HomeMy WebLinkAboutBldg Permit 04-1013 Oversize Survey
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~~s~v
PERMIT NO. Otf- ,(0/3
I. White File
2. Pink City
3 Y cHow Applicant
-(Please tv1Je or print and sian at bottom)
ADDRESS /~tf(') I .
l~l !./ ~ ,.L)a,rJ/ tuC<.I /
/
LEGAL DESCRIPTION (office use only)
ZONING (office use)
'Pt(D
LOT \0 BLOCK \ ADDITION\..)\\..,c:...~ ~~ ,"-- ~',-,~~
PID2b'. 30~. (:) O(,.~
OWNER
(Name) ~~............. ,-. .-'---
(Address) '- ~~'&
~~-~~
~ "-__ "L.\4.. ~ ",- ~ ..:>>-
BUILDER
(CompanyName)~'--""-', - "'-"'-
(Contact Name) \..J ct:... ~ ""-
(Address) ~c.....,"",c. '---
'-~"""""-'c..~
~~ -..."---
(Phone) \...s." ""'-~ '-0 ~ "u ~
~~
(Phone) \c:S' "'-~~ ,"",-",-CO
(Phone) \..o\.~ ~~, '" \0
TYPE OF WORK [KNew Construction !)Deck o Porch ORe-Roofing ORe-Siding
LJAddition o Alteration OUtility Connection 0 Misc.
CODE: i1t.R.C. DI.B.C.
Type o~nstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
~ower Level Finish
PROJECT COST /V ALUE $
(excluding land)
)xf Fireplace
~ac,,~cc
I hereby certifY that I have fitmished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorlzcd 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 enter upon the property to perform needed Inspections.
x
'- ") e..." "'-
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~~'- """'-~ - S
Signature
'.:JOtJ, (J()tJ, 00 I
$ eJJ.;i s:.3, 5""" I
$ I 'i" V, 7 F I
$ 1$0,00 I
$ I
$ /()tJ,QO I
$ 100, D 0
$ 3S; ~a
$ .!fa, 00
~=:'&7/:;;'W.'P;~7~
Building Otlicial ' - Date
\ '"' ~~
Contractor's License No.
I Park Support Fee
I SAC ~
I WaterMeter Size5/~
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
Other
#
#
#
#
~\~ '-'J~~
Date
$ f>~d, () 0
$/3S-o. DO
$ ~t:)O.Oc
$ 70, Do
$ , 'Z4!:)tJ f'" 0
$ ,OC,OD
$ (S 0 O. Dt!J
$
$ /0. /13. ~PJ
4-/ P'le 0
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~ :kJJ~
Planning' Director
~/7 ~~
TOTAL DUE
./
I Paid /~ II J. 74
I Date Id. U. ().,-
I
R.eceiPl' No.
By ~.
U
;r~.
~ /7 -I~ ~~,. ~
~-J
. Date Special Conditio . if any
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: : //? ~ y
Building Permit # PIC:
Address: jlN t,)L'''4) ~.
Legal: L f.a-, 8 I Subdivision: t/~
Zoning:
. 7' - - _'.)f'),~'
(j) ~ W ~:-~"'~ mp
Existing Structure? YES @
Existing Nonconforming Structure? YES I@)
CONFORMS TO ZONING
ORDINANCE
YES
Yard Setbacks: NA I FAllSI COMPLIES
. Front Yard (can be 20' if avg. wlin 150')
. 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 year flood elevation Qf~~al1d/NURP
pond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' aver 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
, Floor Area Ratio: NA I FAilS I COMPLIES
--- :A
1 Yard Encroachments: NA I FAll$"/C'OMPLlES ~
I
Eaves and Gutters no.. more than 2 feetin width and'nO
doser than; 5' feet to aJot'lfne(Easementsl
AtCaftdoths:eqlilipment cannot encroacn...on,intedar
. side )c:n~., "
.30 Maximum
Standard
.............
r Tree Pr~Gl':QLforr.lN.Me:AllS I COMPEJE5c..
. Totaf,caUperiilches
. Permit25%, Removal
. CaJiperJnches:Removed
. CaliPerJnches;Preserved
. Replacement
Standard:
NO
Proposed" C:~~r-" "
/So' .
~-~
30. 'J.'._____ . .. .
