HomeMy WebLinkAboutBldg Permit 01-0744 & 01-1245
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / jr --0 /
AND UTILITY CONNECTION PERMIT 0 ~ j.J-
(Please'!vpe or VI nt and sign at bottom)
ADDRESS
3'tSg-1oy tflfL t-r/UL
LEGAL DES ::RIPTION (office use only)
], White File
2. Pink City
3, Yellow Applicant
LOTJOBLDCK{p ADDITION We?16/J//Jlln 1st
~Deck OPorch ORe-Roofing ORe-Siding
)Q Fireplace DAddition DAlteration DUtility Connection
PROJECfCOST/VALUE (excluding land) $ AOO. tJoO
- "
OWNER
(Name) W( ~ n 6rn fI n n /10 PI es
(Address) IfXfG"- PLflZ/1 Orllle.
BUILDER
(Name'
(Contact Narr e)
(Address)
SI1". e.
llit'.k
.
/-Ie.J t.fi1f1 n
TYPE OF WI)RK
~ New Construction
DLower Level Finish
o Misc.
(Phone)
c!lqpn
/J1)1 5512'-
I PERMIT NO. 0/-01# I
ZONING (office use)
1{/
PID~"" 31h-ofb-O
t,s/-tto(p -'1LJDO
" I Z - 3CA - n. z. Gf
I hereby certify tl at 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
enter upon the p';r' .perty to perform needed inspections.
x_Ylwl,WJ ~SiJ~
I Permit Valuatic n I
I Permit Fee I $
I Plan Check Fee I $
I State Surcharge I $
I Penalty $
I Plumbing Perrr.t Fee $ j 00 . OC)
I Mechanical Pet :nit Fee $ /1217 . e::r:5'
I Sewer & Water Permit Fee $' 3~.50
I Gas FireplaceI ermit Fee $ <(0 .00
- /.,~
~ \ B mes Your Building Permit When Approved
fi- 2<)-~o r
di~ )fficial Date
,
:5 00/ ():lO. a::>
2,'/'3 ./~
L 3'1.~. ~<f
'SD .Db
(Phone)
(Phone)
, 4f}~
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size~'; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
\ Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
lfLf'!r6./'1
--;-:J. (0-0 I
fa-Is-oj
Date
#
#
$ 85'1.00 I
$ /. /~ .00 I
$ . /2.~.C)6 I
$ ~, .,,-,~tI::l
$ j, dOG. Cl C) I
$ . ?G/J..oa I
$ (, ~()O . ClCi
$ .
#
#
$~ 4-83.19
I ReceiptNo. 1.(9/ ~7
IBv ~~
U
This is to certifY tha : the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~:r~=t........_' Cfftifica~~O::';:cemd~os:~ro~L:~efo~;::e.ofo,~pm~must~
anning Director Date ~ Special Conditions, if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
o~
~~)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1/- /-0/
(Please ~e or pi int and sign at bottom)
ADDRESS
. .
, ~.... ~[
..iiif, _?~I:i , .:
:~;~:. ~:~y I PERL'1ITNO.01_/? J!~I
J. Yellow ApplicilIIt C- ...,-~
3456
Pox -mIL. 'I/G
ZONING (offi" use)
.e/
LEGAL DE5 CRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2S -37fo - 08 (r; - ()
OWNER
(Name)
w't;,NS I'-1/9N IV
) f395 pL/J 2A OR...,
H()H6S
6ri 611tJ ,
(Phone) 05 (- 4ofo - tf'-fOO
/'1 N 55/2-/
(Address)
BUILDER
(Namp)
(Contact Nan .e)
(Address)
SAM6
(Phone)
(Phone)
TYPE OF W)RK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
OAddition
DAlteration
DUtility Connection
M Mise H.'~"7"l3K. (/ to ~ e/l Db PROJECT COST IV ALUE (excluding land) S
I hereby certify t lat 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 cicy official or a designee may
enter upon the pr lperty to perform needed inspections.
x
Signature
Building )ffi.cial
Date
Contractor's License No. Date
I Park Support Fee # $
I SAC /J # $
I Water Meter Size 5/8'~ $ 70. 00
I Pressure Reducer S 250.00
I Sewer IW ater Connection Fee # $
I Water Tower Fee # $
I ...,..~ =7tJ" $ 12-5,00
' M~/-r-
I Other ~- , $ 4-.5. 0 ()
I TOTAL DUE $ /5(). ()()
Paid /50.0U I ReC;p!4-tJ7f;4-
Date //- /-6/ By ~____
I Permit Valuati( n
I Permit Fee $
I Plan Check Fe< $
I State Surcharg~ $
I Penalty $
Plumbing Pern it Fee $
Mechanical Pel mit Fee $
Sewer & WateJ Permit Fee $
Gas Fireplace lennit Fee $
This Applicati( n Becomes Your Building Permit When Approved
This is to certify thi t the request in the above application and accompanying documents Ls 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.
)lanning Director
Date Special Conditions, if any
24 hour notice for ail inspections (952) 44749850, fax (952) 447-'245
In?()() ~~alp. rrppk" Avp"np PrinT r :'IVP MN ~~17"
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / /- -C) /
AND UTILITY CONNECTION PERMIT (:;, - /'5
While
PinK
Yellow
File
City
Applicant
iPERMITNO. 0/-01# I
(Please ~e or om t and sign at bottom)
ADDRESS
3LfSg- }oy tAIL t-rIlIL
/J (,I)
ZONING (office ",e)
/~ /
LEGAL DESC RIPTION (office use only)
LOT 10 BLC 'CK &. ADDITION W e1'1:] fJ7111l n
Isf
PID:..;:CS.....31,{. -Ofb- D
OWNER
(Namel We n smA n n /-10 tn e.s
(Address) j S:'1G"- P Lit z. R On J e..
(Phone)
!vf;/-LfO(;, -'I4DO
c~~pn
.
/11)1
5512 Z.
BUILDER
(Name)
(Contact Namo)
(Address)
SA f)1 e.
11'/(' k
He./ 1..fi1 fI n
(Phone)
(Phone)
1./ Z - 3bCf - 7 b z. Gf
TYPE OF we RK
~. New Construction
DLower Level Finish
~DeCk
)Q Fireplace
OPorch
ORe-Roofing
ORe.Siding
DAddition
OAlteration
DUtiliry Connection
L
Aisc.
PROJECTCOST/VALUE (excluding land) $ !, DO, ODD
"
I hereby certify th, .t I have furnished information on this application which is to the best of my knowledge O1le and correct. I also certify that I am the owner or
authorized agent f Jf 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 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 upon the Qro )erry to perform needed inspecnons.
X _}1-U/1(A,Y 5 Si~~'~
t4S-'f/
(,]-/J-oJ
Contractor's License No
Date
I Permit Valuatiol l ! 3=/o:Xl.QJ Park Suppon Fee # $ 85'1.00 I
I Permit Fee $ 2 , II '3 . ;.::;- SAC # $ /; I c:;o .CJO I
WarerMeler SiZ~ +$,C;u-'""
I Plan Check Fee $ /. 311'). '7<( $ ; 2,\.06 I
I State Surcharge i $ I S'c> .Db I Pressure Reducer t - $ 7,) ; 0 9$0::
I Penalty $ I Sewer/Water Connection Fee # $ /, d()(J.6 Cl I
I Plumbing PermI/t Fee $ /00.00 I Water Tower Fee # $ ?Ot') ..cO I
I Mechanical Per;lnit Fee $ /~O.~ I Builder's Deposit $ /~on ' OQ I
I Sewer & Water ;ermit Fee $ (35',50 I Other $ , 1
I Gas Fireplace P :rmit Fee $ </0 ,C:JCf) I TOTAL DUE $9.4-83.19 I
/7
?ll~ ;(;:~our Bnildin:Penmt When Approved
1;:;:1/; _" 6- '2C)-az,o r
/ l . ~( )fficial Date
Paid
Date
i.;LfX:S./'f
-;-'J 0-6 I
ReceiPt No. t-( (/ /;JS)
Bv y,r. ~
()
"illS is to cenify tha the request ~ 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 :iry Planner constitutes a temporary Cenificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.)'!
I'"
~
<;...." ~ ~-c,-\ L~.\\l-ev"'~.
Date . Special Conditions. if any
24 hour notice for all in'ped,,,,,, (952) 447:9850; fax (952) 4474245
7 / tF,/ P-\
FIRESIDE CORNER #2954 P.DD1/DD4
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
OCT - 8 2001
I. pI".,
~ """"
:J vetl.,.
. '
S,.... I PE~!T N?~OJ::{l1441 .
(PIBIIBC t:YT;Ie Ot prb: r: Imd liftED .ilt boamn)
ADDRESS
3~'S? ~-r~
Z""iltl.J.."G (offi=.u.u-)
LEGAL DES( RIPTION (offll>: ".. only)
LOT
au leK ADDITION
I
uJ~t'U. ~..r
PID
OWNER.
(Name)
(phone)
(Mdzess)
APPLICANT
(Name) AL: .IED ~IElESIDE DBA ~IElESIDE CORNER
(Phone) 65l-633-256l
(Add,ress) 27110 N. FAIRV:Iili...l\.llEl""F.
(Add..,,)
("_ P ) BRENDA HUS'l:'ON...,
~nlllc:t ersc n -' ,
APPLICANT SIGNATURE ~'11":::.
,
~'TT,T,~ ~
(CI'l')
65l.-633-2561
S~1')
(ZipCollf)
(Phone)
DATE _..//J~'!r-(JI
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPI.ACEMENT 0 AI. TERATIONS
FURNACE MJ ,KE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OT.111'UT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
DGnl.YI'l'
o Mech,nio.1
OAlr Conditioning
OVent.. System
FIREPLACE II lAKE AND MODEL .Mv ;J 6c.>
BStelUTl
IiOI Wator
o Rodi.lion
o Spoellll DeYle..
o Other O..i,009
PI.EASE NOTE:
Air Conditioller Units
Cannot Encrr>8ch into
Required, Side Yord
Setbacks
~{).:x, f.l!_
Industrial. com~n erolal & Muld-Family
Residential. /ie ng &; AlC (New Construction)
RcsidentJ.J, He ng Only (New Construotlon)
FIi:ESCHEDULE
1% .fjob ""SI Rt,jdClltlor, GIS FI~l.ace
539,50 mlnlllll.lm
$99.50 Residential, Addi!lons &; Alrerations
$64.50 Residentlol, AC Only
$39.50
$39.50
$3950
ESlimate<! Cost S Eullding PermIt #
01-0744-
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
!""""'"- !"AlD WITH
.50 rl I:!-C:~,~G PEE;J:IT
(om.e v.. Only)
This Applle.lIon Becomes You, Building Pe,,,,fl When Approved
nUlldlrlOffldR'
I
D.III:
~
I IJaul/O. f; '0/
Re~1
By /J~ I
/-
Z.4 bnllr noli"" fnr .11 ""p..,l... (95%) 447-9851), 'ox (95%) 447.4%45
4: 24PM
GENZ RYAN PLUMBING AND HEATING
No,1185 P. 3/:1
Date Re~'d
LU i OF PRIOR LAKE PLUMBING PERMIT
fPlca..:u= ~ cr}n'JDt m4s:btD. at bottom)
ADDRESS
i~. f~..... I PERMIT l'lO] -,44
~LJ c:'5<
(;.,.... ,-,q-/I -
II? A--I L-
I ZONING,,,,,,,,,...)
p-\
LEGAL DESa lPUON (ol5.c:e use only)
LOTln BLOCK to ADDmON 1l)~.Y'L./f"I I~
PID o?5 -3 '7h-()~b-C)
,
OWNER
(Name) Wens, ,ann Homes
(phon~ 651-905-3709
(Address) 169: i Plaza Dr
Eagan. MN 55122
APPLICANT
(Name) Gonz. 'Ryan PIUlllbing .. Heating
(phone) 651-423-1144
(Address) 147'5 So Robert Trl
(Address)
Rosemount. MN
(City)
55066
(Zip Code)
(Contact Pc:r.lon) Marv 0190n
I APPUCAN1' SI1NATURE
Quantity
2-
I
I
""
I
2-
I
-~
APP
I Type of Fixture
I ~ath Tub with or without shower
I Dishwasher
I Floor Drain
L .vatory (Bathroom Sink)
1 illIldry Tray (1 or 2 compartment sink
.s lower Stall
I S oks
I B IT Sink
I ~ ater Closet (Toilet)
n~
(phOn~ 651-423-1144
DATE iiJ..WfJ \
PLEASE COMPLETE BELOW
Quantity
,:<,
T
---ell
I
I
'" J Rough-ins
I Water Heater
-1 Water So1lner
I Stand Pipe (Washing Machine)
J Sew~ Ejector
. I BilcJd10w Assembly
.. I Backfiow Assembly Test
. I Lawn Sprinkler
I Other
Type of Fixture
I
I
I
I
I
I
I
I
I
I
I
I
I
I
FEE SCBEDULE
Industnal, Commer ,iai & Multi-family 1% of job COlit with a $39,50 minimum R..,denlla!. New One & Two-Family $99.50
Residential, Addition. & Al~""s $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
:50
,SUJi6;WG WITH
PEF:j~d'T
(Offl(:~ lJ.sc Only)
I,~ Thi. Applicatioll lIec:omes Your Building Permit When Approved
. l:luiIdi.O,d81 Oak
I Paid
I Date
9-/p~/
I Re~No. .
IBy~-
~~ baor notice for all in.p<ctiolU (952) 447-9850, fiox (951) 4414245
L
Sep.17.2001 4:24PM
GENZ RVAN PLUMBING AND HEATING
No.22B5 p. 2/:\
Date Rei:'d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~ ~~'. I PERMIT NO. /-71 III
]. QQId ApplilllQl: Lf '-1
l'Fkasc ~ or'Dt1Dt l ad ~ a.t'bofmm)
I ADDRESS -
.::J.,U~ h-,....TAII
-Tp A-I L-
ZONlNG (aIlL:....'
Ml
PID...).5-:.~7c:.- Of0-~
LEGAL DESCR IPTION (a1&e use only)
LOT /0 BLOC K lp ADDITION WU)~i"f"lQ..I"V'J I~
I~=~R Wenan ann HOllles
(Address) 1895 Plua Dr St" 200
(Addtw)
(Pho,,",,) 651-905-3709
Eagan. MN 55122
(CJtJr) (Zip Code)
Al'PUCANT
(Name) Genz-R.van Plumbin.. .\. H..acim,
(phone) 651-423-1144
(Address) 14745 So Robex" Txl
(Address)
(Contact Person) Marv 01"O[
-TSCANT SIC NAT'URE 1
nJ..
'RasamOUTlt_ .,.~
(CitY)
(phone) n <; 1_42,_11 fr"
DATE q /r7 ID I
55068
(Zip Code)
APP
PLEASE COMPLETE BELOW
I
Size of water service inches,
Location of lIIlY couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Cle;m out (if required) located at feet frO!Il structure.
feet.
o Cast kon
FEE SCHEDULE
Residential.ewer llJ; d water line connection $35.50 industrial, Com'l & Multi-ftunily 1% of job costwitb. aS3950 mWllnum
Seweroonnection oily $17.50 Water connection only $ I 7.50
Estimated Cost $
Building Permit #
SEWER AND WATER. PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
13l.J. P,tJ,ID
.. W"'>'A, V;/,..,
""IJ"YG '14
pc-C-:,
I.;ill',,')oo
11"1
(00", u.. Only)
[, This ApplieatioD ] lecomes yo"r BUildiDg Permit Whea Approved
" Bulldlag olll,..J Oa..
Date 1"-11?-{
I Receipt No.
IBylf
()
. Paid
24 bnur noti... for all inapodia". (952) 447-9llSO, fax (JIS2) 447-4245 "
Aug.I).2oo18:29AM GENZ RVAN PLUMBING AND HEATING Nu.D274 P 18
.~~ CITY OF PRIOR LAKE ....llo<'d
!: ';,1 HEATING/AIR CONDmONlNG/FIREPLACE PERMIT
" ""
. .'o\r1V"ESO"'"
--
l - ~ I PERMIT NO.
;~ ~..._ ~ l-iL/Lf
ZONING {oma,_
(l'l<:ase ~e at ~t ",d sillllat bottDm)
ADDRESS
3'-1 ~)'6
r;, \["'1 All _ '11?~L--
LEGAL DES,-" ir HON (olllce use ooIy)
LOTIOBLOCI{ (0 ADDmON J:QJ rLU-::>Pr-L(
\s,\
PID ~- 37t.,- (Ii trh
OWNER
(Naxne) TJp.Tl<::1llii nn Hnmpc
(phone) _"" 1 _o'l5=.J,,7no
Eagan, MN
55122
(Address) 189~ Plaza Dr Ste 200
APPLICANT
(Naz::o:e) Genz..RV'an Plnmhin,! 1'. H.eq"ina
(Address)
14745 So Robare Trl
[Alldre>s)
(phone) ,,<; 1_"?~_ 1 lbb
Rosemount:,.. M..N
(City)
55068
(Zip Code)
I (Contact Person) M~rv 01 anT' ~,'
APPLICAN1'SmNATC.1RE \ A. ~
)
APPLIC,Ar" ~ r LEASE CO:MPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL1E.RATIONS
FURNACEMAKJ:ANDMODEL l-'LItur\to'l.. GZk:>-~lw-'I",(J FUEL kJA1 (-m.,.<<.,
FLUE SIZE RETlJRNOPENINGS f~ INPUT lea 000 OUTPUT 9/(r!nD
rYPE OF" ~ ",,,,.v.! HEATING OR POWER. PLANT
~Warm f\Jr Plants 0 SteJllD
EiGrav;ty 0 Hot Wator
o MecbllIllcal 0 Radiation
[8Ail' Conditioning 0 Special Dcvigcs
DVent. System 0 Other Devic""
?;l1one) t;~ 1_1.'<_ 111.4 .
DATE fJJ /4 17 In /
PLEASE NOTE'
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPL<\.CE MAKIE AND MODEL
IndusmaJ, Comma';; I & Mulll-famJIy
FEE SCHEDULE
1% of Job cost Residential, q.. FirqJlw;:e
$39.50 minimum
$99.50 ResidOlltial, ^ddittons & Altcrallons
$64.50 Residential, ^C Only
$19.50
ResldenllaJ, Heating / , NC (New Construction)
ResidentiaJ, Heating ( Inly (New Construction)
$3950
$3950
Estimated Cost $
Building Permit #
I
r(('-.e Us. ,gnly) i
. _<Is Applicatiou ;ecom.. Your Building permit When Approved
Buildine o1aal Datr
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
" p,/
t,~'rJ!I ""'..D .
"D'\I 11/""L,
'flG 1;7
P.~,-.
" ., '..
I ljll~/"'"
Paid
-
I ReceiptNo___
Date
0"9--1-01
IBY~
14 hour notice for all UlSpedlons (?52) 447-9850, fn (951) 447-4145
Thf C'fntfr, f Ihf bkf Counlry
White - Building
Canary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NA ME OF APPLICANT
AP PLICATION RECEIVED
Ii) iJ/){/.VVYL ~
(0 / / 5 )(J I
I '
-fj~
.
\
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
apl llication for construction activity which is proposed at:
3'-/rf~OYfu// T I
Ac :epted
Denied
()(
\
Accepted With Cqrrections
Re viewed By:
/VJ'}A
Date: -.f,-:J.,t:; -0 I
Cc mments: ~P.P. Rp.v..er!':p. ~ide for Additional Infnrm::ltinnl
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
:\, ~rn!':inn r.nntrnl PI::ln
.
"1]he issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
allY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pI esuming to give authority to violate or cancel the provisions of this code or other
oldinances of the jurisdiction shall not be valid." .
-'.~1i PR10)j> <:
b ~
u '"
White . Building
Canary - Engineering
Pink - Planning
ThO' ('''nI.., of lh..l..k.. ('OQnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ.ME OF APPLICANT
AF PLICATION RECEIVED
!J)~ iJ~
G /) 5')(} /
) ,
The Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
3lj5"~ =;-OY&/ / 'T r-
Ac cepted
Accepted With Corrections -<.
De nied
Re viewed By: l
Date: 6 - 2-5;-i/I&o(
,
Cc mments:
rt.E.'4c:R. a(( .~+f-ac~&. ~~ -
"Tlle issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
an { of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pn !suming to give authority to violate or cancel the provisions of this code or other
or~inances of the jurisdiction shall not be valid."
!
i
I
___-1
.
White . Building
Canary - Engineering
Pink - Planning
Th~ ("tont.., of Ih..I..k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ ,ME OF APPLICANT
Vi. "
, /
/ .
j -+-11, 'V" )., /'
~;</ " 'J ....--/ It' r ',-",---;;"...-r
V-" !
AF PLICATION RECEIVED {o / / S )() /
I
The Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
3'! J'rY 7- () y b( I / I I
Ac ~epted
............---
Accepted With Corrections
De nied /.1-
Reviewed By: ~~~____~..A. Date: ~ol
Cc mments:
. ~IWW0A 2'-LFr ~}~ A-r
I-"f;a- 4-~1:, /MM 4-TVi~0 ~,-f)tLJ
~1D ~~G~.. - - .
~ \~~ ~ ~(}L\~ 1]~~A\wi~~S
~,q~~/&~~oM ~~~h.
'" Q A <.olAAI)~ I
-\0 ~ ~
, " I
-, .
,~
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~
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.~
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"Tt Ie issuance or granting of a permit or approval of plans, specifications and
co~putations shall not be construed to be a permit for, or an approval of, any violation of
an of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr suming to give authority to violate or cancel the provisions of this code or other
or inances of the jurisdiction shall not be valid."
,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 3tf6R ~(. t 'f't'c:..fl
NATURE OF WORK JJe. J
USEpF BUILDING S~
PERMIT NO. 0/ .01~ DATE ISSUED b-ZS'2a:::>/
CONfRACTOR ~~<-(.. ~ PHONE
NOT E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING I P _JS;:;R I 95 (tti;"
'FOlilNDATION (Prior to Backfill) I 'b.\)~ \ ~l4 I ~\L. efa
PLACE NO CONCRETE UNTIL ABOVe H~S BEEN -slbNED
ROUGH - INS .
bib... t... I . ~lll.,
l 1b~ IO,I~'
1b\\~JQ$\n'
b'~ I ~)l~ 01
rh\)(J~ ID/(I7,";/
~UI1) CI.\Io.. 01
SE'J fER / WATER / SEPTIC
FR MING
INS LATION
EL CTRICAL
PL MBING
HEJ :rING (if required)
FIRL:PLACE /""\ _
GA~ LINE AIR TEST /$ vtJ-R
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
;V 6 ~JJJl
. ~~-l
/~~~J
[~A2-
,J~I 9f
t r
GRJ ~DING (Prior to Sodding) .
BUI DING ~IO. /~. ~15 )/()'V
ELE TRICAL
PL MBING I
HE :rING I
DO NOT OCCUpy UNTIL ABOVE
i NOTICE
ilThiS 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
iwhere no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 anc:! 9:00.A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
rk~/ol..-- / I ; $'5'
1
ADDRESS
3458 Fox m I '-' 77U-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING fE)
o INSULATION :/\ .
Ill' FINAL /If
tI SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
0/-07+4-
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Soo/TtlF"&
sJJ:5 ~.~
I r
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~-
- J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
OWner/Cantr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
lIiS1iOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
<;J ~ :;x,-oL
PHONE NO.
3~ 5"9 hD)<~,' I T t"Cf,'/
Wt't1MJ!MrL,Hol11~
PERMIT NO. 0 I - 7'1'1
CONTR.
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~~~ULATION
fi.n""lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,q~LLlNG
o COMll'i:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
b~~ oK-
CUfb /5otc - ~ Y-
-4'ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPEcTION BEFORE COVERING
lnspector:.dX~ -;:: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJiOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
34 se fZ>)C1a~[ Ir,
OWNER
CONTR.
PHDNE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
1..,0 JNSULATION
-0. I( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
~o .fiEWER HOOKUP
.PLUMBING FINAL
i( MECH FINAL
COMMENTS:
CA' E TIME
/~ QL ,3:30
/-744
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,qlol'Dd-..
'~.i:e1 ~'1 (~+I~
\:M^I'^^-
~~ .f-- -treJO.$ F d1'Alell'9f 0-t~J-
:J' c;: <:"I.;{ e.- +.f'''' JI"\ C l (;) ,
~1'
~RKSATISFAcTORY' PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'J) \ QA,!IJ Owner/Contr:
CALL 447-9850 FOR -rlE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY/