HomeMy WebLinkAboutBldg Permit 06-0398
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
/4451) E/tIk-l'l vIE
Lr
LEGAL DESCRIPTION (office use only)
LOT ~DBLOCK 5 ADDITION .;:.re.PFER$
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
tv/!itVSM"A/.,v HOMIES"
!Zh( ~HG/z,b~
/tjC{5 I>LI'f z rl D,R ::tu
Date Rec' d
j.' ({)-b
I PERMIT NO. Oft; - 03c;g
White
Pink
Yellow
File
City
Applicant
~tlJ~ceuse)
Pt:!/V 6
ISI
PID ;J.5 -4~7- 097
o Misc.
~5/-
(Phone) ~4~-44~
(Phone) {,It? - 3t->7- 7~31
/JIN 6'510 2
B
S U
PROJECT COST IV ALUE $
(excluding land)
1'1/. q~{), 00
,
/4S~
Contractor's License No.
Park Support Fee
SAC
#
#
(Phone)
/NC-
daD l516AAJ
TYPE OF WORK 'gNew Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish ~Fireplacc
DAdditlOn DAlteration o Utility Connection
CODE: 'flj.I.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
I hereby certify that I have filmlshed mformation on this pplication which 1S III the best of my knowledge true and correct. I also certify that I am the owner or authof1zed agent Illr the
'onfllIm III all eXlstmg state and local laws and will proceed in accllIdance with submitted plans. I am aware that the buildmg
re, I hereby agree that the CIty officialllI a deSlgnee may enter upon the proper1y to perform needed mspectllms
5 -/0 -o~
x
Permit Valuation Jqd, 606.-1
Permit Fee $ I
16J 05. ~O
Plan Check Fee $ /Dt/3. ,<;8'
State Surcharge $ qCOJ 0-0
Penalty $ I
Plumbing Permit Fee $ 106,,00 I
Mechanical Permit Fee $ II)I?" 00 1
Sewer & Water Permit Fee $ - ~:'5" SO 1
Gas Fireplace Permit Fee $ ljf),-- I
This Application Becomes Your Building Permit When Approved
~~
s-j;,/o(.
. Date'
Building OftiCi;11
1
/ S5""Oo.dO I
:4~c)' dJ I
I/? /) - 't> l' I
/ Cj(;J() . ()j 1
. /060'ex) 1
( 5 DO . () 01
1
/') $8,995 ..581
i/ '
RJdeipt No. .5/S.lY
a." /
(!) t=' PE12-'/"O"-s At2.e7At...
,'N e;- M;. rtA.ILE"
Water Meter Size 5/8"6
Pressure Reducer
Sewer/Water Connection Fee
#
Date
$
$
$
$
$
$
$
$
~~~
- Planning Director
ThlS IS III certifY that the request In the above applicatIon and accompanymg documents IS In accordance with the C1ty Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIon III commence. Before occupaucy, .1 Certlticate of Occupancy must bc
issued .. "
S-/I"j(J' ~4~ o..fLl. ~
D'ate Special Comfl'tions, if any
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
I
I
No
IS
_ _ -:;
Paid J' '; 'clS . J .r
Date S _ .1(,1. t! Ie:;
r.NcA~
A LLC,;l erJ
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'I
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
. ..
Reviewed by: ~ ~ Date: sl/~/o(O
Building Permit #
Address: / L/ L( 5 (j
Legal: L ~ , B .5
PID:
E/Jr' ./ A-V6- ~,
Zoning:
Subdivision: 1-~
;::;~
;r:C
Existing Structure? YES~
Existing Nonconforming Structure? YES I~
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NAI FAILS(.t"OMPLlE~
. 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)
~ Floor Area Ratio: NAI FAILS~P:(PLlES)
~ Yard Encroachments: NA I FAILS ,tOMPLI~-
Eaves and Gutters no more than 2 feet iiiWidth and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
'Tree Preservation:( ~P1) FAILS 1 COMPLIES
. Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TE\BLDGLIST.DOC
YES
Standard
25'
10'1
25' if abutting a street
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
3D'
75' or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
Standard
Standard
%:1
NO
I Proposed
~,~'
,
IS ~~,
7.5'0' 1& LJ',.JJ
J ), I I 8~ 8'4"
2:$' t1t I)e~- 3',i' 'T,,~.
/J.pe
1JA
1JA
~ S 47"
Proposed
NO rJ6'
tvo1J6
Proposed
I Driveway: NA/ FAllsttbMPLI~S")
1. 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 BuildinQ HeiQht: NA/ FAilS <COMPLIES:)
, Shoreland District: NAQ ~All~ COMPLIES
Minimum lot area (square feet)
Minimum lot width
Shoreland alterations
Impervious surface
P"'S'()
t Bluff in Shoreland~ FAILS I COMPLIES
. Setback from top of bluff
. Bluff impact zOne
. Engineering certification submitted/approved
. Grading in bluffor bluff impact zone
.
I Floodplain(N,ty/ FAilS / 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: ~AlPFAILS / COMPLIES
. Size
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
I. Maximum height
I. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLlST.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
Proposed
Iff'
0'
o
5" 2..~C)
d-
o/.--
,;l t( f
Proposed
----
-
_. 30% Maximum '3S .5"70
K.C6,<~rGJJ IiK.PeJt.i/'~lJJA1u5J4. S~~
I Standard 1 Proposed 1
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' Spring lake
909.9' Prior Lake I
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
Proposed
~ite_ - BUiJd~
Rary - t:.ngl rang
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Wk10 YY7o~ ~
3"'IO-b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J /.,/4.5 0 f; IV (/!r/ ur~ ~ t
Accepted
Accepted With Corrections /
Denied
Reviewed By:
~
~
t~-<IJ.~ Date: O/I(,p/tJ"
~~~.c~
~~.
~
/).L(
~4-'u ~.
, 0
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."
White - Building
Canary - Enqineering
\"Pink - Plannin9:::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
...J
.:-."~
~.. -- //1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.. I j
J . l' .!
Accepted
Accepted With Corrections /"
Denied
",~
Reviewed By: ~ ~
../J "" ~ . A / -1--- . .
Comments: ~ 4..,,(-/ ~ ~
,
.I
11:6 _.,~.~ ~ ~
,~.
Date:
5 / L~ l(Jlo
. ,
Jt.e
~.At? ~JV
~~~
Air L:vnmtioner r::td. Uther ~leCJla1liCa1,
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."
-.".----:-:lIf
/VrLTL-
White - Building
C. \,;anary - enQlneering,)
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
U..J L/Yv:J ~YJu~,' I VJ-o~'
5- 10- b
APPLICATION RECEIVED ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I L/L/3 0 t:")J ~l,; 1/1___
-'1
// f
l / t
Accepted
Denied
y
Accepted With Corrections
Reviewed By:
/1111/3
Date:
S -18ro' J.
~_...__._.. - . .._._~...-"'::"'_~';-....--__.:_------ ~ '-~-~
Comments: See Reverse Side for Additional Information! :
...,,- ,. .-...'::c....... ...- .- .-'
See Attachm~tfis: 1) Grading Plan. 2) Erosio:n Co'tl.trol 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."
,J WI'l- C:':l- c:.:JluO J.O. ~IQ
\~! IT WI"" '-I"(! WI"( LHKt:
':i:::>~44'(4~4:::>
t-'.kj~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i' gn:", ~1~, I PERMIT NO.(j~-.-mII
3. V.II."" ^pph<Ml · J 'JRJ
(Plea$8 type 01 print ;md dp;n.llt bottOl%\)
ADDRESS
IYl-iSO ~U.
ZONING (ollir:r
use) ,
LEGAL DESCRIPTION (Dffice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Nam(!)~^'- ~
/fi9,'" 12P~~ D-I #~
(phone) CoS7 ~4f!)~ ..t{l.f(JO
, ~ I 17-1" 'S'~ 1,fJ,~
(Address)
APPLICANT
(NameO t .h-n.n", h:,:, ~tI.O-zto ~ . ~ ~ P (Phone) ~~. ~'ll- 'dS'dS
(AddressL
x9m /09..t1-. ~,p_ j:..) H/cr)CJ CAonn.rJ.lJ;'" ,In/) 5S3/c..,
(Adc\re56) , l-(d'ty) (Zip Code)
(Contact Person) -r.C\~ ~np.I"'nP'" . (Phone) !J.L.t.~-S'l(P-/~
, APPLICANTSIGNATURB kl\~~ ~ DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE ANb MODEL FUEL
FLUE SIZE RE1'URN OPENINGS n-wUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLAm
OWann Air Plants
DGravity
o Mechanical
DAir Conditioning
OVenl. System
o Steam
o Hot Water
o Radittion
o Specia.l Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setba.cks
_FIREPLACE MAKE AND MODEL ~ 5~~:x"R-
FIE SCHEDULE
Induslrial, Commercial &. Multi.Family 1% of job cost Residential. QBS Fireplace
$.39.50 minimum
Rasidclltia.\, Healing &. NC (New Construction) $99.50 Resiclenliill, Addirions &. Alterations
Residential, Heating Only (New Construction) $6.(.50 Residential, AC Only
S39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
Building Permit #
S
$
$
_50
(Oliicc'Usc Only)
This Application Becomes Your Building Permit When Approved Paid
Euildl/ll! Orlici.1
Due
I pale:
24 hDIlr notict' Cor all inspfdions (951.) 447-98S0, fex (952) 447.424S
FROlv; WENZEL PLUMt:[NG & HEAT[ 65l-452-iB67
1. U I ~ 4 I U J. Ir.tu 11. to" r t\.~\. \.)1" (, ,~ i il ." ... :::J
(ll'l"' " , I ['J ~\[ ,r, .,~ 1).\7 ~'I\ AI)(I~\I'W~~'Ji) p'
'i\tUJ . :)' 1;1) 'j: L;:' :)1. ). , J\\j. quO; ;)))u)
'. .11 vr nu Vr\ L..-iJ\'':'
')
L
11] UUl
D2te RecJd
CiTY OF PRlOR LAKE PLU.MBlNG PERM.IT
(PlCil3C t)'pC or print and lizIJ II bortom)
ADDRESS . .
1~4SO bc:\~\Je.. ~ \
;. ~~ ~'~ I PERMIT NO~" 2 CJfj-
J. Yolbw- Applic..., II r' - ) -, 0
WNlN G (gf.lc: 1lJC)
LEGAL DESCRJPTION (offi.~ lLt:e on1:)
LOT
BLOCK
AD DlTIO}.
P1D
~~~ {~\eJi\S'(Y\0J<\'(\ ~OlY\~ '. (phone) &51J..fD~-W(J6
(Address)' }gcrS-'f=>lC\'LC, k. ~\~cQbO ~V\ ,~t\\ ~~J'2r:z
- I
. ~~~~ANr IJ~cl ~\\:~ ~ ~h ~. (Phone) 6Sl-fs)=/~~
(Adtire>s) 17JD 'Aft~~no\s~ \~J< ~R Mn< ~/;2/ .
~V - -- t-> (City) (Zip CodeJ--
(Conraa Pe"on) \T~ t-\C'A~9.").;.., J' (Phone) ts;/~ - J ShS
APPUCANTS1GNATURE ~~. DATE 1 h~[)b
~ 'LlCANT PLEASE COMPLETE BELOW
QuantitY I Type Df. r<ixture I QUDtity I
.;:L- _ I Bath Tub widl Ol"'wrthlJUT shower I _3? Rou!l;1J-rns
/ I Di5llWf!.SJ'~r I 1 Water l,l1;.3t!r
" I PloQr.f)rmn 1-- I Water-S$f:x'.
if Lavatory: (BathrooiTi Si flk) I I I Stim,d.Plpe (Washing Machine)'
. / l~undry Tray (tor 2 compartment sink II I st.iWage Ejetror
I I ShowerStalJ I BackflowAssemb/y
L I Sinks B!!cJdl()W Assembly Test
I Bar SinK L1wn Sprinlt1er
::5 I Wa1.~'T Clos.ct (iOilet) I Other
Type ofFixttire
--~---I
J
FEE SLl:1l..DULE
[ndwtrilJl, Comrnc:clsl & Multi.familY 1'Y. ofob ~oJ1 witl'1 a 539.50 minimum R~-jdeotilll. Nc:w One: &: Two-Fa..'1'iIJ S !f9. 50
Re:jid~!illl. Additiom & Alteration> SJ9..50
Estimated C o~c ~
Buildint P=rmit 't
P. ,UMBING PERMIT FEE S
S':'A TE SURCHARGE .$
TJ )'I'AL P~.R&m' FEE $
?ffi;:t: \lIe OW} . . . , . . :. . ._
~1f' .. . -:',- .<::. t~4\~~IIa"'~'-"" ~:-"'~/;,.~.::.'~_'~' ~:'.'~~i-~:t;-H-":'-"- -~j-~gFJ" --'. .,~,';:.. '~-";'k
o' . ..~\\;:Q'fi,r.l",.'f~"";~~; l< .'!:!' ~Yt'f:; . - ~~.,;,;"'~ ~f.i; ',.", ~~
(!~"t~ ;~., . '. ;'~:~*~f1:~"""'.;'.:J.:i7 ;:: - ~ -J) ~c~ ~~. '..' ~ . \".:.!-,~-:' ~:r.. .,__ ~ !t-p) .-.. ~ 1..:-:....:.-
~,,'~~>,:s ?>::::, ":,,~,-,,',h~~.-~:f~"{';;l'<,,,t,t', ,,<~~ :"~~~,,~t::~~,.:,~~- r ~j>~"'}~~"\;:::~<.\" j. ,tC':', ~~z
r;A~~,-~.-~~;.,...-~~ " ...:;:."ti~ ~':"~I'_'g'''~.?\;:~'='!~~~k,,~~m~.;.fm~~~'' :..~~>rr-~.~..~~~..z~~~-f.~'2~ '.;-:',t-'"::,$ ~-.I'~ ~~~_t.~~.~,,~~1~~-:.~. '- ~::I~ ~~~,-
~;~='.'"'-~"~~rr"~' "" ';':r,j.;,,,";. '''~''))fll' '-"""~~r-"'t""""~';:-~'r".--'W~~'" ",'C....l"'-~~.%..:.. .. ::-'\ ,,', ''. ",:'-j:"""~ .--.: !.",!i"',,"cc.) ;.".-, {.,,,,J~ ,
~~~~~~i~~~t%~f,{~~~~~~~f~f~;~ .~~~;~(;~;;~:I~~~t~~t~1?~{~if~;~;,.t~:: ~.fi\~t.-: .',:.:~~::,: ~;.;::j;~; .',:~~~~ ~0D:~~~~~~?t.1~\~:; .
.50
~
j
WENZLL PLijME! if. HEAT! 651-452-0367
(WED) I I:)' 06 'J: L;3 :n. 9: 17 1\0. 48600533:39 P 1
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND W ATEK PElThllT
I. ~ File
1. Yollow CRy
~. Cola AppJ;=<
PERMITNO.~~ ~
(P~ type or ptinr md SWt at boaom)
ADDRESS)~~SD ~~e., e.~~~~L
ZONING (offio:ll.<<:)
LEGAL DESCR.1t' nON (office u.o;e only)
LOT BLOCK
ADDmON
PID
OWNER
(Name)
~~mo..('(\ <\. . \ ~~m~.5~
\g9~\J\n.~ ~ 2\}\~~.!2Cj)
(Addres.~ )
.~
. ~ (Ci(y)
(J:hone) &5)-~b- lft'DD
~:(
(Zip Code) .
(Address)
. =~ ~7:.~ ~\b:J' ~ \\\~ ~':ffl<-)
(Address) .fT)D ~~~~~. ~~ .~\Y),SS-J:;tJ
(~) ~ (City) I (ZipCoIie)
'(Con.ta.ct...person)~. -\\~~~. (p~e)~51-'lS:J..-1S-bS-
Al'~I.~CANT:SmNAl.:tlRE.J~~ ' .'DATE 1 / I~JoI.c>
/
APPLI CANT ~LEASE COMPLETE BELOW
Size of v.a.ter se: vice I" inches.
Location of any couplings from stI1lCt1Ire tvfPr feet
Type of sewer p pc. DABC. r.xl rve 0 Cast Iron
Estimated lengtll of sewer line 30. :fr:'d .
Clean out (if req L1ircd) located at~!!_ f."w: from structure.
FEE Sc.l::.t.lill TILE
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$17S0 Water connection only $17.50-
Cstimated Cost ~
Building Permit #
SEWER A ND W AIER PERMIT FEE
STATE Sf .RCBARGE
TOTAL P E:RMIT FEE
$
$
$
.50
(om,ct u~ Oll]y)
Thi.~ Application Becom~ Your Bnildin; : Permit Wben Approved
Paid
Receipt No.
Date
I ~y
Banding OlIiclnJ
D:oh:
24 hoor nl tice for :ill iospedioDs (952) 417-9850, fax (952) 447-4J4S
06/16/2006 FRI 11:36 FAX 952 767 1900 GENZ-RYAN
I4J 0011002
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Ree'd
(Please type or print and sign at boHom)
ADDRESS ('
\L~L\50 EVIC.O\VL L~--
i ~ii;~~n ~!~. I PERMIT N~. .;ilc:21>
J y,lIw Appl",,"' {{:r J 711/I1
ZONING (office
use)
LEGAL DESCRIPTION (office use ollly)
LOT BLOCK
ADDITION
PID
OWNER \ I ') () f\C' rh. .. .-
(Name) \/v i:_J \ '7JV\f\ Cl J(}LL_2t:.~ L)JtYltS
(Address) IxQ5' P}QZtLD~~S~klFda)
1~:~~ANT CrUrfZ- ~< U CUf)
.J
(Address) (~;ZOJ U), ct;-t-()l) 13 BLtJ-U~SVi r {( 1:5:J,33)
J ,(Address) ,) (City) (Zip Code)
(Contact Person) 4'\ I nJ __ '" . (phone) crs~ -707 -I aD
APPLlCANTSICNATURE _(~~~1cLI~fI DATE (r'J IIGJ/()k-J,.__
l - APPLICANt' PLEASE COMPLETE BELOW"
~"JEW CONS.TR~CTI0N" Q REPL.AC~MsNT . ~ 0 AL TERA nONS . .
FURNACE MAKE AND MODEL LlJ\ \"\0'/\ (:;f Lf3L r-?f ~ C 1\ D FUEL r,aJ . (;N1/)
FLUE SIZE RETURN OPENINGS 7> INPUT OUTPUT J_t2 L.?-.LO
TYPE OF SYSTEM HEATING OR POWER PLANT
'1- Wall:1 Air Plants 0 "team
Jravlty 0 Hot Water
echanical 0 Radiation
, .' r Conditioning 0 Special Dcvices
en!. System 0 Other Devices
(phone) GiSl-Q{J5-- 37L~
~1Ctrl ~1 N f...-t>/2:;
J
(Phone) C1'-S~ -:.]0(- [L'LYJ
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alteratiolls
$64.50 Residential, AC Only
$39.50
Ind\lstrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New ConstllJction)
$39.50
$3950
Estimated Cost $ .
IlEA TING PERMIT FBE
STA TE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
,50
Build!n\!: omcial
Date
PAID WI
BU/~D'NG p~
i~fcejpt No. RA4FF-
[vatWN 2 U 2006 i iiar
(Office lisc Onl)')
This Application Becomes YOUl Building Permit When Approved
24 hour notice for all inspectilms (952) 44'~l}5Q,_ !ax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I Lf.!f1J- () e AC.Jave... Q i
NATUREOFWORK .-AleW (W~ t.lO L..t..1=l'""jf~ tJo. )
USE OF BUILDING ~ ~ ~LC.H
PERMIT NO. (J(d.039/3 DATE ISSUED .5JJ" I~"
CONTRACTOR ~AlAI PHO~' aJ,A. -'1.31
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTING lIVl! I S~1.J~
I FOUNDATION (Prior to Backfill) W{ I ///7 I ~/~(
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
"h t/~/d~
PI} . ,1/)/~ ~ ~
P!Z 7/ltp?
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABqVE HrAS,BEEN ~IGIr-,tED
lLArdE ~. NJpS'6J~ 1~/p??~ I <r~J~:
~~~(lr~ FINALS r .
GRADING (Prior to Sodding) AlfJ~f"
BUILDING \' k.,? v'^"-\ rill lOi-iJV r f/ /O/I~/~
ELECTRICAL . ,
- PLUMBING {tv ( Ii/-:; kb 0 j'Tt;
HEATING 1M 1 / <f ;j,. 7/().,
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
@erfifitafe lIf @rmpantll
CITY OF PRIOR LAKE
~:eparfm:euf nf ~uil~iuy JIusp:erfilIu
~imil 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 Oassification -<; / .h' c;: L c: ,;C /J 1/' / '- Y , Bldg. Permit No. &-. ...5 98
OccupancyType ;C:."-::? T~e Construction I/N Zoning District I';) IJ_C: I )
Legal Description / 2 C1 L':;;- I ..:lt~l-;:: EkJ.::: P()/J/) I ::.,7
Owner of Building Site Address I "'.f4-E: () E Nt' L h 1/'E (~.-r:
Contractor's Name & Address I j/,;:'- ;/.-; ~! I--j/'., iJ II () 1'/ 6 :~
/~(/!;'f/~-;- /) //1/ TCHII'hf.. Cityplaqn~i. :rfJIJE, t:JI/l/::- iE.,fZ...
I I Building Official / J '\. -J,
Date: (D , ~ 1\/" . D~te:
, -- v POST IN CONSPICUOUS PLACE-
..- ...
.,.
~.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~..;l/~
ADDRESS /YJ( so &,,'/1,'1' G L
OWNER CONTR. W(~1fI"J
PHONE NO. PERMIT NO. ~...Jtjf
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
~~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: _
bJe-~~
~/b g~1"~c,
-'"
)( 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!
INSIIOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
,
BH,~
ADDRESS ) L\Ll 50
'? \IV \lU..uL
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
,., JIBiNG RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
)d PLUMBING FINAl,.,..>
o MECH FINAL
v-S"'=r,) '$
PHONE NO.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMIVIENTS:
I, I~ {~\:- Cw,c:
'2.., C'/.,~_QJ_ ~,..,~ MT1l' L(<ltz-~8iB
3. f l ~ .vfcc~-
~ l ~o.9-""'-o -c~ ,-
~ (Y\J e, '. \~~\~
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector: _
Owner/Contr:
CALL
o 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
~/J..~
ADDRESS
i4t{){)
~clu--<
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~. !:>'!<;/
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINA~
~ MECH FINAL ~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
(/) ~~q I
(V) , c:r)ci~
Cf..) l-fu~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
..dcORRECT WORK'IIC#OR REINSPECTION BEFORE COVERING
Inspector: Y If / Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I '-jt{5l)
~cL.
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:
r
('A6~~~f
~
. . JATEJ
/~
~I-
TIME
t -51~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE.AlR TST
~ 5 J.." -
;fWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~T ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: h Owner/Contr:
1/
CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!