 J
I PERMIT NO. oj "'f~/
LEGAL DESCRIPTION (office use only)
LOT.22BLOCK 2. ADDITION R..-etrlD.i (].e e.s f '
(/
OWNER
(Name) .
, (Address)
BUILDER /1 II /1 '/.
(Name) coh~~. c, "7::
(Contact Name) F;dd/ t:::
. (Address) 79;;;'0 ~Ke(),lle
TYPE OF WORK
o Misc.
JIom -e-s'
B/~d
1JNew Construction
DLower Level Finish
ODeck
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
ZONING (offi" use)
"e.(
PID z.G: .JetJ. OlIO, ()
(Phone)
(Phone)
(Phone)
qS,.)-t/ b9- &:700
t.(.2-~75'- 3.2tJ'7
OPorch
ORe-Roofing
ORe-Siding
OAddition
DAlteration
2. 5'1 '1/~
Dutility Connection
I Park Support Fee
I SAC _
I Water Meter (Size~~/~I";
Pressure Reducer
#
#
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 YO_Y_"J and that all construction will conform to all existing state and loca11aws 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
;ter~:ffi.-');J~inspecrions /.209 /D ' 02/--()3
--- rI Signature Contractor's License No. Date
I Permit Valuation
I Pennit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Pennit Fee
I Gas Fireplace Pennit Pee
"
.,,- ~.~ OeO,Do
$ /9(./.7S'
$ '/z/o,N
$ 12. 7.50
$ I
$ lao.(M I
$ lotJ ,()d I
$ jS'-5o
$ *,"0
This Application Becomes Your Building Permit When Approved
~ ~I.-
Building Official
/4j.;l.Tft :1
Date
$
$
$
$
$
$
$
$ I
$ f?'.144-~ f5? I
/J '
I ReceidS4t/ fI"Cfo tll// I
By A/tAA I
rf-
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather II "U
I TOTAL DUE cr'
#
/2.'7'5.00
z'$'",oo
15,00
lzeo, 0 0
7oo.()o
rSt!JtJ, 0 ()
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
isS~ :fJ.:I2.P-) I,,/~r~ 3 /to-&? t:Lf..( ,
Date ~ SpeCial~
24 hour notice for all inspections (951) 447-9850, fax (952) 44'74245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director
/
#
---
I Paid .r"""'-~,l:I~
I Date //. &. ,ul-
Main File
White - Building _
..G,' ',' .: ',~; ::: ~
Pink - Planning
Thr ("fIUrr or "" t.ake ('OUIII",
BUILDING PERMIT APPLICATION OEPARTMENT CHECKLIST
NAME OF APPLICANT
'-
~fJfj ~t?6 f./ TV If{J/-/E;5
,
10, Z/. OJ
APPLICATION RECEIVED
The Building. Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/534-7 Ot::-Ff~EK.-S ;)I'-lSJ'
.
Accepted
)('
......
Accepted With Corrections
Denied
Reviewed By: Mi~ Date: /r!)~ 30"Q3
Comments: ..SaP Rp.verse Side for Additfonallnformatfon!
IY/c,;^ F,'fe
~rvl'<"S I" Ddv~~.,
relJu/r~ Foret 141- ~V~,
C<ee Attl'l~hments' I) Grading 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,"
~~
Main File
~te - Buildilib
Canary - Engineering
Pink - Planning
Th..("..nl..rnflh..I..bCountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t'AJ(j /676 t,/,1'1 HOt16S
APPLICATION RECEIVED /0. Z/ 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53 + 7 crc:Ff7f3K:--S p~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
Jf~
r
'i~ Date: lof~103
aLt~.
Comments:
~
"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,"
Main File
Tht ("tnl., of l"t 1.1.. ('OIlR'!')'
