HomeMy WebLinkAboutBldg Permit 05-0477 & 05-0799
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. 05. 04-77
(Please type or print and si~n at bottom)
ADDRESS
Itj-OJ/r W/LD/~tlVO
e-r
1~.)L- !"JW
Date Rec' d
5: Itc. ()5
ZONING (office use)
PUP
LEGAL DESCRIPTION (office use only)
LOT f? BLOCK I ADDITION ~ IAi npt? (B., -1+/E. W I~ PID zS'. 383. 008. 0
~W::~~-fJ-t-11JJ .A:?-/tJJ:5 ~/ N.&tt;t~U. (Phone) M2-~() -~J-
(Address) ?5~S d.FF/US ~/n66 Co<C~ fE.f. W .!:5S34-t..?
BUILDER _ J ,r
(Company Name) NJ:;;f1 A ,.1 N. D. JJd
(Contact Name) ---1ii1H1D f{--z .1f-01;;c;:}
(Address) "'/!:>~5 (frnWI<IDGG eff( CL5.J
0./
(Phone) q,1) Z - L4-~ -(3/A.L
(Phone)
6-(1. HN
~ 53L/-if-
ORe-Siding ~ower Level Finish ~Fireplace (?)
TYPE OF WORK ~New Construction I~eck OPorch ORe-Roofmg
OAddition o Alteration OUtility ConnectIOn
CODE: ~.R.C. OLB.C.
Type o~~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
o Misc.
PROJECT C~ ~'1(} ~,
(excluding land) ~_______~
I hereby certitY that I have hlrnished mformatlon on this applicatIOn which IS to the best of my knowledge true and correct. I also eerlltY that I am the owner or authorIzed agent for the
abllve-mentlOned P ')perry and that, I constructIOn will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
:llcial can re ok IS er for JU, :1use Furthermore, I hereby agree that the CIty OffiCi~ ;I&~nter upon the propel1y to perform n5~Z)/ (J ,S
. a re I "" Contractbr's License No. /. Uate
i
I $
$
$
$
$
$
$
$
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~ S"6?~ 4
~/?~7s'
~ 7/J. s,r
-:us:- ~o
#
Park Support Fee
SAC
#
Water Meter Size 5/8"~;)
Pressure Reducer
Sewer/Water Connection Fee
#
/tKJ. e.Q
/a:J, -'
3J:SO
~tJ. t:.,Q
Water Tower Fee
#
Builder's Deposit
Other
$
$
$
$
$
$
$
$
?srJ. e..# I
/rJlJ. c,o 1
300. 4:M 1
75': -
/ sotJ. -
/000.-'
/ fOO. ....
dr~
. 8uildlllg Official
This Application Becomes Your Building Permit When Approved
5/ ...z-~-
Paid
Date
~ ,-.-,/:
ILl Ih '6 -/''[
~- d'// <'
$ / L/ / (., fi. 1 'I
I
'I Receipt No. l/ jl {.. ,~
By /
6
TOTAL DUE
~ S.]i1Ii
ThIS IS to certify that the request in the above applicatlOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested Th1s document
when signed by the City Planner constItutes a temporary Certificate of Zonmg comphance and allows construction to commence. Before occupancy, a CertIfIcate of Occupancy must be
"sue~ '''-J ~ 7/((J(~s ~~.
Planning Director
Date
Special Conditions, if any
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: 0-J~S--
Building Permit # PID: .,;2S,sB. CJoJ';' 0 Zoning: /JUtJ
Address: /~?/7 U/.//~d 7r1
Legal: L f,B I Subdivision: 7:4.e U/oois (211'f' 1V,,/jj
Existing Nonconforming Structure? YES@
(~ NO
Existing Structure? YES@
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA 1 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/NURP
pond
. From OHW (Prior or Spring Lake)
, Floor Area Ratio: NA 1 FAilS 1 COMPLIES
J Yard Encroachments: NA 1 FAilS ICOMPLlES
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
. Tree Preservation: NA 1 FAilS 1 COMPLIES
. Total caliper inches
I. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement \
L\TEMPLA TE\BLDGLIST.DOC
Standard
25'
10'1
25' if abutting a street
10' setback +
2"11' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
Standard
Standard
Y2:1
Proposed
~7, J-
;Y', /0, r
.~
tJvc y' ;;.. r r
)II/
,.
ouev 30
/v/ A
,
/'j( ~ 7<::>
Proposed
~k~
;/o~ e,
Proposed
L:\TEMPLA TE\BLDGLlST.DOC
CITY OF PRIOR LAKE BUILDING PERMIT, ? -- _5 -~~e Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT f,)~ w,'th 05--tj1l'1
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. 05. 6711
(Please type or print and siJ1;n at bottom)
ADDRESS
I q-q I? W/LD{~ 00'0
UJ(j/XT NI/"- ,.fRlaR L;~e.
LEGAL DESCRIPTION (office use only)
LOT f< BLOCK ( ADDITION -rHE /,..Jc/DD~ ft:;I-I'G 1~/Lf)~ pm
OWNER . J r Ll ~ / /
(Name) N I-; H n _ II'-tv.-
. ,,- - ,
(Address) %~5 oPr/CG &OClb
ZONING (office use)
p~{[)
?1~7 t1 .
(Phone) ~ - .L+& -{3 t~. ~
t:::;.p . t1-N ~J 3 'I-<.f
~e
BUILDER , J
(Company Name) N6H fL_ Ltl..L-./
(Contact Name) ---#-ft.wJJ II=Z --4..tJ [;. ~
(Address) ~c;0~n p_ ? ~ ';> hot./f/
(Phone) q .c:;Z- ~ -/..3.1; ~
(Phone) 1a-z - ~tJ - 0? Z 7=
I hereby certity that I have hlrnlshed ml(lIma!ion on this applicat1lJn which IS to the best of my knowledge true and correct I also certIfy that I am the ownel or authllrlzed agent t()r the
above.mentloned prop ty a that all construction WIll conform to all eXlStmg state and local laws and will proceed in accordance with submrtted plans I am aware that the buildmg
:'"'' '" n'", . ",. '" - ,,,, '" '":;"" ',mw.' '''''' .""",,, ""'" "m"" ''i'~'';;: J"'"'' ", ,,,,,""n,, ",",m ""W'ti C', )
aturef Contractor's License No. Date
"-../ ,
'IT ?OOt:), f) ()
$ 1~1-. 00
$ ',()<;, ~O
L./,()()
Receipt ~o. 4'fY7i
By /f
o
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
~Addition ~lteration o Utility Conneclton
~ 0 o Misc.
CODE: I.R.C. LB.C.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
$
$
$
$
$
$
Pressure Reducer
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE ~
e.l7. (is-
This Application Becomes Your Building Permit When Approved
_~~~ -$o/()r
BUIldIng Ofliclal Dati
.;;7/.30
fL Z. z- oS-
Paid
Date
o Fireplace
r;J(ll'C: .
/;1f
-'
$
$
$
$
$
$
$
$
$ 2 7 ( . 3L>
!fllo I f!J S-
f . Date
24 hour notiee for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Thls IS to certIfy that the request 10 the above applicatlOn and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested. Tlus document
when SIgned by the CIty Planner Cllnstltutes a temporary Certlticate of Zonmg comphance and allows constructIOn to commence. Before lIccupancy, a Certificate lIf Occupancy must be
ISS~J~
Plann1"ng Director
Special Conditions, if any
White - Building
Canary - Enginp~ng
( Pink - Plannin
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r-
__1: /t /(~
7" 7..----
.~~ ...~.-? ....-.. t. '_")
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.( ./~-<r"
f-
\.....
Accepted
/'
Accepted With Corrections
Denied
't-'.
~
Date: ?/ro /0.)
~ ~~ ~. trl-/
~~~~~~.~
, C
~~ -flr ,~~nr
-
~
~
~
~~ LJo
..
~~,
tJ.r/ ~r ~.
I
Reviewed By:
Comments:
,
f I, ,
"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 - Build~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /2/e/na --1-t.JG
APPLICATION RECEIVE~ f?-;;-L'J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L:H/~ tt~&tloocd at-.
/
Accepted
Accepted With Corrections
Denied
r-
Reviewed By: ~ ~ Date:?/ / () los-
t
5/~ ~.~ ~ A-r(~~
() /./ '
h~. &d~ ~~JYI-;~
~ ~ ~ ~ ~.
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."
.-Whit.. - D"iJ~i;g
C.C~n.nv - En9ineeri~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!/ I
(f, ,I ., I"}'" .."
/"/ / t;;'-' " j /G{
, 5..,. "'---'. , ,
,- >i Jl--
, ~. /li/ ,. ~
--+-' V~' -
APPLICATION RECEIVED
(-'\ ,,-
X - h -" z:::-
._) -' ')
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-' / J(."-' 'pel .r..' ." /1,,,,. <,,;7 ~,._ l
I' , f'/" /). ,7' i/ / /" ,;(, ,/. ".j j'
. ......~....~ / .;/ .-., "r .'>,'. i ,; "".r .'''''.1 ..
i' .", i //1"<.-' ._/,-.....4::,.....{ ?~,_/ \._../ :".,: ~t.,.
.....J---
l
Accepted
x
Accepted With Corrections
Denied
Revi.ewed By:
Comments: Set' !lel/frSt'_
/IJI}{5
Date: yo { I Ct, I (j s"
~{c4 {6/ ,4/1,'/';;"-'71 r;,~~M'/'O'"
-h~~ ~~r-
~~
f/a-rrI ic ~
"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 - f;!1qineering
~t"'In~,,, - Planni~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,Ii ,*,/~,' / / r~-:~
/ '" C' /' , I I
/f
_/
,/
/ /~ ~
I \
----
,,r" /'
-,/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~I -.---.,
L...) {I/ I
/ / I
I
/
/ / i
/ / L/
,~ Accepted Accepted With Corrections X
Denied
Reviewed By: fI/ -!/~ Date: s~ds--
f
Comments: r~ ,.J 0-7- IJJ~~
Air Conditioner and Other Mechanical
Unilo ~v~ L.u,,~~ ~Lu R"-'':I..4:..d
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 - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
IV5fVl/f I /;V~.
~ /(P. 'oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-9/7 1/l1/ LD WOOD
Accepted
Accepted With Corrections
;K
Denied
Reviewed By: # ~~
Date:
0~s?6S
(
comments~. cf- ~~l/ ~
a,// j);, ~ /~ r ~se U/r~~ ~~
. 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."
White - 8uildina
<-Cao.!ry - EngineermQ)
Pink - t'lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11 .re/./ ,';ll.-'/rf
/I/..,/' I, I
;!.~ f/--
.........,..,1. '...to,-.
! ... .. /7
/ t,. (. ./
/" ,"-'
f ' lJ
>:/ r:-
(./ ...-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j/' 1'.-;/7 I ." '''. . .,.. ..'-"
" /.:J... '.~../ 'f/ I.' I' j /' () ( .: I }
/ -7 7. i ?- V fL-...-/' ...... -; '--'
Accepted
x
- \
Accepted With Corrections
Denied
Reviewed By:
/flJI3
Date:
5"- J '-j- C9S-
Comments: Bpp RRverse Side for Additional lnfnrm~tinnl
See Attachments: 1) Gradin~n~ 2) Ero-8iD.n 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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
/ 8 5--
\0. . 0
(Please type or print and sign at bottom)
ADDRESS
11-/9/7 WJJ-tJ uJooo Cover Nul
1_ Green File
2. Yellow City
3 Gold Applicant
PERMIT NO. 5.. 4- 7 7
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT J BLOCK I ADDITION TJI~ LvV{n1<:: AT rifE WI L.tK. PID
OWNER
(Name)
N~1f) II
.
7&:5 {)FFJGE
(Address)
-=r;;v c
i' Jl}6 E O;!GLJ=:
(Phone) 9~-<7-?b/3~3
EOEJJ Pl:f}//?JE 65:3~
(City) (Zip Code) ,
(Address)
APPLICANT
(Name)F!tJ/}/-.. r;~ME :INC (Phone) 95rf<-,~:33 -)&(LJ/J
(Address) J:-?/_5 t!21fJ!lts 5,.€EET SJltJKQ!:7r~ &5379
(Address) (City) (Zip Code)
(Contact Person) VONNIE f1c~/LL/(l1~/, (Phone) 9!)!1-~3.3- J~DD
APPLICANTSIGNATURE~4P!...~~~O DATE 6.::i~ --Ob
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC _ ~ PVC D Cast Iron
Estimated length of sewer line 0- {} feet.
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 #
~477
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
D 6{ /f-
Ptl' Or/
If l/
DlJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,_//n_-
-----.
Building Official
Date
Date /
tf7,e.oe;-
.BY/M
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(#. Z{vl)
(Please type or vrint and siRll at bottom)
ADDRESS
I Blue File PERMIT NO
2. Gold City . 0 s: 0 A-7'7
3 Yellow Applicant 7
I 14/ 7
w/ ~ eJ 14 cf() LJ W I1'f
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
;'VG]YJ ;::r
(Phone)
(Address)
APPLICANTf./.' .111 t
(Name) I<..l fI c./'. J...J ct..l I . \ lw'-Q.....c of I
. 'jT-L /. _
(Address) ~n /!LJU"I-/2 ~<L.,.}
(Address!
~~ .K:J
APPLICANT SIGNATURE /_ ~.~ DATE
/- "/
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower ~
Dishwasher 7
Floor Drain /
I Lavatory (Bathroom Sink) /
I Laundry TraiOJor 2 compartment sink
I Shower Stali
I Sinks
I Bar Sink
I Water Closet (Toilet)
(Phone)
JVlqf)Jp_ PI'%/~
(&;) (Zip Code)
(Phone) <0 t '';- - <;7? - (0 , (5"
r.e.b- \ L() 5'
I
(Contact Person)
Quantity
-~
-?-
I
7
/
'2
}
.:s-
Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
/
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $ 2, t100
/
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building P,nuit # cs-. 0 1-7:/11 006 t .
~ J '&l/
$
$
$ ~
/"
jpaid ~
D~ ,_
fl". Z' .,~' j
Recei~..N....O' ,
By ,IIIL
;-- ~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
06/21/02 .fRI 08 :.36 FAX 612Hi4245
CITY OF PRIOR.L~
[4]001
ell y OF PRIOR LAKE
REA TINGJAIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
i ~ ~~ I PERMIT N~" .unn
,. v.n.,., Al'Plkont~ '1 - I r I
(P!ease type or urint and sim at bottom),
ADDRESS 14q/1 Wj'Jdwooc/ ~(I NW
ZONING (ofticC 1m)
LEGAL DESCRll." ! LON (otlic: u.o;e only)
LOT BLOCK
ADDmON
Pill
~=R N QH Q 'IUC (phone) q~lJ -I.?XP?J .
(Address) '75 U ':) 0 f f i Q e. M; dqe, C ieQ"~ k dQn '--:PI uiri~ E133~(?
.....
'~~;~~~ANTJ/)'PV~ Htt:C1Il,; (Phone)Q5~-qJI-<tZL('
(Address) (D3LD5 Q/or V.f:-. Suite- 6 l=dQI1PrainP,S53~v
O teA s) ~ (Cit'J) (ZipCO<k)
(Contact Person) h I c:n a (Phone)
APPLICANTSIGNATURE ~/1-i~=j/~. DATE 1}&--'7/0S
\ i APPLI~NT PLEASE COMPLETE BELOW
)<:lNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS -J.
FURNACE MAKE AND MODEL ~YHJ()j( l7 (; I H PV (c 0 t -il 0 FUEL ~ 01 .
FLUE SIZE 2.'/ p~ RETURNOPENTNGS 20 INPUT IlO",roO OUTPUT tOW)
TYPE OF SYSTEM HEATING OR POWER PLANT
OW= Air Plmts 0 Steam
OGravity 0 Hot Water
o Mechanir;:U 0 Radiation
[JAir Conditioning 0 Special Device5
[]Vent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$39,50 minimum
R~identiaL Heating &. Ale (New ConstrUcti m) $99_50 Re5idential. Additions &. Alterations
Residential, Hc:rting Only (New COnstrUCtiOl) $64.50 Residential, AC Only
2r'J.... IVY\ cg
Estimated CostS ..:.J, LA..V.
539.50
$39.50
$39.50
Buildip~ Official
nltte
B,n:ng p~ .~O ,\ A )
$ .50 t>'V
s /00.00
'-) : B:06~ No
I P;lId
I Date
HEATING PER..\HT FEE
STATE SURCHARGE
TOT AI... PER'\fiT FEE
(omet Use Only)
This Applic3tion Becomes YOUI' Building Permit When Approved
24 hour notice far 1111 in,pections (952) 447-9850, fn (952) 447-42~5
P R 10 R LA KE OEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS _/~9/? ..w,ycl~o~J ~ /'Jr'
NATURE OF WORK ~ c~iJ';: c ~
USE OF BUILDING .L'IJ
PERMIT NO. - () ;).. ;' V 4--11 ,. DATE ISSUED . aJ _ I~'
CONTRACTOR ~ ..:uLG PHONEtl;I.T~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
A.ll~' ~ ! 11 INSPE~.~ ,DATJi
I FOOTING ~~Pf(P *~;/(.'().'l //Pr I ~b~5---
t FOUNDATION (Prior to Backfill) I p~ (l, ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
w L ~d7 6':'b
SEWER I WATER I SEPTIC
FRAMING . ~f) L~<"-'
INSULATION L l L:;),- rt>
ELECTRICAL . . I I
PLUMBING I} /0, /tlJ:! 6/}:!/65
HEATING (if required) (j45 L.L..
FIREPLACE .s
GAS LINE AIR TEST
f
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,
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I / FINALS
....
/1/ /'1/J /L
.' l/(j(f.J
GRADING (Prior to Sodding)
BUILDING<1~ ~,., ~ - ( -t> \ I
ELECTRICAL ~
PLUMBING
HEATING
DO NOT OCCUpy
I 7" 7.. ,0:;
( / rG) oJ.::,
r
Cve ~,> ~p /4<r
(dO~
UNTIL A Boii'" HAS BEEN
NOTICE
SIGNED
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
12..~2~
ADDRESS 1,-/517 tAI,'llwJ C"'f.
OWNER CONTR. jVt""" ,
PHONE NO. PERMIT NO. 05" I..f77
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
dYrlN1.L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
OC~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
b,rq~ - 0 t:-
L u ~L, RQ? - t2L
'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!
INSliOTl
I D~T7 ,A. TIME
t~
//1/1/-.0 H/O 00 '77C~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
14C?/7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
)INSULATlON
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMl;NTS:
J' " (""' r
( /G~ C/
~/C6
ll\~ ~~\()
. \'
5.4'/1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT lorJND PROCEED
o CORR T W YCALL FOR REINSPECTION BEFORE COVERING
------, Owner/Contr:
C 9850 FO~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
DATE TIME
SCHEDULED It ~
LJ~\&~~ "\\-..
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1 '-l 't L 1
OWNER
CONTR.
PHONE NO.
PERMIT 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
COMMENTS:
s- '-117
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/,
-r/IA.J, G}~
~~
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- -----
. ".........,
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(~r)cueQ (2~
----
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I
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. - q! I
~L~('~h.}'4 ""V'oC-~
8- (-0/1'1.
r
o WORK SATISFACTORY, PROCEED
o CORR~EN AND PROCEED .
l( CORR _CT R CALL FOR REINSPECTION BEFORE COVERING
Inspector\/ I Owner/Contr:
CAL~'_\ 98/0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSliOT/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J l/ '{ ~
\.u~\A) \.U~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
l~
6 -LIlt
. 0 I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)z( MECH FINAL
CqMMENTS: .f' fi>,.. All ~.
I. r'r-o\Jid!R. full \~ t\"'-""-.&~ \ +0 ~
ZL p~" ~"'.AA.~ __.D f4.f'O~ -for H ~\/ -
5. FL......J.. ~~ .,~_ 1I{/7- 'tf?>~O
'f. Unw~ C\J~ e.,J c>'^.. ~
OlC- .. _f~O ~~-k- tlcc..p~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
ifj-imE INSPECTION
o WORK SATISFACTORY, PROCEED
o CORRECT A TION AND PROCEED
X. CORREC{W K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: {\' Owner/Contr:
CALL r-~ 0 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE R QUIRE. ENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE /I-Prs-
INSPECTION NOTICE SCHEDULED
ADDRESS ttlD W,\JbJ~ ~~
OWNER CONTR.
PHONE NO. PERMIT NO. S- -4'Yl
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
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 M PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~~ t..\~J...~.
~. ~ ~ -h'x[/I()/!<
3.~ ~ clpQ..,^- COt- (O'Vll'
~~~-- ~ ~
t;~ 0",.M ~r M If) 1.52.- L/.47-~9'A
~ t;" J1cc.e? ~
/
o yroRK SATISFACTORY, PROCEED
~ORRECTION AND PROCEED
o C'ORRECT~.1't.~LL FOR REINSPECTION BEFORE COVERING
Inspector: I) Owner/Contr:
CALL ~7-~R THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl