HomeMy WebLinkAboutBldg Permit 06-0573
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
W. q {/C:J
White
Pink
Yellow
File
City
Applicant
PERMIT NO. O~. 0573
(Please type or print and si/:ll at bottom)
ADDRESS
d\GtSr
3~~"," k tv vJ
ZONING (office use)
/c'/.JD
LEGAL DESCRIPTION (office use only)
LOT \ ~ BLOCK 5 ADDITION.s ~~Cr
~.~e..
PID ;;ls -"JY l:> -C~... D
,
OWNER
(Name) 'l611. 3~~
(Phone)
"1-'}'1'-<{14(,.
(Address)
BUILDER
(Company Name) Tt>\.~ 6nsu.......-. w....
(Contact Name) -B~ ~c..kS\o'"
(Address) 1 ~? I g~.. Ax.- AtW
(Phone)
(Phone)
q~;)" 41.(S- :?<f7V
~(s'-7~i>--4J '-/L
TYPE OF WORK 8:!New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish ~Fireplace (I)
OAddition OAlteration o Utility Connection
CODE: ~.R,C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
;no O~~
f
trmshed mformation on this applicatIOn which IS to the best of my knowledge true and correct. 1 also certify that I am the owner or authonzed agent for the
~ 1.._,-i\Il...r;:Qnstruction WIll conform to all existmg statc and local laws and will proceed in accordance with submitted plans 1 am aware that the buildmg
t for Just cause--ror\hermore, I hereby agree that the Ctry official or a designee may enter upon the propelty to perform needed mspectlOns.
~~<~~
Contractor's License No.
'\
s- "3/~'
Date
Signature
Permit Valuation d?O,cJOO Park Support Fee # $ --- 1
Permit Fee $ ,3.0-13.6 () SAC # $ 155'0. --I
Plan Check Fee $ I /;41} . '7fl Water Meter Size 5/8"0 $ 3 a ,!;,,,- I
State Surcharge $ I ::2y l) , ---- Pressure Reducer $ /I"X'J -- I
Penalty $ Sewer/Water Connection Fee # $ 15-0(}. .- j
Plumbing Permit Fee $ 100. ----- Water Tower Fee # $ / DOt). - I
Mechanical Permit Fee $ IO(J-- Builder's Deposit $ I Fi'OIJ,-- I
Sewer & Water Permit Fee $ 35 5'0 I Other $ I
Gas Fireplace Permit Fee $ 1--/6, - 1 TOTAL DUE ~ U. z,fJ .~~ $ 9,80(,.78 I
IJ ,
./
This Application Becomes Your Building Permit When Approved Paid ge()~. i'F Recf/Ipt No. 57q,~
~ ~ Date . '1./J,Ob By fA.
&/If%/P d
Buildll1!! Orticial Date
ThIS IS to cerl1fy that the request m the above appltcal10n and accompanymg 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 compltance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
i~~
Planning Director
10// folt) h
. . Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~ oJLf
r
,- -~
Residential Building Permit Che.cklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
.. ,..
Reviewed bY:.~ ~ Date: (P II ~ ~"
Zoning:
Building Permit # PID:
Address:. ~/'78" ~ ~ .
Legal: L /~ , B~ Subdivision: ~
Existing Structure? YES~
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA I FAILS(COMPLI~
. 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 I FAILStc..OMPLI~
I Yard Encroachments: NA I FAILS~L1~
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(~A) FAILS I COMPLIES
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
L:\TEMPLA TE\BLDGLIST.DOC
~
Existing Nonconforming Structure? YE~
@SJ
NO
Standard
25'
10'1
25' if abutting a street
Proposed
Z 7. zt:t
I
/0.9
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
, I
/1, 7' _ /0 fa ,'IJ, lAJo.l(
,sS-, '7~
NtJi4/e
IUI'l
75' or setback average of
adjacent structures, but no
less than 50'
Nil
1~7o
,30 Maximum
Standard
Proposed
fJa ,.Jg-
jJ(),Je-
Standard
Proposed
%:1
, Driveway: NAI FAILScrt<JfJIPLlEO Standard Proposed 1
. Maximum width at property line 24' ~O'
. Required setback 5' from side lot line or r;1
30' from r-o-w on comer lots
. Maximum slope 10% 7.2.1 ~
. All parking areas to be paved including R-Vor
spaces adjacent to the garage o-/t.
. Location to match subdivision grading plan t71c-
t BuildinA HeiAht: NA I FAIL$1 CcMPLlE.S/ 35' Maximum ?-7' J
1 Shoreland District: NAI FAILS<:COMPLlES,J Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
Minimum lot width 50' Rip, 57,3' Non-rip
I Shoreland alterations -
I Impervious surface 30% Maximum / ~ 5'"~
, Bluff in Shorelanct. ~)AILS I COMPLIES Standard Proposed
. Setback from topof bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
. Engineering certification submitted/approved By City Engineer
. Grading in bluff or bluff impact zone No importing/exporting
I Floodplai~ ~ FAILS I COMPLIES Standard Proposed
. 100 year flood elevation 908,9' Prior Lake
914.4' Spring Lake
. Lowest floor elevation 909.9' Prior Lake /
915,4' Spring Lake
. Proposed lowest floor elevation 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,
. Elevations 15 feet from structure Must be flood elevation or
higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913,4' for Spring Lake
-
, Accessory Structure?fNA; FAILS I COMPLIES Standard Proposed
. Size '4-- 832 sq.ft. or 25% rear yard
. Not located in front yard (Materials)
. Side yard and rear yard setbacks 10'
. Maximum height 15'
. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
Q/xbitlD - Buildi-V
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 70 /1
APPLICATION RECEIVED --? - 9--
8/1~
G
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cO2/o9 agvtly WhiC~~;I ~ ~
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments: ~
~
r
~ Date: "//(g /0"
~ ~~"-.~ f ~o-p
0-4.IL ~~, ~ ~I
. ,
~ -ILC2..a c.<.,L.Jt '" ~., ~ ~
P J.
~~,
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~
"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
~I~K - "'Iann,"~
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:
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~ aLl
......
~
Date:
0/t (p /l) 6
,
Comments:
{J~~
A" C di. . .
- Ir. on tiOBCl' r..n:d 0tL~.L M\:;d'rn lileal
Umts Cannot Encroach into Required
Sitlt; 7a..u.l.5e1:baCKs
"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 - BulJdinq
~ry - En~ineerina}
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
7. -/~' /1'
_.i, '
/- - ((/.--
( '.?7
/ " , ,~ ") --'-, /
. Lc;'/f (/ ~/
APPLICATION RECEIVED
G
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~-p'roposed at: I
l~7;/ / 9 g 1--)i/--I!"/~1 0717 /(// ~
Accepted
,x
Accepted With Corrections
Denied
Reviewed By:
;YJ1!j
Date:
1,11-06
Comments: -.S.ee Re\lerse Sjde for Additional Information!
See Attachments: I i Grading Plan. 2) Erosion Control Mei1\~~es
"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
(Please type or print and sig,n at bottom)
ADDRESS
~/9t? /i'~~ fi'v~
i ~i~~~~" ~I,l~.. I PERMIT NO/~ - 5. i1-::l
J Gold Applicanl, \f-". f U
ZONING (office
u!>(,;)
LEGAL DESCRIPTION (office Ilse only)
LO'r BLOCK ADDITION
1'10
OWNER
(Name) 76t..'- (?LtJF
(Phone)
(Address)
(Address)
(City) (Zip Code)
APPLICANT
(Name) DSM EXCAVATING CO.
(Phone) 651-480-1355
(Address) 2916 ENTERPRISE AVE. , HASTINGS, MN. 55033
(Address)
(City)
(Zip Code)
(Contact Person)
JEFF CHILDERS
(Phone)
612-919-2729
. APFLICANTSIGNATURE q".A:.-
, I -
DA'TE
7-#-6
APPLICANT PLEASE COl\'IPLETE BELOW
Size of water service / inches,
Location of any couplings from structure - feel.
Type of sewer pipe. D ABC E:f' PVC D Cast Iron
Estimated length of sewer line ~O feet.
Clean out (if required) located at ~ feet from structure.