~:'i,,~t:.f;~l(,/_~,' :~~~
BUILDI~G PERMIT APPLiCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1,()/kf'..t7f; ('_I ry IfONE..S
APPLICATION RECEIVED /0, tl. 03
. 'Thl:l Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 534- 7 ::lC:F;:[j::::..S ;//-ISJ
"
iii..:
Accepted
Accepted With Corrections --
.
.
Denied
.ft,
.
(;) . . --1_ ()"
.ReviewedBy: v~ ~'
Comments: 1'JIt.t. :, ~ '3< . .'./ JJ.~ :-
jJ~ o..Lf ~.,:-+r;~
~.P~:~,~, 3D'~. ~t-t1-d..,
+c OHwL. ~ ',.,~ A.A,___A:tz:'_.s.
Date: /tJk8/o'S
, ,
AdM d4~.
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,"
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R-1 or R-2 Districts
ReviewedbY:~16 Gor Date: 10/2.8103
Building Permit It. PID:
Address: /5353 /5351 JS3'11 153'{7 ().LU.'
't..'l. 'Z..3 I .I I 7' ,,...-
Legal: L "l..~;Zb, B z.. Subdivision: lZECEtA..L.. ~ ~
Zoning:
P-....
Existing Structure? YES @
Existing Nonconforming Structure? YES@
CONFORMS TO ZONING
ORDINANCE
, Yard Setbacks: NA I FAILSkoMPLlES~
I. Front Yard (can be 20' if aVQ. w/in 150')
I" Side Yard
I .
Sidewall exceeding 50' requires additional side 2"
setoack for every l' over 50' 10nQ
I. Rear Yard
. Patio Door: make certain that a future deck meets
minimum required setback
" From 100 year flood elevation ofwetland/NURP
pond
" From OHW (Prior or Spring Lake)
, Floor Area Ratio: NA I FAILS k.COMPL~
I Yard Encroachments: NA I FAILS@'MPL~
'I Eaves and Gutters no more than 2 feet in width ~nd no
closer than 5 feet to a lot line (Easements),
lAIC and other equipment cannot encroach on interior
side yards.
I Tree Preservation:fN~ FAILS I COMPLIES
I. Total caliper inches
I. Can remove 25% of totai
I" Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:lTEMPLA TEIBLDGLIST.DOC
YES
Standard
25'
10'/
25' if abuttinQ a street
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50"
.30 Maximum
Standard
Standard
%:1
NO
Proposed ~
2.,$' - (2., o. \14. L.('~E
W, - Z5.D" f>~ ~.
201 -{b ~&.f~
.30. I ' iz, /ohl L,.. I
I
30.,' +a H1.JL]
NO
I'l" .
I PiRr fI<flP~
Proposed
Nc:l~e:
~0,..J~
Proposed
=
2003 6:12PM
GENZ RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
No.9708
P. 10/13
Date Rec'd
.:,
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- .
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~.
~.
~""'!'P." or= and si~ .. bOtlllm)
ADDRESS
16J41 \.lpff--&~ {hS6
., ,
~....i;:/~f
,i, ...y~.~;, I PERMJ.?' NiiL..~ ~ _ I' r.... J L1 I
""- AppIIr:Mlt t '."~., ~ v '7t q
- ~
ZONJNG (ofiice:.i.) ,
..' ",
-:' ~
,..-::,
LEGAL DESCRlPTION (ollle. we ollly)
LOT~ BLOCK ~ ADDmON
/2p.tJ rJ.... (l hcr+
[) ,
g;:~~1ebJ-e (!iJtj. i~!J\ 1V1r',
(Address) 1 q W l aJ.r Ai 11/ ~ .01 ltId. I 14 i4' 1/ II If
1J;;;~~ (1f:nl-- Y?UiJL1,
(Address) JL/145 ~\ Y<b k?fjQj-IO) ,
(Addrw) . "I
(Contact Person) fl1;0rJ'ji._Iid{J
. APPLICANT SIGNATUlUl ..JJ1.//:;)-;) "il.l/4 DATH
'.: APPLlCANT PLEASE COMl'LETE BELOW
... ..KJ.NEW CONSTRUCTION 0 REPLACEMENT 0 AL 1ERA nONS
FURNACE MAKE AND MODEL ~fI~- 7'7 FUEL V1Wi;"6~
FLUE SIZE RETURN OPENINGS X' lNPUT 7? .860 OUTPUT ltf1, BeD
. .
TYPE OF SYSTEM HEATING OR POWER PLANl'
~ann Ail' Plants 0 Steam
-1JOravilY 0 Hot Waur
o MechanIcal 0 Radiation
~r Conditionmg 0 Special Devices
OVent, System 0 Other Devices
PID
(phone) qt)j.- L{ I1q -( (}tlfJD
fh n n9J2/t./
(Phone) (61-4a--3- !!L/L(
~kh1f))A)/l* ' m n "7 i..j~
(City) (Zip Code)
(Phone) (Or:; I - L/;;J-3- II lj(J
11-/[)-06
PLEASE NOTE:
Air Conditloner UnIts
Catlllot Encroach into
Required Side Yard
Setbacks
fIREPLACE MAKE AND MODEL
FEE SCHEDULE
IndustrIal. CommerClal 8< Mulll-Famdy 1% o(Job eost Residential. Oas Fllepla~
$39.50 minimuDl
Residennal, Heanng 8< NC (New ConstNctlon) $9950 Residential, Addition. 8< AlteratIons
Residential, Heating Only (New Construction) $64.50 Rosidential. AC Only
$39 SO
$39 SO
$39 SO
HEATING PERMIT FEE .$
STATE SURCHARGE.$ .50
TOTAL PElUWT FEE S
PAID WITH
eUILDING PERMIT
Esllmated Cost $ Bwlding PO/1tlll #
., U" Only)
Jis Applltl\tion Betomes Your Building Permit When Approved
DlIe
l!m"~ I~J \~ !I Ij! f~
11!"'l'Jwu\:J~
,L
'\~ NOV 1 2 2003
cetptNo,
I
tl"1
BUilding Officia'
y ,
WW
24 bour notice for an inapection, (9S) 441.98;0, fax (952) 441-4245
By
.
Nav.10.2003 6:11PMGENZ RVAN PLUMBING AND HEATING-
N0.9708 P. 2/13
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'.
"l~~ .
-.
.,
-- f
~ '. ,..
;~~j:!
~..-
.. ~/ ~.
i ~ ~~ I PERMJT NO--:f> -11// J~)
.1. Gold Applic.am I~ UJ,
t?lcl.$C JYRc at nnnt md. sill!n It bottOm)
I ADDRESS
16341 Je-ffees p(t~
ZONING (olfi"",,)
.'
:-
LEGAL DESCRJPTlON (oJIi<e use OJlly)
LOT P-BLOCK 1- ADDITION VJ..M.a1 Ci2tst
PID
: OWNERn~II""",. r'11.11 i-h,..^_ ' 11
(Name) lV. rc.ur0 L- j ~ IUyV\e~ I VlO. , (phone) Qt:J2-L1latj-laCiW
(AddteSS):J3W LaJ:eVIII-G 13Lvd.. LtlJi&\f!l/-t, I l1JlJ - i.--f:-,l)4lf.
