HomeMy WebLinkAboutBldg Permit 01-1276
'.
,.
\ SeL ~~+~'lt
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND utILITY CONNECTION PERMIT~d
cr:r I 8 200/
(Please type or print and sign at bottom)
ADDRESS
/!5Z6fb ::s~C~ P"-t,,,.~
I. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LO~BLOCK4 ADDITIONQJ~~CA') Cr~t
&=~~<;..~ \-\v.~<{Qe&I~ \rv (Phone)Ca5\-~
(Address)VbO\~ (}.-,,'fP ~ ~ ~ ~~. t=)t=) I'A..A
.a "- - ~ 1 -
PID
BUILDER \ \ _ \
(Name)~~~~~ ~~, .rv' . (Phone) ~~\-~-~
(Address)l~~ PlQ,2.n\. C\....\"."._~ ~_~ )~'"' _ B5G:2.
TYPE OF WORK ~ew Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection
DMiL..JI12,,",\l:he~~""+- P~ECTCOST/VALUE (exc1udingland) $\~
\ \\r r ^ ~ i,)O_ ~ ~lrP^ \ CrI P'
I hereby ~fY tha~ furnished information on this applica~ is to est 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
ente~o~~~i?l'~'i':') \r--.c.
X -Y ..!::fl'\[" ~.. ~ _ \ L{ t:>){ \t') - I -() l
Signature Contractor's License No. Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I~
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
\
'ola
"
'"~
~
$
$
$
$
$
$
$
$
J$3
I ~B,~,~
1'2.0U:, ~
kftf . rz.c,
ClQ . 190
lot:> . ~
lOt:) .. &0
5~ 'SD
Aft) . 06
(] !rI(j:' YOdW1dio. g Permit When Approved
~ lJ-).. Of
Buildijjl Official Date
I Park Support Fee #
I SAC __ #
I Water Meter Siz~ 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
TOTAL DUE
I Paid ~ LIDS',. ,,~ I
I Date Ii - c;- I .
$ est:;. CY5
$ J I f:'O.d;>
$ I / z r;: 0(2
$ 'f<'. ~O'
$ /~ t!>t> .60
$ 700 · tX)
$ 1)
$
$ ", '105.3 J
Receipt No. 40 9~lf""
By (j? /
,.
This is to certify that the request in the above application and accompanying documents is in acfordance with the City Zoning Ordinance and may proceed as requested. This document
when si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue. ~l/1/&1 ~A~~~~~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
'~e-~ll "\('Ic>rl
Nov. 9. 2001 5:49PM
GENZ RVAN PLUMBING AND HEATING
No.5974 p. 3/4
Date Rec'd
L.l.l r OF PRIOR LAKE
S;EWE:RAND WATERPE~.u..l
., r,J
J.~J."ll.t
:L y....... at;-
J. OoId .4oppli_
PERMIT NO'1 _ ~--7 II
~ lrile:>
(l'lcasc type ormint and S12I1 at b . ..... ,. ..)
.A:ODRESS .
.f) '2 S'6 ,:y 'f'" ~ ~Prnt-
LEGAL DESCR1r uON (offia: UR: QWy) 11' -- 1 r
LOT ;)~oat-! ADOmON \Uf::{L;( JfOS:: 1
,
ZONING (o1Ikeuse)
12/
PJD~C;- :Jt"ksO%--O
OWNER
~~~ Wensmann Homes
APPLIC ASE COMPLETE BELOW
Size of wa.tc:r service inches.
Location of any couplings from st:ru.ctule feet.
Type of sewer pipe. 0 l\B(: 0 rve 0 Cast Iron
Estimated length of sewer line feet.
. :Cle~ out (i:f:requir~d) l~cate~ at feet hu~ strocturc..
(phcme) 651-905-3709
Ea5!;an, MN 55122
(City) (ZW Code)
(Phone) 651-423-1144
Rosemount. ""N ,C;Q6.8
(City) (Zip Code)
(Phone} 651-423....114:-
DATE Il\q 01
(Add:ress) 1895 Plaza Dr Ste 200
(Ad&b'crs)
APPIJCANT
~~~ Genz-Rvan Plumbin2 & Heatin2
(Address) 14745 So ~obert: Tr]
(Address)
(Contact Person) Marv Olsay ~ _"
.....\UCANT SIGNATUR:E \ /\ \(
~
_r
FEES\,;J::U!.DULE
Residential sewer and water line cODl1ec:tion $35.'s0 1Ddus1ria1, Com'l & Multi-family 1 % of job cost with a $39.50 nrlnUnum
Sewer connection only $17.50 W~ connection only $17.50 .
Estimated Cost $
Building Pemrit #
......
SEWER. AND WATER P~T r.bb
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
~/ A.
""'~
"'O/~
"1'0 It)
~~~
(om" U,e Ollly)
This Applleatioo Becomes Your BuildiDg Pormit Wheu Approved Paid
BlUld1ng OOicW
Date
DBti/:-/3- }
I Receipt No.
OC-
\.
14 bour noti~. for .Il msplll!dolJlI (951) ,"7~9850, fax (952) 447-4245
4:52PM
GENZ RVAN PLUMBING AND HEATING
No.6806 p. 4/10
Date Rec:'d
CIT i OF PRIOR LAKE PLUMBlNG PERlVll~
I. Diu. .,1. I PERMIT NO
~. Gool4 clry . /.... / ''')...1/
J. YoIlow Appli<llll (7 10
(Please tYPe Qr prmt and SJ,gll at botll;lXl1)
ADDRESS
162~~ J.P_~~ 9~
LEGAL DESCRLr uON (office use oDl:y)
ZONING (ofti.ceU$c) ·
R ( '.
LOT 23BLOCK L\ .wOmON Q..Q.(~A-7
OWNER
(Name) Wensmann Homes
C Jf"' ~I
Pro &>,5 ~ ~gC:,- 07 I,-()
(phone) 651-905-3709
(Ad~~ 1895 Plaza Dr
Eagan. MN 55122
APPLICANT
(Name:) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert: Trl
(Address)
(phone) 651-423-1144
Rosexnount. MN
(City)
55068
(Zip Code)
(Contact Pets on) Marv Olson ~_ (Phone) 651-423-1144
APPLICANTSIGNA'TURE \ A _= - .. DATE.-lL 'L.lD IOl
APPL. P E COl\1PLETE BELOW
Quantity . , Type ofFmure I QIlUtity Type ofFL,L.u..
, I Bath Tub with or without shower I :.:?, Rough-ins
I I Dishwasher I I W liter Heater
l ) Floor Drain I el! I Wat<< Softner
'3 1 Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
i I Laundry Tray (1 or 2 compartment sink I I Sewage Ejector
J I Shower Stall I I Backflow Assembly
I I SJnks I I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
"2- I Water Closet (Toilet) I I Other" .
FEE S\;.J:LJLl)ULE
Industrial, Commercial &: Multi~family 1% of job cost with e. S39.50 minimum Rcsidcnl1al. N~ One & Two-FamIly .$99...50
Residential. Additions &. .AIte.ralions $39..50
EstUnated Cost $
Building Pemut #
PLUMBING PERMIT FEE .$
STATE SURCHARGE $
TOTAL PERMIT FEE $
f
..50
13" PA.l D
-..::: "I.! "';"'A, 11,-...,
~/'VG I il
/Jr:::,.,
I Receipt No. '~"IV;ir
IBY~'"
U
(Office Use Only)
This Application BecolOes Your Building Pennit When Approved Paid
lhdlding Official
DatA:
Date )/~ ;)1-1
24 hour notice for aU h1spections (95'Z) 447.98.50, fax (95~) 447-4~45
4:52PM GENZ RVAN PLUMBING AND HEATING No.6806 P, 5/10
CITY OF PRIOR LAKE Date Rec'd
J:tJtAl.ll~G/AIR CONDITIONlNG/~lKEPLACE PERlVlll
i::" ~ I PERMIT NO.
i, YolJq.. ~laont r
1"-1J-/0 I
(P1t:ase 1Joee Dt"Print and SIP at boUDm)
ADDRESS
1~7_~ Y1R ~-'~ <V~
LEGAL DESClur HON (olfice use only)
ZONING (o~use)
KI
LOT '2..~BLoCK ~ ADDmON 0 L-'1"l....
OWNER
(Name) tt"T'u::m;mn Hampe
Cilo~,
PID';::?S--- 3 S-, - 07 to-?>
, (phone) ~ 51 90 "- ':l1.n~
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLl~
(Namc:) Genz-Rvan. Plumhing Ii. ~t'iTl~
(Address) 14745 So Robe:r;t Trl
{Addressn
(COlltactPc:rson) ~T'y O.l.s."1 . ~(I_ ._~ (Phone) ",1-<7,-"..
APPLlCANTSIGNA'X'URE \1\ ~ Q ~ DATE IllzLo\OI
~ -APPL CANTP~ECOMPLETEBELOW
[ENEW CONSTRUCJ.1~ 0 REPLACEMENT 0 ALTERAll0NS
FURNACE MAKE AND MODEL ~O '1. r~ 2.JcO?-, -./ r:;;- FUEL ~ ~ r:-vJ_~
FLUE SIZE RETURN OPENINGS 1'2- . INPUT /~1 'HlU OUTPur :J.D1 U U 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(phone) , ,,1\ 1_la.7 ~_ t t la.la.
(City)
55068
(Zip Code)
'Rosamount, MN
(]Wano Air Plants
o Gtavity
o Mechanical
I2JAir Conditioning
OVent. System
I FIREPLACE MAKE AND MODEL
o Steam
o aot WatGf
o RAdiation
o Special DevicC$
o -Other Pcviccs
PLEASE NOTE:
Air Conditioner Units
Cannot Bnc:roa~h into
Required. Side Yard
Setbacks
Industria!, Commercial &. Multi-Family
RE S\....I:I..I!.JI ULE
I % of job cost Residential, Gas Firc:plac:e
$39.:50 minimum
$99.50 Re:[lidential, Additions &. Alterations
$6450 Resideotial, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (Nc:w Construction)
RllSidentiBJ, Heating Only (New Construction)
Estimated Cost $
Building permit #
HEATING PERMIT .t'~e $
STATE SURCHARGE $
TOT AI... PERMIT .(lJ!jJ!, $
.so
. 6lJ/~A./() 11-
'1tv(3 l"rl-f
p~~\
Receipt No. '~/r
((l--~ Ulle 9u1y)
. . ..'S Application Becomes Your BuUding Pennit When Approved Paid
. :Buihtinc OdIcilll
Dan:
I Date
1(-;)7-\
By ~
tI
14 hour notice for all iaspectiollll (!J52) 447~9850, fa:x (95Z) 4474145
10/24/01 WED 11"22 FAX 6124474245
CIT~ OF PRIOR LAKE
III DOl
Date Rec'c1
CITY OF PRlOR LAKE PLUMBING PERMIT
~ ~'id ~:~ 16 J:.IlMIT ~O. 0 (_ , "77'-
J "....... """,e.,, L.. V
CPln-=~or~U1dlip aI, ..".."J
ADDRESS 15l.5B ~~~ ~oS ~
ZONlNG CelltulUc)
LOT BLOCK
LEGAL DESCRIPTlON (1:I1fi~ UIIJ aNY)
Pro
~~~~ ~~O-..""~ \\\)mJe-~ <PhonC)(:S}- ~O&-LfttDO
'Addlcs~) 18~S- 'Yt~ ~, ~ I \~ . 55 J;) ~
"
~;~~fANT ~ ~~e.b-\ (Phone) ([G}-'15;2.-'~~
(Address) 1 ~,5'4 ~"':~.;"-. ~. ~G..Y'\ 1 N\f\. 55"1;)..;2-
,(AfJ(as) (C ry) (Zip Code)
(ContactPers01i) ~~~Vd (Phone) bSI-1fQ..-J5b~
APFUCANT5IGNATUIU: .~. DATE J).J~/O (
( i...ICANT PLEASE COMPLETE BELOW
Type of Fislure Q".Dlity
Bath Tub with or withom 5hoU/'er
Dishwuher
Froar Draj"
La:vatc;rry (Blltbroam Sink)
Laundty Tray (1 or 2 c.cm pIJ"UlIent sjnk
Shower Stall
Sinks
Bar Sink
Water Clo!Jel (Toilet)
Qa...1ity
.;L
I
~
I
1
J
~
ADOmON
lYpe of I'Jat.n
I
Roulh.in5
Water HeatlJr
Water Softner
Stand Pipe (Washing Machine)
SlJWBIW Ejector
Backflow Assembly
S_cktlow A55ldDbly Tast
Lawn Sprinkler
Other
I
FEE SCHEDULE
llldu.lrial. Comme.tclld .. Multi-family 1% of job tel:!!!. ...hh a SJ9.jO minimum Rc.sidcfltial, NI:'" One &. T\II'D-FlII'I'Iil1 S99.SD
Re:tidenli.l. Addilicml .. Altlfllllons SJ9.S0
Estimated Cost S
BUIlding Pel1Tl1T ~
PLUMBING PERMIT fEE $
ST A 1E SUIlCHAK.CiE S
TOTAL PI.RMIT FEI: S
f'"" ~\O W~RtJ\\l
.5 II 8\l\\Sl\NG -
\: , ,
IOme. 'U.. OJIIY)
1'1Iit Application BecDm~ Your Buildin& 'Penail W1'l;ln A.PPl'Oyed
Paid
llc:c:aip! No.
Da~
By
Bundl.. OIIIei.1
D'I~
:4 ho&:.~' noti!;. ;0)'.11 inllMlCliolll. (f52; ",,"'1-,i;;$ii, t/;Ill. ~951) 4<6;~14:!i
G d 86Glg819g8 'oN/90:LI 'lS/LO:L! 10 ,9G 'GI (G3M)
L980-Ggv-GI9 1VJINVHJ3W 13ZN3M WOB~
14:52 651 633 BBB4
FIRESIDE CORNER
Cl.L i OF PRIOR LAKE
B.J!.A TINGI AIR CONDITIONlNGIFIREPLACE PER.MJ.l
#7395 P.001/002
Date Rec'd
I. I'In~ Pl1.
;I.. (lmn ell)"
~,YoIl_ ^pp1i_.
PERMIT NO.O 1-17-7 to I
,p~ l'YI!e or .,,;nllU1d.lri=. at j,QltDml
'~DM~ /)
/S:)SK ~~ t'a.Jx.
LEGAL DESCRu l.l.ON (olfl~ use only)
ZONING (olfi<<lIse)
LOT BLOCK
ADDITION
Pro
OWNER
eN ame)
(Address)
UJ~~AII ~J
, (Phone)
APPUCANT
(Name) ALLIED FIRESIDE: DBA FIRESIDE CqRNER
{phone) 651-633-~61
(Address) 2700 N _ FUiV:IEW AVENUE
(Addre..)
(Contact Person) BRENDA HUSTON
, APPLICANT SIGNATU1l.E~ 3..1011- ;.J ~
&QSEVTT,TJ:'. ..MN
(City)
65l-633-2561
1:;"'1":1
(Zip Code)
. (phone)
DATE _I,f-o~
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION U REPLACEMENT . 0 AL TEM TlONS
FURNACE MAKE AND M.ODEL FUEL
FLUE SIZE . RETURN OPENINGS INPUT OUTPUT
TYPE OF S XO) lEM REA TING OR POWER PLANT
:lWIl1m Air PIlllIts J Stew
JGravjty J Kot WefI;C
J Mec:hlllliclIl J audladon
JAir Conditioning J Spr:cil-' Devices
JVent:. System J Other DevjceJ
FIREPLACE MAKE AND MODEL ~ AJ eGo ~~ '1ll .Jr?_
PLEASE NOTE:
Air Conditioner Unif:$
ClUlnot Eoaoacb into
bqulrec1 Sido Yard
Setbacks
Residentiw, HeatinK &. AlC (New Construction)
}tesidcntial, Hl:4tlng Only (New Cansr.ruc:lion)
FEESCHEDU~
J%OfjDb CD~ Residential, GIlS F'replsce
S39,'O minimum
$99,'0 R-=sldlilntilll. Addl~ol13 k Alr.cralions
564.50 Rcsldlilnlllll, AC Only
$39.50
Industrial. Commercial &. Multi.Famlly
539.50
539.50
Estimated CoSt S Building Permit #
HEATING PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE $
~
r PA\~cf~tRM\l ,
.S~/
(omCIl VIII Only)
Thill Application Becomes Your Bulldlu. Permit Whe.. Approved
aaildllll OmdlJ
DaM
~-
r Date JAN I ~ 2002
Z,( hal.lr notice for .11 in.putl"..! ('52) "'7.9850, f.ll (952) 441-4245
..
-.
.,..
White . Building
Canary . Engineering
Pink . Planning
Th. C.nl.. of lh. Lab Counlry
8WLDING PERMIT APPLICATION DEPA~TMENT CHECKLIST
. 4'
NAM~ OF APPLICANT 1:Zh~':ll/1/J1 rJ2)(/~ ,~/~;"7r72~V.:J-' l'
APPLICATION RECEIVED /~)-I-() j '+-- j...;"TiJZ1/'tLfJ ./J,{"..//rrru:(/d /o-fi..()}
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
T {). f Fe (si-:~c,- S~
L/ (; J. -"' ..:.;:
. r """'..I.
,j L '-I
,) Ai] ..-r
iJ./VCV..
Accepted
~
,. /;
'Iv..
i
Accepted With Corrections
t
Denied
Reviewed By: ~~ ,~~
ents:
BV& ~~P/':\ .~~ W, (?~f{~<
~ C~l). IJ *- ~~ ~ ~ CK~ ,-
Date:
I.LI-z /e1
\
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 ot,tler 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 . Engineering
Pink - Planning
The- ("rnlflr or the Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~4/J/ypr~~), '.
APPLICATION RECEIVED/t)::/-o~ &.-4f~ Io-~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"T L -t-Fecs ~SS' LtJ f- ;t 3 l 8 L '-/
&rtIY ~-r
Accepted With Corrections
Accepted ><-
Denied //} _ 1//
Reviewed By(K.P ([)r ~-
Date: If - ?-2co(
Comments:
S?pp +4 "A~.^- D lo
liThe 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."
..f1I:.., "';'l~~,f.;, r~ .';'..,'*.r',' 1""~ ~ J I:;,:. ol" . ....-...p".,...., 'f'" ,.- '':'. _4'.1: '. "\"-' , . ., . "" '. ....-t,..:~. 'Jilt., 'r ,..'--..'..... ....'-'.1.'.-'\ 'j', ... ',., - 'I ~;,...~ ., ,~... . ;.-',.. q .:~,.;, .',:,; '.,:c,;i;,-,I<y. ,,~.;;'-:o:.,\,:". t 1''-'''''' ';,);: ~.,!t.. -~ i .".- " . . ".<, ,~. .'
'I'J:''':'~''''''''.:'' . ,!,',a ,H':>!
Tho Conlo" nl tho bkt Country
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPI.JCATION DEPARTMENT Ct::U:CKLlST
NAME OF APPLICANT ~/J!/VJ1r~ ~ . .
APPLICATION RECEIVED./{)::/-O~J l~-~Jd /o-ji--o)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. ."TJ)~ff~("s t=h. S~ Lof- ~ 31 8 L '-/
! . ~9aJ! ~-r
Accepted X' . Accepted With Corrections .
Denied
Reviewed By:
/V'JIB
Date: I/-'-t:;!
Comments:
5f'- ~,~ f,'f (
liThe 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. II
. . "1')
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /5256 j.,.(c.r5' ~~q
NATURE OF WORK JJw
USE OF BUILDING Sf:: Pr
PERMIT NO. () / - t:J. 70 DATE ISSUED n - 701 .
CONTRACTOR .:y..)~~,^, ~ PHONEyS-/-t{f)t,-tjlla:::;J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEP~RTMENT OF
BUILDING AND INSPECTION
L 23- '& 4 Rti~M-
INSPECTOR
DATE
FOOTING L I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING I-L- J \ IOa.[ ~<J fh, II/,f!t. z.-
INSULATION q -g ~~ . '! ~O~
ELECTRICAL l I
PLUMBING ~ 1, \. ~ '11 O~
HEATING (if required) \\ J~ f/ /1 f/o ~
FIREPLACE ~. / / y~ ~
GAS LINE AIR TEST ~. ~~::t . i.'~' /? ~
COVER NO WORK UNTIL ABOVE H~S BEEN SIGNED
I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
--r5~
;;l- "2 is'".... b ~
~~\M 6t-Q;S-{)~
I ~ -'J~ ~-~S-t)~
UNTIL ABOVE HAS slEEN 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 shw.1 tJe 'placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
-------
tLtrtifuau of Icmpanty
CITY OF PRIOR LAkE
J)epartment of Jluilbing In'pettion
. Final Permitted 0 Conditional C.O. Expires
This Certificate isSU<<l J1IUDDIII to the requirements of Section 307 of the Uniform Building Code
certifying thoI at the time of isSllQ1fCe this structure was in complUmce with the various ordinonces. of the
City of Prior LoU regulating building ccmstnlction or lISe. For the following:
SINGLE FAMILY
Ol...." ".,'Type _TypeConl....:,,'.
LeplD_,.,:",:", L23, B4, REGAL CREST
OwnerofBui1di1ll .c;iteAddress 1525' JEFFERS PASS
Ce.." .,,'sNameAAddress WENSMANN HOMES, 1895 PLAZA DR.. SUITE 200. EAGAN 55122
ROBERT D. HUTCHINS Y1J(/ City ~ DON RYE
Buildilll Official
Jl-/6' <fL Date:
R3
VN
.BIdg, PennitNo 01-1276
N / A Zoniq DisIric:t R 1
Use Oasifk:ldioll'
F"II'C Zone
.'
ADDRESS
/5"Q a-?
DATE TIME
SCHEDULED d~J..6-d. /: 30
~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(-/~JIc
o FOOTING
o FOUNDATION
o FRAMING
fro INSULATION
:.Jd1=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER I:IOOKUP
^_ 0 SEWER HOOKUP
K...B"'PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: f
M,",-o ~p;t-er OK.
-
1 &SIP'. +ewp CO.
tft;LPl Ult\ Ie, - WJ
tXfJ. -datp--,
I
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ':f) ~,\ aMI Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOTl
,
CITY OF PRIOR LAKE
INSPECTION NOTICE (~ ~tHEDULED
ADDRESS I~d &:;0 \;Jj e+..Q L.J PCHS> /1ItAI
Vve'7SM'rA~
PERMIT NO. n J '-I;J 75'
~~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
OWNER
CONTR.
PHONE NO.
o FOOTING
o FOUNDA nON
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
COMMENTS:
AIJ Th((( L~t'11 '1s,
L(,I~ ~,.)(- ('; t:..
G~<. -C) (
DATE
TIME
fl,...((J.O ~ ;? :05
S.;-T
P(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ Owner/Contr:
..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!