HomeMy WebLinkAboutBldg Permit 06-0113
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
ADDRESS
~q 0 lo ~ (e.S ~ V lJ e.
Date Rec' d
d- I-I)&:
I PERMIT NO. O(y . () i 13 I
1 White
Pink
Yellow
File
City
Applicant
~L lid}
LEGAL DESCRIPTION (office use only)
LOT Lf BLOCK
OWNER
(N ame)
ADDITION
Pre 6e ( iJ e. fl t the
tv I L d s PID(~5 -:3 { ,~ 0 0 L/ -(?
We nti t'1 tlYl "
1 ~lt)- ~L>>-t:..f}
He me5
(JrliJe
(Address)
BUILDER
(Company Name)
ZONING (officc usc)
rpL(O
(Phone) l:: c~ I ~ '-if} ~ .- Lf'1O 0
e.- I1-q fJ f1 ,J11J1 ,~/i J Zc
'/ /
l-f C )11 e ~
LV enS ~J1n;1
(Contact Name) (t).<! K
C:' J.1-j f( y\
(Address)
(Phone) J ~ .r'- J -1../ D' - Lj'1 eo
(Phone) Ii: 12 -. ~ {Cf-l' z 9
TYPE OF WORK ~New Construction ~Deck OPorch ORe-Roofing
UAdditton OAlteratlOn o Utility ConnectIOn
ORe-Siding
{
f')(D,wer Level Finish
r~-'~
CODE: ~I.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
III IV
H I
2 3
V
M
4
o Misc.
~fFirePlac@
A
R
5
B
S U
PROJECT COST/VALui $ ?J ~~ t)OO
(excluding land) " .J
I hereby certily that I have hlrmshed mformation on thIS applicatIon which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent for the
ab'lVe-mcntIoned property and that all constructIon will conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
~liCial~:.Ct;:C'')~~t J~~rebY agree that the CIty official or a deSlg::.::enter upon the propel1y to perform needed mspeclIons.
- \/signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
I
'~" z, ()~f). 0'0
$ ,).(p 2- >, '$'tJ
$ 17 0 ftJ. ';;l!
$ I~I ,00
$
$
$
$
$
/00, 0 0
I fJO. 0 C:J
t
35. 5""'0
40 .. t9 d
T~'ro~"",gp,~;, Whro Appro,,'
~b t:,
Bl1ildlll~ Official
I
I
1
1
I
$/1/ .5~3. 581
'" -
Re91!pt No. S-j / 7h I
84/ _ - I
tf
Park Support Fee
#
#
$ g5o,(J(!)
$ 1S'~a. 00
$ 300.00
$ 75. (J ()
$ r s 0 ~, 00
$ /000, 00
$ - 1500.00
$
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. TillS document
when Signed by the City Plan er Cllnstltutes a temporary CertIficate llf Zllnmg cllmpliance and allllws construclIon tll commence. Before occupancy, a CerlIficate llf Occupancy must be
~ P]~","g:~w, df/~ & ~ ~ 6-r;:,~~ /
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
SAC
Water Meter Size 5/8"0-
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid 1/, 5C:-,:':; Sf:j
Date ";-'..3 () t
Reviewed by:
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Distrlcts
~ ~ Oate:.e:;/I S~ ~
Building Permit #
Address: c9 'J () (p
Legal: L Lj , B /
PID: Zoning:
jJlLe~ etV/6 OCt//?,
Existing Structure? YES I~
Subdivision: t~e 'fI..e.- ~4
Existing Nonconforming Structure? YES ~__
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA / FAIL~OMPLlE"S')
. Front Yard (can be 20' if aVQ:- Willi rbO')
. Side Yards
Standard
25'
10'/
25' if abutting a street
10' setback +
2"/1' over 50'
25' -
1 0' side/
25' rear
30'
Proposed .-,<c.
La I ~ Pl.I,p.
. 7.,S' ~
. It.
{ 3~ 9 I I
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
. Patio Door: provide for minimum to' deck or sign
statement indicating no deck wilr be built in the future
. From 100 year flood elevation ofWetI~ndlNURP
pond ,'..
. From OHW (Prior or Spring Lake).
. \''''[1
u r7'-'+:;;':',::f~!J~J,.jeJ.1 pt(.()
75' or setback average of
adjacent structures, but no
less than 50'
NAd
I Floor Area Ratio: NA / FAILS(c6MPLlE~
.30 Maximum
'~-,,3,,_':..~ ~
~:~f3r f~~~rj::01i~!~f.~;~:;:~~,,~
',Yard Eneroachments~ NAI FAIL(JCOMPLfE~D .
'e-Eave!i amtGutters no more than. 2: feetin width ai:1d'rno
.... cfosertnan.5:feetta a lotITne(Easements)'.
AiG.andiother.equfpment cannot etlcroachondnterioc .
side:yards:;. :;:;;;'
Standard:
P.roposecrf~{Jlr'S~~': ~.
Standard
J TreePreservatiolT(NAiJ=AILS f COMPUES'
I. Totafcaliperfnct:leS
I. Permit25.% Removal
I ... CaliperJrrches Removed
I: · . Caliper Inches Preserved
I.. Replacement
J
%:1
..
I'
L: \TEiYIPLA TE"BLDGLIST .DOC
I Driveway: NA / FAILS 4:tMp~
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 Heigj1'f: COMPL~ FAILS
I Shoreland District: ~ FAILS / COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shorelanc(iU/ FAILS / COMPLIES
· Setback from top of bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
I FIOOdPlairy."~AILS / COMPLIES
· 1 00 ye)nfood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet oelow
Regulatory Flood ProtectIon Elevation
......-:::..
Accessory Structur~1 FAILS f COMPLIES
· Size-
I. Notlocated in front yard (Materials)
I. Side yard and rearyard setbacks
I. Maximum height
I. Materials compatible with principle structure
L: 'TBvIPL-\ TE'BLDGLlSTDOC
Standard
24'
5' from side [ot 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 depI.
20' From Top otBluff I
By City Enqiheer I
~ ;
No imoorting/exoortin9 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 constructed
. 9/1 9/90- tjj22JS!i then:':'_
additicil1ar(60tt5-not'reqfirrea~~" ~,,"'-,'
Must be f1oodel~~~tiqn;9F,
---, JliQ.neif':;'::'c",-"
907.9: for Prior lake
913-:4' for S'pi'frigTaRe
I Standard
832 sq.ft. or 25%. rear yard
10' C'.
15' k
I
Proposed
Zc..{'
I;
~
If) (.
I'
.. f
()(.,
~
z.g'
,
-~, f -
Proposed
. ".;, -'__"'~:'_ i,..~,~
f
r
Proposed
f
White - Building
Canary - E,r1aineering
L Pin~ - Plannin~.Y
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:
I
.-....'
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: Date:
Comments: ~ aA.P ~ /~.
,_t:j_~J( jt'f (ltlter
'O""'.~"~-n C'<-_c_- -1- n , . l ,-" ~' ."
,'~~a L$....k.~k.:.:i;u,li.J Lll~,llua~ll All;...U .h,eqw..l"'~d
S,~tbacks
"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."
~ - Buildin9..:>
Canary - EngIneering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/) )
LA./. .k!/YI,4/h1PA7 ~
(~- J-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a,ctivity WhicJh~proposed at: . /
,;;{ 9 c (:, - /1J2/.LVL/)~ v!5 / u d
Accepted
Accepted With Corrections
~
Denied
,
,...
~ Date: --z,./9 ~ ~
~,~~"
~~
, /
Reviewed By:
~
~~
~
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."
~~~
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
W~VJ'1AJ--~}-1 Ct.F'J1/'{.....)
d-- /~cj~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructio~ activity which is prop.osed at: "~? J _/
c.;; 9() ~ .- r/le/,LE,i/)f\e./l) / (j C
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
I1lJfiJ
Date:
2 -7-o~
Comments: See Reverse Sidp. for Additional Information!
See A ttachments' l) Grading Plan, 2) Erosion Control Measures
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."
..
..
..
-
MAY-16-2006 15:52 CITY OF PRIOR LAkE 9524474245 P.03
rHOM Wr:NUL nUM~lNl! lJ. HtAIIN\; b'l-q'L-UjOI \lUl'..)'. 10 VO Itt:L't/l:il, l'1:LJ/l~I). 'toOIJUnUlV f I
Date Rec'd .
CITY OF PRIOR LAKE
SEWER AND WATER PElU\flT
(1'1c:ue ~ or ~ ad SilUl at bottOm)
ADDRESS
29(/b /,;f~51t).'VL 8t.//0
t =-..~; I PERMIT No_i~ .. II ~
) Ccll<l ...~I'_1 cp::J
ZONrnG (oUl"",ut~)
LEGAL DESCRlPTION (o!fio:wc o.cly:
LOT BLOCK
ADDITION
PID
--'
OWNER
(N'ame)
tJ.!-)J.{ ~AI.1JJ ;Iy ~~.6 ~
I?'JS /t!."lZ14 L)R.
(l.dd.tet!)
(phone)
~/l6"'A1 j4JftIJ
(CiTY) I
S5/Z z...
(2:q> Cede)
(Ac1<1res,,)
~PU~ L
(Name).." tUI2AJl.J5;l ~ B.6
(P.-ddlcss) ,-,/7/0 ,4aYA~t'6R.:
(Addres~)
,(Goritact.Persanj.~.RM -" t!t::..c~ r
APfJ;~Qhm;,SIf42'i4~.,;.~ ~~~~ ...
~ -~'''':;'
~ /11'6
~/.
.:~(:pji(ine )
Jt31t',4-~ c5S/:21
(City) (Z~ Cade)
(phone) ~S 1- ~S"02 - ~
."'~~~' .s'/~/~ t
APPL::CANT PLEASE COMPLETE BELOW
Size of water sllMce / inches.
Location of an~ couplings from strUcture _ I feet.
Type of sewer] lipe. 0 ABC ~ PV C 0 Cast Iron
Estimated lengl h of sewer line ao feet. .
Clean out (iire'lu1red) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50' Induat:ria.l, Com'} & Multi-family 1% of job cost with a $39.50 minimum
Sewer connect~n ow)' S 17.50 Water ronncctiQll only $17.50'
Estimated Cost $
Building Permit #
SEWER .~ND WATER PERMIT FEE
STATE SURCHARGE
TOTAL. $Rt";[IT FEE
S
$
$
.50
(Ofr,<:c Use Only)
This Application Becomes Your Buildi 12: Permit When Approl'Cd
Paid
Receipt No.
Date
By
Building Official
Date
24 hour lotice (or all ipspectiolU (952) 447-985{), fu (952) 447..4245
MAY-16-2006 15:52 CITY OF PRIOR LAkE 9524474245 P.04
rn\.!lV! Vl~I~i.J:.!.t rLIJNlDll~IJ et. nc,/,\lll"J U,Jl'."l:JL' VlUI \ll)1:.),). IIJ VI) l"T.CI/UI. l'1.Lh I'V. "TUUVV.).)IJL.V I L.
/
CITY OF PRIOR LAKE PLUMBING PE~ll.l
Date Rec)d
~ ~ or _ :mrl. xil!ll it bolmCl,)
ADDRESS
290b ~/?IiJ:{,I?VL 8tVD
LEGAL DESCRIP"II.oN (oBlce'U.!e olly)
ADDITION
LOT BLOCK.
OWNER.
(1-Tame)
(Address) .
wh.).SI'-t-!1-AJ...J Il-o~eS
/ !f5 r!il'2J:f l)12..
~~FtJ,ffiuL. 1~1.8b ~. Hb'r7J'~6
(Address) /7/GJ /fUX.l1.1.iDe/? /?cJ.,.
(!\,ddrcss)
(ConuctPer:on) /l'!lfL. i'!...flc-A e/f
, . -;:/ A? -n/?o . ;~/_
APPLICANT SIGNAn1R:E ~ et.c..t:. -' r ~
Qu~.ntity
I
/
I
S
/
z.
Z-
,7J
A ~PLICANT fLEASE COMPLETE BELOW
. . .
,- 'Type I II Fixture QuJmtity
Bath Tub wiUi at wJ thout shower
. . .
/.DisllwaSbti.
.1 Floo~ pntin .
I Lavatory (BitbroOlll Sink)
I Ls:ondry nuy (1 or: ~ compartment &,ink
f SQ("a.rer StaJ I
I Sinks'. .
I Bar Sink
.j Wmr Closet(faileil
I
I
I
!
I
I
J:l'U S~dJULE
IIl~utniaL CQ=l;J'(:l~ &: M~lli.f.amif>, ", I (lfjo" C;O:% "'i~1i ~ $39.S0 minimum
(Office Use Only)
t= ~ iPERMlTNO./~~ I/"~
J. Yodlmr ..^wl1aa1 I ~--r
ZONING corra 11R:)
l'llJ
(phol'le) 65/- ~O, - 9'0/00
~i'("ll.JJ : ~,J 65/2 Go.-
(phone) ~O J- V~ - /S"65
~AA.1 6S/Z1
(City) (Zip Code:)
(Pho~e) g6/- rs;z - /S"6S
DAtE o-/./O/D k"
Type ofIi'ixtUre
./
Rougb~i.ns
. I W:r.ter Heater
I'Wa1ei Softner
I Stand Pipe (Washing Maphine)
s<:wa.ge Ejector .'
Backflow Assembly
I Bac)<1low Assembly Test
'I Lawn Sprinkler
I Other
1
j
1
I
1
J
/
RccickntlAI. New OIlC Ir. Two-'Family S99.5D
Re.sidcnti:al, AddiLiocs & Altcr4!ioo,s S39.50
Estimated Cc It ~
Building Pemlit fI.
PL~ING PERMIT FEE .s.
STATE SURCHARGE $
rOTALPERMITFEE $
Tbis Applic:l'tion Bfcomes Your lluiJ ~iJlgPctmit)Vben ApproVtd
. .50
Paid
Receipt No.
DlIu
By
~rc
24 ho~ r notl~ far .n Intpt:lll&iu (932) 447-~Bso. fAx .(951) 447~:Z45 .
11'1.00 Eagle Creek'Av~. S.1., hJot'~ MN 55372-171.4
lu.i1dilll! om 411 .
~1A\'-26-2006 15: 44
CITY OF PRIOR LAkE
9524474245
P.02
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Datc Ret'd
I. Pink
1 G,QCI\
l Vtllo...'
~1~ I PERMIT NO ,,/ ., JJ~
"'tlpl"..,,- ~ ~
rPle~'c Iyjl! or llrill13l\d sillin al bollonl)
AD~qO(p 'Pr61n e J3 / vc/
ZONING (ollie.
u.~)
LEGAL DESCRIPTION (oflice use ol\ly)
LOT BLOCK
ADDITION
pm
~~: )Jen!?rnOJlfl ck)0/11f.L)
(Address) gq0 Pf o.U1 Dv. #.2()j
(Phone) (PI-e;O 6;;70:1
Elt.a{()'1 MN 55!;)?
,/
(Phone) qf)~{7 Lf7 - 1000
(Adclress)eAdW \)J. t-+Wl./1 IS 13 w"l'Isvi I if- :f.Y3?j7
i.~' (Ac1ch'tl$s) (City~ .Jfip Code)
(Contact PelS on) f'\ /)^()) .- ... (Phone) --/'J:}-'7&5/- lOW
APPLlCANTSIGNATURE (cj1J1n ~6>1!./i:.I//'I~ ,DATE 5l:;;& LQ~-.
, APPLICANt FtEASE COMPLETE BELOW
~ew CONSTR;UCTlON 0 REPLACEMENJ. 0 ALTERATIONS
FURNACg MAKE AND MODEL LflJLJiIX (:;?-!11)E- WD- (:.~ S- FUEL .~ (~
FLUE SIZE RETURN OPENINGS INPUT I 3 Sa 1) OUTPUT / }J/c2fLi)
TYPE Of SYSTEM HEATING OR POWER PLANT
..~l\1m ^ir' Plants 0 Steam
I,rav[ty 0 Hot Water
, echanical 0 RadiBl10n
, Or Conditioning 0 Spec;.1 De"ices
lVent System 0 Other DeviOt:s
FIREPl.ACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannol Encroach ;l1to
Re{]uired Side. Yard
Setback,~
Re.idential, Heating &. Ale (New ConstnJction)
Residential, Heating Only (New Conslmc:tiCln)
--"_.._. --
VRe s.ciiEDtJLE
1 % of job eoct Residtmlia[, Gns Fileplaoe
$39.50 ll1inimUIll
$99.50 Residential, Addilions & AIlc:rallons
$64.50 RMidciltial, AC Only
539.50
lnclllslrisJ. Commcrcial & Multi.FIIJnily
539.50
539.50
Estimated Cost $'
HEATING PERMIT FEE
ST ATE SURCHARGE
TOT ^l. rERM.l"f FEE
Building !>erl)1it #
$
S
s
_I='JUD WITH
OlNG PERI~
.50 .wlT
(omet UreOnl)')
Tbilt Application Becolllcs YOIl1' Building Pe.rmit When Approvcd
Iluildilll! Offid.1
lhl.
~,~ @rE,UilllEi\.ceiPtNO'
19a1~UN 0 9 2006 J
\ lJ'
24 houl' notice for All in!l1ectioM (952) 447- IB50, fax (!lS2) 447-42.45
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~:~y PERMIT NO. '-. 11.;/
3. Yellow Applicant ~ V
(Please type or print and si~ at bottom)
ADDRESS
2906 PRESERVE BLVD
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
pm
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/27/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
REA TN GLO 6000G X 2
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
SUIL6A/0 W"... ·
'NG ';'''''
.50 'ERMn-
(Office Use Only)
Buildinl! Official
Date
i "<P'ald
II ~ JUN 2 e
III!. Date
Receipt No.
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447 ~-fa-x(9S2J4474245_ ~...:.=..:!
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS ~'(J, ttDav~ 71Uf)"
NATURE OF WORK ~~1t4J ~~hN (W/':,'#JItlNl/J ~,'J
USE OF BUILDING -t',P':f)-
PERMIT NO. ()~ J 0/13 DATE ISSUED "/1) /tJ ~ .
CONTRACTOR ~#IN H~IIf,'~ PHONE_"Z .~."l'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE,TOR I . DATE
, FOOTING 0C I PP: _~/ /fJ/~~
FOUNDATION (Prior to Backfill) I iY/5' y.4t~ (, I
PLACE NO CONCRETE UNTIL ABOVE liAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
. INSULATION
ELECTRICAL . / /
PLUMBING 0.6. fp~~(d
HEATING (if requiredr
FIREPLACE
GAS LINE AIR TEST
l.-Ol
?~ ~/tY"
f~
I
/;l) / r) P L
/ "
.'JVO (.1~)/
rttf
;vf
ul,J~
I J
'7 -I'(j.: \
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ,"'rN. / "~MrD&JMi' 1.L4ft: d~~ c;/~~I
FINALS
II//~ /l
. VVV/
GRADING (Prior to Sodding)
BUILDli'dG
ELECTRICAL
PLUMBING
HEATING
, ,
~/Ui/()&
.C("':7,u
DO NOT
. -
{!t
OCCUpy UNTIL ABOVE HAS
NOTICE
. /
~/~b
'/~
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained unUl 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
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CITY OF PRIOR LAKE
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~ Final Permitted /[J Cpnditiona(C.O. Expires_ / .
I This Certificate issued pursCg~L c;~rrem:nts'of~ectiOTJ-Jl;:f the 0 Residential / D International
Building Cocie certifying that11t the time of issuancejhi-..,'siructure was in compliance with the various
ordinances of the Cfty7)fP#or..I,(!kJr!..e8:li~JiTl.~11d{ng construction or use. For the following:
Use Classification .::! /Ii I; L E /-: rf;-:; 7L:.t;I , Bldg. Permit No. ((~. (; / 13
Occupancy Type _ l;<'~;> Type Construction i' . M ,', Zoning District F' ,/ I-I
Legal Description _ L -1-- I C / / /J.f / E ,:; E f:. [. 2:~ /1 T 77-1 E- fl.' / L [.; ~
Owner of Building . SiteAddress Zi( & //~"E::;E.*':::: ~'E:. Ci-vL).
Contractor's Name & Address /. EIV':-I'/I---I/V/\/ IrS/!::: /-'L/-f21'-i uk.:. .:P2C(,: t: /1(lrJA/
/l ' I. (. t: f', T u. I-j I i 7e,,11 AJ::: 1 M'6ty Planner Jli II' c: I~~ h IV ~ ( E-l<
Building Official f r
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Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
---29~6
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~C!'s--r:. rV~,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~BING FINAL
o MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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o W~TISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, ;~ ":~SPECT 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