I~' '.x" lJt)qi\l{.f}~~.'.
,O'~.-_, .. ... . .....
. ......~~;~~~~:~
.._~~:'~~. ". '-"'-'--'''-~-i*-:'';';~-:-'' h'
;,;:)..~. "'''''''<,~~'j
-;.,....,...~:._~.
30.
tJ o.rJE::, ,
I
,
D ... .""'-..r~.~,>~lI!,
F"roposeUl1[-,r,;~,."~7"...
t~-:,
c.: ~;P.toposetl~ Ii
." :{~y:>~~~~:~ .
....",J..'...-.'..;.." '",~_~,'~~'_.~..~-.-^".~.... .".,
~:1
L:\TEMPLA TE\BLDGLIST.DOC
- ~
; Driveway: NA/ FAIL~6MPLlES' )
· Maximum width at property line"
. Required setback
· Maximum slope
· All parking areas to be paved including R-V or
spaces adjacent to the qaraqe
· Location to match subdivision qrading plan
....- .......'
, Buildin~ HeiR6t:_COMPL~FAILS
.
I Shoreland District:(NNhFAILS / COMPLIES
Minimum lot area (square feet)
Minimum lot width
Shoreland alterations
I Impervious surface
...
I Bluff In Shoreland:~AJi FAILS / COMPLIES
· Setback from top of bluff
· Bluff impact zone
. Enqineerinq certification submitted/approved
. Gradinq in bluff or bluff impact zone
I Floodplain/N,4/ FAILS / 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 belbw
. R89uFatorv Flood Protection.Elevation
. - Accesso~ Structuret ~AfLS lCQMPfJ,ES,
.Size-' V'.
. Notlocated in front yard (Materials)
. Side yard and rear yard setbacks
. Maximum heiaht
. Materials compatible with principlestructt.rre
L:\TENIPLA TE\BLDGLIST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
Proposed
~,
~ S-f
.~~~~
." t.
.. trL
,~
~
.1'"1
';'''-;-;.:. ;.
.--........
I
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, fj7 .3' Non-rip
Proposed
30% Maximum
Standard
By planning dept.
Proposed. , ,",
20'From TOP.QtBluff'
I
By City Enmileer'
___ J ___
No imPorting/eXPorting
~':' ~!-'..~;l:r::~r'Z~L:'~:':,'~
.~~':;?l~f~~? _
Standard
908.9'Pririrtake
914.4' Sprinq Lake
909.9' Prior Lake /
915.4' SprinQ Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure wa~ ~Qn~~ed
.', ... ,.....' -,. '. .:.", ..:.......;. :-' .),it; ,'....~.~"_'"J;,,,...<~_,.<, c'
, . 9/19/9(Hl~,:\,.,
adaitiOriSr "d,.","~
Must be ffOQd~. ..
_P, '~~:-"::,;;;':;;~'
907.9' fOr Frior Lake:
913:4':fOl"~:taKe
10'
1S'
"' StaiKraiif;."
. 832 sQ.ft.or2So/(;rearvcmt
.. ...,....,...,..~,';-.,..,.,~....--..... -.,",.
__,,:,..;....;..,__'~. &;,_;A,l;:-l'~-
--- Jli...dIIIIi.,.....j....,.......'".. J"--' -..- .,1Ii. ill ....;!;, "..tIl\:J!'.-
'-.LIlA.. ....~i... ...
-,.,.;\,.
<.:.."....;
..'
.---White - B~
C . Canary - En9ineerin9:)
Pinl( L _ Pla-nning
Th. ('.nl.. 01 Ih. I..t. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ I . _ S,:;:)"
//1 fJ.../J.{ /!.""J'-1,1IAAAA..;o-
:(.- 2 s- -()Lj
/ /'
c7-y/.,-;FJ;:4"'-t2.-;::..:r--....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ._
IL/IIMI /:t/~J:)a~:J f..:~a)t;
. ~ /
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
.~
Date:
1-22-0,/
Comments: See Reverse Side for Additionallnformatirml
See Attachments: t) Grading Plan, 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shaH 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
V\A,O
Tht etnlt, of Iht Lakt Country
White - Building
Cana~aineering
"-....nk - Planniii'9:>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
// J ...24/ ",1//)/1/j /A /VI/V- '--'Y;;'1;'};PL4c~".-'
s(~ () j -QLj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, /41-\ ,,) . ,., I -'!/ /
/,/./~ ,. / ,/ / / i:> /';?'/: ..'..~ {.(J('1",(
, A/ /f-f' c...{ ... ~
.' /
/ ~ Accepted With Corrections ./'
Accepted
Denied
Reviewed By:
. ,..
Comments: ~!..,
~
Ii\(,
tUn A. (3"
~
~p
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
The ('en.er of .ht' takt ('ountr)'
CWhjle - Buildina-,
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/) /!A{A~~ ~
f/ ~S- -oLj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Pi~~ /L/~ f/Ktuf/
. Itlq(iJ ;'
Accepted Accepted With Corrections V"'"
Denied
Reviewed By:
,.
~~
.~_ dt .~
Date:
1/7/04
, ,
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the Jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
L 0 I 2 4 101 WED.l ! : 22 FAX B 1 2 .IH.1 ;~I 5
CITY OF PRIOH L\Kf:
~OOl
CITY OF PillOR LAKE PLUMBING P~R.J."\1IT .
Date Rec'd
I Dlut 'iI, PERMIT NO
I, Oolf Ci., ", I ,__!()'!,-;
j .","_ ",,11;>11I U,. ~
(Plene tY;ee or Ilrmt lod Ii!!%, at t.~..~...t_,_. . '
ADDRESS
\~fO/~'\\~S ~"'Y N't
ZONING lob UIC)
LOT
LEGAL DESCR.l.r ! !ON (office use only)
BLOCK
ADDITION
PIn
~= \~ \~ffiOv'i\f\ ~O~~ (phone) GSJ-'fO'- -WOO
(Addrm) Ig1S-'Ph~o.. k. ~\'kolDO ~v')}>I\l'\, ~'-,)2'2.
~~~~~ANTLJ~el ~\\~,~ \\\o,~. (Phone) {sJ-IfSJ-lsbS
(Address) 17JD 'A~C\~~ \<..J. ~~~. ~/;;21
~. (Addr:s\) ...; (City) (Zip Codcy
(Contact Per1on) \, ~ ,",~Q _ (phone:) ~~ 1-19. -156S
APPUCANTSIGNATURE ~ DATE LJ~
Quantity
I
I
I
Jf
I
:J..
I
I
L ,'~
PLICANT PLEASE COMPLL j L BELOW
Type of Fixture QUlltity
Bath Tub with or without shower
Dishwasher
Floor Drain
LavaiQI')' (Bathroom Sink)
Laundry Tray (1 or 2 comparanent sink
Shower Stall
Sinks
Bar Sink
W ilLer Clos~ (Toilet)
Type ofFlxtare
I
Rough.ins
Water Heater
I Water Softner
j Stand Pipe (Washing Ms(:hine)
Sewage Ejector
Backflow Assembly
Baekflow A5S~bly Tost
j lawn Sprinkler
j Other
/
FEE SCHEDULE
!i1d~"lrilll. Commercllil &. Ml.llli-family 1% of job co,t witil ;t S39,50 minimum Rc:.sidcnti.l. NcwOnc &. Two-Funil] S99, SO
R~i<fenlill. ^ddltiOT1s &. Allensllon; SJ9.S0
Estimaccd Cost S Building Permit" .,~. ;2.. ,
PLUNtBTNG PE&'41T FEE S ""V;?~~.YD~:",
STATE SURCHARGE S .50 'i~A'::;1
TOT AI. PERMIT FEE S . ~.-':~~I)'
101lrH Uu~ 0171.)') ~ - \TI
....~~;~~~:,;,::":~~~.m~.Y.",B_~'d;~~~i:~h.. A~~"~ I t~T ~.~_:uu;~, ::"ipr N'__ .___.___
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c:.cu~ - ,.:n.,.
'"'!~'..'.IIII!811ll""'''''-~'Ii;','''''1 ..I_,........~
HO.(i-!Of3
~1()'r' Z :
S-el'Je=:- and rrle. te=
contractors mus~
be r'=S'lstered
'...ith thp. City.
mr..WNT: W01'?t'\ \~~~~\.
:~~~~:~~~..'~9>~~~::. ~~_.____..
PHQ t-TE :fJS/:J 9-" J -~,r-
DA T::: : ~ ) d-a}0Ll ____
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:-:"'"',-.
- ....... .~ .
?:::?':~:7 ::
. .-.. . ....-.... .
g.;.!..!.. 'ZN T;.;1:" :iL::'.Ni<S
1.
~s~i~~~~~ length oE ~~ter sQ~ric~
90
-
f'2~t'.
2.
siz~ 0: wa~e~ se~~ice
/
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Lcca~io~ of any couplin~s
from
inc:" Ces). II' N\.
s~=".lc":.ure ~/Vt
PVC b( Cast I "('t'"on
.3CJ
.fe~t.
4,
~y?e o~ sewe~ pipe.
ABS
3.
~s":.i~a":.=d leng":.h
of
sew'er
line
G.
C!.~an cut
st=~c-:.u=e.
(if
re~irec) ,
lOCc;:e~
-F:::.o-
." --~fe.t
f:-om
~======~===~~:~=====~~====;===~=====:========;~;==========:====~==
Tl".:'s a?plicat:ion becomes ~ou:::- pe~:.t '..;~cn ~?p=oved.
a'~
DAT::::
=~~===~~~~~==========~====~=========~~=~~=~===========:====~===~=~
:~:::s :
s
s
J5,OO
.so
):5.:;0
Sewe= and wate= line connec:ion p==mi~.
.Surch,=:::'ge
TO T.:l.. !.
s
...
:- ~ -a : ~::" e:.: h ~ :.- !; ::: ',J e:- c:- '..J ~ :. e '::
S .. 50s ''': ~ C ~ ~ :=-; e .
i:-:c~'/::i\::\:'ly is 520.00 ~:'..!S
.... '"" ~..._... .... '''I
. ~ - .. -
'-~r'~'. ~....,: r'::.-~'". .....Q....--.;~\- '-SllQ"': .:....- :O'~" c-....,,-.....-'c-;o- ~":-_ '-.,:.
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~; -: ;~~. ~~~~~~ W ~ }l,~c; ~;"'- ;,~.~ ~~ -, ~;.:: '-".:~ ~;;.... 9~=::\i::i .--~ =~
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::~).:,::: ?~:-:- ._ . OC~._O_~..~,~.O~_~ :~~~.:r~'~j/: ?l.~'01",,,,,,l~,~;t:...._"___..._..__,
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L9EO-~Sv-[S9 DNllV3H ~ DNI8Wfl1d 13ZN3M WOHd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~'l.KEPLACE PERlVul
Date Rec'd
14901 WILDS PARKWAY
~: =w Z~icant I PERMIT NOll., If) 14
ZONING (office use)
(Please type or orint and sian at b "' . . "...)
ADDRESS
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
Pill
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) A~IED F~RESIDE DBA FIRWDE HEARTH & HOME
(Phone)
651-633-2561
(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
11/5/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REA TN GLO 6000TR-OAK X 2
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50
$39.50 minimum ~~. A:L
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alteratiohft ""..,.~ $39.50
"'ld","oI. Heating Only (Now Con"""'lon) $64.50 R",ldontiol, AC Only ~+; ~ $39.50
Estimated Cost $ Building Permit # ~~
HEATING PERMIT FEE $$ ~~....
STATE SURCHARGE .50 ~." r
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Duildin!!: Official
Date
. ;',.'.") /.-', -'., r'1
L~~ - '.J U lL I i R.eceipt No.
..' ri~a1iEB 2 4 2005 : By
L J lJ )!
=.
24 hour notice for all inspections (952) 447- ~~, fax (952) 447-4245
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTIO~ RECORD
SITE ADDRESS ~ ~lis PlW.I!tJAr
NATURE OF WORK 1J61AJ CJll\JsrAuc.l-ie~
USE OF BUILDING S.~O.
PERMIT NO. 04-. /0/3 DATE ISSUED !!Jj'/''(
CONTRACTOR ~N Hoan PHONE ..a.. n, -"'c.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/Ae.,ECTOR
I-O'U/ 1/0--/
FOUNDATION (Prior to Backfill) 1 M /~^/....r I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I~
SEWER/WATER/SEPTIC (~J;/)t) -/
FRAMING . ~ Wf/ -'I-/q-o-u
INSULATION~ I //-2 ~
ELECTRICAL v f
PLUMBING tI~ tfsu4/f ff/-fl' #y /&/
, HEATING (if required) fI1'/ "-{'-Ul/
FIREPLACE I i/lIYJ I /'-/If-rIf,!
· GAS LINE AIR TEST < ff - _~#"* /2f'~.t,,~ ~ 1'- /Cf -al
COVER NO WORKU~IL ABOV~S BEEN SIGNED '
IUcrHC I HAdE ~",,..p I ~A I
FINAL~
~ i> ~ . !> ~ . oc,
Nc_ tf/- P
A
/P "Y\S
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
DATE
I FOOTING
GRADING (Prior to Sodding)
BUILDING <(~ ~ 8.\-o'S
ELECTRICAL
PLUMBING
HEATING
DO NOT
8>-/;>
,
///7/as-
\~
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
@rrfifitafr of @ttupantl!
CITY OF PRIOR LAKE
\ ~~pntftu~nf nf ~uil~ing Jfnsp~tfinn
~ Final Permitted 0 Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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
S INGLE FAMILY
Bldg. Permit No.
04-1013
PUD
R3
VN
Occupancy Type _
Type Construction
L6, B1, VILLAS AT THE WILDS
Zoning District
Legal Description _
)'
I '-/9 a/
~l WILDS PARKWAY
Owner of Building
Site Address
1895 PLAZA DRIVE, EAGAN, MN 55122
JANE KANSIER
WENSMANN HOMES,
Contractor's Name & Address
ROBERT D; HUTCHINS \\ \\-'\
l ~ilding Official ~ ~ !
Datc:6 - ( ,- fJh Date:
./ POST IN CONSPICUOUS PLACE
City Planner
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .f::ff 6 I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~/~~
~ ~",\;
CONTR. 0
II -/(J/~
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o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: _
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o WORK SATISFACTORY. PROCEED
o CORRECT 10 AND PROCEED
"CORRE WO . CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY I
INSNOTl
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DATE TillE
CITY OF PRIOR LAKE //. _ /
INSPECTION NOTICE I~ 96'DU~ED f'~~~r-
ADDRESS I~'~~ M /~ ,1/),-;"
/
OWNER
CONTR.
PHONE NO.
t::Jr - / tJ /.J>
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D~ ~R HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY. PROCEED
~~T ACTION AND PROCEED
o CORRECT ~R~~L7 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!
1NSltOT1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ~~
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. CONTR.
TIllE
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
q -1611
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
~ PLUMBING FINAL
/" MECH FINAL
o EXlGRADIFIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~SLIN~ TST
o Lt.._..
COMMENTS:
/
/
.-/
~K SATISFACTORY, PROCEED
o CO~ECt CTION AND PROCEED
o COR T RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C U7-9iso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUI~MENTS..tRE FOR YOUR PERSONAL HEALTH cl SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I
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'~
8. '3.rh
WI UJ S )'/,t:;?1I V
/
SCHEDULED
/490/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECHjlNAL
<::' -:--
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~,
4' ~I O/.:?
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Je ~/1A-0?
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREn~' FOR REINSPECTION BEFORE COVERING
Inspector I Owner/Contr:
CAIlL 447-9 50 FOR JE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~NTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN$NOrl
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
CI "JO~
ADDRESS
Iq~67 w,"f~ 'Kv'!
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o'i-/oa
o FOOTING
[] FOUNDATION
[] FRAMING
o INSULATION
~L
[] SITE INSPECTION
o PLUMBING RI
[] MECH RI
[] WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
[] MECH FINAL
~ILLlNG
"'[] CO~NT
[] FIREPLACE RI
o FIREPLACE FINAL
[] GASLlNE AIR TST
[]
COMMENTS:
{,~ ('.) It-..
Cv Il~ 8.1' -()/t
~ WORK SATISFACTORY, PROCEED
" [] ~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~<< Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
Job Address/$IfOl t.../J'M.A't...ry
He~ting Contractor. G~-;e >' c,.,
Name of Tester :SQ.
Date / ~7/0<Y
7,/
P
-:7-f'
Stack Temp I ~CJ ~
Percent O2
Percent CO
Percent C02
Combustion air is adequately supplied per
UMC Sec. 606
Input