HomeMy WebLinkAboutBuilding Permit 03-0144
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tv.P.e or print and sUm. at bottom)
I ADDRESS
16~~7 lcl?IbDuc...l( "aA~L
'N.W
. LEGAL DESCRIPTION (ollice use only)
LOT IZ BLOCK r ADDITION
OWNER 11 ._-'
(Name) f/l!tyq/iJt)~
(Address) /f'> J va
. BUILDER
(Nl',lIle)
(Cpntact Name)
(Address)
TYPE OF WORK
o Misc.
Date Rec'd
1-/1/-03
;~;: ~:~ I PERMIT NO. O'? -0/41 I
3. Yellow Applicant '..J
W; LIJI Jof/fc-'I
PID25....3r~-I/'JO
(D,,1fSf ~ "- T ""'-
V?,c;,;, ~"'< 911"'.J...
~fIle.
,Ji!!!'New Construction
OLower Level Finish
ZONING (office use)
!tel
:# 16 (""
(Phone) o/Sl ~ 1Z."I~')71/
e:1. ~" S~W-
. . .
(Phone)
(Phone)
ODed
ORe-Roofing
OPorch
o Fireplace
OAddition
DAlteration
ORe-Siding
OUtility Connection
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 ......t"....) 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 upop. the ro to perform needed inspections.
x
PROJECT COST IV ALUE (excluding land) $
;;C,I,Ot>D
, ./1 Signature
,
I Permit \ttluation
I PennitFee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
" dUo I. 000, ()fJ
$ / afJ c::;. 3S
$ 1l.."3/.I:J8
$ 130,50
$
$
$
$
$
-
IOO,(JO
!OO.(J{)
~5."SO
.t..kJ. 0 "
This Application Becomes Your Building Permit When Approved
~~~
Building Ollicial
l'OH3
Date
Contractor's License No.
/--/0 "'03
Date
o/Iztl.f
I Park Support Fee
I SAC
I Water Meter Size5/8'@
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUEth/.luL.- ,t~-O~
I Paid Cf'fri-if ' 3~
L Date ') _ J'i:-O ~
$
$
$
$
$
$
$
$
$q,42e.~
: ,_.Mr./
I Receipt No~:;; I 0 ;u I
By ~~ I
#
#
#
#
8St1,oo
1'2..7"5'",Ofl
300. Of)
70.00
'Wo,eD
-7(')0,00
1500.00
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
~ninX~P ~~~3 ..dd ~c:tL~~W
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
~~
White . Building
Cal'!ary . linqln,eering
O'mK - t"lannm9>
Th, ('rnlu of lhr L.llt ('OUIUry
BUILDING PERMIT ~N'fiEPARTMENT CHECKLIST
NAME OF APPLICANT L(jJ'/! in Lc...- (1/). ~.
APPLICATION RECEIVED
'1-:'/I}-.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cpnstrldction activity which is prJo~os~d at:
/ ;.. ~ ..., 7 '..n ./,)./ / I::>
...) j ". !//(7uct.V\.c.. '--..;
Accepted
/
Accepted With Corrections
.
Denied
.
Reviewed By:
~
~
Date: / /~a /tJ 5
Comments:
.
\
\
"The issuance or granting of a permit or ~proval of plans, specifications and
computations shall not be construed~<~e ~mi.rm for, or an approval of, any violation of
any of the provisions of this code or of Mty'o'ffiet rdinance of the jurisdiction. Permits
presuming to give authority to violate or cancel tl:)e provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.. -.. --'
OJ- 0/ tftj
Th~ ('~fll~r of ~ I..k~ eOUn!ry
White . Building
Canary . Engineering
Pink - Planning
NAMEDF ::~:~:TP~J::;:=ST
APPLICATION RECEIVED J- I LJ- a
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c07?;n;c'ity w~;;rd~
Accepted
Denied
r><
Accepted With Corrections
Reviewed By:
1m-13
Date:
J -JZ.!-o)
Comments: . See RAV~ RiN> for Atiditionallnformation!
See Ath.r.hments: l) Grndin& 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."
