HomeMy WebLinkAboutBldg Permit 06-0365
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJ!;n at bottom)
ADDRESS
/1 ;J~Lj EA/L~ ri iI E
t'~{
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK 4 ADDITION ;:{Fr=.cees
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) I ~';-5
[A,I eI\J S rtlt 1111I .iF H /)/~" 6 <
Ib;1I{ 'Sf, ~R,./)I'f "j
APlz/,+ be ~c.J.
Date Rec' d
L/-a9;~~
PERMIT NO. 0&, 03&51
I White
Pink
3 Yellow
File
City
Applicant
ZONING (office use)
PU.5D
AND
,S7-
PID {)5- 437 -667
OMisc
B
S U
PROJECT COST /V ALUE $
(excluding land)
(Phone)
.7;; C
(Phone) &,5'1 -406 44o~
(Phone) ~f.d ,- 9' Cj,- ;;t;, 3 I
d~O
TYPE OF WORK ~ew Construction [1fDeck ~orch ORe-Roofmg ORe-Siding IiILower Level Finish ~ Fireplace (I)
OAddition OAlteration o Utility Connection r
CODE: (iI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV
H 1
2 3
V
M
4
A
R
5
/74 t'JOtY I c> ()
i '7.tPPlicatlOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authollzed agent ti,r the
I conform to all eXistIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
ore, I hereby agree that the City official or a deslgnce may enter upon the propel1y to perform needed InspectIons
14~ ~ 4-;;11-0?
$8 f) of). 3.h
'. ,
Paid i' J t:1)' j'J I Re~t No, :J-/-FP-j
~_ . '_ ..{. fl. ~t... I I Date '~-_ /1'.(.1 , In.
~ ~ S'.a;tJfr; Alo ~ dj :...~ .~ ~
BuilJlllg Otllclal Date I.... /I. _ _ () .. /) J ~
LJe1 ~ ~ ~ 2C.~1
ThIS IS to certIfy that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pn eeed as requested. This document
when signed by the City PI.mner Cllnstltutes a temporary Certificate of Zonmg compliance and allows constructIon to commence. Before occupancy, a Certificate of Occupancy must be
iS~ ~ S/,jtJ/D ~d.( ,
- ~
, ' Date Speci~onditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Permit Valuation /?t1 O()(), "I
Permit Fee $ IL/!}/}. ,,~LL
Plan Check Fee $ I q '73.. 8g
State Surcharge $ " <if" ~ -I
Penalty $ I
Plumbing Permit Fee $ lOt). to I
Mechanical Permit Fee $ / tJO O{) I
Sewer & Water Permit Fee $ 35..$0 1
Gas Fireplace Permit Fee $ Lj(), to I
This Application Becomes Your Building Permit When Approved
Planning Director
Contractor's License No,
Park Support Fee
SAC
Water Meter Size 5/8'(0
Pressure Reducer
#
#
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTALDUE fflJ<. ~
3, /c, ("~.
Date
$ I
$ J q!J{). 001
$ '3 as- ..-061
$ Inn,.6C
$ /7oCJ,OO
$ /CXXJAJU I
$ I~OO. od
$
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewedbr ~ ~
Building Permit #
Address: / ~ ;;2 86
legal: l S , 8 r
PID:
~
Subdivision:
Date: 5/7'" ;0 ~
Zoning:
&,
1-W~
fJ~
/d
Existing Structure? YES ~
Existing Nonconforming Structure? YES@
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA I FAllSI COMPLIES
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/N U RP
pond
. From OHW (Prior or Spring Lake)
-
~
Standard
25'
10'/
25' if abutting a street
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
, Floor Area Ratio: NA{f=~OMPLlES I .30 Maximum
rlfiL Pl/SO- ~
, Yard Encroachments: NAI FAILS~PLlE~) 1 St~dard
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
Ale and other equipment cannot encroach on interior
side yards.
~ Tree preservationf ~/ FAILS I COMPLIES
1. Total caliper in~s
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TE\BLDGLIST.DOC
Standard
%:1
NO
Proposed
-ZS'
(, I
7.(" ~ IS: ~
~~.I
7# t.' - / S-~ 'I tJ t;;,. 9'j .
3/. I., -fa Hwl...
rJo,.J b
I
3/." fettW~..
,J/4'
I "$3.4%
/11-(+ ~,
I Proposed
AJottles-
IIJ/J,JC
Proposed
I Driveway: NAI FAILS)-CbMPLlES~
. Maximum width at'property line
. Required setback
. Maximum slope
. All parking areas to be paved including R-V or
spaces adjacent to the garage
. Location to match subdivision grading plan
~ BuildinQ HeiQht: NA 1 FAILS lCC,c1MPLli.,V
Standard
24'
5' from side lot line or
30' from r-Q-w on comer lots
10%
35' Maximum
, Shoreland District: NA (~AILS)I COMPLIES
Minimum lot area (square feet)
Minimum lot width
I Shore land alterations
I Impervious surface 30% Maximum
..5'EF CIjf/lr R~J.~ - j?/lSf)
~ Bluff in ShorelandlffA'1 ~AILS 1 COMPLIES' U I Standard
. S,etback from top of bluff By planning dept.
. Bluff impact zone
. 'Engineering ce~ification submitted/approved
. Grading in bluff or bluff impact zone
.
~ Floodplain~ FAILS 1 COMPLIES
. 1 00 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: ~Jl) FAILS 1 COMPLIES
. Size
. Not located in front yard (Materials)
. Side yard and rear yard setbacks
. Maximum height
. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
20' From Top of Bluff
By City Engineer
No importing/exporting.
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake 1
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
higher
907,9' for Prior Lake
913.4' for Spring Lake
1 Standard
832 sq.ft. or 25% rear yard
10'
15'
.
Proposed
.lot
71' f
f.o,2.%
crt-
~
2, z,. I
Proposed
-
-
'fC/.U
1 Proposed
Proposed
Proposed
~hite - BUi~
'Canary ~ Engineer.. jg
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1 } ~A<<J YYJO vlLl
if afJ~ b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l'IdF?tJ CVdClU~ G-t-
Accepted
Accepted With Corrections
/'
Denied
o
Reviewed By: ~ ~ Date: 5/~"
Comments: ~ tLLI~. ~ ~
" -
~~.~~~~~
1 ' tJ 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 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 - Engineering
t"1'Ink - Plann,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
__r
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
~ cu1
r-
Comments:
Date: S/~A'0
,
~ 7LtJ ~
~~~
r
7~
t7
F~
#
~ ~
Air Cvnuldoner r..nci Utner Meeh3-nlcal
Units Cannot Encroach into Required
Side Yard Setbacks
"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 - Buildinq
~anary - t:nglneering )
PinK - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/'} ) f}/1{<J Jt?/k} vA.!
1/ ,_~8' b
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/f/dF!() cvdo U~ G-t-
Accepted
'X
Accepted With Corrections
Denied
Reviewed By:
Jj(JfJ
Date:
6"'"9 -0'
Comments: Spp Reverse Side for Additional Inform;:ltinnl ,
See Attachments: 1) Gradinll Plan. 2) Erosion Control Measures
. :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."
FROM WENZEL PLUMBING & HEATING 651-452-0367
(WED) 4. 19' 06 14: 12.ST. 14: 1 O.KO, 4860053348 P 2
CJTY OF PRIOR LAKE PLUMBlNG PERMIT
Dste lUe'c
(P~ ~ ornt~ ~ bortmu)
ADDRESS ........... ~
liJ.gD l3't\C\~e., ~ \
~ ~~ ~ _PERMIT NO.L" . 3"'" ,
J. y.u- ^l'l"'fC'UI< ~ fI ~
ZONING Cofke__)
LEGAL DESCRJPTiON CoBia: llr D41 ."
LOT BLOCx
Al.JUlllO]~
PID
Quantity
, r
I
I
--~
f
I
_;d-
~~ {,~)~Y'f\0J<\~\ ~ome9::> , (Phonl:)~}JfDb-W{JO
(Address) ./$15'f>b.v>.. k. o.,\'k,QtO ~ [lJA.f\., ~r;zr:z
.~~~~'J~e\~~~~~ t\~~, {Phone} 69~fs),-/sbS
(Addnss) 17ft> ~~~~,\~~ ~ .Mn~ ~/~/.
~~ 'J . . - ~ (City) (Zip CodeJ.-
(Cou=<Pc=n) ,,~~~~":}.... _' .. (Phone) U-/~-)56S
APPL1CANTSIGNA1"UKE ~~ DATH JJ /Jcr }()~
,- 7---. ---.--,-
Ai ?LICANT PLEASE COMPu'i.~ BELOW
I 1,1M' of Fixtute I Qoutity
I Iil31h Tub ~ Ot'~ith out $howcr t J ~ins
I Dis~ I J t :w~ He.attr.
,,' P, loi.7t..~..' \., I ~4:'~Q;.."
_. '. u ~~, .."
I LavatQlY.@m1u";~u Sink) i-I. S!Hacd,YIpC{WasbingMaclUnel .
I L.1~Tmy (tor 2 c CJ~ l!uvut sink / I 3~'Bjt!tlOr
I Sh~ SbJl I I Bacldlow ASsembly
I Sillb I ' I B!l~ Assanbly Tau
I Bar Sing I I LaWD ~ Y':...kler
I W~Ctoset(roll~) I ,Iouier
Type of.Flmlr8'
1
FEE SCHEDULE
(ndl!3n; II I , Comrnercllll Ci: Multi-familY 1% 0] job eM \Vim a $39.50 ntiiUmulJ1 Residential, New Oar & Two-Firni/y S99.~O
Rdidentilll, Additions &: Alterations $39.50
Estim8tttl Cost )
Bui1cline P...1l1;L #
PAluWITH
~U1LDING PERMIT
,so
FLUMDlNGPERMlTFEE .$
Sf ATE SURCHARGE S
101'Ar,~FE}: $
(WED) 4. 1 g' 06 14: 12/81 14: 10.1\0. 4860053348 P I
Date .Kec7d '
FROM WENZEL PLUMBING & HEATING 651-452-0367
l;l.l':i OF PRIOR LAKE
SEWER AND W AIEJ{ 1"n<l\'UJ.
~~ ~T-' P~N~,,,. 3"~
(PIrate type orptint md .s~lIItL . .." '". )
ADDRESS \
) 4;L<6D t=i\v\~IJL ~,
ZONING (~~)
LEGAL DESCRLr HON (affirx me crn1y I
LOT BLOCK
ADDmON
PID
OWNER \ \ I'l...r-"^",,, . ;L ,
(Name) ,Wt'I'~I\~(\~~
(Address) \ &9$"" ~\~_~ \ S\J\~*!2CiJ
~)
=~ mL~ '\b~, ~ \\\~~, ~,~'?ffJJoDe)
,(Addie>S) --file) ~~~~ ~~ ~. ~n.. .SS-J:21
~) . ........... (City) i (Zip Code)
(C-;.....Penion) ~..~. \\..to ~.a.' (Phone) C,SI-ljS:J..-IS"bS-
AW:J;QANI:S!GNA~JL~~ Z :~~1JA.ifE 4 J 19 1 \) ~
/
APPL [CANT PLEASE COMPLETE BELOW
S. f - '111. L~
JZe 0 water s ~ce mc~. "'"
Location of an f couplings from ~(. tv,,, feet
Type of sewer pipe. 0 ABC f5lJ PVC 0 Cast Iron
Estim~f(>>d I~ th of sewer line 3'0 ~L .
Clean out (if n quired) IlI..-L..-d at ~ feet llULU structure.
':~
_ ~c(Clf:y)
(Phone) &s)-'iOb- 4%D
~(
(Zip Code) .
JI..IY!. S\...UJ!.dJULE
Residential sewer and walcr line cannecti, 'D $35.50' Jndnstrial,. Com'! & Mlllti-family 1% of job cost with a S39.5O winimmn
Sewer connection only $1750 Water' CODIlection. only $17 SO-
Estimated Cost $
Building Permit #
SEWER AND W AIJ:.K 1'lli<MIT FEE
STATE: iURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
'JWD WITH
,BUilDING PERMIT
(01ft:ee UJlIe Only)
Tbis Application Becomes Your BniId mg Permit When Approved
Paid
Receipt No.
Date
~y
Buildiug omdal
Date
24 hour notice for an inspccfions (9S2) 447-9850, fu (952) 4414:245
JUN-02-2006 16:52
CITY OF PRIOR LAkE
9524474245
P.02
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please !v~~ Ot prinl Rl1ct eiJtn at oottcJm)
ADDRESS
(4~~ fndaVt (j-.
~,~:n ~1,~ I PERMIT NO.' _ r~ ~
3. Yell.,' App~'''' ~ -I-'
ZONING (nlti"
\l.Se)
-
LEGAL DESCRIPTION (ollict 1lSf; only)
lOT BLOCK
ADDITION
PID
OWNER I ~ I () 11\ 1J.... .-..... ::?-1
(Name)_lAL-tJ ICSrYl.a.Dr} -L~{)llJe~ (phone) 0;5/- Q05- ..)/01
(Address) lKq5 pra~ Dv. ffaoo E1J/)an. Mf1/ tJ5/:J~
.J .
APPLICAN'J,1"'-1-tJ J/r7 R () {{1/I/l
(Name)_ (A.M.J C - () (tl!J (Phone) '-1'5~ -7(P 7- LIU
(Addl'e6s) (1) W ~ I I b, . . I $33
a~ . _ l-L..LZ ..o.J.d/'rfl~\ v; J e- ~_ 7
-'(AcIcfl'e~s)' (Oly) (Zip Code)
(Contactl'erson) K(m , (Phone) gtid:1Jo7- W..W
APPLICANTSICNATURE ~ bJ."h~ DATE ((}/~/otn
APPLICANT PLfASE COMPLETE BELOW
. ~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS .
FURNACE M^K!::AND MOOa \...QJnOX ~F-~1R..(1...()C1D ___ FUEL n~{;,i7),j
FLUE srze RETURN OPENINGS INPUT tlO (J)J__ OUTPUT iYXI fl.)
TYPE OF SYSTEM HEATING OR POWER PLANT
~WU1~ Air Plant. 0 Stoam
1JfjravH,\1 0 Hot WAtel'
'EFMGChellic^1 0 Radiation
~i)' COI\dilionillg 0 Spccial Dsvjces
( ~enl SYSlllm 0 Other Deviccs
FJR1PLACP. MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannor Encroach into
Required Side Yard
Selbacks
Industrial, Ccl7lmercial &. Multi.Family
FEE SCHEDULE
1% of Job cosl Residential, Gas Fireplace
$39.50 minimum
199.50
$64.50
$39.50
Residentjal, Heating & Ale (Ncw Consll'\lctiol1)
Re.~idel\liI\I. HCIltillg Only (New CO""lrI.Iction)
Residential, ^ddili()JIS &. Alterations
RcsidclllinJ, AC Only
S39.50
$39,50
(Office tJs~ O"l~)
Estimated Cost S ___.
HEATING PERMIT PEE
STATE SURCHAR.GE
TOTAL PERMIT FEE
Building Permit ::
$
$
5
PAID WITH
50 BUILDING PERMIT
This Application Becomes YOllr Building Perrnit Wilen Apl)l"oved
6"jl~i'l! OrncLaI
l1iaidrr~ (-,. ~-~"ipt No.
i i.!) i[~ !G~ iF" i ";(1 !J'-' 'q \
. .' :~.le ..'-/-r :i! !
Date ' i i I JUN 2 e !'DD^. I i.:
- I I, L 0 [I'.~
24 Iloul' notice fol' ~l1ln~pections (952) 447-91 ~\-bx (952) 447-4245J'
r:~ '"
TOTAL P.02
JUN-25-2005 14:39
CITY OF PRIOR LAKE
9524474245
P.02
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec.'d
~. ~~~n ~:~ PERMIT NO/'-. , ~ i_ r-
). y.llow AIlI'II<.onI 'I- ~ ~
(P1e;l~e tyl'e or print and. ,t~ at bottom)
ADDRESS
ll-(d-~O ~ U-
ZONING (o$ce
lIS.}
LEGAL DESCRIPTION (officI! use only)
LOT
BLOCK
ADDmON
PlD
OWNER
(Name) -.L 1o~ . . ~ ~!'" ' (Phone) ~!S'I . '-{c(JJ -4CDo
(Address) IE9SP~ t:J-.. p-~ ~,,I?1n SSlbJa
APPLICANT
(NameQ u+~^b~c.." ~NO-<a" f'r-rA. d: r= P
(AddressL
. x9cn /09..u, ~.Jik.r;n ChoLP"fL~ .mrl 5531(~
(Address) · (6.ty) (Zip Cocic)
(Contact Person) .t C'\~ \.1.xv"'\P..r'Y'D.... ' (Phone) ~~ - SiJ<.,p--/d Ill?
APPLICANT SIGNATURE ~ ~~~ DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURN^CE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm AirPIBnts 0 Stl:am
OGravity 0 Hot Waler
o Mechllnical 0 RlIdiatioll
OAir Conditioning 0 Special Devicet
OVBnt System 0 Other Devices
, (phone) ~lo~lll-dSdS
llIREPLACE MAKE AND MODEL ~ c...1:;)L(c;>3c.oft...
FEE SCHEDULE
1 % of job C,(J~t Residential, G:I.S Fireplace
139.5Q minimum
$99.50
S64.50
PLEASE NOTE:
Air Conditioner Units
CaMot Encroach into
, Required Side Yard
'.1 Setbacks
_~o.~
-V~-=-- -, "'"
$39,50
Indastrilll, Commercil!:l &. Multi-Family
Es\imated Cost $
HEATlNG PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions & Alterations $39.50
Rcsidcllli:ll. AC Only l!JUtt.~1() IA .139.50
Buil~ng Penn\t # VlVG ;:~
~ Ii r,11~ ,so, ~c' I ~-9~~
. Ja~..1 - 11,. ,:
~ lQ-' 'j~#qiprNo.
- ~tie JUN 2 ~1 LUUb ~~I
, 09t~ I ," ;. /;
24 \tour notiee for all in5pettiOlU (951) 447-CJ~fl {9.Slt4.41~~S.. ,.,.1
--=-..;
Re!;idel\lla\, Heating &. AlC (New COl\struction)
Residential, Heating Only (New Construction)
(Oilier: U$< aliI,,)
This Appllclltion B~come!i Your Building Permit When ApprclVed
iuildinl! Omelal
..........,..,- ~_"'.,......."" ^""..."'Tl'tn..,...."'r
ttO~' n,,,, il'l'('J, VV.1
on:TT on/Q7/Qn
TOTAL P.02
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~2eO CNCU\ Ve- cr. ,
NATURE OF WORK }JEw c.fJNS'r. (. wI ,.,. Fii-J/rH Q.alt': "lIcHl
USE OF BUILDING ~,,' . ·
PERMIT NO. O~. Q]'(,J , DATE ISSUED 5/'1/16 .
CONTRACTOR ~/;V1}JAJ 11'#1", I~(, PHONEhlZ "~'.~I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
Bl'ILDING AND INSPECTION
INSPECT9R ..PATE/"
I FOOTING /$'- I ,~-0t~
, FOUNDATION (Prior to Backfill) I t/ Jr/ .s:-y~ #'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
_~ 6~~~
(;//1 u}rk
.fl1~ ~)J h?
v - , /'
. ;jl ~ (,,h./I~/
(J1!;; 10 /~ ~~ I
~13 ~~~)6h I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
CO~ER NO WORK UNTIL A~OVE H.AS BEEN SIGNED
l/Ll}tI ,. ~1IJ'6/AJltA1" ~ ?/C?Y I 1~ ~r)J )6~
FINALS
GRADING (Prior to Sodding) rJ ~~ & . 1 . 0 (p
BU~LDING p- '( ~ ~ J ~ 0&
ELECTRICAL I' h) JS (/ J 0 "\I .
PLUMBING toe r III 8/., fa ~
HEATING I I ./
DO NOT 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 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
<llerfifirafe nf @rrupanrl1
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jlnsptrfinn
o Final Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section IIO 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 5//vGr....6/':/f/"IILY _ Bldg.PennitNo. Q&_~<3({c.5-
Occupancy Type _
I,-<..::.~~
1/../
Type Construction_ V rv _ Zoning District
I::.'
1; 4-, JEr-j:'E-;:'-:;::' ;JO/V.D
Site Address J 4- 280 r:;: ;V'C!. Lri vl5" c- r:
Fu~5V
Legal Description _
L5
Owner of Building
Contractor's Name & Address t/V t. IllS;',' /i /v,'v j-I()/"/65
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Date:' 1'1/ 0 (,p Date:
I t
I POST IN CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE t
INSPECTION NOTICE SCHEDULED 8~ tl~6~
ADDRESS I Lj ~7) CJ fw.\CUJJ- CJ~
OWNER CONTR. V-O~/
PHONE NO. PERMIT NO.
D FOOTING D PLUMBING RI D EX/GRADIFILLlNG
D FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
~NSULATION D SEWER HOOKUP D FIREPLACE FINAL
FINAL D PLUMBING FINAL ftGASLlNE AIR TST
D SITE INSPECTION D MECH FINAL D~'
/rtb~~/
-Q\P%~~ ~
\/WORK SATISFACTORY. PROCEED
~RRECT ACTION AND PROCEED
D COR CT W C L FOR REINSPECTION BEFORE COVERING
. awner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1'I~eo End~ C--J...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)t"FINAL
....0 'sITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
t!J ~ oK..
(A",IIIa J{?j- ~}'
- -
DATE TIME
9-7-_
LN~~
c::(;.g,S-
~EXI~LLlNG
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _~npr/Contr:
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'1' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/! EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Gvuie DII
(I ALi/~ /1dA 0/<
.D 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
{J-]-tXL
ADDRESS }tJ? M r ~ (a.,(,.v
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMEN\~:
I, (\. DJ. ~
1-~
CONTR.
PERMIT NO. G, - ) ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)'(PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
(vtr ru. t{ct1- ere 7t;
lf~ ~~
I ~ ; lA.. c... , aJU.A......
~D )YORKSATlSFACTORV, PROCEED
.J\. CORRE A I AND PROCEED
o CORR CT W , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI