HomeMy WebLinkAboutBldg Permit 05-0213 & 05-0378
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sign at bottom)
ADDRESS
;l.5"? 7
tJa Hr h //
tJt7 y
/
LEGAL DESCRIPTION (office use only)
-",
Date Rec' d
3905
I White File I PERMIT N
~ ;~~~w ~::licanl o. 05. 0 L/3
/v~
ZONING (office use)
R4--
LOT/3 BLOCK.,.,- ADDITION tJ~NJ/I?f'/V/V
~ 7t.
/Z(P
PID ~- riff-lIS -0
OWNER
(N ame)
(Address)
BUILDER
(Company Name) W('Nfm~N;'V
(Contact Name) Get',., y
,
(Address) / i 75' /' At- z e;:. /) r
/Jp J'1? f'..f
(Phone)
(Phone) .t. ~J-.yO ~ - yy/) ()
(Phone) ~ - ,7& 7'- '7 ~ / .2....
S-}/;2 ~
c~ flfjV
--.I
/11/1/
---
TYPE OF WORK ~ Construction ODeck DPorch ORe-Roofing ORe-Siding
OAddition DAlteration OUtiIity Connection 0 Misc.
OLower Level Finish
o Fireplace
$ J3 r;;, GOO r-o
CODE: 'llI.R.C. DI.B.c. PROJECT COST IV ALUE
Type of onstmction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U r;t' ,
Division: I 2 3 4 5 ~O L,L, I t-J , oS ti t;.'"S
I hereby certifY that I have nlrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authllnzed agent for the
above-menuoned 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
:ficial ::1'=rmit7 cause. Further ore. I hereby agree that the CIty official or a dej; '5- ;er upon the property to perform nee~ :/~I~n~~
/ Si~ Contractor's License No. - Date
V
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
'r3@1 ~~Oc eo
$ l2..eJ/.sa
$ i"32. q K
$ 6~,0 0
$
$
$
$
$
I O~ . t!) ()
I~O, fJCJ
3~.5a
'ftJ,oo
This Application Becomes Your Building Pennit When Approved
~ :k..:IJ1-
Buildmg Ollicial
6/2,-s/()~
Date
Park Support Fee
SAC
Water Meter ~_ize:I8' I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
#
#
#
#
$
$14~a.oo
$ ~5~, DO
$ 5a . ('J c
$ 1 ~{) (j. 0 ()
$ l 000 I 0 0
$
$
$ 01 7c)8. 78
I Paid
1 Date
;; 10 fJ. 1t:;
4. /. cr
Receipt No. ,4 e$fr,~
By /UtM7.
/-
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
~ p""~"mpm", C,",'"" of ;;;;C; ", 'U~< 'OO'~";OOSee 1\Iain~'Fire'" mo. ~
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
TOTAL DUE
See Main File
The C"rnlt'r of the- Like- Counl.,.
White - Building
ca.nary. - En~ring
c: "'jl!..~ - Plannln.9>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t V F Ai) / j,.. /,-, jJ /J Ifu/' / CS
? f/. Cr::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2~) I' -7 I V liTE') irl-j L/ L , Vi I It'
,
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
Date: 3/2..:31o~
I '
See-Maill 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."
JJ
See IVlainFile
Thr Crnlrr nr Ihr I.akf Counlry
White - Building
('"Canarv - a;:nglneer~
· fJink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
j i
I.IV' r; iV' i (- J ~/i '....1' 1 /i;\ / I:'" ,,1'1'; ! '- ..
v", (!.~i /'."~ j ,VI' i
NAME OF APPLICANT
APPLICATION RECEIVED
f"
/"
(~/. t~) (;)
"--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z:jt7 I II /'--/T[;'-) (~/~;1) L'L.
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~
Comments: 5--cc /Y'Iltl}" f;l<-.
Date:
S~ M" 11>.:-), In 'File
,)1'. ~~. . ~ .
ee '. . ~.lL .-
.t/l /,/1 '
. v ~\i
f
1-1 /~
"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
~hite - Buil~
,",ell Idl y - engineering
Pink - Planning
Thf' ("('nfer of Ihe I..kr Count.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W~tJS/VJA jJrJ f/oHW
,'J_ q. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2!577
J/\/ It / t;)lf9q L/t.-, Wit V
I
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
3!7,3/6~
,
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."
04/22/2005 FRI 15:52 FAX 6513226147 GENZ-RYAN
~ 011/013
/" /.:. (11
i )( / .~v
'. ."( ( . .
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
APPLICANT /~ -..p., _ _ I-j I - .
(Name) L1 L r \ Z. . -<.._ '-..A CUr")
(Address) 1 LlllJ5 5.. RI)r:Lv1-- -1-v I -
(Address)
(Contact Person) . C 1'1 Vl-S+I ~tt 115
,'1 /-..;.\ A II /I .
APPLICANT SIGNATURE _ {/}/UdW l 1tUJkJ DATE .LI / dd- JC6
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Ouantjt~
Bath Tub with or without shower 3
Dishwasher i
Floor Drain 12/ ,
LavatolY (Bathroom Sink) r
I Laundry Tray (I or 2 compartment sink
I I Shower Stall
I I Sinks
Bar Sink
:3 I Water Closet (Toilet)
(Please lVJ)e or print and sign at bottom)
ADDRESS
(~517 lL.ttXty:JGl \ l U1~.l_! l~lV
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
OWNERWl P ...,'\-,...- "' '-V "',
(Name) !~,.-I 1.)1' t' cU If \
\-\C )\\\(5
(Address) J YQ5 P lurLL {)V.
<';.1 .~.... ~'\
__-1f( " " !
Quantity
.. ,
~."';-:... .
i
\
Li
I
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
I. Blue Pil.
Z. 00Id Clll'
3. V.II.." AppliClVl'
IPERMITNO"~ 1~
. ZONING (olli""
use)
PID
I\'\e
(phone) CDI,{~05 ~ 370Q
:E1\qflJ\ _ /V' N 55i ~(9-
(Phone) Uts/-. LI':A3-) I L/ L)
R{}xtYYllrrt "Ffl-xtJ8
(Oty) (Zip Code)
(Phone) 0f51- U } '3 --I \ q u
Tvpe of Fixture
Rough-ins
I Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Eiector
I Backflow Assembly
! Backflow Assembly Test
I Lawn Sprinkler
I Other
Residential, New One & Two-Family S99.50
Residential, Additions & Alterations $39.50
.50
",.. ~tD IA1rto. .
8UiLlJIN "~",.,
G PERMIT
Estimated Cost $ Building Pemlit #
PLUMBING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Paid
Receipt No.
DiateAPR 2 8 2005
I
24 hour notice fol' all inspections (952) 447-9 JSO, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., P.'jor La~:-~~~~_-1714
_.. _ .......1.........
CIT'f OF' PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink FiI.
1. Green City
l. Vellow Applicon.
O~< 6~t:tJ
PERMIT NO~ ~i"
(P)~ase type or print ;and si,;n at bottom)
AIDDRESS
dSr"]~ ~OO.~ tvLu
ZONING (office
vse)
L~GAL DESCRlr liON (office use only)
~OT
BLOCK
ADDIDON
PID
OWNER , l
(Name) W~ ~..~
(Phone) &;5'/- LfCXo ~ YC/OO
(Address) IWS- p~ /J.A-"H-~ ~I rhn SS~
APPLICANT
(NamefL .!-rYrn......~/~-'dO err.. ~ i=" P
(Addres~
: 9CO 109,U, C2.t Je. )J.JJJ.cl::JD r J. r>/VH /I , :/Yl . .rn!') 5531 (p
. (Address) I ~ ~. . ~ (Cty) (Zip Code)
. (Contact Person) ~("'-\~ ~nf:>.n-..o'--' (Phone) 'l~3-S'lto-J~'~
. MPLICANTSIGNATURE k~ u,~ DATE
APPLICANT PLEASE COMPLETE BELOW
. ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
F~UE SIZE RETIJRN OPENINGS INPUT OUTPUT
. TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
OGravily 0 Hot Water
o Mech.anical 0 Radiation
OAir Conditioning 0 Special Devices
DVent System 0 Other Devices
FlREPLACEMAKE AND MODEL ~ G-OFL[qr)
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
$39.50 minimum
599.50
564.50
(phone) 'llo 3 - Sr"]I - 'dSdS
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
l~dustrial, Commercial & Multi-Family
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.S0
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
$
$
.5Q
(Office Use Only)
: This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildiul! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
'O/~OO ~
HOOO 3~VHV~ ~I~VWO~rrv
66ZL 9LS ~9L XVd ~O:ll SO/~0/90
04/22/2005 FRI 15:52 FAX 6513226147 GENZ-RYAN
[lJ 012/013
Date Rec;d
CITY OF PRIOR LAKE
SEWER AND W^'fER PERMIT
(Please type o( print and SiKR at bottom)
ADDRESS
..~~r~ l'l lJJ(l+cu'fitH t 111 L,! N l~)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
~':::'R W(~rt=f\Yl fi() .\.-ltlY1CS
It) G...
(Address) I gQ~ PI Uz(} Dv. S+e. RtD
(Address)
1~~~~~~~JCl\r - l;~ l_ J Ovtl
(Address) \ L1 LlG Z;. J<()t~y+ '1jr(.
(\ (Addn:ss) --' . i ~
(Contact Person) ( ~ f) Vl-j}-') L LL II :)
I
APPLICANT SIGNATURE (JjfiJUJ)j) ~ftLfj(;J
;: ~di':", ~il,~ I PERMIT NO.~ - ~
3. O.ld Appl...." ~ ~~.
ZONING (o/Iice
use)
PID
(phone)U61-Cf(J5- -:37Cy
55) d-B
+~o (111'11
OJ (City)
(phone) Un J; U ,13--1 \ L/ (~.
k{yfj!'JDJ 11+ .55J{j(S
(City) (Zip Code)
(Phone) 5i-JrY\JL-,
(Zip Code)
DATE
.LI / J;)/05
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
._-----~--,....~..--.- -...
. ,1"~ : Ir,R~CeiPt No.
r " i
:Da~PR 2 8 iOO" Jay
I I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-424~
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Onl)')
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Building Permit #
13UIL'/f'D W".. ·
.50 INQ ,;;,.,
,AMrr
$
$
$
04/22/2005 FRI 15:52 FAX 6513226147 GENZ-RYAN
~ 013/013
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
(Please tVl)e or print and siRn at bottom)
ADDRESS
~:1J;:-'5l1 LJ )(j-j-(jVf CtJi WO-J J (\) (A)
I
~'~~ ~;, I PERMIT NO. Z- .-n,13
3 Vello\l' AppliCBllI .;;j1 ~ I
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
. OWNERW! /).. Vt1"\/\ /', ",\ 'l\
(Name) cl l)F I I ~.{ J ,I' I
(Address) I ~q 5 PI IlliJ
(phone) {P5/-4Cb- 3 -700
~F~~rtO (LVI [V) N 55! Xl
J
(Phone) Ld5 j -- Ll~?r I ) l U
---'",
'l!OJ'.~(()OU{r{ 5SC'&B
/1 . . !A?dress) _ ,I (Oty) '. (Zip Code)
(Contact Person) (j) 1./1 ?1'-7 :t=.?t 115 (Phone) __if)/iCfI .-'
APPLrCANTSIGNATUR~ Q.JuG{i).~c cj'~tlJ1! DATE .lj IT; }(f)
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACEMAKEANDMODEL l t!IIV)'/I G-U(~lj H -~?)f/I~'-(10 FUELrYti .(TC("~
FLUE SIZE RETIJRN OPENINGS t::) INPUT (~[ )(1'1') OUTPUT 7,tLn )
TYPE OF SYSTEM HEATING OR POWER PLANT
.j...I-o(vYs i n ~...
Dv. X;}t J/f)
APPLICANT (~:-I'~"">/\"2 .,- J'/), ,/'; A/\
(Name) .' l.A I t. ~ l .A (Vi I
---. . I
(Address) Il~l L/6 5, 12()}x: .(4 '-n/
~taWarl1l Air Plants
"0 Gravity
o Mechanical
)~Air Conditioning
OVenL 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
'-~:,-"-'::,-==:,--.-.~.-..--~-'-'-':::..::.-":_---:.---.::,-:
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Consttuction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions & Alterations $39.50
PA.ID ~.50
aU/LOIN 7iH
G PERM,.,.
Residential, AC Only
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approve~
Pllid
Receipt No.
Buildinl[ Official
Dllte
Date
APR 28 2005
By
24 haUl' notice for all inspections (952)1447-9850, fax (952) 447-4245
(Please type or print and si2Jl at bottom)
ADDRESS
,;2.fJ? ("Jer7,,. h// tJdfY' /V tJ
.. r
LEGAL DESCRIPTION (office use only)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /'
AND UTILITY CONNECTION PERMIT 1/-/9 -j
h~17t? wi oS'. 02,/3
White File I ERM I
Pink Cily P IT NO. 05. ~} '970..
Y.llow Applicanl l.."'" (J
ZONING (office use)
LOTI3 BLOCK f ADDITION (tdI'Nfl?? 9N/V
~ rJ..
PID~5--W" !~ 0
OWNER
(Name)
(Phone)
(Address)
BUILDER ~ I
(Company Name)J&j PN...J' h14'#/V .IV Imer
(Contact Name) a &11" y f "j, jVJ'tljv
(Address) /,? 5' I'~ 2. ~ ,/>r
(<<,~#/
-...J
(Phone) pf'/- ;t1J~ - ~yuo
(Phone) t, / :2 ~ .;J 6 ? - 7~/ ~
$#. Ss /:2 ;)....
TYPE OF WORK ~ -, ",.,\.\,~ ODeck ~c; ORe-Roofing
OAddition o Alteration DUtility Connection 0 Misc.
ORe-Siding OLower Level Finish
o Fireplace
CODE: MI.R.C. DI.B.c.
Type of 6nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
trd
?SOCJ
I hereby certify that I have nlrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authllnzed 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
:/3;;;;:; pe:7;z.:;:' I hereby agree that the city official;;;-ee;:y enter upon the property to perform nee;; :7;:m~ ~
/ / / Signature Contractor's License No. Date
Permit Valuatio~/ if ~ Ot) 0; 00 Park Support Fee # $
$ /_1)(0 i' lS: SAC # $
$ I 3c..f, () C# Water Meter Size5/8"; 1"; $
$ s;;. .r:: CJ Pressure Reducer $
$ Sewer/Water Connection Fee # $
$ Water Tower Fee # $
$ Builder's Deposit $
$ Other $
$ TOTAL DUE $ 3o/~, 5"/
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Buildlllg Otlicial
5/~/os
I . Date
Paid
Date
(3tf~. f,t ./
~ .1IJ . OJ
Receipt No. ?-91v Cj
By /~ __
This Application Becomes Your Building Permit When Approved
~~
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 conshtutes a temporaty Certificate of Zoning compliance and allows construction to commence. Before oceupancy, a CertIficate of Occupancy must be
i~~
Planning Director
5/~~5
. , Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
White - Building
Canary . ~~9ineering
c:::::r1nK; - t'lanmng '":)
BUILDING PERMIT APPLICATION DEPARTMENT CHI;CKLlST
NAME OF APPLICANT
,,/ v ~,: I' /' ../ ',1
,/r
APPLICATION RECEIVED
/
1/
"--"
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~/-
./
7
.I. / ,I /
! .-' -, /; I.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~ ;2~~
,
~ (\'~ ~~
/'
~ ;Qt(O ~ /1!., / '-0 ~.
8~,
V
Date:
S-N~~
. , r
~~
~
V
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."
DEPARTMENT OF See Mai.n File
BVILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~S77 W"11:KFN.L ~AV N'CU-
NATURE OF WORK tJ&.J ~"''''8u~leM (No ".&.,. Fifa'.....t
USE OF BUILDING s.r::..... _
PERMIT NO. {JS, 02 ,. '"3 DATE ISSUED :3J'Z",tJOc-
CONTRACTOR ~S~~.... pHQNE6Ia-"'-'NJ.z"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
J FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Ll l<:c. . ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING LItO \Jj~~
HEATING (if required)
FIREPLACE t\} jy
GAS LINE AIR TEST
,1//:5 v;j<'\--
"
19ff" ~Ic-
(~
..).
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I MrN, / "'Hr-,WIflIrI'l I
FINALS
GRADI~G (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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.
I ;{b
it ;
91111
I /
711qlo~
FOR ALL INSPECT'ONS (952) 447-9R50
QItrfifiraft of <IDrrnpaur\!
CITY OF PRIOR LAKE
~tparfttttnf of ~uil~ing Jf nsptrfion
J6Final Permitted D Conditional e.O. Expires
"
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 InternatioJbI
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:
SINGtE FAMILY 05-0:>.13
Use Classification Bldg. Permit No.
Occupancy Type
R3
Zoning District
R4
VN
Legal Description
Type Construction
L13, B5, WENSMANN 4TH
Owner of Building
2577 WATERFALL 'NAY NW
Site Address
WEN S MAN N/ HO~ES),
Contractor's Name & Address . f I /
ROBERT D. HUTCHINS / /0 /-,
VV
1895 PLAZA DRIVE, EAGAN, MN 551:-'2
JANE KANSTER
City Planner
Building Official
Date: 8 -It) - OC
Date:
~"
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,'....-".:.u,J~!iIl.'..:....~.,\\lU....."
.~--._.,---,,~
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.................'...'1'... ........
,.'
'>"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 2571
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
/0 SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~-J~
uht&-:DQ
CONTR.
PERMIT NOS - ? I '\
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
.9 FIREPLACE FINAL
~~
l. (~{(~ ~ oot -Gr r~
7. SerIJ~_ ~ l-l~
CJK 1-9"
. (\ (l~ _
c lo~ ~~-1> l-e-
o WORK SATISFACTORY, PROCEED
X. CORRECT ACTION AND PROCEED
o CORRE(;JJK' CALL FOR REINSPECTION BEFORE COVERING
Inspector v..:f OWI',,,1Cont1'
CALL: 44~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSIIOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~ ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED .~~~~
u4~/./ Uf(/
/
.--
PERMIT NO. C?S -...2-8
CONTR.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
C?. ~R HOOKUP
~LUMBING FINAL
o MECH FINAL
CO~~f!'tTS: /
$~~~ft/
/ /
T~U- r
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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(~;t ~ ~//qJ/lC
V
-4 /
. I~ .:;~
.~ /'
~~/
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WO~~~t.fJR REINSPECTION BEFORE COVERING
Inspector: J~V Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE Foil YOqR PERSONAL HEALTH & SAFETYI
INSNOTl
Job Address 2S 7 '7 ~/ul..l/
Heating Contractor 1;1"'''''.7. ~"'-
Name of Tester ~,
Date r/~/".(
Percent O2 31f.
Percent CO -W....
Percent C02 7 ~
Stack Temp. 37'f.
Combustion air is adequately supplied per
UMC Sec. 606 1/ (//!/
...J-
Input