(Add=,) . (eim (Zip Code)
Al'PLICANT fJu,11Y1 _ If) Ii fl II -'J LJ" i, f
(Name> U~) (phone) (pI/] - "2-3 -lllJl...../
(Addtess) it-ilL/I::) S. ~,1)1uJet ittzl, I 'k!JJYYVlO/I'l1f /lVJV1 ~
(Addie..) . (City) (Zip Code)
CS;,onractPerSOll) OJ1teiSti.1l1Ll\ _ ~ (phone) ((}V; f -Lf2;~ -IIL{-'-/
,. 'LICANT SIGNATURE -l1TiH;t) --W //.7 DATE -11l.Jn1{)rJ.,
~;..-
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 feel
Clean out (if required) located at feet from structure,
feet,
o Cast Iron
FEE SCHEDULE
ResldentjaJ sewer and water blle eonnectIon $35,50 IndustriaJ, Com'l &: Multi-family 10/0 of job cost with a $39.50 minimum
Sewer connection only $17..50 Waler connection only $17.50
Estlmated Cost $
Building Permit #
SEWER AND WATER PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WIn;
BiJILi)/NG PERMIT'
(omce Un O.ly)
Thi. Application Becomes Your Building Permit When Approved .\~~.. [" - r~ \in Ie: \ eceipt No,
iD'!'t(\~ ~U~t1,
Building OflldaJ Dal< ut t . , \ rr
24 hour .otic. for all i.,pocti... (952) 447_98f'~" (952) 447-4145
\3y__.,.
_ ~", ~ . ". ....."" ,(\.. v........,...." oj
'-.. I vI' {I\.l.,..l\ L..'\J\L;.
'4WVV.
~
/O~~>-
I:. (.,
- \ -
" ..
"'t/<fIrlI'O't"
Date Ree'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
({'Ie,,,, tY'P:! or OMt md siLa ltbonttml
ADDRESS
I J0L(7 ~ /?6./.YJ
J
I LEGAL DESCR.IP110N (olll<< u" only)
I LOrcXl-aLOCi< 9--. ADDITION f<..e c; & ~
I OWNER
I (Name)
i
, (AddleS')
I
~~J2~~
79:J..o :L.-~ ~(()J
(Adel,tu)
APPLlCAm-,
(Namt\ lSGr\,\J'L;= ><Cuv~
(Address) "D~(S W (~ S-tY~
(Addl"')
. (Contact Perl on) S Cf-r.<..~ s: L ' /Y\~ ,
i APPLlCANTSrONATVRE ~~, ~~
{
; ~=. ~i'~ I PERMIT NO,....., _jqr fi
l.0.I4 ol.,tlWll .~ ~f~
ZONING lo~-
PID
(Phone)
Lake~
(ellY)
q~ l-'1C.q-~9ao
,flIfJ "" '::,o'tl{
(Zlo CocI.I) ,
(Phone) S07-'7,-(Y'- 6~~,-~
L,~-::,--d' d...k s-SOVc:..
(City) IZlpCo<lc)
(phone) r;;; C) "7 -- { YCf - ~ -.s, <;, ,,-..
DATI! ..L~~ '-/'-0'3 _
I
I
I
APPLICANT PLEASE COMPLETE BELOW
Size of W&t.r so!'Vice I inchos.
Location ofanycoup1iJigs from strUcture .-:-' . feel.
Type of sewer pipe. ,0 ABC [2!PVC 0 Cut Iron
Estimated lenith of sewer line ~feet.
Clell1l out (if required) located al _ feet from structure,
FEE SCHEDULE
Re,idential ..w.t and wiler line oOMeetlon $3$.50 Industrill, Com'l '" Multi.family 10/, of job cost with I $39.50 minimum
s.,wercunnection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit N......
SEWER AND WATER PERMIT FEl!
STATB SURCHARGE
TOTAL PERMIT FEE
(Orner Cat Only)
"
Till. Appllcltion Be.ome. Your Bulldln. Parmlt Whl' Appro,'cd
8ulldlalom.11
Dlt( ,__
\ .,-< ,-'~
$
$
$
. PAID WITH
:sclil.lILDING P"''''
I:~MIT
'\:''j/? ~ rc: r ',\:1 rr; -.:!\
. ~I\r'iks (sJ b U U d 1 ecelpt No.
, II p""OV 1 2 ZUll::! lu -
I
~I
l4Ji.., n'lle~r~iiJf In.pi<tio~. ('5:) m ~~o, ru (952) U'''l45
. ..
~
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.'
Nov.10.2003 6:12PM
GENZ RVAN PLUMBING AND HEATING
N0.9703 P. 6/13
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'.
"1~
.f '
.~
, ~
. ~... ,~.-i
.,.;,~.:~
-~-~.~
i ~ ~,j~ I PE~.l'i~g;-;."l"./ / U . J
J, Y~a"" "ppJ--. .l.....-j; l-) 1-4.1z~ ~
f!'lcase!'I:Pe or OM' and SUln ..bottom)
I ADDRESS
lY);?).J1 < le-fft/JfJJ
-.
"t.
ZONJNG (oftloeU3e)
p(J~S
'!~
LEGAL DESClUPTION (office use only)
LOT12BLOCK ~ ADDITION
r2J-@-al ~
~~~~I.f~/J CdLj ~j Lhf.
(Address) 1 q ')0 1 fllfJ/ i 1111 1%1 Vd" Lal$l J (-f
~~~ fl:1fY1l-- ~1i1J/ (phone) 110/- Lfn- I/~Lf
(Address) jY7L[S' .$. Jeobt~ T~, t2..0UYrliWrJllJ, h1 VI ":?SD&'8
(Address) f'.., (City) (Zip Code)
(Coood ,_ 0 Jl/1f)<S Ii mt,~ (Phone) tP51- L-i z.3-11 Lf l{
'''''PUCANTSIGNATtJ'RE (I) 1.1_ ~\/7 DATE /;/;O/IJ(A
. - , I
PID
(phone) V{ tJ2-,Lf {fCJ -1.d1 DD
VV7n q]JJe{
Quantity
:;{
I
I
':.:
- I
I'
I
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity
Bath Tub with or without shower Rough-ins
I Dishwasher , Water Heater
j Floor Drain /Lr I Water Soflner
Lavatory (l3athroom Sink) I Stand Pipe (Washing Machme)
i Laundry Tray (lor 2 compartment sink: ' Sewage Ejector
I Shower Stall Backflow Assembly
Sinks BacldJow Assembly Test
,I Bar Sink I Lawn Sprinkler
i Water Closet (Toilet) Other
Type of Fixture
I
I
I
I
I
I
1
I
I
I
'~,...'
, ~,
FEE SCHEDULE
Indusmal, Commercial &; Mulll-fanuly 1% of Job cosl WIth. $39 SO minimum R.es.dennaJ. New One & Two-Family $99,,50
~sidential, Additions & Altorations $39,50
PLU1'vlBING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
au PAID WITH
lLDING PERM/'!
Estimated Cost $
Bwlding PeJ:tl11t #
(Office Un Only)
I ~"'is Application BecDm.. Your Building Permit When ApprDved
Buildloic omci.tl
D...
I ;rIA ~ lb l2 U ill ~ ~Cq,tNO
I I~' NOV 1 2 200311~
I
rr
'.
24 hour notl.. for .U inspect;oru (952) 447-9851 sf (952) 447-4245
~
,
---
PRIOR LAKE DEPARTMENT 0
BUILDING AND INSPECT
INSPECTION RECORD
SITE ADDRESS f"S3"i'l .:re-rtac."-S. ~~~S
NATURE OF WORK O~
USE OF BUILDING . F:. .
PERMIT NO. ~3"" /4h / DATE ISSUED ~ 01
CONTRACTOR ~W ~ PHONE. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT, IS BY SEPARATE DOCUMENT 17, .rJ '1 _ ~
~, ' INSPECTOR 1./-ei,K... J ~ (Pr> 'i-{
I FOOTING Ut.1tIVV Yf1"I~ ('~~"'tH ~ I ~ I
I FOUNDATION (Prior to Backfill) 1./1/* fll; I U'.? I
PLACE NO CONCRETE UNTIL ABOVE' HAS BEEN SIGNED
ROUGH - INS
4 ...J c If II
~)17\
~ ~U--
..
SEWER I WATER I SEPTIC
FRAMING vJ lC--
INSULATION
ELECTRICAL
PLUMBING ~ ~~ ~ /J:I ':::?-y'
HEATING (if reqUired) ~,~ t 3 ( tB'f
FIREPLACE ~ ~ /;;--lld{
GAS LINE AIR TEST \--~ frf r < -,/ ~c.7 '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
c6el1~O FINALS
GRADING (Prior to Soddihg) A . jf ~
BUILDING ~J.. ~'(-O~ '.~h /It)
ELECTRICAL ~ J}\!V"
PLUMBING
HEATING
DO NOT
IZ-Z-
~(./
/
;!lJj;
/ /
(f'~?;) /1-15
OCCUPY UNTIL ABO*~AS 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.
FOR ALL INSPECTIONS (952) 447-9850
,.;-
dtntintab of Q1)ttupantl1
CITY OF PRIOR LAKE
~tpurfmtut Df ~uilMug JfusfltdiDU
AFinal 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
SINGLE FAMILY
Bldg. Pennit No. 03-1461
Occupancy Type R3
Type Construction VN
Fire Zone N/A
_ Zoning District
R1
Legal Description L22. B2, REGAL CREST
OwnernfBuilding Site Address 15347 JEFFERS PASS
Contractor.sName&Addres.c.OLLEGE C~ )lOMES, 7920 LAKEVILLE BLVD,. LAKEVILLE 550!>4
ROBERT D, HUTCHINS I ) {-I ,City Planner_ DON RYE
Building Official '<ly
Date:
Date:
"'.....
J
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J:iJM"
ADDRESS -.J!;' 3lf 7 Ie.(wJ It.s.s
OWNER CONTR. rd~ c.;-/.y ~
PHONE NO. PERMIT NO. (}3-JI"1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....FINAL
"'0 "'!lITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Cld"" EXlGRADlFILLING
- a'li:OMPLAINT
o FIREPLACE RI
~FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I S"3lf 7 - 6rrv4- e~
- ({,,~~,,'Ol(.
-1Sill - G.r..{.< - (? K-
C",b &,,c- oK-
'&"35"/ - br..,k, I9t
~ lIb &f.-I? (,
JslS:~ -
GluM - f)~
wil.:, ~ 'fJJ(.
S.?r
"'WORK SATISFACTORY, PROCEED
rD~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~"~ -,~
Owner/Contr:
CALL 0&47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCl;,
CODE REQUIREMENTS ARE FOR fOUR PERSONAL HEALTH" &tFETfI
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
h ---J~rr- - - t"l
ADDRESS tt;'l,(/., ...~~ ""'o.~Cl
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o J.llSULA TlON
,I!I1=INAL
o SITE INSPECTION
COMMENTS:
I. Q..... ~ lc'\r..u 0 -
't'~
"....
1~~
V
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIllE
~~
:? -It{ ~ I
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~ 4'((.2 -")"10
~
L ~-[ t~
~RKSATISFACTDRY. PROCEED
CORRE CTION AND PROCEED
o COR CT RK, LL FOR REINSPECTlON BEFORE COVERING
OwnerlConlr:
CA . .uto'FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CO~U/REMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
....."
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS J ~:!. tj'! .It\i~
OWNER CONTR.
PHONE NO, PERMIT NO. S
o FOOTING o PLUMBING RI
o FOUNDATION o MECH R1
o FRAMING o WA HOOKUP
o INSULATION 0 R HOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION o MECH FINAL
CONWIENTS:
~~:t\^~~~
I t'4vr -
/C/ (, I
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORR 'T ACTION AND PROCEED
o COR r- WORK, CALL FOR REINSPECTION BEFORE COVERING
/)
Owner/Contr:
CA USSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
:..../
CODE REQUIREMENTS ARE FOR YOUR PERSONAl. HEALTH & SAFETYI
IJWiOFl