Residential se\ver and water line connection $35.50
Sewer connection only $17.50
FEE SCHEDULE
Industrial. Com'l & Multi.family 1% of job cost with a $39.50 minimum
Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STA TE SURCHARGE
rOTAL PERMIT FEE
$
$
$
" PAID 10417
lUlL VV, rH
.50 DING pro-
r::AMrr
(Office Use Only)
This Application Bccomcs Your Building Pcrmit VVhclI Approwd
Paid
RCl:cipt Nu,
Date
7/30;h By
e~
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
AUG-08-2008 TUE 10:44 AM RAY WELTER HEATING & A, C
FAX NO. 8128252303
P. 02
CITY OF PRIOR LAKE
HEATING/AIR CONDII10NINGIFlREPLACE PERMIT
Date Rec'd
I. I'\~~ I'il.
::. Orun CilY
3 Yell.'" AppUooat
PERMITNO'''.673 \
(Please tYOe or llrin[ and ~ir;n II: bottom)
ADDRESS:&I ~rMVf J1y~ Mid
ZONING (office t15C)
LEGAL DESCRl. ~ iON (office use only)
LOT BLOCK" ADDITION
PIP
OWNER
(Name).
~Lt. . fWv; 1Hl2V _, (phone) _,65)... J'6S=-d55 J
i'lRtJ OtPdfbl/1/E (?~- (J,IJI): ~/Je ll/)
1i?~fANT ({~ iJf&d (phone) ~/j, 9;5- h';Jt1
(Address) 4 b ! 1 Q ~ 6? A/tt. ~. {fJPL5. -[; .
. /) . J (/1'~S~) (City) (Zip Code)
(ContaL'tPenon) ~1Lrl ;I. (phone) ~~~ <?JS;tft,1
APPLlCANTSIGNATURE ~ fi M DATE C" ~.,,~~/J&
(Address)
" APPLICANT PLEA COMPLETE BELOW
. ~EW CONSTR!JCTION 0 REPLACEMENT 0 AL TEM nONSj /J
FURNACE MAKE AND MODEL ~ .tJAj~ . FUEL {v!th.!;tf.f
FLUE SIZE ni., e. RETURN OPENINGS ~ INPUT J dO;J:fJU OUTPUT~I ~
i OF ~YSTEM HEArING OR POWER PLANT
arm Air Plants 0 Steam PLEASE NOTE:
. avity 0 Hot Water Air Conditioner Units
~hanica\ 0 Radiation Cannot Encroach into
Air Conditioning 0 Special Devioes .{ ?r./l Required Side Yard
OVent. System 0 Other Devices htrL 11> {(I K &tVlI>, Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. Commcrcial & Multi-Family I % of job cost Residential, Gas fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50 Residential. Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39,50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
PAID WITH
.~ILD'NG PERMIT
(Offiee Use Only)
This Application Becomes Your Building Permit Wben Approved
Paid
Receipt No.
Date
By
BulldiAl: omcial
nate
24 hour notice tor aJllnspedions (951) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
6)
~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
orl'h()f:,
(Please type or print and si,gn at bottom)
ADDRESS
i ~i~:n ~::~y PERMIT NO. ~,05' p
3. Yellow Applicant VI.. I~
Z/Cfa
tJElP70NT
/fVe
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANJI
(Name) RJ,..J.o --.. ~ ~ ~ <:.
(Address) f'i IJ 0 I 0 ~ ~ ( ~v (. Ai. oS f-~
(Address)
C-~c. 7'Db,,-- S
t
APPLICANT SIGNATURE c::~ - /,~ ~ a ,.--
A 0.."
-- -R q:J"t&,
I t:) () l)
(Phone) 71> 1 - s..., I - .:J.s-- cJ.s
~..,./~,)." Jtt,.J ~ll k1
(City) (Zip Code)
(Phone) 7f:, 1 - S...,,- '2,..~ 2,..~
DATE fr- -/f./-CJ to
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
FUEL
OUTPUT
HEATING OR POWER PLANT
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
It,D f?Y
P {5 tJl UJ elL
/7,
Rec~
By A- -...
o
Estimated Cost $
Building Permit #
(Office Use Only)
BuiIdinl! Official
Date
....;
~
Dat1' j t. cJ 0
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
10:31AM
Plyrnoutr Plumbing & Heating
No, 7234 p, 2
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PE~ust 16, 2000
(Please tV1)e or print 3:114 sO/')J, at bottom)
ADDRESS
2 \ q ~ ~on.*- p..v<....
~: ~d ~ PE~T NO.'.... 5"'.
3, Yd!ow Appli01.'lt "/~
ZONlNG (officc use)
LEGAL DESCR.u:-uON (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name) 30' \ ~~~
(l'hone)
~1'~_ '^ D~\ 'rf C" ~ ~~t..{
(Address)a2.'t.o U::.-"-.o,\\,,-)c:..o...\~ ()r-. ~..... l~
APPLICANT
(Name) p\'! tV\.t"'t~ PI \A..rY\ ~ ...
(Address) I 'J_ ''-.0 L.\ ~r-d s.k ~
(Address)
(Contact Person) Q -"'~ ~<=:.L ~
APPLICANT SIGNATURE J. ~ .---.. .f(4,/I.A-<1~
, / t/ I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower l Rough-ins
I Dishwasher I Water Heater
I Floor Drain. I Water Sot mer
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink I I Sewage Eiector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I I Other
w.e.u*", \'"'\.A
)
~. ""',~
(City)
(phone) -=:1..!..P ~ - 4'\ ~ -loLt:lO
~~j,~
(Zip Code)
(phone) ----=:1.l.P~ - L..\ CI. l,p - W-Qr"I
DATE
~ J t1 J ot.,
Quantity
2-
\
\
5
Type of Fixture 1
'3/L.( ~ '.lL' I
~ . I
I
3
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $ l ~ I 2..1..\ C'\
Building Pennit #
Residential, N~w One & Two-Family $99,50
Residenn Ll, AQOttlOnS Cl. Alterations J>j~I.:lU
PAID WIl'H
BUlLDING
.50 PERMIl'
PLUMBING PERMIT FEE $
. STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offite Use OnJy)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
BuUdlne Ollkial
Date
24 hour Dotice for all inspectioM (.952) 447-9850, fax (95Z) 4474245
16200 Eagle Creek Ave., S.E., Prior I4ke, MN 55372-1714
AUG-25-2006 12:45
CITY OF PRIOR LAKE
9524474245
P.01
~
1::~'?7~ '\ CS;
_ 1ll
U c:r
~E~
CITY OF PRIOR LAKE
HEATINGJAIR CONDITIONINGIFJREPLACE PERMIT
Date Rec:'d
I. PIIk N.
2. '"""" ell:t
) 't.uo... Ml'~C1IIl
PERMITNO_~ .s'lB
~ase t'(Ile or pMt UIII .ir;n IllxIttcnn)
ADDlUSS
2.1 ~ & ~ o...ve.-.
ZONlNG (otfIce
~)
LEGAL DESClUPTION (office use QrUY)
LOT BLOCl(
ADDmON
PlD
OWNER.
(Nazne)_lol\ ~,~
, (Phone)
(AddleSS) e1..1,..~--u:-__~'4'o....U,""" ()v ~LP..... 1Ir.ISb ~~ ~i Vu. ~4L.1
APPLICANT
(NaJl\e) P\~..\.h O\~~a'
(Address)
11..:).:"'l b
~
(Phone) ~,,- Ll C, ]Q...=J.cd l,) 0
U '\ "",6. c. ~ 1l. ~ SJ.-. M l ~ c:; 5 3L .., \.0
(A<l.dz~) (City) (Zip Code)
(Contact Person) Q.g~ ~ . (Ph~) '1 tal> - L..{C; t..-lo I S"~
APPUCANTSlGNATllRE ~~ f~<J'r- DATE JJt.'" /cIc", " ',-
J P CANT LEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE 'MAXB AND MODEL FUEL
flUB SlZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR. POWE"R PLANT
OWarm Air Pl3nts
D<nvity
o Mccbanic.al
Ot-it Conditioning
DVeIlt, System
OS't'Ilam
o Hot Wmr
o RD.diatioD
o Special Devices_
o O\hcr Device!
PLEASE NOTE:
Air Conditioner UniTs
Cannot Encroach into
Required Side Yard
Setbacks
FJ:REPLACE MAKE AND MODEL
iEE SCHEDULE'-'''o
Residential, GAS Fireplace .~39.50
Residaot\al, AdditioDS Iiil.lI.br:TPA,/O 1M,,.,..,. $39.50
Residential. AC ODly EZftll[OING r~ ,,.., :139.50
Building Permit #J . 'l2FillArr
s
s .so.
$
IndUStrial, Conunercial &: Multi-Family 1 % of job cost
S39.S0 minimum
Residential. HeatiDg &. Ale Cl'tew CocltrUCt'ion) $99.50
Residential. Heating Only (I-l'cw COMlnlcliClll) S64.S0
Emmated Cost S
HEArING PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(011"1(. u.t OtlY)
This AppUe1tiOD Become! Your Building Permit When Appt'Oved
Ba;ldlu O11iti.tl
Date
p~~U~Pr-c~wpt No.
: ",! Il\ I.
A' AUG 3 0 2006 ~~ i'
"I i . I, I
24 lIour lIotice for.n iJOpcctiOD~ (952) $J7.,a: ~ &x (95l) 447-42...5
I y-_
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ,vq~ 8e'lMtJA1r Av6'
NATURE OF WORK ~,E-U,) ~~rr: (Alo ,.t. .1Jre,Jc~c:ti)
USE OF BUILDING SF D '. .
PERMIT NO. <<1,,, 0573 DATE ISSUED 'Uf /dll .
CONTRACTOR TDLL l31?oS PHoiQ$"/' 7"'. '1'tt/.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING' AND INSPECTION
I FOOTING
'"i1~
FOUNDATION (Prior to Backfill) I ~ I ;Y..,20 /t::'6
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
7-/y().J
". "
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItAtli5 r H~IIS'6tJ~1f1" I I
FINALS
J /Vy?
~/ t-1--u&
\!VI
V'l/0
v""'vy?
tn/ 11~
S- .~-~g
5r -L.-.)/a
GRADING (Prior to Sodding)
aUILDING
EI..ECTRICAL
PLUMBING
HEATING
DO NOT
~
I()--- 2.c---a.
11
\/\/JI _ \\) ~
A/ / (0-- ~)~
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
<ITertifirate lIf @rtupanrll
CITY OF PRIOR LAKE
~tparfttttnf nf ~uil~iug Jfnspttfinn
.YFinalPennitted D Conditional ~.O. Expires
This Certificate issl,led 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 afthe City of Prior Lake regulating building construction or use. For thefollowing:
Use Classification S / N 4l E ,c rJ r; I L. Y Bldg. Permit No. () (,. (; 5 73
Occupancy Type
/c:S
Type Construction
v#
Zoning District
N. 15!..)
Owner of Building
L It. {j 3. 5TEI"'/I~/Elc.. IClvGC
Site Address 219& /Jt;LI'lv/Vr /11/[ /lIIV
Legal Description
Contractor's Name & Address
--r tJ L L is IG t 77-/ C K!..5
12uIIE,eT 0, !IV/CHINS
. Building Official ()
It). 24-. (j 0 . I J/J//
. I r
City Planner
JI7/VE ,K::r//VSI6IC
Date:
Date:
,..
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO-~
ADDRESS
2/ rfi ~t"ttM+-
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO, .
~LUMBING RI dJ
o MECH RI
o WATER HOOK
o SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
C --r73
PHONE NO.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I~Lv
oiL
t) r e VVlUv<-
/V7~ C-ti ()~
, ,
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT :/r'~'POR REINSPECTION BEFORE COVERING
Inspector: f V f' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~/qy
r3t( ml/V1J-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FIN$\
)OiI""MECH FINAL ~
COMMENTS:
(j/h~6h.
>de' i .(:- ~-j-""
DATE T1"'~
t(,)...-~
~
(,. - S-77,
r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r I / -r-t'5 OIL r;)
~ --.:::::::-...
C? (o<;e hi)
--
-----
ftWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PR CEED
R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
()
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl