HomeMy WebLinkAboutBldg Permits 01-0867 & 01-1244
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2. Pink City
3. Yellow Applicant
~-
-I
-oa~7
(Please type or print and si~ at bv.."~,)
ADDRESS
15~'J.S
e.o~a;-
Fox TAIL ~L
()~~CJ(officeu~)
t</
,
LECJAL DESCRLYnO~ (office use only)
LOT S BLOCK 1. ADDITIO~ .tv e. '115'" It n n
lst
PID ;{ c;-- 3 76 - O(f{-()
OWNER
(Name)
W C-1'\,C;/hA 17 n
~,~
I-f l) fY' eS
.
(L.{ I V e :
C. &;] fJ f1 ,
(Phone) 1;,5 J - If 0" - t; 'f 0 0
lb?1 .s-SJ z.. z
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
SA fH e
(Phone)
(Phone)
TYPE OF WORK
'fJ New Construction
OLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
..,0. Fireplace
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
3~ eoo
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
;te~ ~ toar~ol ne~de inspections. llj slf 8 - b .- /) I
C/ Signature Contractor's License No. Date
I Permit Valuation "305.000 .re I Park Support Fee # $ ASO .Q)I
I Permit Fee $ 2-, +1 ' 75 I I SAC # $ III SO. c::t21
I Plan Check Fee $ , 3 1Z/'. I f- I Water Meter SiZ~; 1"; $ .I a.\,OO
I State Surcharge $ i 52. .5() I Pressure Reducer $ qc;:tJlJ
I Penalty $ Sewer/Water Connection Fee # $ 't~OO.oCL
I Plumbing Permit Fee $ 100_"0 Water Tower Fee # $ 7~".oO
I Mechanical Permit Fee $ I t!JO" (!) CJ I Builder's Deposit $ [, Sot? . tJ(J
I Sewer & Water Permit Fee $ SS. 50 I Other $ .
I Gas Fireplace Permit Fee $ 40 , c90 I TOTAL DUE $ tlS3/. ?Jq I
C2.{!Jj;1'\ BWI<ling PrnnitWhm Approv<d . , f
I Paid C; ;.;J I J' .., R='. 40376
I Date . $/- J-J-~! By n ./
/- 8..?-~1
uilding Otiial Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:~::~~i ned by t City Planner constitutes a temporary Certificate of Zoning compliance and all/s~ction to commence. BefOlA occu:ancy, a Certificate of Occupancy must be
.' ~L~--- ----- ~.?'~ ('Pi ~e It!v~_' ~~
?/ ning Director Date Special Conditions, if any _
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(please type or print and si~ at bottom)
ADDRESS
15225
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Ht...(3 IN
I. White File
2. Pink City
3. YelInw Applicant
PERMIT NO. 0/,. /244-
, ..- ~ :,:':~_'t~~~
'" " '\r h',,:$'{"'~1M!l"i!l >.I"
FOX
.
//--1IG ~/.
LOT
BLOCK
LECJAL DESCRIPTIO~ (office use only)
ADDITION
OWNER
(Name)
WbN..5 HI3...AI /\/ H()H65
/t3t?5 Pt/12A O~., eAG/JtJ,
(Phone) (05/- t/-()fo - tft..f{)O
/'1N 55/ZI
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
S/1H6
TYPE OF WORK
(Phone)
(Phone)
o New Construction
DDeck
o Porch
OAddition
OAlteration
Date Rec' d
/ /- /- 0/
zo~mCJ (office use)
,ej
PID 25~37~~ (Jo9-D
ORe-Siding
OUtility Connection
'MiSC. NI5r8K.. tJPt!jte/lOG PROJECTCOST/VALUE (excluding land) S
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
enter upon the property to perform needed inspections.
x
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
ORe-Roofing
OLower Level Finish
o Fireplace
Signature
Contractor's License No.
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC ~
Water Meter Size 5/8'@
Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I ~. ' -~..~
A r~ &71 i-r-
Other ~".:;,...,; ..
TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
-
/:,50.0U
//- /-0/
Building Official
Date
#
#
#
#
~iJ Ii
Date
$
$
$ 70.00
$ 2-50.0eJ
$
$
$ /2-5,00
$ 4$. 0 (J
$ /.,5(). ()()
Rece~~ 4-~?f14-
By r\ ..-'
This is to cenuy 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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
1 ';7nn J:;~(1lp rrpplc Avpnl1P Prinr T ~lcp MN <;<;177
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
15Jd,S
fDX tAlL 'S,(rj/X
1. White File
2 Pink City
3 Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT S BLOCK 1. ADDITION tv e. 115 Pl If n J1
OWNER
(Name)
Lst
W (';.1'\ ,<; Tn 11 y7 n
1~,~~ PLA z f)
1-1- C J'Y' e S'
O..{I ve. j t: (+:5 .A f1 ,
(Phone) ~5 J - Lf 0 b - If 'f 0 0
/11?1 ,5:.~} Z- z
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
e-<S A fk e
TYPE OF WORK
'fJ New Construction
DLower Level Finish
~ Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
o Alteration
DDeck
L fisc.
(Phone)
(Phone)
DPorch
ORe-Roofing
Date Rec' d
~ - ~-V I
/.
PERMIT NO. 01- 013& 7
. ZO~CJ (office use)
4/
PID~c;--3 7~ - Ocf{t)
ORe-Siding
OUtility Connection
"3 oS tOo
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
;t~];!r?(orln:::ons. I Lf 5" R 8 - b -l) I
(;J Signature Contractor's License No. Date
"3oS.000.~
2../ +i .7b I
1312-.14-
it-:, ~,5()
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
State Surcharge $
Penalty $
I Plumbing Permit Fee $ 100 _ 0 0
I Mechanical Permit Fee $ J OC), (9 t)
I Sewer & Water Permit Fee $ 35". 50
I Gas Fireplace Permit Fee $ 40 . CJo
J
C2/lt7rBWI;:~;;;-oo
),uilding Ofptial Date
(
Park Support Fee
SAC U. 1
I WaterMeter SiZ~IZ
I Pressure Reducer I ,--
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I Paid aEJ I ,r ~l
I Date " 8. >,)-~ I
# $ A-'SQ.CD
# $ Il, SO.Q:2
~ !.tJn $ I a,\,OO
$ qs.cJ()
# $ 1.~OO.o~
# $ . . 7~tJ. 00
$ I, 5(j~ ,e>(J I
$ I
$ c?53 /. 'bq I
(
I'-
I Rec/flo. 41J37&
I By /
f -
'-
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 si oed by the City Planner constitutes a temporary Cenificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ t ' ~
.. ~_(\~-/~~__~ ~../V~ {Pi. ~~~~, C.{'YV~fl>
// . 1l'ku1ningDirector Date -. - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
#3375 P.DD1/DDl
URiC ACl," U
I. PiP" I'll- PERMIT NO
~:~.". ~,_ . /-g, 7
(Please type or print aDd siRn IlJ; bClttom)
ADDRESS
/5~J.S .h;>etMt Cr
ZONING (oftIec:lIsa)
Ii\
LEGAT. OBSCRLr I. J.ON (oftia: use only)
LOT ~BLOCI~ ADDmONV~~~ ! s+---
~wAS-3/b-OOl/-3
OWNER
(Na.me)
ik~~ ~J
(Phone)
(Add.ress)
APPUCANT.
0Name1 AL~r.ED FIRESIDE DBA FIRESIDE CORNER
(Pbonf:) 651-633-2561
(Address) 2700 N. FAIRVIEW ~NIlE
(A6dreR~)
BRENDA HUS'l:'ON
(Conraa Person) /7
APPT.ICANT SIGNATIJRE _ &~ .#~
I
ROSEvrT.r.~ M1'T
(City)
(Phone) 651-633 -2561
DATE
11\10;.1' ':l.
(Zip COde)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPJ.ACEMENT 0 ALTERA TrONS
PURNACE MAKE AND MODEL FUEL
FLUE SIZE REtuRN OPENINGS INPUT OUTPUT
TYPE OF SYO) J..t:.M H.EATING OR. POWER PLANT
DWllrm Air PIJUlts :J Steam
o Gr&vi1.y :J Hot Warer
o MechilniclIJ ::J Radlatlon
DAlr Conditionin.g ::J SpltCillJ Devices
OVent. Sysr.em . J :J Other Devices
FlREPJ..ACE MAKE AND MODEL ~ AJ (;(p ~7r
PLEASE NOTE:
Air Condiri.ClD.er Units
Cannot Encroach into
Required Side Yard
Setbacks
IndJJSf.riaJ. Commercial & M1.llti-F'lImily
FEE SCHEDULE
J% of job Cl)st Rcsfdlmtial. Gas fjl'eplllCC
$39.50 minimum
$99.50 Residential, Additions &: AI,;w. .....;ons
$64,50 Residendal. AC Only
$39.50
ResidentiflJ, Heating & NC (New ConSU'Uctjon)
Re$idc:ntfa.l. Heating Only (New CQ"str\lction)
$39.50
$39,50
Es~imated COst $
Building Pennit #
HEATINGPERMrrTFEE $
STATE SURCHARGE $
TOTAr... PERMlT FEE S
.50
< 11{J/~4/D l
J~(:\ '1)7"/
~ f:J~.J
R.eceipt 'No:' ',(;;;",_
f
(omce UII; Only)
Tblll Application Becaml."5 Your B..Ud'n~ Permit WhCD Approved Paid
Date
DlIlJdl~ Ome""
I)/It!:
J (r/~- /
BY~
J
14 hour notice for nil Inspecrlons ('SZ) 447-98!l}, flu: (9!1) 447-4245
3:06PM GENZ RVAN PLUMBING AND HEATING No.9027 P, 28/29
Cl J Y OF PRIOR LAKE Date Rec'd
J:U..A Jll iGI AIR. COND! l~ONING/.1I.L.KEPLACE PERl\fiT
- -
(Please ~e or J)ti:Dt aDd siJDJ,. it bOm:alD.)
ADDRESS o.
J 0 ii- ?,~ ~~ lA I L.
i =.. ~~ . PERMIT NO. (- 0/1
]. Ycll<>w AflpI'-t C\f..J::)
I
ZONING (offi1:e_)
~,-- ~ /<. {
-
LECJAl. DESCRIPTION. (olficc use: cm1y')
LOT ,r:; BLOCK 2-. AD:OITIO~ W~rfl~
fSf
PIDd5 -3r;fo-wl-.{)
OWNER.
~~~ YQn~~nn ~~
(phon~ ~51 005 ~7nQ
,(Address) 1895 Plaza Dr S~e 200
Eagan, MN
55122
Al'PUCANl'
(Name) Genz-Rvj'.T1 Phlmh1ni & HQatW
(phone) #i l:j 1 -it? ~-, 1L..it
(Address) 14745 So Robert Trl Rosem.ount, MN
(Ad.tb:ess) (Ctty)
(Contact Pcnpn) ----Ha,,-v m 'U1t1 ~ ~~e) F." 1 -4" 'l_ 1 1 4/1.
.APPU~6IGNA1"C.1RE.\!- ~~ ':,ft. DATE L.~
! . .;' -, j APPJon.. J. iLEASE CO:MPLETE iJtLOW ' , .
-' . fiJ.NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MOPEL ~ '1( (~~~ U - , ~ FUELUc.r . (?571~
FLUE SIZE RETiJRN OPENINGS 8' INPUT j[;:r) 11)UO OUlPUT I r Ie f 6O'f)
TYl'E OF SYSTEM HEATING OR POWER PLANT
I50Watm Nt Plants 0 Steam.
LJGravilY 0 liot Water
o MecbmicaJ 0 IWiimion
'&Ur Cooditioning 0 Special Devices
OV cttt. System 0 Other Devices
~" i ..
55068
(Zip Cod&:)
PLEASE Nott:
Air Conditioner Units
Cannot Enc:toach into
Required Side Yard
Setbac:lcs
FIREPJ...A.CE MAKE AND MODEL
Industrial, ComtnetCial &; Multi-Family
Residcntilll, Heating &; Ale (New Construction)
Residential, Heating Only (New Constructlon)
FEE SL,I:;Ul.))ULE
1 % of job lXIst Reside,otiaJ., qas Fireplace:
$39.50 minimum
S99.jO Residential, AdcUtioDS &; AItc:nltion3
$64.50 RC3idClDtia1~ AC Only
$39.50
$39.50
$39.50
Estimated Cost $ Building pemtit ##
HEATlNG r~KMIT .l'~ $
STATE SURCHARGE $ .50
TOTAL I. .J!a'o.MlT FEE $
. 131J1L6itD '1,,/:,,, .
Gf-'
'-.
<9-~<: Use PDly)
\: .
\; 6.d' Application BecoDle5 Your Building permit Wben Approved
Paid
Receipt No.
llQilclilll Odid..r
Pill..
Pate ~' :J.S-O I I. ByQ0
u
24 hour notice for allla'pectioD' (9S~) 44769150, fAx (952) 441-4Z45
Jul.30.2001 3:07PM
GENZ RVAN PLUMBING AND HEATING
No.9027 P, 29/29
Date Rec'd
LITY OF PRIOR LAKE
SEWER AND WATER PERatu.l
I ,
.'
(Please t'nle or ~ Gld. sisn at bottDm)
. ADDREss.' - .:.
I '!:;)22-~., ,_.-- ~k'TA-~L- 0r
i ~ ~ I PERMIT NO./_ g/ r7
~,Gold Aflpl~ It' J
f
, ZO'NING(~lIK) .
f\ ), A ) A I
LEGAL DESCRlr uON (otfice \Ue only)
LOT 5 BLOCK 2-ADDmON\A.)~ f.c,1 PIDd5-~1"-COq-()
OWNER
QN~~ Wensmann Homes (Phon~ 651-905-3709
(Addre~) 1895 Plaza Dr Ste 200 Eagan, MN 55122
(A~) (Ci\Y) (Zip Code)
APPUCANT
QN~~ G~nz-Rvan,Plumb1?2 6 Heating
(l>>hone) 651-423-1144 .
~ t .
(Contact Per,;.dn) MarY Olson
","
"'LICANT SIG~ATUR.E-1k.
Roaemounr:. ..~
~~~)
(phone) 6S1--4.zJ-114A
D~'TE L2i1 Lf") r
, I
55068
(Zjp Code)
(Address) .l!llli SO ~Tr: Td
I I (Address)
-1
APPLIC PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from stIUcture feet.
Type of sewer pipe. 0 AB.C 0 PVC 0 Cast Iron
Estimatc4 length of sey.rer line feet.
. \ Clean out elf reqWr!;':d)'located at ~et noPl structure.
.l4.IL.KSLJ:I.IIJ)ULE
:Residential sewer and water line connection $35,$0 Industrial, Com'l & MultHamily 1% of job cost with a $39.50 JD.injJnum
Sewer eo:onec:tion only $17.50 Water connection only $17.50
EstUnated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
11" p/W'"
. '-'/I.Jj!J v 1177:
WGp~~,.,
"V.i'r
(OWce Use Oaly)
This Application. Be~o~es Your BldJdiug permit meD Arr'. . led
. Paid
Receipt No.
:Buillllng Offici...
n_1e
Date .-, .
P~;)q-O)
,IlY~
14 bour notice for aD i1upectioDS (952) 447~98S0, fa <'51) 447414:5
Jul.30.2001 3:06PM
GENZ RVAN PLUMBING AND HEATING
No.9027 P, 27/29
l)~te Rec'd
LI'j i OF PRIOR LAKE PLUl\'JBJNG PERM.f! ,I
(Pl.c:asc!'(1:H:. Ql"'PrUlt aDd $i/l;ll.atb........._)
ADDR:BSS
!~~-2-5' ,.'.~hx.TA(L-
C, NuJ
I lJl\I$ "I_ I PERMIT NO
z. GallI C'"1Iy . ~,. _ ,,-,
3. YellQw AIIDIlcMI . ,
. ,
ZONlNG (afficz use)
Rf
I LEGAL DESc:Ru- nON (06ice use only)
LOTD BLOCK 2- ADDmON f.,Ur ~n t'\ n
OWNER
(Name) Wensmann Homes
(<..f
PrDdS-"3rJb- [d1-0
(Phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagant MN 55122
APPUCANT
(Nwn~ Genz-Ryan Plumbing & Heating
(Adchess) 14745 So Robert Trl
(Address)
(Phone) 651-423-1144
Rosemountj MN
(City)
55068
, ~ ~ (Zip Code)
I
I
I
I
/
I
J
I
I
i
(ContactPers'on) Mary Olson ~__ . r, C\')li~e) 651-423-1144
~c..W;:~IGNATURE _ LA-_ ~~_ 0 --. :?\",TE -,1* I
. APPLI&~ 1. JtWE COMPLETE ~t~ow
Type of Fixtu.-e 1 Quantity I
Bath Tub with or without shower - . " I Rougbr-ins
Dishwasher IT' I Water Heater
I Floor Drain I ~ I J I Waftt Softner
r Lavatory (Bathroom Sink) I' I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 comp..........ent sink I I Sewage Ejector
1'.Shower Stall I I Ba~ld1ow Assembly
I Sinks I I Backflow Assembly Test
I Bill: Sink I Lawn Sprinkler -
. ~ I Water Closet (Toilet) I Other -.
Qllantity
::2-
I
,
.~
Type of Fixture-
I
I
I
If.EJL Sl..J:U!ruULE
Industnal; Com:merclal &. Mubi~famlly 1 % of Job cost wjtb a $39.50 minhnlUQ Residential, New One & Two-Faxn.i1y $99_50
Residential, Additions &; Alterations S39..50
Estlmated Cost S
Building Pmnit #
l el.Jll..~~/D 'r-
/NG !..I!
PI.::;.-',
· 'J
. "'''II
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
:50
(omer. V$e Only)
This Application Becomes Y DUl" Building Permit When Approved
(
\
'Nd
Receipt No.
B1dlding OOidal
naft
Datep -07-01
BYfj0
24 houl' notice for all inspection.s (952) 447~9850, fax (9S1) 447-4245
White . Building
Canary . Engineering
Pink - Planning
The eenle' 01 the l.lke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/J/l
, .' J
;...//
j
APPLICATION RECEIVED
v- G-() I
J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-. )
- .-)., /'- ,-' /
:..' ,-:;7 (j'J X ,~~ I
If
Accepted
~
Accepted With Corrections
2-~
Denied ./\ ~ A
Reviewed By: (~~ ~~ Date: ~ II 3/6\
Comments: .~ t-~~C>>tf-dl\.~ ~ ~ ,5
Ll ~ ~'ifBV\- ,e4- ~V',k:tvV,o I ~
~e-ss- lAl*?~ ~ ?~~. ~4
~rf~..~~;;"~ eA,~~.Mk1 ~
?-r.f1=\ ~~I.{)MM-.. Jv~ /A)~ ~ .
~~ \~~1 ~ 'J ~.) &l2.LD ,tJ ~
~..j'~ U>>~* ~~,~ c~~ ~'M..v&J,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 apprqval 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
3/.~iz~~:ra~~ ~ ~-~
~~l9-Y' ~to~ ~1J f)!) t2-\,
_~__~"~,~...."~..",~.~"w.' _"__ ... .~.__<..,_..^,.__~__.,_...__.,_._
Th. ("<01<< or lh. "ok. Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ j ) 1J/'iVYh1 U/fvrJ
.., -.J.. .
K-~-o)
I
i~
APPLICATION RECEIVED.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/SC7d~ fox"/ (;(; ) ("I-:-t
Accepted
X'
. Accepted With Corrections
Denied
Reviewed By:
11/ II i3~
Date:
$] - ~-ol
Comments:
See Reverse Side for Additionallnform(3tion!
. .
.
~
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
Tht> ("fn.t>r or Ih" "all" Counlry
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!))~~ ~
~-b-o)
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ C7d-~ fox Ta...; ) ~-r
Accepted Accepted With Corrections
Denied e4J6 j
Reviewed By: / \,..
/
~
Date:
~ -7 - 20c')f
{;Z:j}: ~II a Ikckd ~~::t;:-
"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."
PRIOR LAKE
INSPECTION RECORD
I dd c.J-.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS;>.;;l.) Sx
NATURE OF WORK ~
USE OF BUILDING S FA-
PERMIT NO. ~/- 09;(07 DATE ISSUED 8 r-1- ~~(
CONTRACTOR W-e.\As,lN\r.u....IA.' ~<::. PHONE c-SI- ~t; -l...J'I1')()
NOTE: THIS IS NOT A PERMIT FOR ANY OFTHE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ' 11;\\;CTOR I ~~J;7 I
J FOUNDATION (Prior to Backfill) I 't V~ ~ .~O( I ~ \JILWJ ~/, 01 I
PLACE NO CONCRETE UNTIL ABO*E HAS BEEN SIG~
ROUGH - \NS ,
SEWER I WATER I SEPTIC 15 \\~ q tL.Q}
FRAMING ~ \G loJ)~ ·
INSULATION ~ \1 'J to t,f>
ELECTRICAL
PLUMBING P--/? ""O-.b
HEATING (if required) ~ \\~ ) 0 )/S"
FIREPLACE ~ \~.
GASLlNEAIRTEST ~k~ ~\)(~ II.'~)O\
\ I ~
COVER NO WORK UNTIL ABOVE HAS BE N SIGNED
I
FINALS
, ,
GRADING (Prior to Sodding) ,11/8 . I !/fd6 . / d Z-
BUILDING tit. ~. ~~C ID'/;- ~_-H.. {i'~(
ELECTRICAL . \.,
PLUMBING
HEATING
DO NOT
1 \)~ If JS"~!
t>~~ fA~t>J
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 havfP bee.....approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~ --~
I , 2Ll,~.....:.lh"" .:.
....
...
DATE TIME
CITY OF PRIOR LAKE ~ _ J
INSPECTION NOTICE SCHEDULED '-f '3~/(j2- .l./ :10
ADDRESS /5 ZZ5" ;CO)( 7rt I '- ~ I _
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OI-08(p7
o FOOTING
o FOUNDATION
~D F~U~;~
F, NAL
o SITE INS E N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
soo/mee;
_-"" ~t"
A (I(/~ ~ ..
~~ R9._~~
I . f
,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ ~'-a:..
ADDRESS I S J"lS rO]!. -ft" 'IT. t...
OWNER CONTR. lv Il'rvYl'tnl"/
PHONE NO. PERMIT NO. f"e) /... ~~/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
{;;/td~- I? Ie.
c..vrb ~~.... c91t..
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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!
JNSI(OTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
!I-IS-Dl II; ~D
ADDRESS
IS~a~ Fo)C.h~r c-t:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-@"7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
^_D SEWER HOOKUP
tf?PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: . ~ {
,\AA'f'~ J ~ etL, ffi
liUllMD Me.-~e..r 0 tL
/wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: ~ )J 11UDI Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
)t-IS" -01 )~ ~D
ADDRESS --1E ~ d.. 5' FV!, lO ~ ) c.;f-
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~D INSULATION
)a"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ..,sEWER HOOKUP
k MLUMBING FINAL
. f1'1T MECH F: AL
OI-=.l6h 7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'b, Gi,t
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECW~ ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: 'D- 'Jr1MJ,/ Owner/Contr:
CALL 447-9850 FOR THe/NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI