HomeMy WebLinkAboutBuilding Permit 03-0260
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
;)_1-03
1, White
2. Pink
3, Yellow
File
City
Applicant
I PERMIT NO. 03 "" DZio D I
(Please .tyPe or orint and sign at bottom)
ADDRESS
5(J;;l<j iAlc..1- [!af
f1h...+- 'bn 1i~: <.c:'
I I
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
liT BtOCK ADDITION 'cve.f,~J/ i/)tL
PID25- c..;O/-()/9-6
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
D,;( ;/zy-/.,., -x:../
,
-::J'2:5S;'o.
(Address)
;;?t9'ibD
-fI1A1
t5.. "J:.};
II bf,. hH J<<-
(nu",j
/
L-,c, I~ v, 'lIe:
I
(Phone)
(Phone) _75:2 -9)'5- 7;fC! if
/UN $3v)ly
(Contact Name)
TYPE OF WORK
JirNew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) S I Lf 'I Of 00
DUtility Connection
o Misc.
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 ans. 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
exnteru n propertyto:e~fo~inspe1/n~.
A/""- cf.. UttJUJ.- dJpCSZS 7 -< -~ -V .2.
l Signature Contractor's License No. Date
Permit Valuation .!H/48 Mt!J. 00 1 I Park Support Fee # $ 850.00
I Permit Fee $ /2./0 2. !!::S 1 I SAC # $ /2..-7'5.00
I Plan Check Pee $ 'A20.(.,fD -I I WaterMeter(~I"; $ 2-S0.00
I State Surcharge $ /4.00 -I I Pressure Reducer $ 4- S .0 0
I Penalty $ I City SAC and WAC # $ /'2.00.00 '1
I Plumbing Permit Fee $ Ict). DO I Water Tower Fee # $ 700. 00 . I
I Mechanical Permit Fee $ /00.00 I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 3S.50 lather $ I
I Gas Fireplace Permit Fee $ 40.00 'I I TOTAL DUE '. $(g, 157- ./1 1
I I .
This Application Becomes Y OUT Building Permit When Approved Paid ,()~/~.J _ 71 I Rec)?~O_ 4-j'C({" /
~ r ~/o3 Date -:J .JO-c>? By _
'1~ J
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~
1df-;
Planning Director
o?j;.J/a :l
Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.4t-e
~
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See Main File
ThO' ('..nln ollh... l..kt Counl!)'
White - Building
C-"anary - t:n~,"eer~
Pink - Planning .
f!!JlLDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
,...-~.....,
.-1-----
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NAME OF APPLICANT
APPLICATION RECEIVED
i
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;" L./ ',,",-J
The Building, Engineering, and Planning Departments have reviewed the ,building permit
application for construction activity which is proposed at:
"
'I ". .:--
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..... d' ,
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ji_/r- i
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Accepted
.~
Accepted With Corrections
Denied
Reviewed By:
/lAB
Sa_ /l!C,1 ~ 6 '/1'.----
Date:
:2~:27-o3
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."
~,
~~
See Main File
White - Building
Canary - En!l.ineering
C ....lnK - Planninp)
Thr (""oln of Ihrl..II.. Countf)-'
BUILDING PERMIT APPLICATION DEPARTMENT CH.ECKLlST
l
/
__.J_
i
NAME OF APPLICANT
APPLICATION RECEIVED
,. /
-- l~I,_,~_..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
r . " -~
J Ii -/
f/:-......
'c'
y.-.- ,
Accepted
Accepted With Corrections /"
Denied
Reviewed By:
~
.
'1.", iI 1-'
Date: 0'-//3/03
Comments:
See Main File
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
See Main File
(White - Builc;Uni:>
Canary - Engineering
Pink - Planning
ThO' ('..nIO'. 01 lh..I..k.. Count.,..
IDm.-D1NG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(\,Q k )Jtn~
,9- 7-0\3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I
$OJ.-9 /)J' (;}~ P!-l(~
Accepted
Accepted With Corrections ...-
Denied
Reviewed By:
~ -:fJ~
Date: d;/3103
1
Comments:
See Main File
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction_ Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
011./0'1'
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ;)_ ;-03
Main File
L Wh;~ 'H. I PERMIT NO.
2. Pink City
3_ Yellow Applicant
q>>lease !VDe or "tint and si2l1 at bottom)
ADDRESS
.//l ;)."
,<)617 lNe..+--I?~,iL !-",,,f- lMu/. ,>,,;:'
ZONING (oflic, use)
Rt
LEGAL DESCRIPTION (office use only)
1.& Br!oCK ADDITION ~L-v{~/) ft;ilL
PID ,).,5-,-/0/- 0/ g-O
OWNER
(Name)
(Phone)
(Address)
Main File
~~)E~12 I-LA..",
(Contact Name) :!t:re;<,,'r b. 11/ ." k <-
(Address) ,::JDiG:() KL...IJl1dM
(Phone)
(Phone) f's-;}-9i'5"'-7Xox:
(i;~../- u'0vrl/r., /tIN S!JZ;y'q
TYPE OF WORK
~New Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc_
o Fireplace OAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ I t.f 1, q 0 D
DUtility Connection
L
!
L
f-
Building Official
~/03
Dare
I Paid
I Date
I ReceiPt No.
Bv
This Application Becomes Your Building Permit When Approved
~'1~
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 t~"'.I'~'''''i Certificate of Zoning compliance and allows constrUction to commence. Before occupancy, a Certificate of Occupancy must be
~
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Special Con~tions. iTany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Ea.le Creek Avenue Prior Lake. MN 5537-2
~~?
Planning Director
API. :. :003 9: 14AM
~
~el~~
./.'::, ,~~~"'1tt'E so'< \'"
';~\;Ri3~\~J',':'1'
GENZ RVAN PLUMBiNG AND HEATiNG
P 6 19
Date Rec'd
1108:31
CITY bF PRIOR LAKE PLulVIBING PEIDvIIT
I B11,I. Fil. I p",ni\:lIT NO
'Co<< C;'l' -,,"-,,..,,' 1 . <:< r-:J I 0
j Y.ll"..... A~pli,..3l\t 0 C7'- f.P
(Please: type or p.t\nc and SlE';D. a[ bottom)
I ADDRESS ~lq - \N. caK ?r 01z. St.
ZONJNG (offi"IlS<)
. LEGAL DESCRlPl10N (office u,. only)
LOT /0 BLOCK {ADDITION ty.LR:H JJ I D'rr----
PID
OWNER
(Name) DR Horton CU5com Homes
APPLICANT
(Name)J''''"-'','-- "':'-'-'-.~ ,-'-g
(Address) 14745 So Rober.t Trail
I (Address)
(phone)
q,:, 2 - q ')>:, -iB/)t)
2.o'SCcO ~VlB~l):)Ge.. C, $re I DO
u;, ic.Lvi IIG!/\AN 5fui-j W
(phone)
~,l_J-,?':l._ l' l.t..
Rosemount
HN
55068
(Zip Code)
(Address) (City)
(ContactPer~on) 0V1/,{{(S;fl ~S _ (Phone)
f'l I C- '-- I .....J _ .
APPLICANT SIGNATIJRE ~ ') -!1A Qc,()
Quantity
~
I
J
W-
I
2-
I
.3
651-423-1144
3/311 ()?)
DATE
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity i
I Bath Tub with or without shower RoughCins
Dishwasher I - Water Heater
J Floor Drain (-I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink I La"'ll Sprinkler
Water Closet (Toilet) I Other
I
I
I
I
I
I
I
]
I
I
Type of Fixture
FEE SCHEDULE
Jndu~tnal, CommerC1.a.1 & MuJtt~farntly 1% of Job CO!-it WIth a $3950 minimum.
(Offic~ U~~ Only)
Residential, Nc'\\I' One & rwo~F:uI1lI}' $99 SO
Reside:ntiaJ, Additions & Alterations $39_50
Estunated Cost $
BuIlding Peroll! #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTALPERMlTFEE
PAlo ~_
BUILDING .~",.,
Pr:FlAfI7"
$
$
$
.50
-,
This Application "Becomes Your Building Permit When Approved \ ~~ feit~ ~ U \!J U; "lR:eceiPt No_
~",. o.~, '''".._ ", ::........ 0""" ~~::, ~,,~~: It
By ---,
~
V
.__._-~.
APr. ~. ~DOl 9:15AM
GEN= RVAN PLUMBING AND HEATING
N0.8~ll
P 7 19
.l,~~i 'R~l()'l'(
,... \.,.
- ':<
<..l '"
'-. ,".
-'..c"""",.,';,',
~~,\.;.t;w{\<' '"IN'NE' Q't to
""<,,,,\1' h"
~
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
I G~.. fiJ. I PERMIT NO 5
'- Y.11ow C..;- . . .":} / ()
~ G.1J4 .....ppho:.J.llt 0&:7
(Please ~c: onmnt I;md ~lv.IlatbottD2l1)
ADDRESS
~'Lt1 W D?JI k. P+ - fJiZ. SS
ZONING rofliceuFJ:)
I LEGAI. DESCRIPTION (office u,e only)
LOT It\. BLOCK ADDITION l':ru1~-cC~ I btr-
Pill
OWNER.
(Name) np u':'''':'~':'''' ~~':':':"'. ~'ifQ.-:-':
(Phone) _ q.S2.Q85-i8(){\
(Address)
2oUoO ~b'h~K\~ Cr- Srl""./fY'
(Address)
Lalce.~ d Ie...
(Cjcy)
0ttyU
(Zip Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
, (Phone)
651-423-1144
(Addr",..) 14745 So Robert Trail Rosemount. MN 55068
(Addr",) C-. (Cjry) (Zlp Code)
(Contact Person) . _C1J.~ w lis _ (Phone) 651-423-1144
T-ICANr SIGNATURE . r) A,f-iJ;:tA_L:Jk!~DATE 3 /3 I L 0 2>
- ----,
APPLICANT PLEASE COMPLETE B:EI;OW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe_ 0 ABC 0 rvc
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
ReSldentlal sewer and water Ime COMeenon
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'l & Multi-family J% of job co.t with a $3950 mm1Jl1\lID
$] 7.50 Water connection only $17.50
Estimated Cost $
Building Pemut #
SEWER AND WATER PERJvlJl' FEE
STATE SURCHARGE
TOTAL PERMIT FEE
p. 1
eU'(o:~ WJ1).,
~p..
111~ @ [E 0 ill [E l';'eceipt No <:1141,.,. I
nate . ~y 0f'- I
D." ~trAPR 09. 7nn1 :J V~
24 hour notice for .Illnspections (952) ,j47-9 SO, f.X (952) 447-12,j5
(By
$
$
$
.50
(Office Uu Only)
I This Application Becomes Your Building Permit When Approved
L
Building OfficLaJ
f~:
+J'.\'NESO't'"
ii I . ! s LO{3i1 ZfJjOfiO. 3~Dl:I~.V;'). ec'd
CITY OF PRIOR LAKE I,!;~ ..~ ~
HEATING/AIR CONDITIONING/FIREPLACE P~
!BY ___. ~ 2 '5::5
; ~:" ~:~ I PERMIT NO., - --, / 0 I
J. Yellow Applicant '- ~ ~
(Please tvpe or orint and sign at bottom)
ADDRESS
~/9 ?J W-/C. /-d/~
L2-
ZONING (ofliceuse)
"'---L-
~c:
LEGAL DESCRIPTION (office use only)
LOT/1'BLOCK / ADDITION
PID
~::e~Rv.'A. Horfon ()usbm Home.",
(Address)dOg(P() ~hric\Oj QJ'I Lo.kevi Ifp_ M~
APPLICANT 1\ II. t M h---
(Name) Iilll<Ar1 e~ .J-tIr! _ (Phone) !1J51-45:L-ef?775
(Address) 3(P50 fl.enne /-,~.(' 7)-,. ~+..e.- #/ ~~ QfJQy') 55/,j,2
(Address) v (City) (Zip Code)
("'"""p_) Jcl'.pr-; Z"",mp.rf'lQ.n (P""~) {P51-",5~- :i?7!:J
APPLlCANTSIGNATUk:~ -~"'f[ C!.v4:?-----~.A4H:: - DATE
APP ICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION o REPLACEMENT 0 AL TJ;lRA TIONS
FURNACE MAKE AND MODEL "Br'1o..rrl::....3~A-V'ml.D'1 () FUEL J\JCl.tUl'lA I
FLUESIZE'tI'cla.S9. B... RETURN OPENINGS J.l, INPUT Ib,OOO OUTPUT 5lD.lJOo
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q5a-q'~5-7.;l7~
550~J..1
OW.rm Air Plants
DGr.vity
o Mechanical
~~ Conditioning
Qt'Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o .Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39_50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial. Commercial & Multi~Family
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
au. P.ljID
'!l.DIN. WI'T7y
'G Pl:~
'M,..,.
Building Official
'7/- .50
///
, . r: ., .U" -~l
i ..:-).' __ "'.' j \i;1 LJ ,
llii l, 1 ~~i({) I.: d ,'I [; II Receipt No.
APR II 7 70n~ _~ "
Date -- ..JIBy I h
Date 41. '
24 hour notice for all inspections (952) 441~1&~;;Ji) 44f4r4!~d J
~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
; ;;;~" ~::, I PERMIT NO,3, , / /\ I
J.Yellow Applicant ~
(Please type or print and siJUl at bottom)
ADDRESS
5029 WEST OAK POINT DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) n R HORTON
(Phone)
(Address)
APPLICANT
(Name) AT-UED FTREsmE DRA FTREsmE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Addiess)
ROSEVIT T F
(City)
(Contact Person)
RRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
ZONING (office use)
PID
';5113_
(Zip Code)
6/3/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
oWarm Air Plants
oGravity
o Mechanical
DAir Conditioning
OVen!. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEATNGLOSL-750TR X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64_50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
_so
(Office Use Only)
This Application Becomes Your Building Permit When Approved
. ~)Il!'a@j ~ u ill [E
UlJ I IJMN 0 5 2003
BuUdine: Official
Date
24 hour notice for an inspeetions (952) 4 tlyll850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
BUILDING PERMIT
_-0..."
,-
Receipt No_
By Cf-/
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS sa Z, /JEST DAle:.. flJifJr 'J)tcillE ~e.
NATURE OF WORK NeW q)!J.STlUtc:r f~':)
USE OF BUILDING - SF:A.
PERMIT NO. (E-O?(oO DATE ISSUED .:J.II3ItJ'g
CONTRACTOR D.2. HOfl.(~ ,tJc.. P~-~
NOTE: THIS IS NOT A PERMIT FoA ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
~
~\ tIVYl
f/J/y?
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I/VP C9~ r5
HEATING (if required) VW/ G - 7--r/3>
FIREPLACE YVr C / 7 -c/';
GAS LINE AIR TEST t1/'I" (" -IOf./].
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddi '9t S-e e
BUILDING --r L j O. q, -Ll \~ Wk
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
Lj-rr-U';J
G-1-~
1,~/()-V7
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~
rv(
t~
h/?'" /
t1f//J?G~
f{-II~
1'/1-1 1\1>
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
,-
Job Address ~o.3q W. /IIJlf'?l:>f?
Heating Contractor ~~ /ltkt;!/!.
Name of Tester ~ /\3
Date &/2ifo:s
JI z 7.
(2)A<<>I...J
I ' -
S-_~ /..
~2..~
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec_ 606 Y.R J
input /(O;~
DATE TlME
~J7&J -
SV~'1 CO..-,!- c:J9'~ p/ d-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,..IlHIRAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,..-. I
,...)Od
/T""
r- //eeJ
CiS -260
o EXIGRADtFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
CJ~
@ G// ~ A~/ ~L ;~/CJU?/
(3) A/;e/ dhv,Ae
-"
/1
O~'-<-<i-Y
/
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~- --.............
~/~e /-7/~ )
o WORKSATI~ROCEED ~
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL R REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE.
uaNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
~ '.00:>
ADDRESS
'50 z ~ W OAr- ~ ~ _ 'I"l'
OWNER
CONTR.
PHONE NO.
PERMIT NO_
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
/" 0 ~ITE INSPECTION
C> "3 - 2.. '=c:>
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.l&.;~UMBING FINAL
)4lECH/'NAL ~
COMMENTS: I, ~h ~ T~
;;- . l;/'o..>b ";;:LI 6AJ ~
3. ~.~--C"-*s- ~
A-- ~ ~AvkC.--
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SA TISFArTORY. PROCEED
~ORRECTf( tND PROCEED
o CORRECT .,' . LL FOR REINSPECTION BEFORE COVERING
Inspector: ., Owner/Contr:
. V-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""""n
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
QItdifiraft nf @rmpaur\!
CITY OF PRIOR LAKE
~tpadmruf nf ~uilMug Jlusprdinu
~nal 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. Permit No.
03-0260
Occupancy Type
R3
Type Construction
VN
Fire Zone
_ Zoning District
Legal Description
LOT 19. BLOCK 1, DEERFIELD 10TH
SiteAdd,e" 5029 W OAK POINT DRIVE SE
Owner of Building
Contractor's Name & Address D R HORTON, IN<;1,
ROBERT D H~TCHINS~~
/0 Buildi])tOfficial
Dateo t'.-, / J /0 (-
,
City Planner_
DON RYE
Date: