HomeMy WebLinkAboutBldg Permit 05-0449
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
3 Yellow
File
(';ty
Applic~m
I PERMIT NO. 05.0~ I
(Please type or Idnl and si2D at bottom)
ADDRESS
/ 38'%7 ~f1)if"" ~'" Hve
(J
LEGAL DE: iCRIPTlON (office use only)
LOT 7 BLOCK I ADDITION V0hJStr [;,h,-les
OWNER '1
(Name) d <JhYl
De;" l"4l/Y
v
/s/ffCjrck
(Address) 7 I 2 2..
BUILDER
(Company N ,me)
(Contact Nar Ie)
(Address)
/O&tC.vI
/
~
Date Rec'd
51. os-
ZONING (office use)
tel
PID 25 4/3. 007. ()
(Phone) t/l-?/CJ- 25/7
(Phone)
(Phone)
L ak,-,;; / It' f1.1 h.
/
)"')O<.fL/
TYPE OF W JRK f&1 New Construction DDeck DPorch ORe-Roofing
dAdditlOn DAlteration DUtllity Connection D Misc.
CODE: ~.R .C. DLB.c.
Type o~n!n nction: I II III IV V A B
OccnpancyGrmp: A B E F HIM R S U
Division: 1 2 3 4 5
41e [J",/It>:fl Ii fI
(!vJJ:,1"'" efl-o~ {jIb
{)o...~ {'~,L!~
:?'21N
CJ)2-Lf{lf-m/
~ 6J2--!2f?-lff2fo
ORe-Siding DLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
'1()0000
I hereby cenify tha' 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 1
abuve- d p OpCIly and thaI onstruction will conform to all existmg state and local laws and will proceed in accordance with submitted plans, I am aware that the building
offici can revu t lis permit for st l Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
$
$
$
$
$
$
$
I $
----
our Building Permit When Approved
x
Permit Valuati, n
Permit Fee
Plan Check Fee
State Surcharge::
Penalty I
I
Plumbing Perm ,t Fee
Mechanical Per nit Fee
Sewer & Water Permit Fee
Gas Fireplace F ermit Fee
'-
LIC(). 0.:0. "IO.J
"2 A.~l:. t;1"l I
, ~
1,85,/.'5
'20fl. (')0
I
J 1')11. I'7f> I
100 .00 I
gs. ~() I
(ff').ciJ I
~4~
J3 (/)
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"(!;J
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
TOTAL DUE t!/lueI() S" .,4.0::,--
Paid
Date
/1 Pt1fj.78
> G:;}.<J _ (},-;
s-- 1-0S-
Date
$
$ I. i./~O. a::>
$ ~OD ..a1'J
$ p.lO
$ I. S-bn.~
$ I. /')/')1) 'C'll
$ .;. ~GV? _"fj
$ . I
1$/1. (jo8.7f3 I
I ReceiD~ 4-'l'J/r
By IF'-
'Of~
f
T. hiS lt~).n~,".. the request in the above applicatIOn and accompanyin 00 ments is in accordance with the City Zoning Ordinance and may proceed as reqlll'sted This doeumenl
when Sl ' r th Ii :lty Planner constitutes a temporal)' Certificate of Zo g mpliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
Issued k:: -
- 6-
'1) Planning Director Date Special Conditions, if any
..;.. 'r 24 hour noticJ (or'all inspections (952) 447-9850. fax (952) 447-4245
I 16200 Eagle Creek Avenue Prior Lake, MN 55372
- -_._._--~---'-'---'--'--'-'-'-"'---'."""-'--_._-'- .._~._--
White . Building
9Iaar, E....~ing
,........-Pink . Plannlnll')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Ni \ME OF APPLICANT
AI'PLlCATION RECEIVED
Lj Ij / ('? II /:.
. / j' / I.;.; L lj A~
r-
..
,
r- ,-
Tt e Building, Engineering, and Planning Departments have reviewed the building permit
aj:,plication for construction activity which is proposed at:
/ "C.', . .-; ..
(,/ I ,,r ",
~"~'/f'l /e,
. / I. / /. ,I
~
,/ / L (, / '.~.-..-' i~__,
Ac cepted
Accepted With Corrections X
Dmied .'~ c lJ
Reviewed By: (r: P If;lj,",'},,-is,
C< mments:
Date: ;fT/es'
.
e",J Ci j1 tI -H Q (Ljl/j
ho.vJ r'~
,
fi"I (;onditiuuu.{" u.n~ \:hhu 11I\;,,~uu":H";'
Units Cannct Encroach into Req-,h-ed
~1!1e li'ara ~enJaCf;!'l
"1 he issuance or granting of a permit or approval of plans, specifications and
ccmputations shall not be construed to be a permit for, or an approval of, any violation of
ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 9suming to give authority to violate or cancel the provisions of this code or other
or jinances of the jurisdiction shall not be valid."
------
c:iihit" - Quiljl\~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTf,df:NT CHECKLIST
NJ .ME OF APPLICANT
AF 'PLICATION RECEIVED
~(/ 0 LJ I Cj t1 IV C.1J J/l)fL1 C? LAJ R.-S.
5. 4.o.s-
It e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/3607 /c'-6JJJ-/ NCi7ZJ;J /!V~/JU6
A( :cepted Accepted With Corrections X
D, mied () ,1 ;1
Hwiewed By: ~~ Date:
C )mments:
~ /f /os-
I '
~ all ~/~
,
L. () '.'
/~~~
~
*The issuance or granting of a permit or approval of plans, specifications and
c mputations shall not be construed to be a permit for, or an approval of, any violation of
ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
~ resuming to give authority to violate or cancel the provisions of this code or other
(rdinances of the jurisdiction shall not be valid."
-----.--.+---
White - Buildln!!
~ - Enqineerlncp
Plnku - _ Planning
BUILDING PERMIT APPLICATION DEfARTMeNT CHECKLIST
NAME OF APPLICANT
API )L1CATION RECEIVED
(! (, D U I Cj /7 fJ L'u j /l4"; e !-D IC c;.
,
c- /2_"'1 ,-
~. ,-. L-,_
ThE Building, Engineering, and Planning Departments have reviewed Ihe building permit
ap~ lication for construclion activity which is proposed at:
,j ~
/~< f;'- r;;'J~ A-:;t;~ /../J-; /v'q I (J /'--/ /~l~.' c,~j\~/(-/6
Ace epted
x
Accepted With Corrections
Del lied
Rel'iewed By:
/J?ff6
Date: b"-Ig-Or-
Cornments: SAA ~F'r!;A Side for Addition::!llnform::ltioI11
See Attachments: 1) Grading Plan, 2) Rrosion C.ontrol Measures
"Th ~ 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
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre uming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
05/31/2005 15:56
5077445565
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. .... a . II. ,... I t\.\ ,,,.,.... '" I . .. ~ ""
BADGER EXC
PAGE 01
i4I.I "'loll
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
: ~:. r,~ I PERMIT NO'A~ ~
J. o.u A,.,......... ~~. otJ,
~ . . I ZONlNO(ol!lnoaj I
Q'kul . or DMI md tiP' It bormtl)
I ADD SS
, \ ~ ""(jS'7 K-en81'f1.J~
I LEGAL DESClUl'110N (am..." only)
l LOT BLOCI< AODp'JON
PlD
i ~:'.~l Cu.Jd-.t~~ G..s~. (3uJ!Gk.:, . ,(Pllone) qS 2- '1~9-ft,1'(
I (MdJ.." ;;<.,).\33 "t~~.~ 8r L~ S~l.('f
I 'Ad '';'!'" rZJo CNoI
APPl.IC~ ^ _
(Nome) \~G~~ CKCC< <...J~
v
g37S-- uJ 7~ '$:.-r~
(Ad1lrtu)
S~ ~(m~
~6.4 ~
......~
I (Addro,
(O:lntlct Pellonl
I
i AJ'PlIC. ,NT SIGNA TURB
(Phone) ~ 507- r'C<(- ~S'
,(c..n..s d~ srs-o '/-6
ICl!)') (Up Ce6c)
5Ll7-7W-.Q)?;,s-'"
S;- 3/--o,-r
(phone)
DATil
APPLICANT PLEASE COMPLETE BELOW
Size of Inler nevice -y. inches.
Location of tJly couplings from etruct\Uc - feel.
Type of $ewer pipe. 0 ABC B-'P"VC 0 Cut Iron
Estimetell1cneth of sewer line ..:iI::J feet.
Clean QUI (ifre,Quircd) locaLed at _ feet from'!ttUc!llre.
!
FEE SCHEDULE
f\,,;d.nu.1 lIWtt lIld WlIor lin. .~M..llon SJ! ,lO Indulll'i.l. Co...' I '" Mvlli.flllllly I Yo of job coil with I S39JO minimwn
s..~.r cor nee,lon only . SI UO Wolor connccllon only S17JO
EllimocW Cost $
BuJldJa, Permit 1/., -""
stWER AND WATER PERMlT PEB
StATB SURCHARGE
TOTAL PERMIT FEE
lomcr Lit )nl)")
\'
$
$
$
.1Q PAID WITH
txJlLDING PERMIT
-
i nl. ~p plle..ion B.com.. Your Build I.. P"mli Wll.n Apprond k1\~~la i'I,1, \'if
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I rUlldl."aOmthl lhlC ~i;U-.JUfJ 89 ?on.;
I '" "'olU nolle. tor alllfl.p,ctlcnJ (951) .u1~"Jol t.. (9d2) (~'-4~"
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L~~:~~,:.~!:;-~.'-~~\~'-'
I in~'''IPt NO.
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.w.i ,[ OF' PRIOR LAO PLlJI,.-.lI...~, ~ PERMIT
Date HK'd
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~=; 'PERMlTNO~
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(U)J)\ sk "8\ ~~~'lY-~-\c~ ~-1.p., . ~~.'-''''-'''J
LEGAl.D~~(""_""",
to']' BLOl X A......U."...
P.ID
~=r ~-:lct;:5C'\.VJ r ...l.Ac::-tl"Yv, ~~::h'0.(Phone)LI(cA'- fI /2/ I
(AddresJl . ~11.?-1 ~-=<-.., 1 r:=..r..Y--'. ~, b-.C\~U1' ~
=~\~ -\ \ \r..?) +-\/~ \ v--v-- ~),W4D-~-rlo, .
(Address) 'Gi'2-( oPr.~u.~r)f-r-u. h ~) ~irr ~ -f\~~; fd..
(Col!.lllCthaoa: ,S F--f~. ~ . _~ (PIIone) L.jL/Cr~ '\ -, ~
I APPLlCANTSlGNAl'ORE ~..~t0 LU .R"'\l^ V" ../ OATE.lr21 ~ / h
APPLICANT.PI..EABE COMPLE'lE HLOW
I QmLatIty 'l)peer......., ~, I
\ I I Iwo,. ~lIIIITilbwil,b.a.-:...w..:-*",- 'rP . I J,- J...ms
I ~ - I . .,'V_He.. .
I 1 ffoor DrlIill WlIlI:r ~I.;, ",,"
I. '-I [~~SiK) ::::t~....;"g...",,,
,--, i:4:1~," y,.,.(1"2A_a~~l'IIDMlsiat ~~6
I I ~SlaO' ~~
~~MDks ' ft..I,1I._.Il I.lyTett
- ~' 11~~~(TOi1etl ; ~hriab.r
1- -
I FEE S.~I......J:,
'!iJdal"~Coln.\e.d.Ja:""lIwallli~ '%otjabc:ootwi1ba $3UO"".,,, ~1iaI,.)Ie&<o.elt,..".....,. _1,. J9Ull
1 . . .. ..:. 1, ~ltAlll....ra.... SJ'-'ll
I /2)'..Q) q"d- .
I &lim.lJtlId Cost S. -- '), C/C1P. B1111d1ag l'lllmU
, PUlMBINGPEJOOTFEE S ~. ~ PAID WITH
~~~. ~---Lf:7)- o~p ~U1LO'NG PERMIT
~ ....b....
10_ tlR 01111')
----...--.=---....-,
TIIloAI,f. '" B..,.". V""r.......P..........A, I'" .1 .....' ';, ~J:Io.
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B..uIac _ _:~, nmN 2 4 7005 ,_. I B7
201 .....lIOIIce m dlupedifto CI$1)4fo ~,... ~ ~ 4foUU5. j I
oJ" _,...____ ._.____u____________ "_. __oj
CITY OF PRIOR LAKE
HEATING/AIR. Cu. i....'.lA.lIol'.'....'GIFIREPLACE PERMIt
Due Ra'd
.;l ~ns\~~ .k
CR.IYnoN'lolliclo....Ollly)
~=. ~ 1,rERM1TNO"'~.ndLD'
J.YdW..-.' ',' ',' ,.".~
I I WNING__
~~.
LOT
Au...u.ON
Pm
~=rtA~AY\ (\IA~r\~\d~. (PIlDllO!)Lt~-I({jI"
(Address) ~-).; 1<-.,'<.., \ ~Y) M)p. f I, .,c:>-</ ..~ui \ \t=- . .
=~~\'~ ~~ l=>l~" \V'f;~ (Pboge) '-iqD~~'"?t7~(/~::~f:'';''
(Addr=) I ~21 aO ~~V\JY\ ~\Y \' l',y 0' ""~ ~ -'t;::;)- .
l/IdcIlesI) ~ : (ZIp co.tJ
(ComactPe~n) ~ .A~ <:y- h)\ V)~ (PhDne) L\LJ.D-;-=<:'"1-r=,
APPUCAliTSIGNATUP.B ., ~A~Q \ :'1v\.(.1 DAn --!:=R./?~a:;:-
~ . APPLICANT PLEASE coMPtETE BELOW
.
CONST.!tUCllON 0 REPLACEMENT '0 AL1ERA11ONS . .
FURNACE I fAKE 'D MODBL t e:v--.v---r-:x (' ~ Ar _ t.J..-ir - ) 1 T) '. Ptim. _,,-'n+. ;,-i......::..,
FUJESltt 9- -REl'l'JRNOPENlNGS \ \ -""...)\0, r ~~ tri-f;-'.... ~. '"
- ,
TYPE OF SYSl:BM 8J!A11NGOlt." """"PLANT
.. ~WIIrI\I Air !'11m! ~ s-.. .
O!a";'l' . HOt W_ .
: M<dimicol . lodlllliGa,
JAke,.J". ."1 SpocloIDoviooo
JVOll\.~ OtIICfDe\liClOl
PUAst MCn'E: .
Air CoIIdIlIiila.. U1lit!
CaallattL, .,: .. Into'
~ SId;, Yard
&.'*L
FlREl'U.CEMAXEANDMODEL y---..(-=--
---. ~---
- ~r _.
Indunrial, eon1me1Cial "Mulll-fllllily
FD SCIIEbULE
1% of Job CIOIt
S:l9.$0 ..,' ..,
llaidcntial.HllllnS"'AIC(N...~) 599.50..
!lesidaltial, He Ilins 0lI1Y (New ~Dft) $64.~
&tlJnllllcd Cat s l!:J I CEi.c . - 8u1ldJng Permil /I
HEATING PERMIT FEll
STATE SORClIARGE
TOTAL l'ERM1T FEE
CO-UnOnIJ, "
nlJ AppU. rffclII Decomas Y...r .IIkI" Permll WIIH ApJlf'O"d
ltaldendDl. GuFircploee..
.M,_....
ltesidential, Addlli.... .. AIcond....
Raid<mial, AC Only .
$39.$0 .
SJ9.$O
139.50
c.
1IaI111OJOlIUJ
,
Do..
s <:::4 =') :sa .PAID WITH
s .sO . .
$ \ h7? .WIlDI~G:Et;lM'T:
,~
~... . r ., 111 ReceIpl)lo.
-1
~ ,1,'By.
.. '. N 2 4 2005 ":11
Z4 .our aOlltt f.r.n .......-..l'!1) 1~ fao: (952) ""'.4245
L:L.......- ..-..-........-....
05/30/2005 11:47
3524325005
GLOWING HEARTH N HOM
PAGE 01
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Dllt~c~ec 'd
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ADD.... S c... "0"
, ' ". ". --:':-I,~: t-:..
3~~1- ~~NsW\9tt~ A~~ ~na~Q.te./Y\N
LEGAL DJ:!S~.. uuN (<llliceu~eOnly)
',':.'::--~ ' ,
l.l'.;nk
2.Gr.cn
:a. Y"llI:iw
.". :~""I""""'''nT "'"".s:'M!/J
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^'iin~'~t,;:'~t',. , '
'-
ZO:N'lNG (ollice u.e)
LOT BLOCK
.APDITl:ON
PI$!
'OWNEJ.
(Name)
C~l\l H~0\f'_lli0.cS ..'
(Addtess I a:a. \ :=\ ~ to 7\0 A ~'e.- h L (} ~e\\\\\€../ l'0N
~;~~~ ~ (; \ il1.\';1YJ % A eo<{h4 ~ ot'r\o~ ,. (Phone) q sa. l/ qa . q ;y\!o
(Addrcss lOa .l:.\rtC')\((;).r\f\ 1)(';.1<::), \C)((~n.\ lY\l-J., ,"),C)::!S"l.
(A:dllj'el'l J (City)
(Contact 'ersoti) \' \ rn S \i \ m {'j(,. (<Eltone) ~ q ;}.q(i, "'II"
APnI.G.~NTSIGNATURE.. "1'jipQ,~}H~t~ '.. . DATE (O/,:"D!Ol..r
,~iJ;l:J;~"#J%!!)E1~:llj~~Q~~:'~~~~iW
, ..... .ONEW,CO;!<lSTR:\J€J;'fIi!!H....qi'~L.,AiGEMEN:T EJiALmRA'I'IO$.
FURNA:C, MAKE AND MOPEL ~ ~.~J;>f levl , ~L
FLtJE S12 e 'RBtt:rRN'l;JtplillL~#iGSIiNPUT OtJ'tPUT
mk,QF.S"YS-:t!l!MB.B~~~,glt'iPOmR PLANT
l3~lllUt,Ai<PlSlrts ClStl<llll\'
O,Gi:~v.lj> .Q'HOlW~ttr
O~.~~~ :.G;Tffl,ldi~tl!l~
[lAit CIlltllm9~:iJlgm. ,.....) \S~!. ~i~.I:ij;J..;.:.',''ll~..
OV~nt.S:VJ\~ ;WOlhl!i'Dej(l~s
(Phone)
b 1 a - ::\B~ 4'\ah
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot llnCToachinto
Requtred'/lldeYard
5Mbacks
FlREPLA(!E MAKEANIhMI!JJ)E'L
c-"[)('(]"1 f<. ~.
fJ~EiiS€HFlIlUIijE
Indumrisl, C ,mme,ci.1 8< Multi'FBniily l%<lrj~bebit Il.e~''dential,lllasFi'epJ",e
$~9.5OClllililllll11"
Residential,. ~e'tii1g'&i\lC (New CorrStrllctionlS99,5.\l R~~idential, Addilions & Allerations
Residential. ~tating Only (New Construction) S'64.50 Il...identiaJ, ACOnly
$39.50
139.50
$39,50
Estimated CostS
BUilding Pemil #
(Om"UI.o fly)
llEAinNG.PEf{MJ;TFEE
Sl'ATEi&URCHAR6E
l'Oi'A'LJ!lEJYrmr'FJijE
$
$
$
PAID WITH
.5~ttotNG PERMIT
TIlis,;I\l!p licatltln,13ecolttes ;Yb.lir ;Bul11libg':t!'el"mitWJlen :A:PPM'vC4 '
,~~~
~teJUL U l) Z005
Receipt No.
Bllldl.~',om<j.1
lilt.
2!l'bolItlilitlcl:'folaIr;IMllecU611lJ.(952) ~47'9~O,.,t.l( (952) 447.4245
1lI21l0E.gl"CretlC"^,~e,,ue,Pl"lorL.iko,.MN0S$.372 _._ ,.,
1:lY
PR OR LAKE DEPARTMENT OF
BUILDfNG AND INSPECTION
I SPECTION RECORD
SITE ,!I,DDRESS _/.3ee~ .IJW:!
NATU RE OF WORK AJ~..J
USE OF BUILDING S!=f)
PERtlillT NO. 05.0449 DATE ISSUED 5/1/0"1
CONTRACTOR (!.u~ n.d.- ~ PH6NE (./2- J~-~"
NOTF: THIS IS NOT A FiERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ." j)ATE /
I FOOTING /tPf.. s/,.z~J
I FOU NDATION (Prior to Backfill) I ~ I 6/ z/.if-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,. .
SEViER I WATER I SEPJIC , .. ~ 6/Z/"s--'
FRAlIIlNG ~f...( ~ 7//j/6~ INf~ 7-1L-cK
INSlILATION' /M ~;;7'/D.s-'
ELE "TRICAL , . ..
PLU BING mJ~ 6/~~6S"
HEA ING (If required) t/lf:/ (,"11,<;;
FIR PLACE ( d ) )$~ 6'/?o/6S-
GAS LINE AIR TEST yvy'./ & '1/.rrJ5
~JVJR'yo WORK UNTIL ABOVE HAS ~EN SIGNED
I LQ.~'i~r l-b\1"-L 1J.l--'f I r1.Y /'" I {;(l-cX
~r FINALS
GR,.A DING (Prior to Sodding). . /J/O
BUI, ,DING16--I),c:a flit-/;'! J 0 fir 14 p ~S'
ELE' :::TRICAl!
PLU lIIBING
HEATING
DO NOT
"fa-I d,-
/%f:l /0/17/0 J......
flq"~---
lUff. tJ/910?
~ '!#V/6:S-
OCCupy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~his card must be posted near an electrical service cabinet prior to rough-in inspections
~nd maintained until ail 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
Qlrrtifiratr of OOrmpanrll
CITY OF PRIOR LAKE
~rparfm:cnf of 1JiuilMng Jlnspufion
)~Final Permitted r:::J Conditional e.O. Expires_
"his Certificate issued pursuant to the requirements of Section no of the '=1 Residential I ~ International
. ~uilding Code certifying that at the time of issuance this structure was in compliance with the various
,)rdinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0449
Jse Classification
Bldg. Permit No.
)ccupancy Type
R1
Type Construction
L7, B1, WINDSOR ESTATES
VN
Zoning District
R1
~egal Description
138R7 KENSINGTON AVENUE
LOGAN AVE., LAKEVILLE 55044
JANE KANSIER
)wner of Buildin,p" Site Address
CUDDIGN CUSTOM,BLDRS., 22133
:ontractm~;;~~A~~res~UTCHINS /.f//I/ C. I
/ u b-f/ Ity P anneT
,/. Bu9iing Official -
/ {J// '1 /~ .5 - Date
Date:
r/f~ r
jig?? ~""s/~4 A~
av -/9'?
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBlNG FINAL
o MECH FINAL
COMMENTS:
/~;?A~Y L
;:;0-;
./
DATE TIME
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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/ ~ h..:t (
- /"
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~SATlSFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~CALL FO NSPECTlON BEFORE COVERING
--
-
Inspector: Owner/Contr:
,
CALL <147.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IN$IIOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/t?#?AS-
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./
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~TlON
yFlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
./'
fi )?~ I
/
JC(
DATE TIME
s -~r?'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~-
~
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'----- .------
.vWORKSATISFACTORV, PROCEED
~~ORRECT ACTION AND PROCEED
o CORRECT WO~~~R RElNSPECTlON BEFORE COVERING
Inspector: f'lq /Owner/Contr:
. ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/JJ'?7 ~~MS/'Jk<-- .#v~
CONTR.
PERMIT NO. ~- ~'7"?
ClTl' OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
{!J!'
SCHEDULED
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
DATE TillE
~-
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o ~EPLACE FINAL
~GASLlNE AIR TST
o
COMMENTS: _ / ___ /"
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~ECT ACTION AND PROCEED
o CORRECT WO~~R RElNSPECTlON BEFORE COVERING
Inspector: ~ / Owner/Contc
...,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
SCHE(f:;
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./
CIT'f OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.,..G-1iIECH FINAL
o\~ ~j/~
r
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~SLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~ ACTION AND PROCEED
o CORRECT WOR:.:rC~2WR RElNSPECTlON BEFORE COVERING
Inspector: ~/' OWner/Contr:
/
CALL 447.9850 FOR THE NEXT INSPECTION 2C HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lI<SNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'~U-q) Z~(!)()
ADDRESS
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r.Ms'~Io~ 111/(.
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PERMIT NO. OS' l/'1~
JllU.~'_ING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(:?~_~IL
~,6 ~-r,1L
b(WORK SATISFACTORY, PROCEED
'b 1:0RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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