HomeMy WebLinkAboutBldg Permit 06-0193
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3.8.0h
White
Pink
Yellow
File
City
Applicant
PERMIT NO. O(P . 0 /Cj3
(Please type or print and siltIl at bottom)
ADDRESS
/ JY/ / J4I/fS~;Iv/}
LEGAL DESCRIPTION (office use only)
ZONING (office use)
4ve
Je/
LOT.3 BLOCK
I
ADDITION
[Uihd5a{ E5~ k5
PID ZS. 4-'3. 003.~
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)_
C~dJj~t\ Cf/o/~
D4ve CJJ~.t r\
Z- 2/11 Le Co C{ .. n w/
I
~I/J,~J (Phone) 152-Ljb9-/bl/
(Phone) hI2-];g'-'I?Zb
L~k v/llt'. ftlll. $)0'/'1
(Contact Name)
(Address)
TYPE OF WORK ~ New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish ~ireplace
lJ"Addition OAlteration OUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.c.
Type of &nstruction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S V
PROJECT COST/VALVE $
(excluding land)
'foo. 000
_____ ./"l
I her~'b certify that. ave h.lrmshed mfo. ati . on this application which IS to the best of my know. ledge true and COJTect. I also certIfy that I am the owner or .authOrIZed agent for the
abov mentIOned prop rty and that a const chon WIll conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
offici I can revoke thIS ermIt for J caus Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlons.
X I ~ /7'9 3/7/0b
~ "/ ~ignature Contractor's License No. I I Date
/'
Permit Valuatio 'fit ~(J () I DOa.Do Park Support Fee # $
Permit Fee $ 2.f 51. C;-O SAC # $ /55'0,00
Plan Check Fee $ \85L1.7B Water Meter Size 5/8(i~ """'t;I(-~ $ 3z..s.00
"~ '
State Surcharge $ '2...00. 00 Pressure Reducer $ /00,00
Penalty $ Sewer/Water Connection Fee # $ 1'5"00.00
Plumbing Permit Fee $ loo.ao Water Tower Fee # $ \000.00
Mechanical Permit Fee $ 100.00 Builder's Deposit $ I~OO,OO
Sewer & Water Permit Fee $ 35.5'"0 Other $
Gas Fireplace Permit Fee $ ~(),()O TOTAL DUE &tJJ.J. 3,2-4,0" $ / I. /sa.7a
Recr/{fNo. , .
-"
This Application Becomes Your Building Permit When Approved Paid /~ /.5'6. 7f/ $//7,.5
~ 'ft.4J~ .3 / z..-z/C) & Date ~.~7, ~ " O'
13uildlllg Otlicial . Daie
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 onstltutes a temporary Certificate of Zonmg complIance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
l~ J/z'/06 ~ cv:.( _-t:;6
Planning Director . Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 DistrIcts
,..
Reviewed by: ~ ~
Date: .3Izr/o~
Building Permit #
Address: /30/7
Legal: L 3 . B I
PID:
Zoning:
K~~ ~,
Subdivision: W~ ~.
Existing Structure? YES41KD
Existing Nonconforming Structure? YES 1@2.._______.-__
CONFORMS TO ZONING
ORDINANCE
~
I Yard Setbacks: NA 1 FAILS[ CcfMPLlES~)
· Front Yard (can be 20' if avi"w!ln EO')
· Side Yards
Standard
25'
10'1
25' if abutting a street
· Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
· From 100 yearftood elevation ofw~t[and/NURP
pond .
· From OHW (Prior or Spring Lake)~
10' setback +
2"/1' over 50'
25' -
1 0' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
I FloorAreaRati.AILs<[Co~ )
Yard Encroachments~ NA I FAIL~9M"CjE[:::)
c.Eaves and Gutters no more thanlfeetin width cln(f,mJ. .. ,
. eraser tfJam S feet to a lot line (EasementsY.
ALc:.and'other::~equipmer:lt cannot 81'1croadlon interior .
side:yards.
.30 Maximum
Standard
. -----
" Treepreser.v'atfOIT~~#jFAILS f COMPlUES,
I.- Iotafcaliperfnches .... .. '
I. Permit25% Removal
I .,. CaliperJaches Removed ..
I,.. . CaliberJnchesPreserved
I.. Replacement
Standard
;h:l .
L: \TENIPLA TE"BLDGLlST .DOC
NO
-, -';'.~:.:..:~~r,'''';:,
Proposed. . .-~cti
2... S- ' I
to d lc
~>~:St1!';~- 'I:..
101-...
2 3tfrJa",:'"-" I,
~.:~~~.r~ir,@~~:~~~~}:;':/~~' ,
pr~~_O~ecff:;~~'''''::~-~ 1',-
. ~...l=-" t ,"'--
.-.
-:~~~S~;'f".( F"
:J
r-
r
f;.'
, ~-
j
..f-
J'
, Driveway: NA I FAILs:f,c6MPLlES) .)
I. 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 Height:(CO~ FAILS
Shoreland District:,lr:fA~ FAILS I COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
.
I Bluff in Shoreland:/NAV FAILS I COMPLIES
. Setback from to~ bluff
. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
Floodplain(1Vt) FAILS I COMPLIES
. 100 yeailiood elevation
. lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
Requlatory Flood Protection Elevation
<-
Accessory Structure: ~.AJI FAILS f COMPLIES
., Size
I. Notlocated in front yard (Materials)
I.. Side yard and rear yard setbacks
I. Maximum height
I. Materials compatible with principle structure
L: 'TErvIP LA TE' B LDGL~ST .DOC
Standard
24'
5' from side lot line or
30' from r-o-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
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior lake f
915.4' Spring lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was_ c~nstructed
. 9/19/90--1JI221Sithen.::'
addition.aFr6otlS'notreqmre(f.~'. c<'",-.,
Must be floodel~"i3.tfq,!9g,
-.-. ]lig.nei:;:-~"---
907.9! fbrFrior lake
913-:4' fot S'pnngrCaRe
Standard
832 sq.ft. or 25%, rear yard
10'
15'
Proposed
Z "z. I
I,
b
I \
5 .9070
CYh-
~
"'.< t
I e; I
l
Proposed.
-.. (..-
- - ~ -
. f ..
>~,,~:'~:"'~~O~: ':~
''''''''','',. ...."..
-,,:,. ',-.;
Proposed
l.
f
r-
---;-.
"""f' ~'\.'>,.- ..
......."... >, .~.. '., f'''''- .,-.... ........Jt"-.:;"'~.~.,.,.:.
-.,.,."'... ..
'. ~ '''~~'~''''~~'''''''~N
~ - BUlldln~
C Cana,iY - Englneerlnv
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C(/ODI9I-J/'V CA/S7Vlv/ %L{)/C;-.
3. S. 6&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/36/7/CENSllllq7Vlv /lvC.
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
Ihd(j
Date: 3 - ZI-oc''''
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Pt'an" 2) E~Qsiori Control Measures
"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."
White - Building
CanarY - ineering
~. - ~n",n
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-' ,. /
,_ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
/ /
/
//
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~
Comments: ~ L2.-Lf
,....
~
~.
Date: 3/d-~ ~ to
~
r.'
~
"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."
cWt'lit~ - Buil<<:t1iicD
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tU.oO/G/JN CAI~fOH %UJIGS.
,
3.- 6.0&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/38/7 /ce-NS//tIqluN /ft/e:
Accepted
Accepted With Corrections
/'
Denied r
Reviewed By: ~ ~ Date: 3/;;l~~ ~
~.oA ~ ~ , ~
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."
~", ... - ".. . j\.. ......' \J \J I (\.\ v". _ '1 ... I , " ... v
\,. ! ! 1 U f r" J. 'J l\ ~.\ (\ C
~ U U ~
,..,'
CITY OF' PRIOR LAKE
SEWER AND WATER PER.M:IT
Date Ree'd
O'lclJC t'Y'Pt or OMllad 'iIn It boen)!%!)
ADDRESS
~. ~:. ~II~ I PERMIT NO 1- J/)!2
" 0eI4 .pp1iw1l q;,r 17-JI
13~\ L
l<e I\St' 0j.fl5Y\
~~~
ZON'D'lO (o~ ur:)
I LEGAL DESCRlP110N (otl\cc UJe only)
I
l LOT BLOCK ADDITION
.
