HomeMy WebLinkAboutBldg Permit 01-1255
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTilITY CONNECTION PERMIT
/O'Z5'-e.t
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and 8IgnatL ,.,.. ,
2. SITE ADDRESS
?iClL/
1. DATE
FDY
J2vJ
J-
PlD ;<~/~r;I]- OOt-O
FORMAnON
RE
(HeI'7~~ ) ", (~7
12. NO. 9J ST~IES
, 'It....
13. TYPE OF CONSTRUCTION
,?rp
14. FLOOR AREA APPORTIONMENT USE
170'>
3. LEGAL DESCRIPTION
LOT ~ BLOCK
ADDITION ~ IJ!' ~.'
4. ~NER (Name) (Address) (Tel. No.)
.oeello/CI 0 J&e <!v~~ d.t~ ~ QS}..-Vl-CY7111
5. ARCHITECT (Name) (Address) (Tel. No.)
~ t( fl
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
~ II l. OCCUPANTS
7. TYPE OF WORK/" Rreplace CJ Septic CJ Heating CJ Plumbing CJ rI :. I'ng CJ Porch CJ SEATS
New Constructi~ Alterations CJ Addition CJ Rnish AttIc CJ Residing CJ Rnish Basement CJ 16, ESTIMATED VALUE
- "Chimney CJ Misc. ~ 0 0.. 0 0 f)
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DAlE
~:eby~':~efumished i. ,,~on~~~:,~:: ~ ~~h best:: k~b1Mand ~c I Do ~Uwt ~~=gemfor
the aboveV',. Eld and Uwt all construction will., . ID ah..."" state and local laws and wi., ..oo J in &"yy,';",y" with 81, ",d plans. I am aware that the
:ildingofllcl, al ~ this permit for Just cause. Fl .: . :,1 herebyag~Uwthcltyqa.~e8IgneamayenteruponhP .,: ..lID.. )orw:tr :;:iY~'"''''
S9l8bn . . ~ No. Dale
I .. FOR ADMINISTRATIVE USE .
SETBACKS: Required MATERIAL FILED WITH APPUCAnON
Actual SOIL TESTS CJ ENERGY DATA CJ
Front Back SIde SIde
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION 300 J 000. 00
PlUNG LOGS CJ PERCOLATION TESTS CJ
PlANS & SPECS CJ SETS
SURVEY CJ COPIES
PLOT PLAN CJ
TYPE OF CONSTRUCTION: I II III IV V
State sur~e ............................. $
~........~........................ $
S-.lU
-S8p1ia ilyllBIIl ............................... $
Ohr .......~f:b.......................... $,
......F.;.e.~................. $
Occupancy Group A BEl H R M
DMsIon 1 2 3 4
Permit Fee ................................... $ ;;J " I ~.f c:)'
Plan Checking Fee ......................... $ I, 3 '73!i~
/ 5"0 .()O
I DO .0 l:)
J<;, .C;;6
I DO .00
WJ. t9cJ
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
ColIeclive Street Fee ....................... $
Sewer Tap ................................... $
Ucense Check Fee ......................... $
I. ,f
Pressure Reducer ......... ................ $
Meter Horn ......................... .......... $
Water Meter ................................. $ ;t .:5Z>. 02>
Check If CJ Sewer & Water C.. ,...:".,Fee ........... $/1 ~ t!JD. 00
Deferred CJ Water Tower Fee ........................... $ 7 0 I'J . 0 0
~ WaterTap ...........t\:,;.:......,......... $
r Olher~,~...~............. $ I, sno ". ~ ~
,_ ( \ \ ~ ~~O \ ~;:fifi::j:~:::=t-"33.1t-
Ths~to. rtlfythat U8IIlln the 8boY8 application and". accompanying., documenls Is In , ... 'i."nce wIh the Clly Zoning C ;, " .. and msy ,... : J r{/~U8IIled. This document when
~ const~;~Ce_ J1J<T~~const~.:- ~'r~~~~mustbeMlsued.
~ ~ -~~. ~.:, .,Wany ,
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.
CIty:
~.oo
',/50.CJC>
~ 0 rt:.J:L
..as Y~ermit When Approved.
~Date JI .,- 200c
. -
\-
Th. C.nter or the toke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fv1 A Je.1~ Cl-t A RvE5 I I N ~ .
.
I 0- I & - 0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2-644- FOX r<.UtJ
Accepted
Accepted With Corrections Y-
Denied
Reviewed ~===-.... -
Comments:
Date: ---1D.. ~'1..t1>J
~t)& ~\ a-Har~ ~ ~
"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."
,: . .~:... f
<~~,.,"
BUILDING PERMIT APP ,
White - Building
Canary - Engineering
Pink - Planning
Thf ("fn'f. of lhf ...kf ('ounlry
PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~,~ ~
J C- I (( - (; I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2-644- FOX k~ l)N
Accepted V Accepted With Corrections
Denied ~ /
ReVieWedBY:/~~tC/~ Date: lV/P-lJ{91
Comments:
11\t,u(~\.MbM_ :Jt-{ ~ tfY~ ~J~n, ~
~ " '-' .s,~_, R[C)lcJ
\! r2> 'At-/' ~ (, J.V~ ~
- ~ -
"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."
'. "
Th. ('.nl., of Ih. "ok. ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLlCATI~ DEPARTMENT CHECKLIST
'Dezr-,D~ .
NAME OF APPLICANT -M-A rl.(. ~e5,,~
.
APPLICATION RECEIVED 10- I (p - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: __________
2-644- FOX r? U 1\./
X
/
Reviewed By:
Comments:
IV A (3 d,
Date:
10-2-2.. -vI
)
/
/
/
/
I
I
)
/
(
Accepted
Accepted With Corrections
Denied
~pp Rpverse Side for Additional Information!
6ee Attachments: "I) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
. : ~ r ." -..,...,J,... .'
"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 jurisd.iction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
or.din~.n.ces ot the jurisdiction shall not be valid."
. ..,...-
'..
~
Date Rec'd
ell f OF PRIOR LAKE PLUMBING PERlVUl
J- 1- ~~
1. Blue File I PERMIT NO zs=;- I
2. Gold City '0' '_I'
], Yellow Applicant ,
(Please type or print and siltll at bottom)
ADDRESS ZONING (office use)
').f6 ~~
fbJ>< Q..v;1l
LOT
LEGAL DESCRIPTION (office use only)
PID
BLOCK
ADDITION
OWNER
(Name) ~~~ c....t)lvS-,Q.ULT7~
(Address)
(Phone)
APPLICANJ
(Name) I<\U<. ...v~~G-t\1
(Address) l~~C;-c.r F~~{) W41
(Address)
(Contact Person) ~ u<. 1':\ _ f)
APPLICANT SIGNATURE ~ ~
V'
Quantity
:l.
\
')...
r;'
I
,
J
3>
(Phone) (,/ )--~7 -4,,~~ I
MP~~ V~-y ~~,y4
(City) (Zip Code)
(Phone) (, 1>- -<1" 7 -(,JI/?'
DATE yJ, JOY
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower J
Dishwasher I
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins ~ BA=n+
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE S\,;l1.r..DULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
DI-/2-5S
.,..~ eA\O W\1~:. ',' ,-r
.50 ~ 9U\[oU'-lG p~l >I'"
I.:
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
.<::;,
Building Official
Date
D~ _ 0)--
I
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ClI f OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
IZ-1--0/
(Please type or orint and sism at b.. ..u~)
ADDRESS
~. ~w ~\~. I PERMIT NO.01-/7Z::;-c-
3. Gold Applicant ..:::>
2844-
FtJ X 18</ ~
LEGAL DESCRIPTION (office use only)
LOT2- BLOCK 2-ADDITION 7J..tG WI V{)-J'
OWNER
(Name)
(Phone)
(Address)
ZONING (office use)
PID ?S"2. '1! - ooB-tJ
(Address) (City) (Zip Code)
A~~r;~At2y .J"~5 (:r~ +Su'"' ~~ne) ~ 'f~ ~ LI L
-( (Address) fi'1 (, wlflTE IJA-IC- pl2,,';~ C{/~J:"" ~ ~(~
). . (Address) (City) - (Zip Code)
~) (Contact Person) 0~ y \r ~~~tS (Phone) Lj '{ t" ~L I L-
APPLICANT SIGNATURE ~~ DATE /~ -I-(.... 0 J
. (. (/
APPLICANT PLEASE COMPLETE BELOW
Size of water service' inches. ._
Location of any couplings from structure 5" ~ feet.
Type of sewer pipe. D ABC ~ PVC D Cast Iron
Estimated length of sewer line b 0 teet.
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
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3~)D
$ ,50
$ 4tJ _dlJ
(Office Use Only)
Th;, A~'/eJ-.::" Your BUildini ~~t;~"o TroVed
~~{ It:!: Date
./'"
p~
Datlz- -A-- -0 ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PAID
B'1
EL- D r?
~
--
,~,\\ "~; .>~:i;iK:f~1:1~~~.:;\,:,,~j.~:i';::~':~',::'i ":i'~t!,:":_,, ; "r':" , .
',> "'i,\~h",:"!,~",, ,J;J)ate ltec'd
CITY OF PRIOR LAKE PLUMBING PEInu J.'>';':":;~Y"'X.:'I-~..J-
~: ~~O)V ~~~licant PERMIT~Q.~I.;;rZ55' I
,L'lease ~ or print and silm at bottom)
APPRESS, '
L', "," ;" '.',,:
?!64-Y FOx ~v,N'
LOT BLOCK
LEGAL DESCRu-ll0N (office use only)
ADDITION
OWNER"" ,: ", ' '
(Narne)t.~~~ .', c..c,.v~7Qv t..T7bC/'
.' .,., I . '.'
;,~' ,~", -:
(Address) ,
~!;~r~'<.K '-V~\&tfr ' '"
(Address) \~~c.;-cr F\..t\-\..t<~O WAY
(Address)
(Contact Person) , ~ u<..
'APPLIc:ANT SIGNATURE ~ W:
I
I '
I
I
I
I
I
I
Quantity ,"
,.,~
:~
5
,
r
t' ,
,3.<
'., \:
(Phone) (,1).. ~~7":":~<6~::( ,
APPu;-'-V.4-w?7 ' ~s,)-4
(City) i(ZipJ;:;ode) .
: ....,_ ,'~' > ',_'J') t', ',\
(Phone) (" r -\7 (. 7 ....~g<( /"'(
DArE y I, Jo~ .
'"
APPLICANT PLEASE COMPLETE'~EtOW
Type of Fixture
Bath Tub with or without shower
, - ,,' , ' "
, Dishwasher
.Floor Drain
Lavatory{Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
,Sinks '
Bar Sink
Water Closet (Toilet)
'. !
. :
,Type~fF'i:t"re:. '
'Ro'u"gh..tn' 's' !"~' '::'8.,~."" ':j~i:".::.tJi.ilI::<,:;,,;~';~,
" . c'.' ,', ,'" , .' ' ;',~,.: ~F,~.~<j"',"\..",,~~'j;n
" '" '., " ',.'., ,_ " '" ,_ '_'" , '. ,v, ,_"., "",!. ,., ~".' ,," '.~ " _,
. ,
r 'w stet Heater' "~'{I >,:'>':~';tr:"?'ir'~ ,t>,:,.,,;(~,1',:
Wa~t Softrter" '; ,
Stand Pipe (Washing Machine)
Sewage'Eje~tor
Backflo-w Assembly,,> ,.' :, :, :,; ,
B. kfl. ' ,.' A"' . ".'b'~\'~".:\< ..:,
'. Ie ow. S$etb 'lye ~ ~$t';::,itr;:p'!!;;};.: {i/;.-
Lawn SPrinklet '.
Other
Estimated Cost $
" ' " "FEE'S~l1.d)ULE
" .Industrial, C~mmer~ial & Multi-family 1 % of job cost with a $39.50 minimum
, ,
Residential, NeW One &. TwO-FaIhilY:'}$99.sti': 'f
Residential, Additions &. Alterations ! ,$39.50 "
Bu.ilding Pe$it # DI-IZS:~ ;. ':~ ' . .
, , j', " ,,', '.: .:' '. ,>", .' ....:, '.~\:> " ',~ , \'~';' : ,:' ':<
PLUMBlNGPERMlT}7EE;"$ ,n; '..' ,<.. :.m,~,"~'P~~'iBtJ"\'G': :;:'~" ' .
STATESURCHARGEi ,$' .50 ' ;, I("\..Q\~ ,: '.' ,". :' ".: ,
TOTAL PERMIT FEE , $ , - L" " . ,:..,'. '
(OMee tJseOnly) , ,,: .:..t~)~;:;~;<!,~!,p, '.;';L\'(;[~:'i'~J; "
, ,', I This Applicatio~ Btcomes Your) Building Permit When APprove'd:~~~t~:"
'''-:-J.... lJulldingOMeial Date \D~ _ a~ "By
" . ,". __ _,"': ..' \\:f~";,I')3~' ~"'"i'~.,
24 h~ur ,notice for alliilspections (952) 447-9850, fax (951) ~~2.t~e~!~~-(t,;::i ','
, ' :,j:;}lft~!,~1?~.'
-
CITY OF PRIOR LAKE
HEATING/AIR CONDI.I..lONING/~.lAEPLACE PE~IT
Date Rec'd
(Plene .me or Drmt aDd sia at botIDm)
ADDRESS
~'I~ ~ ~
~:::"~::' l'j1'\1\'nT NO. If/_I? ~~
J. VoIlaw' ",,11011I1 U c,.:..;J ~
ZONING (olIlce Dlr)
LOT
BLOCK
ADDITION
I
I
I
PtD
LEGAL DESCR.J.r llON (oftic:e use only)
OWNER
(Name)DIlO~n rOn.nli1UL'~ ,:rA.c. (Phone) _~- ~~
(Ad<h.u) t~~.. #/OS. fd.vn P~Jnn ,SS3VV
APPLIC~ ~ . ; \
(Name)~,.~ . ~,~ ~FP (phone) 7(~-31S-7SlXJ
(Address)- Que.. ^-l ~ /Cv....J- /'YJ SS~S-
~' (~S) (City) (Zip Code)
(Contact Person) ~~::J ~~ (Phone) ,7u3-3/S-7S-/ ~
APPLICANT SIGNATURE ~ a/J'1A'UJ~~ , DATE J/01f.//OGl
, APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
,. DWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mc:chanical 0 Radiation
OAir Conditioning 0 Special Devices
DVent. System 0 Other Devices
PLEASE NOTE:
Air Conditionei' Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL IY'cWJ~ Dy'3(,() ~(\J
v
Estimated Cost S
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
S99.S0 Residential. Additions &: Alterations
$64.50 Residential, AC Only
Building Petmit # () I ' /255
139.50
Industrial. Commercial IlL Multi-Family
Residential, Heating &: AlC (New Construction)
Residential, Heating Only (New Construction)
539.50
139.50
HEATING rr.KMIT FEE
STATESURCHARGB
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building omel.'
Date
Dat~ 2 4 2002
Receipt No.
BY.~
/
14 hour notice for .n inspecttons (951) 447-9850, fall (951) 447-4145
ZOO~
XHlOIHd H~VHV~ ~I~VWOLaV
ZOLOSltZ19 XVd SO:OI ZOltZII0
FROM : SRBER Heating and R/C
PHONE NO.
6124738565
Jan. 17 2002 05:01RM P2
DB (8/1
(){3PLrn
Daie _'4
II
.. ZOND1'O (JlIIIlt'"
~arlll'illl. '. ..... ...._,
^"I..~...BSS ;
:<~1L.f5yt /&n. J L{J~ 'Io~
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----Lh...... " ...t!l.- ...-.-
LBGAL~: noN (dd-atY)
LOT;8LOC)i:: AJ).....,..........,.~
l'JD
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:= QuvJ tyJaol& (an~~1JohJ
,
(J'bvUe)
(Mdsat)
.~~ ~q iJlir: . ~/ifl3-.;(~t '/ - .
~)L14i25 ,?I,rCUY,W :.<:rr; ..p~~ . Y'J7N 55''/'17. .
(~_<"L$bAHJ ~uL{J1XJt!-t' ,:Efl.{i-(,St.'-I (:d) .
APl'UCANT 51' lNA'l'UU ~ .. JlA,TIl J - [1-d;;)'
/ ,.,p..._.\ .----
i APl'UCANT pLEASE coMPLETE BBLOW .
. . r J&t-~IQ!I O~ DAi.i~.....~.
PUP1ACB~e~.- LPAJfl'" . fUBL . ,
rum......, ~ amJml...-.- ~ lNI'Uf I./'A.CM f;Tll wmrr '1000
n1'B OF .. ........8M IDA.'!1MCOJl ,I .. ,/8.1'lANl'
. .JE-...P.... l-
: GlwviW 'AM w_
I M . -..... . .......
. rc.liUoUla ' .,..w D"'-
ova. t.,_ :lQW~
~).[ uca IJlI1) MQt)EL'
PLBAIK "O'I'Is ,.
Air~l11Iie
c:..-........ '
.......... V.nl " .
M11.
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Wusnl Co';' ftIM" MUldrPe..n1 ICMlotJO' - a.t..... au fl....
139.1D......
R....dIl. ..." III & AIC 0'1- CaaIl\llUlltkla) DUD ~ AIIdUianI& .u.ndgaI
,........., HM\1. III On" CNwr~).,o ........ AC 0Iab'
BItinla1*l COIIt $ ~ Bull.... PmDiI' 01-12- ss-
lJEA'llNO ,BJ,MlT f1l2 S ~
8TA18 suacHAJlGB S .52
,TOTAJ" PDJIft' m '_ ..PI'
. bUO
11'.50
DUO
..
(GIIea ,*_1:
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nil ApPlit ........ your ....IDa...it..... A........ -
!
1IIIIl' .. 0II4ieI u.t
. .... ~NO:l;
. DIll JAM 2. 4 2002 ey . . I
M ....,.... r.r.u iuJiIdia-l'G) ...,....... (HI) ...,.Q6S
PRIOR LAKE DiPARTMENTOF
; BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS eBc.f4 -br fir "A
NATURE OF WORK S F ~
USE OF BUILDING kJ~
PERMIT NO. 0/ - /2-.55 DATE ISSUED ll/~-V\
CONTRACTOR .M~tk.. a~ ~ PHONE 95Z-P32.Q-2711
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR} I D~TE
I FOOTING L ~.6Iv 1 /l/;~~I
FOUNDATION (Prior to Backfill) I 1-'-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-INS, r
SEWER I WATER I SEPTIC ~ \\~ LJ 02. ~ b1
FRAMING /1S~' Dl"'~. bi
INSULATION ~ ~-~-OJ.
ELECTRICAL
PLUMBING ~\\,b ~\\I f)~
HEATING (if required) ~~ 2 -S' ..I!'N-.
, -
FIREPLACE t2., ::2-~- o~
GAS LINE AIR TEST M, ~ :~fJ4. '\
COVER NO WORK UNTIL ABOVE HAS B:EN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
11 Ill. I
/-b,\)~ ~.l/O ~ 061.
'~~~ . 4 ~ acW OOl
HAS ~EN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have be~n approved. On buildings and additions
. where no service cabinet is available, card stiall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Itrtiftrau of QDcmpanry
CITY OF PRIOR LAkE
_epartment of _uilbing In'pettion
II Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances. of the
City of Prior LoJce regulating building construction or use. For the following:
R3
VN
Fire Zone
Bldg. Permit No.. 01-1255
N/A PUSD
Zoning District
Use Classific:atiOll
SINGLE FAMILY
Occupucy Type
Type Construction
Legal Description L2, B2, THE WILDS
Owner of Building Site Address 2844 FOX RUN
Con." .,".sNameA~EERBROOKE CONSTRUCTION, INC.
111h'l '
ROBERT D. HUTCHINS r' , City PIInner DON RYE
Date:
ADDRESS
df?LlL/
DATE TIME
SCHEDULED <~; )O~y / tJ.,o(J
~tJX 12~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- /35"s
o FOOTING
o FOUNDATION
o FRAMING
A-~NSULATION
T' / FINAL
o ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..& ;LUMBING FINAL
:1'. MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
1<. H-'-\< V 1M~ ~ ~ \v\1-er b~ ~
- -
\<. ~_...
~ ~~ -,-~\,
ec,Ne&-~
~ '\
.
~U e... i1:> MA. ~
I
,
r~_ - ~v\. ~f ec..r
CtO.
.
~ e O\,Oa.
~Wf ap-~('~k~ &~ ~~
1-f-heA\
~
. 50d a.J, -t,:.",~ ~ ~€-'or~t-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR'~I CALL FOR REINSPECTION BEFORE COVERING
Inspector:p _\ a AA.f Owner/Contr:
CALL 447-98~O FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOTl
ADDRESS
~8'L/t/
DATE
SCHEDULED ~-~-Ol
- -:=fox 7< k~
TIME
..-
I,!)~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{-la5"S-
o FOOTING
o FOUNDATION
o FRAMING
~ ~SULA.1'IO...N
~INAL C!... 0
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: G. B I
/ I \.
(KtJ; I;' IJCv)
- U/
You
J18C
-
-l v\OMC:
/
rORK SATISFACTORY, PROCEED
o CORRECT ACTI\jAND PROCEED
o CORRE", . ALL FOR REINSPECTION BEFORE COVERING
Inspector: .=:D..I D.J..>>1 Owner/Contr:
CALL 447.9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJiSliOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I'''~'''L
ADDRESS ~g J/I( HJf.- ~lJfI.
PHONE NO.
PERMIT NO.
'D-c~~1(
6{-' I:tS.s-
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
XfINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
o COM1lrAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
br~- ~~
Cv/b I~J<-&L
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~Xh---- 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 Li - 3D ~ L/; CJC
d tL/l!- F 0> 12u_/V
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ/-L;;(C)S-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
1r~~~~~~UeJ ~~ ~~=I~g~~~
o SITE INSPECF~CH FINAL
CO~ME~TS:
I ) 1l~~"t-" cc.eG.5 - tM.Cl (1'\ k.\a~
~ ~~) c..DV\.+~i\~f)&LS. .MA^dva, . 34'L ~i k(Gk,
( ~
3') bo.. aV\Qe- 1+-1< J Q.Y\,~ 'a_1a.J
I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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!
INSNOTI
OA TE TIME
ADDRESS
dRilL!
. ,
SCHEDULED u~~q-OJ.. d; 36
?-()~ I?~
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- /d 55'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
i 0 :JIA TER HOOKUP
......-c:r_SEWER HOOKUP
/ ) ..,#PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
1.1.' - ~~ .....(\1 ~
t/VtCUAO VlI\.,C/\~ L./~ -
~
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTIO~ND PROCEED
o CORRE~' LL FOR REINSPECTION BEFORE COVERING
Inspector: . J::::> ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI