HomeMy WebLinkAboutBldg Permit 04-1114
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I O-/LJ - V L
I. White File I PERMIT NO I
2. Pink City . 0 A-. 1114-
3. Yellow Applicant ,.
(Please type or print and sign at bottom)
. ADDRESS i.J~2l:. K~i"j"tiM ~ N./:. ZONING (office use)
~,~ ~ /<../
LEGAL DESCRIPTION (office use only)
LOT tf BLOCK 2
OWNER /l .
(Name) Luddl-ja-t
(Address) .2 2/3.1
TYPE OF WORK
ADDITION
(Phone)
PID'K :J.:J1/f'1o ,}O
, 1(. I
9~2 ~6f /~II
M~~
~ New Construction
ODeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $ 'laq O~O. ../
OLower Level Finish
OMiSC.;. ~,C{ ~ ~
$
$
$
$
$
$
$
$
~t?OI~ ~ I
J.rs~ s-o I
/. JSy, ?y I
'J"CJ. - I
I
I
Cui~ 1rcA//dV5 LU;
~~ ~i4n
o
BUILDER /) . ~ 4 J /L
(Name) Cu'd.~ a .~ Lt..L
(Contact Name) .0&.-.J.e- ~a,..,IJ
J
(Address)
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 aw at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon~ope t orm needed inspections. j
30
X . /,~.] / 1,1_1-&
- / J / Signature Contractor's License No. Date
V'
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/t1lP. ..,
/017. -
.15: SD
YP.-
S::=B'lJ;""mng~~~;;
Building Official Date
..s:rotl-Lf
(Phone) t 012/ 32d 'li12'
(Phone) ( b 11-) 32.U #<9 J,.~
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
I Park Support Fee
SAC ....-
Water Meter (~ze ~ I";
Pressure Reducer
#
$
$
$
$
$
$
$
$
#
/ .i5"0. -
....;so. aN
'1'.5. ~
/.2~. -'
7~.-
/51>0.-
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
I TOTAL DUE
"
~ ,0:;)'1.04-' I $'D1 ZZ-fJ.7P>
~cei o. ".r~ I
By -" I
,-,. -
-J
I Paid /0. Z -z-.r. '1('
I Date J~. /. () 4--
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 consti~tes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isS~~ /O/07;d~ ,t~a4~~
Planning Director ' 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
The ('rnltr of Ihl! l..kt Counlry
White - BUi~n~
(Can~ - En9ineeririD
Pink - PlannIng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
{1./ J r If'if r--:' tJ. \ .
..../ '.... .~./ V j \..".! r \ t .'",
APPLICATION RECEIVED
I. (' 1,..-1- (./i__
...... ., I "T. ,-,,-r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f ~.;2, Z f.c t:.. E t.( 'C j r< 6; -i-'c (\.1 /\ \/ F '
( , --
,\ i ~,~
\.j . \.~....' .
Accepted
'X
'.
Accepted With Corrections
Denied
Reviewed By:
It)/}6
Date:
!O--2t~o4
Comments: See Reverse Side for Additional Information!
Driveway Must Have A Cnnr.n:::.tA A!"nrn;:!rh
See Attachments: 1) Gradinl! 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."
White - Building
Canary - En~ineering
~ -Plan~
The ('t'nlrr or Iht Llkf Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I fj I(if\;)
i( . i'+. 4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J __.' ~. Z 0:: eEl C I i ( j -r-c i 1\ \, t. {\I . t
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~M~
~ CLLf ~,>/.~'
~ ~ ~.A.-a4.
(J
~.
Date: / () /z (g~ 'I
f
.
A.c. ~
~/~
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."
Qiilhite . BUildlncr:>
. C'anary -.> Engineering
Pink - Planning
Thf C'tnltr of Ihr takt ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6U DD/6JA tJ
10 . t 4-. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
13f>Z(P t:6N51 NE,TOtJ AVE". N.t;.
Accepted
Accepted With Corrections
x
Denied
Reviewed By:
Comments:
'#4~
Date: /~~y
"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."
12/21/2004 11:51 9524401740
U~/~.'U~ ~u~ ~~:~~ ~~~ Q~~~~'4~~~
ALTA CLEARWATER
~111 ur r~~u~ ~~
PAGE 01
IWUUJ,
U.l.i OF PRIOR LAKE
~TlNGJAIR COND... "AONJNGI~ J..dPLACE PERMl1.'
. . ..",
... "
" <;~,;i~
. . Jbfe ilu'4
ll1e:Ne 1l1lt arlldllt _ riD.\lOaDID.l
t1J.u~s \1 \ .
Jm:>.ll ~ ~tM.S\ Vl~V1 -'lJitt "
~AL DESClUr uQN (cllic.'e me"
(r.~~, ;BLOCK ADDmON
.
~~. ~ JItI{
I. . NO.'.. .
~ ~~!. ......... ....,..
.- '\ '1\\ . .
~tt \ _ L llONlNG_...
Fp"7f.ED
Utl, I... I LL~\
. . /0. \
(' ,.-? .... \
~ Ir..... <::.: .1-. -"-,-,.1'.,-. """' J
~.L.I.' . 1 '......... '.. -......
-
. &=~. A!tYJ\OM1V1 r~LS1U01\ Ibt~. (Pb0de) L-{toOl~~"'(.Q \ 1
r;-> tt\lt;fJ; \A\(~[WLk\lG~~tV\\\t- ~W. ...
APPLlr~\l-t-^..-"\"'\'~' . . \ ~~(_ \..~ . /1/ II')' ~?~:1:'~;"rg~..:;:'< .~,'
(N.me>-n \" t,' V.(J.. . 1/ . '1.' '.' if'f) . .. (Pbofte) ':-7L.f'(:. "~ ,..,..;,..,..~:.::,.;::. .
(Addn~)m11D ) lUgn. . L \~ n.)r\r)i \ ~ ~; ~~l:r
. (C_->_~A~~JLJ rg tl'fvme)j}Ltn-31'1q~
.AppttCANTSlGNA~)~) DATS /~0?/1Y:
APPLICANT l'LEASI. COMrLETE BELOW
[)NEW CONSTR.{k,lIVL~ 0 ~CEMENT. 0 ALlE1tAnONS . .
FUaNACE~ANDMOnm. ~ (f' \rv1 r-4i.(' ~- U n FUn I~~~ '
PUJESlZE .'d> "RETUaNuJ:'n1.tINGS ..~ INPUT IlC)/X>O OUTPUT .z~cr--;:-)
TYPE OF S\.u>>D4: HEATING Oil l'C , ....:..o....PLANT
. ~wmn AirPtanu ~ ~
. cm.vi~ Hot Vi...
"~ bl~
3~ COIld.Idooial 8~1" DevioeI
VCtl\. Sysctm Ot2IerDewicec
PLEAft MO"l'2:
Air CoIIdiliOMr Uoit!l
. CaImot~ imo
Raq1iincl SidC YAt'd.
SeIbadcs
flll:a'LACE MAKE AND MODEL
PEE S. ~ ~ . !. , , Jl.I.
1% of Job CD&t Itt:sj~ GuFir~
S39.50~ .__.~..,
1l.a\dcntial. :Ht8dn& & AIC ~ Codnl.c:doa) ~:;O>. '. Residetlci8l, Ad4itiOJD " Alllll"fltiant
Resldentlal, He&IUtg ODly ~ew C4IIftNttion) f:t S64.SO lWidcmiaL ~ Only :.
Estn.d. Cost (/3/7:&7, o~ Bulld.ingpermit I#-
HEATING PERMIT FEE $ q&{, ~
STAlE SUllCHAR.GE . S .SO ,
(OIBaVnOllty) .....'.\AL!DMI1'.I!W S /O/? 0 ;'\A,J .,:/ >.
TIdIAppllaltio.JIecoIlUlSYo.r........PalaItWlleaAppnmd. I hid bv\l) - . '1c""~I,~,t~
D_/:?/,,'1-J/OU Bye, /
o
rndu5llliAJ. COmllleraal. MulU-fll!'l~ly
$J9.S0
'..
139.50
139.50
....... 0IIdaI
Ihlt
Z4 '..r .otiee .... .n iupeeCSOIII <,52) "7-11$0, In: (952) ""'.AUS
11/11/2004 17:49
5077445555
BADGER EXC
PAGE 01
- ........ . .,. ....,...... I ^.. ...,.o....... j ... .. '" oJ
Ir...~~ \,It rt\,llJl\ "".\.l\t.
\iLJ U U 1
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Datt Rec'd
rl'k Uc lYD' or UMt md 1j,a.D U botTl:lalJ
ADDRESS I
\ '3 g ~ <0 Ken ~ l^crf1.5'Y"\
Ave I'UA€.-
~. ~=. rl; I PERMIT NO.~ J J....d.L
1. 0el4 A~_ '~
.-- ..,
ZONING lollrr ..}
I LEOAL DESCRIP'I10N (offtC'f lite Only)
! Lor BLOCK ADD~.TION
... r
I OWNER (\ . ~
I (Name)~M;~~ l..-{)~~ 6v,'ld@rJ
(AddJess) 2).;). I 3 3 ~ ~ ~
lAd 1n.~1~
PID
. (Phone) QS 2-- '{(. 9-/~1"/
L~ /l1AJ sroYy-
(CI~} (tkl COdA)
I APPLICANT '2> ~ P ......L .
j (Nlm~) T::) G. ('{..., v X C C( u ~
I ·
I (Ad~s) ---8.3 7 ~ I/J 70 tt, S-lr~;:t-
(^~~u)
(Contact Pf:flon) ~G neL 'I .sf >non .
i A.PPLICANTSTQNATUR!-~~ ~
I
APPLICANT PLEASE COMPLETE BELOW
Si:z.c of' 'filer 5et"Vice c.) inches.
Locatio~ or any coupllngs from structure - feet.
Type oflsewer pipe. 0 ^B~,,\ ~VC 0 Cut Iron
Estimatrd length of &ewer tine ~ <..J feet.
ClellJ1 t)~lt (if req uired) located &1 feet from' structure.
I
I
I
I
Re~identill &tWit tnd water \\1Ic ~oMeotlon SJ LSO
S<-"" tr cunneetiOIl only I S \ 7.s0
I
(phone) 5'0 r- 7 yr../- ~(... J' .
L a"'\-S d~ /l?,..J S-suy ~
ICily) (2.lp Code)
(phone) 6"<:)7- 7YY'- ~~-
DAT! / /- / Q-C) Y
FEESCHEDOLE
Industrial, Com '\ &. Multi.famlly 1% of job tolt with. $39,50 minimum
Wiler tonllealon only $17.50
E~timat Cost S Bulldil1J Permit ~., -.-...
SIEWER AND WATER PERMlT PEB $
S~ATBSURCHARGB $
~OT AL PERMIT FEE $
lom.rt:iIO.ly) y!
i ThIJ Application Bt~omtl Yo~r B\llldlnl Parmlt When Apprond
,'(n "., ..~.' ,.' 1. >
U -.: ..~.... ":'~.
.j,. .... wiJIiI':. I.. _.
< .~.~. ~.-.. .
;fj,1 d
ill..etlpt No.
, I'
a"lIdlqlom...1
th It
Oato
_ t-.ln\l 1 5 2004
, ,
~ ..~f'
. I
'.' .\
. :;.,
\ .' ~ JI' ...r
.:~ -. ~:;=. ,-,~.....-"..~ '.
14 )Ullf nollc:. ror allln,ptc:tion. (1152) ..,:-ttso, fll (951) ,~?..:z4S
12/14/2004 13:20 9524401740
_ -__ __'__ ..__ ___.... ....:11..,
ALTA CLEARWATER
"'.I."'.J. V.I ".,LV.I\. ~
PAGE 02
Igj uu 1
': ,,:"\~':~~:'. .'....'.' .~: . .
CITY OF PRIOR LAKE
HEATING/AIR COND.I..I'kONlNGIFIREPLACE PERMIT
..... Date Rec'd
~.or1JdD[IIl4_ar.~l
ADD~S -
_1;'h.~ln ~\V1~JVl..I6I\~'
~~...I. DESCR.u: uON (ol&ce - oaJJ)
~) BLOCK ADPmON
~=~"WVJ\~JV1 C)l~\'Y',1\ (bl~~. . <Pbcmc) t I oOr~-'lQ\I.
C--l '2-1-\% ~~W:W\ K\LI\J:\tevm~ ~W.. ...
13~~~~^~t~. .~_/(~~~~~;~ .
(C<mbL<POdOll) ~A~.t.SL~h1IL .(l'btmo) Ulf().-?l..-rq~ _
A?PUCANTstGNA: _._4t',i",<{lJ DATB. /~I/?/t1~.
!:~~~~N~. "..'&-'
~~~'~"~'~'.'.. ~
~ ~ t , ZONING (oIke UIe'
:PIC
A,a's.u.CANr 'PLEASE COMPL.a.l~ B~LOW
(]NE'9iCONSTRL\..uON LJltE:PLACEMENT' DAL~uu.l"s . .
FUJ.NACEMAKEANDMODBL L+:~I1~ (~\Nl ,Q-l{Z.f ~- t~ n. FUEL \/,~r,)~;:. ,
FLUESltt '"d, REt"01lNonNlNGS -'-1 INPUT I (C?,a:>D OUT.PUT .5\~CfJ)
TYPE OF ,) t,)l>>dl. BBATIN'G OR. POWER. PLANT
. .~Wlml /tJr P1aub . ~ SIuam
Ora~ Roc W_
Mft:hlllliad . blhdlJD
~ 1),1.:.IDtMce1
~em. fJ. ." .,..., Other Delricu
PLEAS! MOrE: .
AIr Caaititicm. units
. CQQI&Ot~ iDto
~Side YIIC4
Sr:lbIcb
FDlEPLACE MAKE AND MVUCAo
FIE ~~,ULlt
w. of job COlt RaidenlillL, OM Filcpl-:e..
S39.~ IIIift:iIrlum . - - . '.. .
RaL.. (J;..LHc8dng&AIC(Nf.'N~OIl) ~:,o. '. Iletidential,Mdlti.A.A1lllmL..".. $39.50
Residential, Heul1nI Only (New ConstnIdfon) S MSO . 1Wtdcnlial, A<; Only :. '. . . $39.50
Ectid:IIIICdColts~3 :2S7, Q,g' BaJldinlPermit #
HEATING PEllMITPEE S q~, ~ PAID W1TH
STAlE SURCHAkGE . S .s(t5lJILDING ~R~
TOTALPI'JDIlTftt S /b(? 0 o. "
" .
I~ CoI'DlIIen:ialA MWMllnily
$39.$0 .
(OIlolIllIeOlltr) " '
T"II AppUcdoa IIeco1Us Your B.o."" Penalt WhY Apprond
Ralldl. OIIicial
bill
. '. ...-.
__l ..'c,lfI!l'. ",
I.hid Iteoeipt No.
Dllta By
DEe 2 7 2illlL -
U h..r lIeta,.1".n iupedle.. (J!2) 44'''50. fu (lS2) 441-045
12/14/2004 13:28 9524401740
U./~D/U~ A~~ ~4.~' rA& V~~~~I~~_V
ALTA CLEARWATER
PAGE 01
Date Rec!'d
CITY OJ PRIOR. un PLUMBING PEllMlT
~~&JIl'....mcaa4..boaDaL)
J;1J;'j p ~
l:~ ~ I PERMlTNOOf-.UJ4l
ZONJNG (DIIIct IIIC)
) .
. 4:~DE$C(l'ICJ.d)N(otfb-aalt))t.t ~
-r5)~ '.' ADD.ouN .: \ "\(.~~
()!lw:l JrtJvnl'l( ll~ ~. ",,-~:;'l>.j'f{;JI
~1i~ ~}f>,~Vil10~'--,(7-i-~- . .
=~~A 1>\0 I~ 4rila I (lhoK)~~L/!:L()'~~--o.:J
(Add~$)Jt1'2(2J)D.dJA~11to)~-U. \=12JbvJA~ . ~l1r
\\ \ A..- (~) . (City) . (Zip Code)
(~F_~"...) ~ "II. (Phone) LIU~) -?71"'l~ .
APPUCAN'rSIGNAroRE ~ A1~ DATE'l;j~
I
APPUCANT PtEAsE COMPLETE-,)u...QW
1'Jpe orJ'W:l,~ QIlllllllty
BMb Thb lridl at Widlouc sbower : . \
~ I
Floor Drain
Lavatory ~ Sink) I
I..IaDdry Trq (1 or 2 COIIPItUUIIt $ink
SILoMr S'IaII
sfab
BerS.
t W... Cbet{follet~
QUIltlty
l ,J--
I
I
.~~
I
\
I
~
.' Typeof~
Rouah-ios ..
. Wata&er
Waa Softuer
SIBD4 P',pe (WasbiDg Mac.biDe)
1 ~~-bly
....ith A'l.''', ,.btv Tat
Lawa ~priukIer .
f Otbe:t
..... s~:,...a...E. .... .
. 11l4VSttia', Commetclal &: MuId..f:mlilJ, 1% oIjob colt widlt $39.50 ~. ktidclltial,~ ODe a: Two.Fllllily ($99$',
. . 9: J / lJ11 Rest; .. !.d, Addbions" A1flen1tion! Si9-';O
&timm.d Cost S -4-H~ BuUcIiag PemrltN. I .
PLUMBJNdPERMlT~ s. q 0-;, SVBA.'DWITH
STATE suRCHARGE. S . .IV"'. ~ .&AIT'
TOTAL~I'EE' S /~PtnMI'
(01I1u \JR 0.," I
TIWl AppIIado. ~~ Year .....P-it ~ AM-....
Patel
~l':Io.
. ,.'
~c ~ i Z004 '&y
...... .....
I
~
2A ...... ..Iia Ie, all "'~t""" ~) ,"'oNSO. ~l t'52) 44'7""'145
-..~---
.. ...'..... ,..~.~..._..w.."""'~'_,~~.-.-._______..".<_~_
9524925005
GLOWING HEARTH N HOM
,: .
PAGE 01
'~I~Y~'
L1J.' ~;'.
h.. :"'A. .Tinl'l'i:':1(JiJJl\!Il,'iS.~~)o.TnI~ .
. ~ . ," u.,.~.,.~:ltJ;W~";~l~U .It;
"/LAKE
.., PLAQjrtERMI't
Date.Rt~'d
"j. .
(please :tv'{!eorOrinl: tJ1lhimatb\:ltt'Om),
ADDRESS .
\ J'bd~ KeN'~'r\(to~
..' . ,.;i~4:'.~:.fi".' .,': ~
A\Je-~r\OC~l(e) mN
I. Pitlk
1, Orten
), y.."""
File .. .'i._.,....'...',.......~ '....,., '6T. T 'N'~.L/ LtlJ/7
CI1,~ : ""...;a.,'U'I.'Uy.u. ~. ~
";'~I'I..' .,.;:,:,.. --
...."~..'<~..
. " :';..:'.: . l'
.: ..... .... . ZONING(ofllcc.u~)
LEGAL I>ESCIhruOt:r4"(offiee1iseonly)
LOT BLOCK
ADDmQN
pm
OWNER. C ,. C
(Name) \). d d \ ~a N l> 51 01'0
(Addres~) d'd\3 ~ t:~aN A \JE:"
hi".
=ANT GI aWIT\~ Hror-l-'r- +. 1+ 0 me... (Phone.) qsa. 4qa. q 011"
(Address) (aO - E \ 0. 0'(00.6 nf\.\Je - 00(&0 N \ m 1\J 5 S 35 d...
(Contact Person) II ~ 6hl~~~) @ (p:one) (C;:~~ rt. 4<1 rt _ q dl(rCOde)
APPMG~.TSlGNATURE '1"\~ 6~,~~~ ~ . DATE. &10/05""
H 0 rr<.=' 6
L-ote\J{U e'mr-J
. ... ),_...
(Phone)
~.~~fI::_~E'(Z~:LE1:E:B~~0W'
~WCONSTRUCTIOl\t' . .. ..O,~,t.~C:BMENr 'DAL TERAtIONS
FURNACEMAKEANDMO~EL ~aoo ~-rR.. Cot . FUEL
FLUB SIZE RE~::.01\'!.tlo~~~iG:SINPUT OUTPUT
'fY:PB'oP~SYSTBM ltEA~~'$0;R POWER PLANT
tJ;W.AjtPlants D Steam
DG(a~i.ty C1HritWater
D'Mec:HlUJical :8:Radi~i\!ln . .
DAir C;:os:ttiitioning U~i1l:l~r",ev,i'c;~
DVent.SYtremLlOUledjevi~;
PLEASE NOT-E:
Air Conditioner Units
Cannot Encroach into
Requited Side Yard
S~backs
FIREPLACE MAKE ANDMOPEL;.----:." ~'::-,....:'
EstimattdCost S
~ES\:.t1J!iD{;)'L'E
l%.ofj9btost. Residential, Gas Fireplace
SM.5<Htiitlimum
$99.50 Resldentlal, AddilDA,OWl1h'
S64.50 Resjdentil(~\t~'NG PERM\T
BUilding Pennit#
~~::.~~
$39.50
$39.50
Industrial, Commercial &: Multi&pamjjy
Residential, Renting&. Ale (New COnstrUction)
Residential. HeatingOtily (New Consrru~til)")
HEPkTINGPERMlT..FEE.
S1'ATESlJRC!tA1tGE .
'fOTALPERMn'l'..J!)t"
$
$
S
3 q, 50
.so
4 () .()e')
-
\r\ -(\ ~ {}..
reI( '~e ( \
~r ~\) ~ €. ct- ~'\
~\'\e
(omCeUJeOllly)
ThbAppJieltlon ;BeconwY1>ur BulJdi~gP:ermitWh.enApPl:ovt:<l
Dundlilt: 'omclal
Date
I Paid
I"~
Receipt No.
-
n LUUJ
I By
24 bO\'lfMth::dorllillnsplSttJons<95Z)447.:.9850, ral (951) 447-4245
l~EllB" .€rHkA~enue, Prior LaketMN SS3'72
PRIOR LAKE DEPARTMENT OF
BlJ.llDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS /Ji'.;tt;. ~~.w~~ At~.
NATURE OF WORK ~.-., ~..,.. "'b"-.
USE OF BUILDING S' (:J
PERMIT NO. ~""_ -11/4- DATE ISSUED /tJ --zr-Oy'
CONTRACTOR Cin:lt:L'r PHONE~..z ~,
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DArE ;
'FOOTING I ~ I ///5~~
FOUNDATION (Prior to Backfill) I j/t)';l-.... I // ~6/" Y
PLACE NO CONCRETE UNTIL ABO~E HAS BEEN SIGNED
ROUGH - INS / ,
SEWER I WATER I SEPTIC /it1. // /(bftt.f
FRAMING m ,,"j, /2/;2.1 Ii- V
INSULATION ll1l'
. , ,
ELECTRICAL ~ I . ";;J /21;1.4
PLUMBING fbjJ 1!vrP /1~5 /fIJf //Ip~ 61 f/. t$,/I1fI / /J/fls-'.
HEATING (if rE!quired) Jlt/k,; / ;JtJ~/d/(jf
FIAEPLACE . " A /~ l;J- ~yc.~7
GA~ LINE AIR TEST~;(I f)?, tldl fl I /~I)r
. / . .'
COVER NO W.JRK UNTIL ABO)fE HAS BEEN SIGNED
Mf4Sft tv,.,. / ~~~ 1#/tV#/,2~M'
FINALS ' / "
~
GRADING (Prior to Sodding) . ,/Vo cr.I,Qf-
BUILDING*.I~p1. L() u~ftl /~k14d 1I/(!n~ ~// ~~-
ELECTRICAL / ' , I < // Z/ds
PLUMBING /J(~ //'1 jQr'
HEATING ~ .7/,AJ..-
DO NOT OCCUPY UNTIL ABOVE HAS 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
......___""....,__,____~__.~ ..,'~,_~...n'..."., ,~.,..._,._
<tlertifirate nf @rrnpanry
CITY OF PRIOR LAKE
~tparftUtuf nf !Q.uilbiuB Jluspttfinu
l~ Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
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:
SINGLE FAMILY 04-1114
Use Classification
_ Bldg. Permit No.
Occupancy Type
R3
VN
R1
Legal Description
Type Construction_
L4, B2, WINDSOR ESTATES
_ Zoning District
Owner of Building Site Address
CUDDIGAN CUSTOM BUILDERS. 22133
Contractor's Name & Address ///1/'
ROBERT D. HUTCHINS '
City Planner
_./ Bui!ping Official II
Date: .y- /~ h /u-S - Date:
"/ - ,
13826 KENSINGTON AVE. N.E.
LOGAN AVE.. LAKEVILLE 55044
JANE KANSIER
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........... . ~ ....;_ -J-.. '",. ~.~ ,,_.
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-
de:...
ADDRESS
/Jtl2b
d~~()~y~
CONTR.
CJj/- /#~
PERMIT NO.
OWNER
PHONE NO.
,
o FOOTING
o FOUNDATION
o FRAMING
o I~LATION
..JiiI""FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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kORK
. 0 CORRECT ACTION AND PROCEED
o CORRECT W~~K/C~R REINSPECTION BEFORE COVERING
Inspector: F7~er/Contr:
/'
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNon
DATE TIME
CITY OF PRIOR LAKE . /
INSPECTION NOTICE SCHEDULED 2P//QS"-
~, ,
ADDRESS /J<f;2(; ~~~,;~;{:~ ~.L
d
OWNER CONTR.
PHONE NO.
PERMIT NO.
CJ~- ///~
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~AL
D SITE INSPECTION
D PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EXIGRADIFILLlNG
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
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~RK SATISFACTORY. PROCEED
CORRECT ACTION AND PROCEED
D CORREC~ W~~ffL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ 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
INSPECTION NOTICE SCHEDULED ~ ./ I-~
ADDRESS 13R:J..' K./VI<(~!vn &f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f?,-/-III f/
ilJi ~LING
"" d'CO'IIP'LAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
_ rz(' FINAL
~TE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: I
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-
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~ORK SATISFACTORY, PROCEED
V ~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto ../Y2_ ~ Owner/Contr:
~UOZT~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
/1( } DATE
.1 Y OF PRIOR LAKE L!-/ ... /
INSPECTION NOTICE SCHEDULED "",,?/'?/ti.5-
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/-.7 rf:,2b ~6'n.5"~~j.P1. 4e-
.../
TIME
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..)iF'PIRAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL rr
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI /1
~EPLACE FINALrr
o GASLINE AIR TST
o
COMMENT~: ,~ ,
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o WORK SATISFACTORY. PROCEED /. .
o CORRECT ACTION AND PROCEED L.~ '/
o CORRECT WORK, CA~ ~/EINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
(2) 0i- DATE ,..
SCHEDULED ~~~
~e/tf'~9~ k
V
"I Y OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/JJr~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o !HSULA TION
...er'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
l? ~MBING FINAL
~ECH FINAL
~-///</
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
o
~MENTS: _ J J'
/ ~) L];// ~~t(t~y- d;j# 7: _frr
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o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
/_ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
UiSNOTl
--....... ~
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Heating Contractor Clearwater Plumbing & Heating
Name of Tester ~, C \ i 1\.-+01\
d- Q~ oS
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I l'PIh
_ ~ . ~ iC\
J ~ 70 V\eJ-
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
-