PID
I OWNER
! (Name)
I, A ......_..\
j \r"\""'w......~i
~c\~r~Y'- G.ts~ f3 l)-J ~~ (Phone) Cr<:;) -Y(,C;-/~ 1/
Q~\b3 LD'JCYv) ~ l-~ S-S'O(IC(
(Addteuf (CItY) (~ COcl.C)
A P PLI C A.N1"';::) I /'
(Namt) QQ0~..-\.. Ci< C Gt <..J~'1
I (Address) R 3~7 S-- [)J 7o-t--h -StY ~
, (Adai'UI)' ,
(Conta.d Peuon) ~~~ ..s;;'.. mc.n--
[APPLlCANTSrONATURE ~~ ~~
,
(Phone) So 7 - ---ry C( - ~-)" ,(-- I
L c..rr...SJ t...f, /TI N S-~-zJ V~I
(City) , (Zip Code)
(phone) 507- -t--{'(- S-S-Cc S--
DATE ? - ~ L;-,(j b
, -------
APPLICANT PLEASE COMPLETE BELOW
Size of wa.ter service) inches,
Location of any coupllngs from Structure ....--- feet.
Type of sewer pipe. 0 ABC ~VC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) loealed at feet from' structure,
I
FEE SCHEDULE
Re~idential uwer and water line cOMeotlon SJ~.sO Industrial, Com'l &. Multi.famlly 10/. of Job cost with a $J9JO minimum
~wer connection only $17.50 Waler connection only $17.50
Estimated Cost $
Bulldlllg hrmlt /I" .."".
SEWER AND WATER PERM:lT PEE
STATBSURCHARGE
TOT AL PERMIT FEE
S
$
S
:so
PAID WITH
BUILDING PERMIT
IOmee rat Only)
)'
This Application Become. Your Buildlni Permit When Apprond
~'l Paid
Dale
i .RCC4lpt No.
I
BulldlQ80mclal
Olll
MAR 2 9 2drfl(
:. hOllr notlet (or alllnlp,ction. (\)51) H'1~9850, fu (~1) .~f"2~ '
'"
'j t,
~" ,~
\ '~,:' ,\,.< ",/
f. .
, .
15:46
CITY OF PRIOR LAKE
9524474245
P.02
Date Rec'd
CITY OF PRIOR LAKE
HEAlu~GJAIR CONDI1IONINGJl1J.KEPLACE PERM11
;: ~ ~~ I PERMIT NO. (J(P 0 Iq3 I
~. YeP- AppII_ .
CP~ ~ or Dtint;and sia a~ bodcm)
ADDRESS
/38/7 knS/h~ /~~
ZONING (DI'IlcC u~l
LEGAL DESCRIPTION (office we ol11y)
LOT BLOCl<.
ADUJ..llON
Pro
~=R{lJAddl~ ~ 1/~~ t;z~41.AdtJ?11
Z J . ~ ~"""A/~----' V_ '
(Addre!s) 4 Z,)~ h fflJ/P..., .l4I1) \~(JLF-I La..t'C'(./Til~
~~i~ ~ ~/~ 1/liZ... (Phone)~ )440 --75 77.1
(Addr<!$s) /~211?1? >>?uS~ J ~ Mer-Lal:"r> .55378-
(A~~) (City) (Zip Code)
(ConractPmon) ~-Jd,~ (l'hone) ...P 'y'+-2~_""
APPLICANT SIGNATURE ~g~--R..,.,-... DATE o/~/.L2 //
, ~ -
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACE.MENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ~ (""'74,~""F~<:f'l<("'-/ J/') FUEL ./Uc+. ~.\'
FLUE SIZE ::::; ~ '1 '" RETIJRN OPENINGS I d- INPUT 1/-41.1:() OUTPUT /01/ c;r-:n
TYl"E OF SYSTEM REA TING OR PO'WBR PLANT
OWonn Air Plants 0 Steam
~VUy 0 Hal Water
ec~3(lic.a1 0 Radi;)[ioll
Air Conditioning 0 Spc<:ilLl Devioes
OVcnt. Sym:m. 0 Other DcYiccs
, .,i" ..'
PLt^SE NOTE:
Air Condilioncr Units
Cannot Encroach into
Requited Side Ygf(l
Setback~
FIREPLACE MAKE. AND MODEL ~ / P"L
Industrial Comml."Tcl8.1 &: Multi-Family
rEE SCRrotJLt
1 % of job ClClSt Residential. Gas Fireplace
139.50 minimum
~99.50 Re:.'lidentinl, Additions &. Alterations
$64.50 RC,lIidt.'fltiAl, AC Only
, .,:
. .,
$39.50
Residential. Heming & Ale (Nt!W C01ISUUClion)
Residential. Hel1ting Only (New Conw\Jclion)
$39.50
~39.~O
Estimated Cost $ /6:2 b.:5.CO
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
B1.lilding Permit tj . ,
Ory 'OU' PA'OWtTH rr
. I / dU\LO\NG peRM
.5D
/ r'.,,( /_ cn.:>
$
$
s
(Office U~c Ollly)
Thi! Application Becoml!.\l Your Building Pumlt When AppTO'\'ed
- ~mi~1
I;" I .
L'" \
\1 R~eipt No.
~ By
Buildjn~ ornch"
; , Date
DJlle r.:, MAY 0 9 20061
..... ~ ......- --...:-... "'_- _If ._~...........d...__ In.c;..,.., AA1"..oeC,," '0" fOC?' d..t'7...,.;:t.(
i
~.~~,y ~m'
TOTAL P.02
CITY OF PRIOR LAkE
9524474245 P.Ol
Anuoc; ~o;'" ....
Lll i OF PRlOR LAKE PLUMBING PERl\tu J.
I. Btlle 'r".'c; I PERMIT ~O
2, C-",I,I r.il)' , ~ .. - 0 /. 0 {a '2
), 'Vco.....,., ^",JiCJIJt.l f.P -/.......J
(Plu.e type or prinllll3d silm :JC boltOm)
ADDRESS ZONING (l)/fiC't'u~c)
/315/7 J:::vn8l~(y-; ~
LOT BLOCK
LEGAL DESCRlt' J. LON (office U~ only)
ADDITION
Pro
~~~0~ddf~ tJurln?-?\/JIr7YYU-\ (}'ho~~~0-L&//
- c:.../ -
(Addres.s) Z~/~3 ~ h A-!/"'pt " ~ ~/a- ,~
~~~~/sIa' dI-I2r 3? /2~/ /7t;. (phone) tZ~~)<44/)-~771';'}'\i\';"J'
(Addn:~s) 1&:J2(gf) PUSI7lfJ2A.)f"L~ itztY-"Lo/ 5/?67:>- ." !I~"~(';:
(Address). (City) (Zip Code)
(Cont.cl Penon) ~~ /; h P;> (Phone) --L-Y~..?9- '"';
AYPLICANrSTGNATURE ~.~~~/ ~DAT.E 5iO/C)/()
. )> ,
APPLICA1'f{ PLEASE COMPLETE BELOW
Type of F"axture I Quan tity
Ba:th Tub with or without shower I (l)
Dishwasher I ",
Floor Drain 1(5(30)
Lavatory (Bathroom Sink) )
Laundry Tray (lor 2 comp3,rtment sink (/)
Shower Stall rt)
Sinks . . ~ r6
~S~ ~
Water Closet (Toilet) D
Quantity
'~
t
~
./,J.
I
iY-1
(l)
~
'"("ype of Fixture.
Rough-ins
I Water Heater
Water Softner
Stand Pipe (Washing Machine)
. Sewage Ejector
B~ckflow Assembly
Ba.ckflow As,embly Test
I La'WT,1 Sprinkler
I Otber
':;;I\{'~\)
. ., '.~::' :'~~}r~:;i;f
llJ!..t. SCHEDULE
Industrial. COll'\mercinl &. Mulli-family I % nf.io~ C;()~t 'IAIith... $39,.50 minimum
(OrtiCt \J~e Oftly)
Thi,~ Applicfttion BKOmes 'Your Building Permit When Approved
"Paid
Receipt No.
B'Glldin~ OlTicial
Ollte
D3MAY 0 9 2006
By
24 hour notice for -11 inspcditlq, (952) 447~'850, (:IX (951) 447-4245
162"0 Eap,le Creek AVt.. S.E., Prior J...~~~'1ll._.-
OS/23/2005 13:50
9524925005
GLOWING HEARTH:/HIGH
PAGE 01 / 01
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... ,~dlIi'ii~ir . .,. 1 .' ') (tit)') (Zip..COde)
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(COntact .Person) . -'-l-U---' c )llL('(\ .L-;~~t":'-' . ..,.....,.. (Fh0ne) .. . .
APPM~A\~SIGN'hT11.,:RP~ "S\:\W.0,~~:m" J ~,.. ,,,,,.\,-.... ,'l}"" P1\.TE~ d.3 { 0 b ..
, ........>'..'0'('.. .... I ".,. ..,.
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. '[]~y);iGd#sifR;p~j(~~r.' :..'~"..JEDi'~:."(, ....':;SE~n1f
FURNA'OE'MAKE~A~t):'Me-mBt ~. . I?(Y~,~' . ~... .
FL0E SIZE . fRE!.fL1RN.I;~1*B~lis. . j . . ."WPUT
~:E:.~F':SYS~tf (E1:BiA\~.~[fJ~1'dWER PLP;,N.l
O.,Wi~~l.i!!f~4::11111JtS J'Sm:anJ
Q,GI~~~~.' . j]1Jb.t,VJ;n{~r
1];M~e~~i~l\'\, \ iill'i$l1dlflt~On.
(]*i(C.~l'ftl\fj(Jfffilg ': @l.'l~ 2.5. ~.~~.j-~....i':!iil~~;j~.~.~.
,0 Vel1t;.S~~~~Y't111aw~Qth'cf:~.e~i~€s. ....
(Addrc!:s)
. :'.I.~~Y .., ...
.({At. TBR1i,m~Ngi
FG$l;,
. (!)Jil'i\PUT
PLEASE NO:tE:
Air Conditioner Units
C:utl1otEncrPMhlrito
~equ'iteQ'.Sid G . Yard
S~tbllCkg
FIREPLACEMAK&ANEH~;l~t:J.E1:;,........~,.,. .'r::' ,'. ': ..,~",
PI "L.-~'., . \ d.,... .,'-.........~
r ndustrillJ,C2(:ltl1 mttcial.&Mtiltl~P.hm11}' ,
Residentint, Hcstlng,& ,AlC (NbW .Q~J'j"strl~cfiprt)
Residential, HMti'nll'Oflly(N6w'C(1l'(stf.U\lti~l\i)-
. ij;f.~enRm~Ii;~
i)lIJ.ri(ltj#\J,~~~t ... .~eS)'detTtiith(;jas'FifC):H:!(.)c.
$3!J:S~;t.ili#lf:ft~!ft,
$~M~, ,.
SM.:50
$39.50
rtesidentfaJ, A:aclltlM'S'& Alterations
Re.;itll:ntl\1'I, AC'(Jl'liy
~.~;o(
~~~ .J
.. \( O:Y
$39,50
$39.50
T2!itima.t~dCost,S
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2.4:hollr'n~tI\:~~r~r.:;lj{.M~p~ijtltlfuJ;(~52)4'47 .9850,:.th):: (952) 447 "4~5
.. .' 1'~ctjOl;l'lglt'Cf~~li'iAi~I!"Utl!.PtlorL9kc,J\tN5S372
P R I 0 R LA KE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 138"/7 ,KENf'/~G~N Ave,
NATURE OF WORK ~ <:':~,.J~T-, (wI L.t. Fi~,",., ~ DeC~)
USE OF BUILDING S,f::D · _
PERMIT NO. oG. Olq.3 DATE ISSUED 3{2:'I..(., .
CONTRACTOR cu.OD'.~ CJl.5tl)tl.. "B I~ . PHONE~(t.- '21 -lilZJ#
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PATE,...
3/Y It(;
I I I
I FOUNDATION (Prior to Backfill) I /141-- I f' /II /~ to
, , .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, I
SEWER/WATER/SEPTIC /H- 4////()b
FRAMING ~ :q{;-ft~
INSULATION . ~ S7Y//ok,
ELECTRICAL _~ .ar /~
PLUMBING 11'1 s' /~ /ory,
HEATING (if required) ~ 3/~6
FIREPLACE (?) )#~ ~~b-q /6/,
GASLlNEAIRTEST~).. )~IJ re~/!r /0/ i7~/c,6
. I /
CO~ER NO WORK UNTIL ABpVE ~AS J3E,.EN SIGNED .
ltA7i'lr t' f(fJU5eWA!JW' W'v /ILf ~~6 1~7%','~ (r))-W I
.. .,
FINALS
GRADING (Prior to Sodding) . . 1I't? .Y.cJ., 17--'
BUILDING7~ACtJ. b~/1)j,/I# ~"
ELE.CTRICAl. . -
PLUMBING
HEATING
I FOOTING
IN;;;;;
.
//If
- I
i1'~
/lP/;-
, J
cf'/I'Ilotc~
7/1~/tJ6
7/1t/of
7k-~
BEEN ~IG.NED
DO NOT OCCUpy 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.
FOR ALL INSPECTIONS (952) 447-9850
QIerfifirafe lIf Q1}rtupanrl!
CITY OF PRIOR LAKE
~~flarfm~nf nf ~uil~ing Jlnsfl~rfinn
;-
.j
)d Pinal 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 ~51 IV 6 (E Fril' /1 L '-/ Bldg. Permit No. (r; c 173
Occupancy Type
Legal Description
Owner of Building.
k:: Type Construction. it' ;..j Zoning District.
L ~?, f.j' I IV / /~ L ,-:; CiC. 6. ";TJ--f 7E..S
1< /
Site Address
/....'e /7 t:E f<'Sf 110 lZlf,J /1 lIe.
ric6., {.,""'K..-f__I/L.L6 524-4-
Jli I'it Lp'l /.>'1 Sf<-
Contractor's Name & Address / c. i../I..I()/-i Ai, 2- Z 1:{3 ,,.:' (("';rl (,
)::':OLEk.7 v. /-f(. TC.-<'-I/tl::Yd" City Planner
/5 ~Uilding Official
r' , ljfL
Date:. .- . / <V l/Cl Date:
~/ '/
DATE TIME
CITY OF PRIOR LAKE /. '" /
INSPEcnON NonCE SCHEDULED. p#~
ADDRESS /a/7 k/'2S/~cy-~ ~e-
-4
OWNER CONTR.
PHONE NO.
PERMIT NO.
6 - /1!.?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
./""
~/ /
rh7/
,
~/
D(L
_._---_._._...~,._-
.-..---- - ..----...
// ~
C2//'... / )\
t'2~e Pe-
%WORK - - TORY PROCEE~
/' h CORRECT ACTION AND PROCEED
o CORRECT WO~~C~'7.rEINS~ECTION 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
~A TIME
CITY OF PRIOR LAKE , /
INSPECTION NOTICE SCHEDULED 7dW~
~ / ,
ADDRESS /SJY/ /' ~c?hs,.)Jz;k ~e.
...J.
CONTR.
PERMIT NO. b - I ZJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..-I!I4=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,....JW-MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~PLACE FINAL
o GASLlNE AIR TST
o
COM)4ENT$Jr ~ ___ /' / /
~~/h~/ /7~( ?~~ftb'.
A . / ..,//',/. I'~ / / /
~C-e~ve.d ft7ft L ~-?c5vk 7/ ~~ ( e:,--d
~~~ hk / CJ;{~
...---; / /.1
(~) /;/~~ce /:A~(~ 0;(
!--v::// ~~fl/~/_L #~/
, fe~~.S k1~ av 7~
aV'/~ G / ~//1~" ~~~~
1() ~P?C~ /J~.d~ C:"<'f
t/ '
~- 7- ./
~~LJ, {~O U~~/
/
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
/ /
?~~C
~
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
B ..z. -O~
ADDRESS
J]9J 7 Ktl?~'~11II11",
'" .
OWNER
CONTR.
CvU~4~
PERMIT NO. ~ - fi3
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~D/FILLlNG
'0 CcJMPtAlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
bnuU- ~ L
LJf b Bot'. 0 (
J( 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!
INSNOTl
DATE
M?~
/ /
~eH..J"~C~- fl,e-
, -I
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
COMMENTS;.~ / /
/Yo~AJn.
"
.4 /'
~H(j~~/''-r
r - .
,
TIME
6 -/fCS
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
...~ .r
hA~/
,
. / .;-
/;;J;/ O~
( , -
./%/('/
/ ~ /'
/k(\/~/ ed
I'
~e; /~
/"
~ /<--
._~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~.?~R REINSPECTION BEFORE COVERING
Inspector: /' /V L Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTl
.,..... \
~f
.....
Metro Home
Insulation
Metro Home Insulation, Inc.
5861 Queens Ave. N.E., Elk River, MN 55330
(763) 441-2313
Completion of Insulation Certificate
Attic Insulation
R-Value ~ L/
.
Cellulose
Fiberglass X.
Done By .~\{~ In\v-.......
.
Date ID Ic~
Contractor W(\ (~'I (";~
Address \~ S l +- It...~~~.,.~ fr\\~ ~
-J -