~1
("White . Bulld~
Canary . I:nglrleering
Pink - Planning
Thlf ("ntfr of lh, L.k, ('OIlnll'}'
NAME OF A::~:::TP~~Mil~RTM~SI
APPLICATION RECEIVED J~ / Lj- a
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c07;c~n ;c'ity w~~~rd~
Accepted
Accepted With Corrections /
Denied
Reviewed By:
~
~~
::1~ jI./
~~-W
Date:
I hOfd3
I
c:sl6-tJ -~ ,
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."
FEB-25-2003 10' 44
CITY OF PRIOR LRKE
9524474245 P.01/01
uale AI!:' g
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
.Jl'IIIIUtI!!..'ill""" """ I!II" "-III)
/6311- V'J~b1L- ~J'
~ $w ~_ I PJ:lW1T NO. "3 -141.f I
I ZONING (O1ll.."..) I
LEOAL OP~MI '""'nON (o/&;... OlIiy)
I.OT BLOCX
Al:lDlTION
PIn
. &~R Jol\i'ls' &\cwor+
(AI1drtIl) _510010 ~L\-\iI /y-I1f. N
lA_l
(phone)
flr,ff-0h rIA
lOwl
1 loY4D!g....leo1(:!;>
M (Ij Ci:F:;i:E'l
(2'.IoCOdIl
APPLlCANT~' cL..,
(Namel J \1''(\ D\U,\j"O(" + (PlIone) lio2J-1.jq 't(~ 110& ~
(Ad4nSl) ..!2.r1l[){O Q!.\-i)l .k\Jf. N C.:\Yten~eAcI. N\N f3=::,?:,r;7
(AdAlnu) (CI!)') (Zl> CadI)
~~~n.:~~~.o~>..~:.U;~-{ \j-{~~hO;~tt l(a~~~~~;~~
~ .
APPLICANT PLEASE COMPLETE BELOW
Sizo of water service inches.
Loc:ation of any couplin&s from SWCtul:t feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cut Iron
Estimated lc:nath of SCWIll' line feet.
Clean out (if required) located at feet from stru.cture.
.
'EE SCHEDULE
lIMi'*>lills.....' and wlllOr line COllll.Gtion /53,.50 Iadllllrlll, Com'l" Mulli.fmnily
Sewer cOIlD.elaOD ollly 0{- . S 17.'0 W.. COIIlIoctiOn. OlIly
Estlm&ll4 Cost $. 85.S 0 Building Permilll
1% of job OOItwilh I S39.'O mJnimUll'l
517.50
SEWER AND WATER PERMIT fEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$ ~
$.,~.~~
to ~~DOb-
Solidi" om'"1
0...
i'lid . &-fJtd A /RDC.1PI No.
011. h"'8-V? l.Iy I}
U.
.
(Onl.. U.. Ooly)
Tills Appllutlon ....0.... Y ODr BulldlDti Permit Wken Approved
14 II..r nttl.. I'or 1I1In.p..II... (9S"l 447-9810. rot (952) 0147-A24e
TOTFiL P.B1
~1Zl'd lljlOl .
.',.. '""{'-:;"
/":~~'"
'~/~'..'
f -,r 1.1' ,-
1- .' ,I ~_
- ~
1- \_L-..:.i ":j
"~...
, . /
\. "', " - //
" '.""'." j
.......-.:.:.---
D",
-',
CITY Or PRIOR L~KE PlC:'-L3L'\'G PER.\IIT
'jlo,..
PER.',Il'l' .'d)3-jLill
:..;.....1 '_.,'t
; "-,1._ I:J"."_
.--
'?':.'~~': ~.~:: .,:, ':1"'":-:' t..":,: j;-=: -Ie :'~r',r,~;
'=;:;;1 /(.tdJ;Jlf /i
.....,----.
..'
~~.:
--
:,;'':-.:'.: : :::':C?"':?770~,i \lJl~=: 'J:': ;~!:;J
<~?~:C"'-"'/'.J,I), i 6O" i.. jJJl9
!""~::::=' ,~fl.( /i 1.i-1 IlO,-
'-:(/'" /H . L . d1 n
,~; .--.. (,,1/) i .YIJorf, Pflh
\" .'--- --..'
:"i...:
:. '.\',::::'
" -.,
......,'-..
, . .....l...:.:';~'.:: ~
.: .:;:~.:...:' ;:-:::,~::,}
.J,.=,c(":"~.::,-:
2~D
= r..: r::.:
1).of l/JriJ(yl::P-
i :~~~::.!
(,l..l..;:-::::';
Cl:s_J-ICJ"- $/). //
, --;/;/',,# JL.
rc:::)
(.:":-:...:r::::
///..,{-'.-,
...-;..,J~ t~...'
(:::: ':.:~~;
l ::~:"'::':~J
hfc,)~ J!..
/) .,'-
" If.._>
II
~?I .
,/ /",A..1./
Jr., ;~/r~
O.:...Ti::
.:.;.:~[,rc.':'.~''T' S;:G;.;.J..T7...,tR.E
I)u~.,r:r:'
';';'
i
I
.J:
/
/
1-.
.I.:
,.....
.~.PPllC.~.'.T PlE.~SE CO,\(PLETE BELOW
Type of fi."Ctur~
8;1::' Tul' ""'trn or wt[!IOL.:~ .ihc\'-'c:::o
D1Sh\"'-ashe:-
I fillar Or:l1l1
J L:t./~to",'l "':1ch~\,l':'l :lH/>:l
I L.1unl:r:' r t'J.y ( t or:' ":Cria:artr.1c:tt :ifn:~
I Shcwc:~ 5c.1I' '
I Sinks
I BOU' Sil'lk
I Vi:t~~Clc$c:t(T"tlc:1
Type nr" E'i~:ur.
Q1I:.lnritv
","'{ -
I
R-,uzn..in::i
;"":tt;~ HC::1te~
i W~re~ :i.:lt.nc:r
I SC.:1nc! P:r:~ ('''\,'~:;,Int;' :"wr;:c!lU'~r.:l
I ::i....v:1:;.. Ej"'~:\lr '
, B:1c:krllJw A:lSc:nbly
'I Bac:ktlolN A:lSembly T cst
, t.:tINl'l Scril'lkler
. i Otl1~;.'
-
,.,)
(
-
..')?'~ fEE :iCaE:DtiLE .i,~,"'':<~.i''J.?fqtJ'''',<l-;''.''': :,',-
In<!a$:;-:~l. Camme:c::LI ~ Multi-(:r.:H~ l~~ O(jQD (;:J:K 'Mit.~'a 5'39.50 minimLli.1, ,"", R.c:sid9;\Ci~._ New Onc.k '....a-F:mi1:' S;9.~O
,',., ."1< ",' -, ,~::"r'-:~.\'i ,-,I. ~':R.=iCc:1ii~ 'AIo!~irions.t ,,'!~Of2$ 'Z9..:'O
, '.' ". . ",.,....'..."~'(!iiif'..'..'~ ." . ..'
~:tm:lCe-..! CiJ::;::S ",;".". '....~"."~, ''',~,r~:8tliIr!in3 P=~it'#' ,',. .,...f!{...,....,.~,..,..."~:t',-..-
. ,.' .""""~_."".......~"""~.....;'.~~.j, ~..... . 'If. ,0", ;-.'.~-
...i";t~1:'~GPER.ttrr.fEE~i!!~~~I~1l"')"'~~"'.PAID'~
"~1::&)1i~~B.~'~~ ~"~::;~;,~'.,;~~t.?:,,:_ S.~/l.D'NG PEFiMrr
....,..~~;...-._.c....,"jl~""- ',"'" '
,omcct:"I;\'Ofll~) . . ": "','J~~ i . .-L'l;~'forJ;J~.!:.'.": ,_!t':I'~~~_1~'''l\'';';,I~'''''-.',\,'''''~(1",,1-''''~;''~~~'' ,< '.
Thi. "pplic~<ion Sccam= Ya~r Buildillv. Pc~ft Wben Approved - ~ . U~ ~ ~ ~::pt t'a.
. . ~ftc MAR 0 7)003 lliflY
. , -,."
,:~ tMur nuoCl:, fQr ~II iupccaarrs,l':::) ....7..~':l: W;_~'('5:) ~7~:.d
.. , ".."..~. '"'. ~",,,,,. "'''' ,-""""."'''''''''< . , .
,- ',:,;>,:,"':}:t:: :";~;;.~~,;: /~J:I_'I~:~fi'.~m~~~~~~;!I:"!3.~~-rl"""'~'~.'"
JNIOJ8NlaWnld^3ll~h ~S:91Zl ~00~-~0-d~W
~1Zl/Z0'cl
..
"'..
.-
--
B...iJdinc ,OITici:t.l
o:&C'c
~
J
------
Ch+.;v:,~li:;1'
" . ", . "j'."i'''', c,>.ot~,,,,:-;,,,....t1,,"',~'~1i'~,':':l''''''
lIEiA~6'7d&1R:i~'",' , ' ,1Y[
': :',: ':', ;:':,:: .':' >~: ,:'::':"~l;..,~,:V';:~\\,;:. ~:';:f:ffl:~:r1}~'r,1,~::;::.Fj.~:.';~:>:":,,~\~tf~::lf:r '
i~~~~~~~'1~ti~R'1iP!jl,.rK~\~:~,~1
"
(PlciiUl:: me or orint and. $if'J:l at bomJlSl)
I A}~~3:~S I
; ~~ ~:~ I PERMIT NO. 3 -/L-Il( I.
i. Y~lkJw At.phtolllt
/"1 ,hpd. ji~!.I cf::
I," ,
IV i{ )
Pr /()'r~' ! f? U IU Jr!
I ZONING (offioo OK)
LEGAL DESCRIPtION (otlice use only)
,LOT
BLOCK
ADDlTJON
PID
~~}~/!e f'r t1n2)tfr;~02S t::.
"''',i"'."''''',,,,:<..
'(A<:ldte;1yJ! D-J,i~!() Vi kJih4'JDt
d "
APPLICANT, f
(Name) ~,/).rp"{"r ki't:t.!-uUc. de-
(Address1, ,}1..K;6~, J! <, l' A~Ue-' IV
(Contact Person) Kft;./!?
l fie.
..S~1..Lif: llt5
rfd.l./,'
(Phone) qr)-:A/,lJ1"-171 I
t", .
1/ ,.1/ . v?,; . , fi I
, I l.,l..{.d .-c.... IIA/(IJ.
'APPUCANT SIGNATURE
(Address)
;.} f...tCJ) i/<:;f C
r' .
i/l.u\. Ltti'11;2.f\.,
fl/I.'~
Pltwn 0\,\...+11
,)
(Phone)
J.-.U'\
.
.) if ?}i7 3 p.{}ip'j
D?'--#-t7
(City) (Zip Code)
(Phone) ?(/) 3/ d73:i^()(p 7
DATE
APPLICANT PLEASE CQMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERA,!!ONS
FURNACE MAKE AND MODEL f'f.:.(t'i!J"MVH iDb'q;;?o ft;.miI'tre.o,o..jrfWEI. Ita.t eiM
FLUE SIZE .3'" RE-roRj{hPENfl'i<3S fl'iPUT IIJ.O,OO/)fl;jl/ OUTPUT tJ;,J'QC)
TYPE OF SYSTEM HEATING OR powEi~r:;Affi "
lZf'Warm Air \>1""", 0 Steam
DOtavity 0 Hot Wate,
~echaniCal 0 Radiation
. . Air Conditionin;-' 0 Specia1 Devi(;~o;
Vent, System 0 Other Devie", _
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach imo
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commcrt::ial &. Multi-Family
FEESCffEDULE
1 % of.iob cost Res(dcnlial,'q.., Firtplacc
$39,50 mmimum
$99.50 Residenlial. Additions & Alterations
$64.50 Residential, AC Only
$39,50
ReSIdential, Healing & AlC (New ConstnlClion)
ResJdential, Heating Only (New Con,1rUcrioll)
$39.50
S39.50
Estimated Cost $
Building Permit 11
ilEA TING I'ERMTT FEE
STATE SURCHARGE
'faTAL PERMIT FEE
$
$---,.
$
.50
PAID WI
BUILDING 1H
PERMIT
'omtl: \Isc Only)
This Application Becomes Your Building Permit When Approved r! @ ~ 0 IJJ ~U"".IPt No I
d - '-
ll"i1d;.~Qmci.1 n;te 1.1 ~teMAR ?UQ01, ~___.~._..-1
24 hour l1()ti,,'e fQr all ihSptction5 (952) 447-9 ~ , la:~ {'J52) 4474245 -------r
By
,jb6, : 80 E00C: 0C: . Jew
S9S8ELpC:,9
'ON 3NOHd
J"~ pue 6ul.eaH d3a~S WOd~
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~ ~ ~:~ I PERMIT NO. .'J -1'" i
3. V,\lD* Appl1a1lt . _ p) '-f '-f
,Please: t'JE.e or "riDe: and. si2D. at bottom)
ADDRESS
lS3~1""j W~ T..IV'"'" ()
ZONING (offie. .'e)
LEGAL DESCRIPTION (office we only)
LOT
BLOCK
ADDITION
PID
OWNER. ' r.
(Name)'1. )SLQ^~,^~Q ,. \. ~^--'.~ (Phone)a.s~ ~q-JII J
..
(Address) In::'<...\D I J.:.Je...".n....,... GA....1:l ICJ....'\ ,~-"""' ;p--^~ r>;I'> CSS3L/Y
(J .
APPLI~'IT .
(Name} .~h1:nmn.b.A- r"'{"\ft..O.,a~ f'rcn..:, 4- ~:.C.o~ (Phone) ;"')(,,3-315-7500
(Address)C\:)\O Ul.fC:'YT\1Y\.~ tiJ>e.IJ. (l-lll..n.-:k~~H::,..Jt IY1n S''':;Li'-IC:;
, .,' i)'ddr""')' 0 (City) (Zip Codo)
(Contact Person) -k r-'i,--U. . (Phone) '/0;3-3IS-7S/G:.
APPLICANT SIGNATURE '7f:u'?J Jj/'rt'?\_IL7?-'Cl'~ DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~EL
FLUE SIZE REnJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
.. OWann Air PlantS 0 Steam
OGravicy 0 Hot Wlter
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVenL System 0 Other Dcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL -J'Y1 "-1,'0";, n V 3(,.,()R..h-..J
v
Industrial. Commercial &: Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
539.50 minimum
599.50 Residential, Additions &: Alterations
564.50 Residential, AC Only
S39.50
Residential, Heating & NC (New ConstrUction)
Residential. Heating Only (New ConstrUction)
$39.50
$39.50
Estimated CoSt S
Building Pennit #
Dullding omclol
PAlb WI?u
eUILDING P ."
ERMIi
~3rc;~nm~~No
i ~^' 2 i 1003 t ~. ( I'
24 hour notice for .11 in,pectlon. (952) 447_~1I, " . .
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
om" u.. Only)
This Application Becomes Your Building Permit When Approved
Dllt~
,
ZOO~
...:..--- ----'-
J31UIHd 3~VHV~ JIIVWO~1V ZOLOSICZ19 XVd SS:Ol
CO/H/CO
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS IS 3;\ 1----.W ot:JCldULJ( r"..
NATURE OF WORK ~
USE OF BUILDING ..$ 1= D
PERMIT NO. D ~~~ji- DATEjSSUED J I~. 'I'
CONTRACTOR ~-U r'~~E ..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARAT~ DOCUMENT
I FOOTING ve. It '7JloA, 2J-lOf DATE
I FOUNDATION (Prior to Backfill) I "" I 2.---> J~
PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER 1 WATER 1 SEPTIC ~ -<~~
FRAMING ;{J t/!; 'J - 2S
INSULATION RA> t-/.:../
ELECTRICAL
PLUMBING
H~ATING (If required)
FIREPLACE
GAS LINE AIR TEST
II
pf5
p~
/l{t
?-?~--
3--Q$
3-~
~"!-'J.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
j ~7lJeaJ iCULTQ~.J) S7la.JE ,;V( I ~"r77
, FINALS
GRADING (PriQf to SOddin~ Jig
BUILDING /I-wvvt ~ ~~ ~
ELECTRICAL' U ' ---
PLUMBING
HEATING
--
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
,
z:.._V1.d J
{flh
v .
~- ~- 1'1'?
--
v/;'}O
~
, t;"v/!rU7
If-I(~
SIGNED
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
QInfifitaft of ~ttupantll
Crr~-OF PRIOR LAKE
@.rparfmrut of ~uilMug Jfusprdiou
:B1 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 Construction
SINGLE FAMILY
VN
Fire Zone
Bldg. Permit No._
N/A
Zoning District
03-0144
Rl
Use Classification
Legal Description
L12, B4, THE WILDS SOUTH
OwnerofBuildiug_ Site Address 15327 WOOD DUCK TRAIL N.W.
Contractor's Name & Address DEERBROO~E CONSTR., INC., 10340 VIKING DR., SUITE lOS,
( 117 EDEN PRAIRIE
ROBERT D. HUTCHINS JI, L 1 City Planuer DON RYE
Buildtng Official Vi 11 /
"( ~' V
Date: r-. - ".- 0 (7 Date:
POST IN CONSPICUOUS PLACE
.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
G~~k)
PHONE NO.
ISU7 w...dD~t
CONTR. ~e" bff'Jtrl(r.,
PERMIT NO. ~"
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLlNG
-0 COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
L. t..,U 1'..."J.h &X,
6tN(.,/E... - tl} J'
/)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~ "-ewner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
s-n
ADDRESS
it"JJ.'7
W6tJd..dvLlt _
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S -I t..{t.l
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J jEWER HOOKUP
7PLUMBING FINAL
[J MECH FINAL
[J EXIGRADlFILLING
o COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(/) A~~ fS..AA Tv'?
t!J {'t..."..>lot 1.,M,J;l,/
i'H,P
,;",~
O-<'Wldl/t
rr)(f (AI? 5(
o WORK SATISFACTORY, PROCEED
jI CORRECT ACTION AND PROCEED
o CORREC;;:;::? CALL FOR REINSPECTION BEFORE COVERING
Inspector: j..JLf' .5- rs- 07 Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE fA, 1.
INSPECTION NOTICE SCHEDULED VI ~&J3
ADDRESS -L.<?1.a U~YvLk.
OWNER CONTR.
PHONE NO.
PERMIT NO.
3,t<{t.(
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
Ji! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J11 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
~FIREPLACE RI
FIREPLACE FINAL
GASLINE AIR TST
o
~-"~. r.'~..
6
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.lt7tL. ~ ve1\A~ ~lMe-~<'!'V'
~ ~ ~lM.. ~~. .'
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED G :;J.7 <13- -c:-:~
ADDRESS 15~ :t1 '~~~-
OWNER CONTR.
PHONE NO. PERMIT NO. t- l 'f c.{
lJ FOOTING lJ PLUMBING RI lJ EXlGRAD/FILUNG
lJ FOUNDATION lJ MECH RI lJ COMPLAINT
lJ FRAMING lJ WATER HOOKUP lJ FIREPLACE Rl
MSULATION lJ SEWER HOOKUP lJ FIREPLACE FINAL
FINAL lJ PLUMBING FINAL lJ GASLlNE AIR TST
lJ SITE INSPECTION lJ MECH FINAL lJ
COMMENTS:
~r\-~
~,~
'2.M-.;~~ ,~~ ~.~_-{
.'3. Nw.1. Q~ {It.cptf:a;M ~~ '-..0-
tl. c;.; L ..\-nOD:tI (l-'t- Altylu., ()~ . ~
f)t'-~lJ.SL.
1
Mo )(' 24 J rfk...
~.
<'( --r Q, [' f) j,.,
A
b -t -1)('"
/
lJ WORK SATISFACTORY, PROCEED
tCORRECT ACTION AND PROCEED
CORR RK, CALL FOR REINSPECTION BEFORE COVERING
nspector ~ Owner/Contr
CALI.. J 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETY/
INS1Km
DATE TIlle
CItY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED e-l..-o~
, : C/S-
ADDRESS ~~'1
Wca,Q. D~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J- 1'1'1
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH ANAL
D EXlGRADlFILlING
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GAS LINE AIR TST
D
COMMENTS:
o t. +... ~{.,,~ ..(pAL. .t. ": - U_
A
I~~r ~~&'M
~RKSATISFAC ORY,PROCEED \
D CORRECT ACTION AND PROCEED
C CORREC CALL FOR REINSPECTION BEFORE COVERING
Inspector.
REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
..
,
..
ORSAT TEST
JobAddressJ~3d.-7 woo-l-lu<:.k iF
O Heating Contractf1'. -& Iorf'
Date~tJ 3 Pressure 3. "'t) w<.
Percent 0" 77. Percentco.!!.:2'i!
Percent COP ~ :/, Stock Temp /0'7"
.