HomeMy WebLinkAboutBldg Permit 06-0024
CITY OF PRIOR LAKE BUILDING PERMIT, pate Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /2. "'/) J
AND UTILITY CONNECTION PERMIT t a~?-~}
I. While File I PERMIT NO A I
i ~~~I~w ~~:Iicant . O~. D02'1-1
(Please type or print and sign at b, ..,. ,)
ADDRESS ZONING (office use)
~918-Pr~5eylJ~ jhLtJd
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ADDITION P r e6 e V ]) e IJ t t n ~ Lv I L<<5
PID ;J/].,~t 1- OOq-o
OWNER
(Name)
We 116l!1.J1 n ~
Igc,~ - P ltrz A
HI.) m as
1JY"tlJ~
C. f1/tn; t!uJ
l-101H8-S
(Phone) J,$/-LJob- 4 41J lJ
5SI.J.A
(Address)
BUILDER
(Company Name) LV 4--')1 6 111 ~h n
(Contact Name) rn f l2 k
(Address) ~ p LFtZ1t
(Phone) ~SI-4D&- 4'1tJO
(Phone) ~ - ,3' <:JoJ 7 "a9
tJr-llJe.
cAe:tAn
v
TYPE OF WORK Itr'New Construction tilIDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish ~FirePlace
~Addition OAlterat'ion OUtility Connection
CODE: ~I.R.C. DI.B.C.
Type of E~nstruction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $ ~ 0, 00 0 t D 0
(excluding land)
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 authoflzed agent for the
above-mentIOned propelty and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a..<<.< "I<1l lite Duuomg
~li~~eltr just C7~ebY agree that the city official J at:;6:;>y enter upon the property to perform need/~it;// 1)5"
I ~gnature Contractor's License No. Date
I Permit Valuation ~350, DOO.Oo I Park Support Fee # $ ?S;..O C)
I Permit Fee $ ,J('"",~, S'O I SAC # J IS" S- d .01)
I Plan Check Fee $ 114 ~q . 7 Y I Water Meter Size 5/8"~ , 36e-~ 0 e
I State Surcharge $ , 7~, 0 ~ I Pressure Reducer '$ 76": () 0
I Penalty $ I Sewer/Water Connection Fee # $ ISbo .00
I Plumbing Permit Fee $ 100,00 Water Tower Fee # $/OOO,DO
I Mechanical Permit Fee $ f 0 0, Q 0 Builder's Deposit $ '/!5;o (J. 00
I Sewer & Water Permit Fee $ '1'5. S-O Other $
I Gas Fireplace Permit Fee $ 'f1J1, . eJ TOTAL DUE $/1.438.713 I
This Application Becomes Your Building Pennit When Approved Paid I J ti3g-. 19- Receipt No. ~ ~ it'!
~ ~ !/1/o~ Date 1- q-O,b By ~
Building Otlicial t '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
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
i~ :f-q. ~b (/:]/0 , ~ oJJ.. ~ ,",
Planning Director ' Date Special Condi~ns, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - BullttlnG..-
~rv - ~neerli1i>
. ---pfnlC - tlialrinlng
BUllRf'GPER""t APPIJCATlO~.~PARn,PT CHECKLJST
NAME OP'A'I ,,'CteANT
APPLICATION RECEIVED
~dAr,v'
102- ~3-S-
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for const~q ar; wh~tt.J'~d~ I/P
Accepted With Corrections
.
J
,
Date:
J-.r:-elJ
.". '.
"
/
1
s.~~J~t~~~ Il~'iUI'l~2)F,~\_ cr~.!.._~
liThe issuance or granting of a pennit or approval of plans, specifications and
computations shall not be construed to be a pennit for, or an approval of, any violation of
any of the provisions of this code' or of any other ordinance of the jurisdiction. PS...fld.
presuming to give authority te) violate or cancel the provisions of this code or other
ordinances of the jurisdictionshaU not be valid..
White - Building
~ - ~ eerlng
~nk - Plannl
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
W,JJ/;-L{1/'J'l/{ t<1 It J-/
3--~
APPLICATION RECEIVED
,,,The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity wh!~.h~roposed at:
~ q g <{ t-' r. ese y. LIP
Accepted
Denied
Accepted With Corrections
~
Reviewed By:
~ ~ ,t,~
~._~.
/
Date:
/ /:r/o r
/
'ijI
Comments:
o.U
"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."
" ..
Driveway: NA I FAIL~~~...J
· Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the garage
I. Location to match subdivision grading plan
I Building Heigh~AILS
.-
Shoreland DistrjctfN~/ FAILS / COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
i Bluff in Shorelancf.'N4/ FAILS / COMPLIES
~
· Setback from top of bluff
· Bluff impact zone
· Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
_.
I Floodplair(: NA)! FAILS I COMPLIES
· 100 year flood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Regulatory Flood ProtecTIon Elevation
.--... Accessory Structure~ FAILS1COMPLlES
., Size-
I. Notlocated in front yard (Materials)
I., Side yard and rear yard setbacks
I. Maximum height
I. Materials compatible with principle structure
L '.TErvIPLA TE'BLDGLlST.DOC
Standard
24'
5' from side lot line or
3D' from r-Q-W on comer lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top: otBluff I
By City Enaiheer I
~ ,
No importing/exportinQ I
Standard
908.9' Prior Lake
914.4' Spring lake
909.9' Prior lake /
915.4'Spring lake
Must be l' above flood
elevation for new and existing
structures. If existing,
structure was: <;gnsgucted
. 911 9J9fJ- H12219t thep:';':." ,
. additionaU6ofrs:i1Ot'fequlreCf27 ~.'~:~~~ '.
Must be flood elevatiQroorr. ':
.. .-.-:1Trg:fieti:~:=~;":!-::.! . "
9Q7.!t fbr!,'rior; Lake
913:4' for S'pi'fri!:trEaKE=Y
I Stai,ifarq;" ~.'.'..
1832 sq.ft or 25%;, rear yard
I 10'
I 15"
I
Proposed
2.3'
!.
. fbt.. flJ() ,'-~ .
~ ~6Jo
';"""...j.
crk..
~ .;i:~'~
,.J~ '
't.
Proposed:
" :.:
i;. '~
. '",.-, .'_.,~ '''-''':_.~MJ'
ir,~~;
Proposed
~ '
". . tl'.' )~f:'1'c:~~.~f~t~:..~_L..
::'~;~\ '.;~5':~:i!'i~.f.,",
. - Proposedi':;:&;4';,
.! ~':"j~~~i2
'.:}\i~-!::.~2:~~~}i~~~:~{~~~.~~~
~' . ~oi'o"p-o"-s"'e" '~'H~W.:'7;f,;iJ b-~:r
Ii..... ,U,1...,: ..,;.-,....M. - t~.:::::::_,.
. ,- i'-.:'-2~';.:':q~:~~~~~~;~:~4;2:;? rr~~:
, f:h
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: . ,'d..:-_--.-:-.,__,..,.,___...,.".._.,.,_. r'"
.-.' '; :~: ;:~.: "';'<~:"~P/~f4~.!;:'~:'!:~:".
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 DistrIcts
PID:
f/~ ~ I"
Subdivision: jJ~ ~ '-tI-- })~~F;~-~-,<.,'
Existing Nonconforming Structure? YE~__,~____~-~_
0iJ
Reviewed by: ~ ~
Building Permit #
Address: ,;1'7.9?
Legal: L 9, B /
Existing Structure? YES@
CONFORMS TO ZONING
ORDINANCE
. Yard Setbacks: NAI FAILS/td'6M~
· Front Yarc! (can be 20' if avg. w/m 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth- -.
· Rear Yard - .
. Patio Door: provide for minimum fa' deck or sign
statement indicatinq no deck wilf be Duirt in the future
· From 100 year flood elevation of~tl,~p'g/~U~~
pond:?"';' .' -' - -
· From OHW (Prior or Spring Lake}. .
, Floor Area Ratio: NA I F AIL(L (If)MPLiE~
-f Yard' Encroachments~ NA I FAlt~MPUES.Y
LEaves atT.ct Gutters, oci mare than_Zfeetiri width ai:1dilo>.: . r
! Cfasertbcm5feettaa rotlfne.{Eas13menfsT.;-,--.",:~,?,1;:,,;{).:
\ h\lCancfotb~equfpment cannot et1craacfi.ollUltedm: .
t sfdeYEII;d~t .'. ;'J.:tF-;, ,; "-:' .
-
~'. Tre~.Pteser.vatfol1'~.tN~_FAIl:'s; k COMPlUE$':. ".
r.. Ibtaf;calfper:fmches . . - .-
.. Permit25% Removal:
.. .. Caliperdr:rcnes.: Removed,
I; IJ. . CallpeE-Ji:1.ches P"reserved:
I., Replacement
L\TENIPLA TE\BLDGLlST.DOC
Date: //..r/o'
Zoning:
~.t~~, ' '1;:
NO.
;~~'::J ~;:.~!l','i;:
..~~
, ,
. ".' c."-'" .,_......--.....;...~"'_..,._
- - - ~,.~j.s~~~~~~
Standard
25'
10'1
25' if abutting a street
Proposed- '~;'~-('i' !
20' (1'&,1..0) P~A 'iT,
.~ .. :.,< .-~.;t:"r~.; .;..~ !
56.3" (Pk:D/JJ:::"'~ ~
r
, i;~:1aif(~r" ";-- : fn',~~ $'[",
. '... 'i'j-?-~7i~'i,::;.~,~~~t-~tl1<<.,'" I/l:IC sr.
.",," :~' , . l'" ~ ,. ....:O,.,.,:r.-;i!i...,.......: '_'~' ,
10' setback +
2"Jt' over 50'
25'
1 a' sider
25' rear
30'
t-J^- -
75' or setback average of
adjacent structures, but no
less than 50'
JJA
.'<
.30 Maximum
/ S-~Cli~,,,,~~i:~i~Lj .~ .
. ..:.~C&tir:;~~~!f;r.:~~~~._,:~ ~
Standard'
. proposei:(.~1-:
I
l.
L
r-
I. .w:7'~'~.~~:;.?;:;?~t!~~~i~~J
~~~.~~~~,:1~~m~f
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%:1-
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. :,~,.~_..'.;_i~!;;:::t:~:;f24!!:L.-f .
03/09/2006 THU 12:45 FAX 952 767 1900 GENZ-RYAN
~ 037/037
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERJVUT
Date Rec'd
(Please type or print and siRo at boHom)
ADDR~S /) q (j p
(/) (,1 J ,rCSLI/ if f/
~: ~;~n ~~y I' PERMIT NO. /- r ~ 11
3. Yellow Appli."" 'P 7
/3 / VA/
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
. ~':~~(AjflJX!r;af)n cij(jrrJ(~~' (Phone)&5f-tltf6-~"371Jj
(Address) I !tjr; ()I(i~ ,[)r. #--:-:2tD ;;;aat! /7 /l.1N 7JJ:)d
\./ ".
APPLICANT G n
(Name) -ren-z~ - I <:.lA1J Yi
./
(Phone) qf)~ -7 LrF? -I 000
(AddreSS))\I.XO UJ .t-hvl/1 !~) BU.YV"\Svillc =D3~'7
.l/. (Address) (O!)') . (Zip Code)
(Contact Person) ~ 1m. _ " (Phone) ~ - 7~7- /(to
APPuc^"rrsrGNATURE~~f~ DATE ..3 Ie; / ()&
( APPLICANT LEASE COMPLETE BELOW
I~NEWCONSTRUCTION. D REPLACEMENT D ALTERATIONS (
FURNACE MAKE AND MODEL Lenf')()j !:r43UF- tlfL-.j If) FUEL [YdCtg<;,'
FLUE SIZE RETURN OPENINGS I /) INP~T .Jj rI; tf~) OUTPUT Y 0/2 tD
TYPE OF SYSTEM HEATING OR POWER PLANT
~' 'wllTl~l Air Plants 0 Steam
rllvlty 0 Hot Water
" echanical 0 Radiation
&ir Conditioning 0 Special Devices
~ent. Syslem 0 Other Devices
I'LEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
.
FIREPLACE MAKE AND MODEL
~--_..-
- "'-'-
JndllSlrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum.
$99.50 Residential, AddiIions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & Ale (New Conslnlction)
Residenlial, Heating Only (New Construction)
(Office Use Only)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAlO WITH
_ ~U'LD'NG PERMIT
i
I
: Receipt No.
j'-[: (r;",
This Application Becomes Your Building Pennit When Appl'oved I $aid
I
Date lu l ~ I1lIAK 1 fi ZUUl:) 1
24 haUl" notice fol' all inspections (952) 41firo/l50, fax (~5~)~~~4245
........-.--...--..--.
. -.....-.-~~..
i
Buildilll! Official
By
FROM WENZEL PLUMBING & HEATING 651-452-0367
(MON) 3. 6' 06 9: 48. ST. 9: 47.l\O. 4860053854 P 2
e[TY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Plasc tv1'<l or Drint and Rim at bottOm)
ADDRESS
t:11tf g /'1?U{I"Pt/E- ~t.Vj:J
I lEGAL DESCRIPTION (office u.~e . Illy)
LOT BLOCK
ADDlTI( )N
Pill
I. BJII< Fil. I PERMI'!' NO h a:y
:, Calif City ._
J. Yell..... AWl;a..
ZONING (offic.eu$/:)
. ~~~R /JJ!N.rM,'/,o~./ /I~~S'
(Address) J?lS /'LI'1UI p,ft?, 6J'/6/lJJ
. APPLICANT I
(Name') ~~NUL ~~cU
(Address) /7 /0 /9Le~ 'f/JIJ,ER
(Addre!:s)
(Contact P~on) --L!/Nf t.. -'V,c.h e/S
APPLlCANTSIGNAl1JRE ~/~
_ (phone) ~J- 7'06- ~9'oa
/C4tJ ,s-S/22-
7J ./-IT6'
A>tIJ .
(phone) ....65/- ~~ - (S'65: X Z'
L/!6;4U ,"$/,z(
(Cicy) (Zip Code)
(phone) OA~..~
DATE d:S-O{;
JPPLICANT PLEASE COMPLJj,l.t; BELOW
Quantity
/
/
,;'
?I'
J
...
I
/
.?
Type of Fixture
Bath Tub Wffii Or", Ithout shower
I Dishwasher
I Floor Drain
I Lavatory (Bllthroor I Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilt!:)
Qnantity -1
Rough-ins
Type of Fixture
/
/
,:;)
I Water Heater ~
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly ~~tJIBl1.f
I Backflow Assembly Test .
I Lawn Sprinkler . I
I Other .ZZE " H"'~/ f)./ ,e/ul
2
FEES\..J:I.t,DULE
Industrial. Commercial & Multi-family I' ~ of job cost with a $39.50 minimum Residential, New One & Two-Famil)' $99.50
Residcotial, Additicms & Alteranon! $39.50
Emimated C, .st $
Building Permit #
~fJ! [f @I~ [1 ill [~iIlTPt No.
Ilfte MAR 0 8 200~ ,~
u_ LJ
24 ho If notice (or All inspectioDJ (952) 447-98~, ra:r(9~2) 4474245
1 :;100 Engle Cni..lc. Ave., S.t., Prior Lllke,'~~l'ZLt._
(Office U$~ Only)
PLUMBING PERMIT FEE $
STATESURCHARGB $
TOTAL PERMIT FEE S
This Application Becomes Your Building Permit When Approved
BuDding OmtiAJ
DlIle
'., . '" PAle WITH
BUllt>tNG PERMrr
.50
CITY OF.PRIOR LAKE
HEA.l.ll ~G/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or vrint and sign at bottom)
ADDRESS
2998 PRESERVE BL VE
~: ~ ~l:y. I PERMIT N~/ -~
3. Yellow Applicant ~ c;;,...., ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOG!~~ DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/14/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK AND ST-HV
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Use Only)
Huildinl[ Official
! i n
I 'rll'd' I I '-c I R . N
1 jral - Ii ecelpt o.
i ,"\ ,"!
iJ~~R 1 ij 2666 ~! By
l.,--;l
Ii
~
24 hour notice for all inspections (952) 447i~o, ~!...~~~H4.:t-4re
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 2:'1'18 Pl<ES~.JI~ 8lV/J I
NATURE OF WORK tJE-.J COfJT"(2&t.C1 it)~ (wI L.L, F,iJ1,,. At-JO PEctt~
USE OF BUILDING S.I=': r~ .. _ .
PERMIT NO. 00.0024- DATE ISSUED lIS /'11
CONTRACTOR ~~'S'tN\tJtJ ~tAMf.S P~-~~"?1.
NOTE: THIS IS NOT A PERMIT FOR ANY OFTHE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
'!JS ...~OR / DAJE
I FOOTING I (? /2 I 0?h1 h
J FOUNDATION (Prior to Backfill) fg 0 ~ ~ 1/ .; -
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS i ,
d //e~~.
~ ~ il:It)~{(
~ ~S v/s/o&.
, / ' ,
J
(J J,.. i
1M I / J
/ ~ C;/sICJ~
'(/
~ -1-Ob
COVER NO WORK UNTI
JL,t(rftE ,I H~&lrf tJJf2~f'
ABO ~AS BEEN SIGNED
vY~~~' I
NAL,sY ~r~~
-- N~ ~.)1./)~ , I
frp .fR I~ 3/~(,
I'
..;-:-..1:
GRADING (Prior to Sodding)
BUILDING~""l' ~ $~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
"-'C · r.P{~~~).
, ~
UNTIL ABOVE HAS
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.
~/t.JI07 .
BEEN} SIGNED
r"R ALL INSPECT'ONS (952) 447-9850
~
I.",' q......:"....~?..--, .."'.,......,.. _r_
~ " "",:".,.."V"'~., :;r.0" ';
, ~~.. ....' ' or. "'l~
/.j,-,.";:,....,m.":V,,l,/.y..
j ., ,~ ':"'~ . VI!{ "'!'lIII\'1"""':'H"2'" ~'""H"" r, ."'::, "~]l,;i'o/'","",.. lM".>>'\f'lrl:, ::':' "'I',:~3'....;\,7~,r ,.:,,,.., ,"::'~~~~.,
<1lttfifiraft of (1)rrnpanr\t
CITY OF PRIOR LAKE
~tptttfmtnf of ~uilbing Jfnspttfion
~nal Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
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:
Use Classification $1jt/GLe F;4;v1It."V Bldg. Permit No.. O(P. (j()Z+-
Occupancy Type K3 Type Construction . V AI Zoning District P () 0
L9, '" /, ,PA!eS6~ve ~r71l6 W/f.."OS
. ,
ZCJ9g plt6S6J:,Ve I5/-V.o.,
Legal Description
Owner of Building _ Site Address
Contractor's Name & Address t1l6N5nri/lfl!t) !ttJl'1e:s
_ ~1facr O. HV!WIr-/-S II/f) City Planner
BuildiPl1 Official V I /
Date: 7 f O. 0 (f Date:
,
::TA N6 )::::,4 /'-IS 16K--
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'JWrlSertA!-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
[] FRAMING
[] INSULATION
,.-,;{ FINAL
v[]~/TE INSPECTION
COMMENTS:
~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
/' vI' ~r;Z- ar
DATE nMe
WJ4
lV(1fJ.fJW) HwwJ
~"OOJ'I
,
)(EXI~ILLlNG
o COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
~RK SATISFACTORY, PROCEED
~ C~RRECT 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 cl SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
2Qq.~
ADDRESS l...lV
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..l!(FINAL
o SITE INSPECTION
f~f:_1 TIME
SCHEDULED ~
.~ $III~
CONTR.
PERMIT NO.
(p- oo2~
,
o PLUMBING RI .
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRECTr ~ 1:LL FOR REINSPECTION BEFORE COVERING
Inspector: / Y /, Owner/Contr:
CALL-...J. 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
;fft8
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.)(FINAL
o SITE INSPECTION
SCHEDULED
-Ge.~\J'e..
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~/~:~
TIME
{ 0 - CX12.. {
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Ci40RUjE RK, CALL FOR RElNSPEenCN BEFOftE COVEJUNG
Inspect : /J _ Owner/Contr:
C LL 7.s/Io f; R THE NEXT INSPECTION 24 HOURS IN ADVANCE..
C~E 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
m~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
I:I)JISULA TION
A! ~~~L
,b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~BING FINAL
~MECH FINAL
COMMENTS:
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7~/
If
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TIME
(p - OO~
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
;;; ~JttINE AIR TST
rock. w~
~RK SATISFACTORY, PROCEED
o CORR T A AND PROCEED
o CO ECT K, ALL FOR REINSPECTION BEFORE COVERING
Inspec~'or: Owner/Contr:
VA Jr.9 50 FO~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~E RE"tuI~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~ msNOn
DATE TIllE
CITY OF PRIOR LAKE #
INSPECTION NOTICE SCHEDULED
\?~\)J..
ADDRESS Lq98
OWNER CONTR.
PHONE NO. PERMIT NO. . (Q - C;()2- --(
.
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~UMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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2. iL 0.&2 ~y Mrt'
3. ~llJP ~ Cl.e-J
&/t(1-~ 1;'18
, -
'J;.
~
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED .
o CORR T W . CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn