HomeMy WebLinkAboutBldg Permit 03-1462
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS l5"1l) 1
~
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
ole.L c (........p -tJd.a.. (? ( 0
~1z11ti nME
3 -( y{;;(
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
./
~RK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
o CORR T , CALL FOR REINSPECTION BEFORE COVERING
Inspect :
Owner/Contr:
.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIW"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J 5341
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
d?;ld
SCHEDULED (~
\.JG t-5. e~
TIME
CONTR.
PERMIT NO.
3'-tl/u'L
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
\.17 PLUMBING FINAL
./b MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-0~.~
.'2. D"-f' r,~.~ I <;
0" L)~ ~~
o WORK SATISFACTORY, PROCEED
~ORRECT TION AND PROCEED
o CORREC , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 44 .985~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~REMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
INSIWTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
If). Z,I. 0]
(Please tvQ~ or Drint and sign at bottom)
ADDRESS
/ S- 3 (9 .:J"c. -lIds, ~ S, S
~;~:. ~:;y I PERMIT NO. 0':] -/ ill. -? I
Yellow Applicant ,;;;) 7-lI &--
ZONING (office use)
12(
LEGAL DESCRIPTION (olliee use only)
LOU.9BLOCK .2 ADDITIONR POd/
/
C, C".sr
PID 2-~. 3b(p. C4-I. 0
OWNER
(Name)
(Phone)
(Address)
BUlLDE~,; /7 .
(Name) (:a 1(t"4c::. c., 6
(Contact Name) , E"dd.'-e...
(Address) 71.;20
1/0/11 ~.s:
Let e;,. (), /Ie
B/u J
(Phone) 9<..)-q'~9- C-:>7"tJO
(Phone) _ c,,/...2 --h 0 5 - 3,:l 0 '7
La lie tJ .// -<' fYl,v <; 5 () <IV
TYPE OF WORK
f/. New Construction
DLower Level Finish
DDeek
DPoreh
ORe-Roofing
ORe-Siding
DMisc.
o Fireplace DAddition DAlteration DUtility Connection
'31; 9/......-
PROJECT COST IV ALUE (excluding land) $ ""'- E . --'
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
exnterRup~n ~perty .to~:o~ :e~ded i~SpectiOns.
~ H~~~-<-./ 1:2.0'1 /0...2/-03
I . Signature Contractor's License No. Date
.-
I Permit Valuation #'d3S 600. 001 I Park Support Fee # $ - 1
I Permit Fee $ I "Info 55:1 I SAC # $ \'2-75.00 1
1 Plan Check Fee $ II L./ p" Z-fc I 1 Water Meter ~e~l" $ Z-esD,oo 1
' .
1 State Surcharge $ 1/'7.DO I 1 Pressure Reducer $ 1'5.00 1
1 Penalty $ 1 1 City SAC and WAC # $ Iz..ao. CD I
I Plumbing Permit Fee $ loo.DO 1 I Water Tower Fee # $'0("] .00 1
I Mechanical Permit Fee $ /00.("]0 1 1 Builder's Deposit $ 1
I Sewer & Water Permit Fee $ 3$. $"0 I lather ~~. $ I
1 Gas Fireplace Permit Fee $ ";0.00 I 1 TOTAL DUE $(, 77'1.3/1
11f1,f
This Application Becomes Your Building Permit When Approved Paid l> 77"'1,...r / '~7 ~ 0 2---/
~ ~p lo/~~/tJ7 Date 1/,(..CJ7. .
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
~ t-dl/-J .)a/z.-C3/()7 See MainJ1le
Planning Director Date . - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
See Main File
White - Building
.--:-c..ar"!a...[\{ - ;:n9;n~lP.!rl~
P(nl<""' - Planning
Tbr('rnltr,,'.hrl..h('Qqntry
BUILDING PERMIT APPLICATION DEPARTMENT r.I-IECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
C.{{t..~rfft t:> (2..1 n/
I
/ C, ll. U..]'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ..0', '"-. '. -. --'.-- -' . .-- , }'/-I' ,- -.
r JLi.-1.,/ . '! . ,.t',)'~, r, - ,
_' _.l-/ / ......J (,--I' /- ...~' ^- -.J , ~...::,
Accepted
. x..
Accepted With Corrections
Denied
Reviewed By:
/JifiJ
Sa- .l11c.lh /'hlr
, -
Date:
/&<~D .-.
Comments:
~
~ee 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."
t~~
See Main File
('"While . BuildinV
Canary - Engineering
Pink - Planning
Th~ ernlr. of thO' I...... Coun..,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Wu,G~ I:::;, 61 nj
/0, z,1. C{I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53H uo::r-6'cS PASS
Accepted
~.
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
J(J/2.S/"3
, .
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 ineering
(" "Ink - Plann,n
l'h~ C.nln of the L.ke Counl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
({[.6rC flY'
I ( Z I. (..:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~ _+-1' / fl,l... -~- F/ / ::::;
Accepted /
Accepted With Corrections
Denied
Reviewed By:
~
-::k:I1/-..--
Date: ItJ /28/07
Comments:
e
"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."
Noy,IO. 200J 6: 12PM
GENZ RVAN PLUMBING AND HEATING
No 9 7 0 8 P 7. i 3
Date Rec'd
CITY OF PRIOR LAKE PLlJ1.V[BING PERMIT
'.
-,'(;
- -
E
~
I BIoJ. Filo
l Gold City
J. Yd~ ~tnm
- of
- -;, __ .J
...; .... " ~
I PER,MI'f Nix~fo C' tfi. ~
~ --.....';&1"...2 ---~
..,"" ;-
."
1l'1""" tyEe or ~rint and s"'" a' bottOm)
I ADDRESS
lu341i JeJf~~
P~bS
I ZONING (O~'"')~lo_1
LEGAL DESCRlPTION (office we only)
LOT t:5 BLOCK '2- ADDITION r2lct a1 CIU~-r
1
~~e~R InlHeif} ~Jt!J1 /11JYnfj I ht
. -. J _ .
(Addres.) ,q'X) {a){{vIIII, :t701Vd. LtU<:.eAll I 1-f
PID
(phone) q Ii 2-- Lf (,~C1-1A D{)
~t}'l YI t:RJlC[
APPLICANT n_flJ"1. /.1} I 'fA '
(Name) n 7_- rvtAf/li1J
, _ '," J
(Addr",.) 1L.J7L1s ,S;. P-obcJ2>} TIa-f..
(Address)
(Contact Person) riV\ ~r &t1 .t7J .IAS
. ~?LICANT SIGNATURE r II Rt.t) --fuil/J
(Phone) fii/j 1- Lfu- IJ~LI
J2.{) (.{A01fJ)IU1ft. m Vi 'J":::lJ&&
(Ciry) (Zip Code)
(phone) tct7 /- W2-3-IIY Lf
I I I I f) /1"'2
I' l
_ DATE
Quantity
:;l..
I
f
~
(
I
I
APPLICANT PLEASE COlVlPLETE BELOW
I Type of Fixture I Quantity 1
I Bath Tub with or without shower Rough-ins
Dishwasher I r Water Heater
Floor Drain 'iL, Water Softner
Lavatory (Bathroom Smk) I f Stand Pipe (Washing Macbine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
i Sinks I BackfJow Assembly Test
-I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) I Other
Type ofFi:s:ture
I
I
1
I
I
1
I
I
1
1
..,....
,~
FEE SCHEDULE
Industrial, CommercIal & Muln.famlly 1 % of lob cost wIth. $3950 minimum RCSldcnbal. New One & Two-family $9950
Pe>jdcntiaJ. AddItion. & Alteration. $3950
E.tmlated Cost $
Bo.tlding PellJJlt #
BuiJding OOitial
Date
$
$
$
10 f~d
I - I...:c:, L.
f .'\
: . DaloOV 1
~t" 2 200}
.50
'. PAID WIn-,.
tJtJlLiJlNG :::>'FRMIT
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIl' FEE
(Offiet u~( On I)')
-~-~'"'-~~_.,,-~
~~i. ApplicstjGn BecGmes Your Building Permit When Approved
':Recejpt No
By
y
L'
24 hour not!"" for allln.pectlon. (952) 44, ~~'.fs~(~52)447-4245
.,
2003 613PM GENZ RVAN PLUMBING AND HEATING N0.9703 P II 13
CITY OF PRIOR LAKE Date R.ec'd
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT '
-:\'
~ :
..,.
,,"'.'
(Please tv"P~ or'PfDlt and sUm ilt bottom)
I ADDRESS
W5c~~tl ,,1~H{2~~
1 PiN:
2.~=
l Yelll'Jw
~
~"~.it:~. ~1'1
S,.... rPERMl:T ~~ "3 -II/ ~;;;z..
~ - ~
ZONJNG (o!fi"':~")-
Pa~~
..: '
LEGAL DESCR1PTION (office"-,< oDly)
LOT1,Q BLOCK ;) ADDITION
0/1 aJ, (J/&rrf
if
~~R I>H1f0-t fi~~.Or:
(Address) 11Jfw HI/Lr>V/IJ~ f7;h1d.. LtrIQI/i//{
~~;~;ANT P7fn l- Jfu tUIj I (Phone)
(Address) lL!14S- J, ~ fl)fAQ)-f}:? J ., Ja)~JYlnuVt:+, ffl n
. (Adm . . .. I
(C"_p=,,, (}J7 IfJirtr ~l . fl .
APPLICANTSIGNATU~ f!.l ) ~
PID
(Phone) qt61-- L/ lfq ~(tJqlJ1J
fh)l) t?;1:])I.j{/
,-
r(6/~L/;)3- (It.!i..j
C-; ".u143
(City)' (Zip Cod.)
(phone) r CSI - L/ ~3- /1 tle-f
1!-IINX3
DATE
_ APPLICANT PLEASE COMPLETE BELOW
'.. ~W CONSTRUCTION l ....,q ~LACE:MENT 0 ALTERATIONS
FURNACE MAKE AND MODEL HjJJ2f!jY -q.g1!jJ!;3 -"1..2-. FUE1f1I9r - 1;7116
FLUE SIZE RETURN OPOONGS ,R' INPUT?:;:Ba::J OUTPUT M~
~.
TYPE OF SYSTEM HEATING OR POWER PLANT
-fSllVorm Alf Planes 0 Steam
DGravity 0 Hot Waler
o Mech.mcal 0 R.dI.tion
........wr ConditiOning 0 Sp<:cial Dev,ces
DVenL System 0 Otber Devices
PLEASE NOn::
Air Conditioner DUlls
Cannot Encroach mto
Roquired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Indusmal, Commcrc181 &. Multl-Fsn1Jly 1 % of Job cost Rc:sidc:ntial, Gas FIreplace
$39 50 mInimum
Resldennal, Heanng & NC (New ConslIUcl1on) $9950 Residential, Addlbons & Altcrauons
Residential, Heating Only (New Construction) $6450 Residential, AC Only
$3950
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
$3950
Nr950
::;-" ,.".it) 'A,
- v'VJlA. rVrr;.,:
'If 0 .06 -
"F141I7'
EstJmated Cost S Building Permit #
.50
.. U.. Only)
BUjldi"g Official
I Paid_ ili!,eceipr No
I pate : ::1-'. 1 Z LU03 i' #Y
V"e ~ LLj'
r;.l"
24 hour ~ott.. for .Uln.opections (952) 447-9~ ~~2t-#+-414.i__
IJt-
1/
..is Application Becomes Your Building Permit When Appro~ed
Noy.10.2003 6:11PM - GEN~ RVAN PLUMBING AND HEATING
No 9708 P 3.13
~f PRIO~
"'L~~
/. ' "7
~~.~\ ; ;
\.'r;\;;~".", ..
;~;\\'''i.;,~~ .
~\ "l~"'E.D"'''' ...1- _::
ro",-
CITY OF PRIOR LAKE
SE'WER AND WATER PERMIT
,
"
",'i~,
Date Rec'd
(Pl~a.sc tytIe: or mint .;.od s:iJtD. atbottam)
ADDRESS
163-1 q d p}.fttfJ ~a(6
<
- .f
j,~.,.'S7i',!
:Jd:;:,.:/
~ ~.;z~; :..
~ --.'.........1'; ."
; ~z. ~~'. I PERMIT NO.8 --/1 IL ~ I
), Gold AppIl(Q(l~ , p d':-
I ZONJNG(Ol1ic"u~'~1
LEGAL DESCRIPTION (ollice us< only)
LOT?J BLOCK 2.. ADDITION 1U0 ai CIUM-
OWNERC' . I,.,,,, (\ 'f1A' !
(Name) {)11Cbf0.r" - J ~e:::' JIl.0. .
(Address) 1 q w Laked! II k,. 'Blvd.. U1Jif/vl1 /-e;
(Add"",) ,. (Clm
PID
(phone) qt)Z-L/{r;q-laCffJD
. (
11)1] n - c:::jC:;() 44
(Zip Ccd<)
APPLICANT (l_ _ I/l
(Name) CtrVrz.., - K/AlJJ11
. I
(Address) 1L-17L/S- S. VOl}u~TIt2l. I
(AddIe,,) .
rU. ' . r.
(<::.oncaa P~son) -.\J1I1J ~t1 ttJI J!x:5-'t---t/
. 'LICANT SIGNATITRE 0J) J'fAW ilJrj;,c)
(phone) (j01- Lr2.;G -/fWU
'k!l)f.-f mnu,n j VV1 V1 '7J0&1B
- (City) Cup Code)
(phone) 1/70 f -- 42.'6 -11 I..{-I.j
DATE _JJJ.mL(}7;, .
....~.i'.
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 feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
ResldentJaJ sewer and water lme connection $3550 Industrial, Com'] & Multi-famIly 1% of Job cost WIth a $39.50 minImum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
50 iJ' 'c, PAID ~-.....
, V/f...0'IIjG dIM'
. ~F?lliii!
~
~
$
Offic:c lJje Only)
This Application Becomes Your Building Permit When Approved
lluildiag OfficiAl
'.I.l'aid-. '.. '-. --. ~"'-'" . ___,-j-,Receipt 1:'10.
J~ate ',: .. ..... !- i{'FY
". .. NOv i 2 20()j !;
24 hour notice ror.1I Inspe.tioa, ('S2) 447-r. fax ('S2) 447-424S L/
Dale
f1/
;
~~"/ ----,
-"--_._-~._-~_.._,._--"_.~._- "--- '~'_'""'_----_.._.~..~---_.__._---",._._,.._--_._--_.---------
~ . ". .. ~ "" . (\.. V., ~ .. .. , .. .. " ....
.... . 1 VI f 1".'-'1'\ ....;\l\t:,
"(;IV""
~
(~~\
(:. <,.
1- _
'" '"
....'Il'....ttO~..
Date Ree'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
(1'1c~c CYOe or OMl tt.d 'it.n lot bottom)
i ADDRESS
I
; ~=. ~,'~ I PERMIT NO,...) ~ /. /II ;(.1
l. 0014 ,,~*'" ___-) '1 b ,
I~o~q ~
! LEGAL DESCRlP110N (otric< UIe only)
! Lor23BLOCK :2-,..oDITlON
pd.-O<)
ZONING (ollie, ..o) I
I
K-e CidL
~
PID
I OWNER
I (N,me)
~ Qj( ~ \-\~~
79)..0 ~~~ /S(uJ
(Addrc"l
(Phone)
La.ke~
(Cl",)
qS-l-'i~y-?9oo
,fl\(J ."" --:,OYl(
(Zil> Codl)
, (Andless)
,
I
I A PPLlCAl'fF--.. n. .
i (N,m,) \Sc.r\cy^-- <E. XCc,U~
'(Address) '6~7S- W {~ S""1Y.a.R..:l;-
(Adcliw)
(Cont'ct Peuon) S ("--"'<.l...., s: [ nlUl^.
i APPLICANTSrONATURE_. ~~-< ~.~
."-.---r-
(Phone) so7-1'--(C(~ ~0~,--""
L,"-/Y"'" c.JJp S-s-'oyc...
(City) (Zip Code)
(phone) t:;;;"(){- (YC(- s ~('c ,\-----
DATE /r,6~ '-7-03
APPLICANT PLEASE COMPLETE BELOW
Size ofW1.ter service ~ inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. 0 ABC ~VC 0 Cast [roa
Estimated length of sewer line _~feet.
Clean out (if required) located at _ feet from structure,
FEE SCHEDULE
R"idential sewer and wlt.r lin. cOMeotlon $lUO Indu'tri.I, Com'l &. Multi,(amily 1'10 of job cost with. 1J9.l0 m;,,;mwn
S.wer connection only $17.50 Waler connection only $17.J0
Estimated Cost S
Building Pennit N. -.-.'
.... " PAID Jnr..-,...
dvii..vlN rr/l,{
GOl:F:?Mrr
SE\lIER AND WATER PERMlT FEE S
STATBSURCHARGE S
TOTAL PERMIT FEE $
.50
lomuL:ltOnl:f)
y
This Application Beeom.. Your Bulldln. Permit When ApprOHd
Bullditli omolll
ftP'&l<!
I .I,Dlte -"
Olle ;'! -',
Z4 h.ur n.lI.. (or eli In.peeti.n. (~52) ..' ll!~O, ~V(~J .;lW
L
~_'~_._._"b-~ecelpt No.
.J , ;~., -
i !
~
I
.fJy._~__.',i:_._ .'
..f
~~N~
~ ":""
/,vNESO
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I,Pink
2. Green
3, Yellow
File
City
Applicant
I PERMIT NO. ~J.
(Please type or print and SiKD at bottom)
ADDRESS
ZONING (office use)
15349 JEFFERS PASS
LEGAL DESCRIPTION (olliee use only)
LOT BLOCK ADDITION
PID
OWNER
(Name COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) AT.T.TFDFTRFSTDF DRA FTRFSTDE HEARTH & HOMF
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
')5113
(Zip Code)
(Contact Person)
RRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
1/22/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVent System
o Steam
o Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbaeks
FIREPLACE MAKE AND MODEL
HEA TN GLO 6000TR-OAK AND L-CORNER (2 FIREPLACES)
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential. Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39,50
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
~ BUt~~~~Mli
(Office Use Only)
Buildinl! Official
Date
I Paid
I WAN ::I 1I ZOO3
Receipt No.
This Application Becomes Your Building Permit When Approved
By
24 hour notie. for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
lS3"4'l ~~ p~s
~&w CD..tJ.s,- Q,a.c.cri~~
~A...
PERMIT NO. 03'-/~uZ- DATE ISSUED
CONTRACTOR (\pLL8!O 0,,.,, f.W~G- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING vJ I C- 04- ;S!;b1
INSULATION ~ <7-<',<
ELECTRICAL ~
PLUMBING v.',u.l IA&. ~ I-/~ ~p '<.. ~
HEATING (if required) ~;5 f3111!JL{
FIREPLACE w I c..-- ~ -' ! g {IBf
GAS LINE AIR TEST ~ ~6 ,..~/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
g;~..-J
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FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
(10
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UNTIL ABOVE HAS
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,
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BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
(lltttifirut~ of Ql)rrupuuru
CITY OF PRIOR LAKE
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)1~inal Permitted D Conditional C.O, Expires
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
lLlke regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg.PerrnitNo,_ 01-14(,7
Occupancy Type R3
Type Construction VN
Fire Zone 111 A
Zoning District _ "R 1
Legal Description
L23. B2. REGAL CREST
Contractor's Name & Address COLLEGE
Site Address 15349 JEFFFRS PAS~
CITY..WMES. 7910 LAKEVILLE BLVD.. l.AKF.VTT.T.F. S'ill.44
F.
/ I / _ City Planner DON RYE
V
Owner of Building
ROBERT D. HUTCHINS
- / I Building Official
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Date: 'L L/'-J
I -
Date: