HomeMy WebLinkAboutBuilding Permit 04-0418
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U
AND UTILITY CONNECTION PERMIT .9 - 3/ -0 I
White
Pink
Yellow
File
City
Applicant
(Please type or print and sil1:n at bottom)
ADDRESS (f .
4~(~-q ()(/~c-Ct()lr_. D r(~.
LEVAL DESq:R1PTION (office@A/!~;)/.' (j L j , -L
L~T BL~CK ADDf:n~N.:A ,J:_5' >A. ~ LI' ( iGtl\~.\ --S
~'::e~R S \-J ~ (~
(Address)
~~~~~~ Name) \/J \:A' \ ~;,_ v \--\ (,
(Contact Name) pc\\k .r-~ i.A) 0.."'-
(Address) I C~ '~t;~ 1-\ ~_ \ (t-~_
(Phone)
I PERMIT NO. 04. o4/f;
ZONING (omce use)
RI
PID,:J5-3Cf4 - tJO/,'D
./V'-~ A_. 1= A. c
lt~ r'
l.l\) \1-, .-} r) (
I
(Phone)(l~' C'-{)~-iSS'C<"l2
(Phon~-' I ( (: i 2. - <'2-~ -\:J~{'2'
) l. C:-'C'" - .
____c~ G{ ....'\-)., < f?
1(', r
TYPE OF WORK ~ New Construction ODeck o Porch ORe-Roofing
DAddition OAlteration OUtility Connection 0 Misc.
CODE: I.8I].R.C. DI.B.c.
Type of 6;stmction: I
Occupancy Group: A B E
Division:
II IIIIV~A6Y
F HI M4DSU
1 2@4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
('.
??D O(Jl)7 '-
I
atlOn O~IS apphcatI n whICh IS to the best of my knowledge true and correct I also celtlfy that I am the owner 01 authorIzed agent for the
tIuC on II 0 11 eXlStmg state and local laws and WIll plOceed m accordance wIth submlttcd plans I am aware that the blllldmg
Fu hel reo I ereb a e that the City offiCial or a deSIgnee may enter upon the plOperry to perform needed mspectIons
'''- - \ ~({:rll (}; 7 3~ <:1' ZC('~i
SIgnature Contractor's License No. Date
Permit Valuation
I flZUJ.(J(J 0,00 I
I $ /7 13, so I
$ II.5'Z. 7 Il I
$ IlO.oo I
$ 1
I
I
I
I
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing ~ermit Fee 1<0t1~",72-
Mechanical Permit Fee'~ I $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
/O(J. (JO
/otJ,ao
35. S-O
40,00
This Application Becomes Your Building Permit When Approved
~~
Building Ofticial
#z~~y
. f Dat~
Park Support Fee
SAC
Water Meter Size 5/8"8
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
/'
Paid R;4.31. 7Y
Date $,,/2.-r 6 t:1-
$
$ 13S"Q.OC
$ 300. () 0
$ 7(J. 0 ()
$ I ZOo t DO
$ 7Co tOO
$ ISOO .Oe:"
$
!~,131.7~
/) J _ "
i ReceipWb. ~o/Z-/ I
I By A:-. I
()
#
#
#
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ThIS IS to certify that the request in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when sig ed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued {~ 1//rJ/o'4 ~cU ~...u.-rI-~
.
Planning Director
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
. Date
Special Conditions, if any
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
~_ -:.. '-1'_ r 17~
Reviewed by: ~ ~
Date: ~~e)~r
Building Permit # PID: Zoning:
Address: J./'-/~:JI ~ 1h~
Legal: L ! . B I Subdivision: ~ ~ ~t..1<,
Existing Structure? YES@) Existing Nonconforming Structure? YE~
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NA I FAIL$T cfOMPLlES..,)
1. Front Yard (can be 20' if avg, w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
J Floor Area Ratio: NAI FAILS~OMPLI~
---
I Yard Encroachments: NA I FAILS~dMPL~
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
Ale and other equipment cannot encroach on interior
side yards.
Tree preservation(~FAILS / COMPLIES
. Total caliper indies
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L\TEMPLA TE\BLDGLIST.DOC
YES
NO
Standard
25'
10'/
25' if abutting a street
Proposed
2-~.;17 '
I
'25,3?
10' setback +
2"/1' over 50'
25'
10' side/
25' rear
30'
I
.33 ' >" "?
2..$. f
J:J. '5'9 rL~~h4-,
, ^-J~
NA
75' or setback average of
adjacent structures, but no
less than 50'
AJA-
.30 Maximum
2./~
Standard
Proposed
No NJ:E:
rJo,.Jc
Standard
Proposed
Ii: 1
~ ---
I Driveway: NA I FAIL~ ~OMPL~
. Maximum width at property line
· Required setback
. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the garage
. Location to match subdivision QradinQ plan
, Building Height: cQMPLI~ FAILS
Shoreland District: (MNI FAILS I COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shoreland:4NA) FAILS I COMPLIES
. Setback from topof bluff
. Bluff impact zone
. Enqineerinq certification submitted/approved
I. Grading in bluff or bluff impact zone
I Floodplai~:(N~/FAILS I COMPLIES
. 1 00 ye~ood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
Requlatorv Flood Protection Elevation
Accessory Structure:fflA'f'fAILS I COMPLIES
. Size
I. Not located in front yard (Materials)
. Side yard and rear yard setbacks
. Maximum heiQht
I. Materials compatible with principle structure
L\TEMPLA TE\BLDGLIST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots ~
10% . . "" , 4, z. %
1,. ..
'i .i <:tlv
~
Proposed
Zt.{'
35' Maximum
15" f ~,
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
Proposed
30% Maximum
Standard
By planning dept.
Proposed
20' From Top of Bluff
By City EnQineer
No importing/exporting
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
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
higher
907.9' for Prior Lake
913.4' for SprinQ Lake
Proposed
Standard
832 sq.ft. or 25% rear yard
Proposed
10'
15'
.~.
7
..'~~ :...~
<...canary - Engmeer,"
Pink - Planning
The Crn1tr of the Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
<<~.,
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i_,..,;/' ./ t> Cl l'.......,-.._.
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 ........., J,t}
. ."- r-,;, IJ I
" .'~'~ ...:.....'/ / - ....} ''I
Accepted
X'
Accepted With Corrections
Denied
Reviewed By: //0~.---=o. Date: Lj_/Lj-O,/
Comments: ~pp Reverse Side for Additional Information!
Lipb 1307- MLI'l f h(J vl fc/'J 4i- L~v'tr fA Dr,'v(."v'41/
mc,,'/lfiJor/^ krC)J./O'l. Co."jrol ul1h'{ -fvrf- I:~ Ec,fi~/,JJ.,~cI
See Attachments: 1) Grading Plan, 2) Erosion rontrol MP.~~lU:P.~
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."
rhf Cfnlfr or thf l.akt ('ount,.}'
~te - Buildi~
Canary - t:.nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1f'-l4f d (.J Gi/' I cJ(J L
3-- 3 J -()L/
D.~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3- 31-6tj
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~~.~
~~ aLl krJJ ~ ~
-- '--
Date:
~/2 2-/at/
f f
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
~ -I=~ng
c:emk - P1aIlning:/
-
rhf ('fnlt'r of the I.akt' Counl..,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ "/.' ~.U
, '. /~~7
,.
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:
~
j7~
r
~LJ
a-fl
Date:
1/~/(J,-/
r -,
Comments:
11
"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."
FROM :
FAX rn
Jul. 21 2004 02:38PM P1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rcc'd
~ ~~ ~;~~ PERMIT NO.~ IwL(Q
) Yellow """,c.ool ~ CJ
(Please type or prinl and si.", at bottom)
ADDRESS
4::JaJI Overlwk
. ZONING (ollie.: u~l
Dr
LOT BLOCK
LEGAL DESCRIPTION (0ft1" we only)
ADDmON
PID
OWNER 11_
(Name) Wa. I 4{(" (1D,^"e~
(Address) J q386 He', te) Wll.4
n
APPLICANT -
(Name) m('~ iy.... ~ '\:J & \t~
(Address) d..I034 C h lDl\evtePo.,lr.._ Aw~
(AddresI) ,
(Contact Penon) Ji IIV\ ~ ~
APPLICANTSIGNATIJRE~,J... m;Q~-
Qaaatity
l(
,
4
I
j
f
~
, (phone) qf:l ~ 43'5 - ~ (.1'71
, (phone).kS' I - LI,., '3 ~ -l'B ~ 4
tit r I"Y'l / ...,q-k, fA. 55 0 A 4
(City) tJ (Zip Cock)
. (phone)
DATE r-l-al -64
APPLICANT PLEASE COMPL~l ~ BELOW
Type or Fixtare
Bath tub with or without shower
Dilhwuhcr
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinles
I Bar Sink
/ Water Closet (toilet)
QaaDUty
.:5
I TypeoUbture
RouRh-ins
WI" Heater
Water Softner
Stand Pipe (WashinR Machine)
Sewage EjeCtor -
I Backflow Assembly
/ Backtlow AlScmbl,y Test
I Lawn Sprinkler .
I Other
FEE S\.,.tU.DULE
IndlLlttlal. Commercial Ii. Mlllu.rmnlly 1% of job cost with. $39.S0 minimum kcsldendal. New One Ii. Two-Family $99.$0
Residential, Additions &: AltentlON $39.$0
Estimated Con $
B!lUding Permit N
aalell.. OftIdal
n n~:~ \ f\ r\ 'V'IO:::::-"Y')
t.... wi:~.;) Iv J JJ J"
<ill' 'fJ t ,r_ '\j;,J') _-:... _ " e .
-a..,"...,.., ~J~/..:t!\~i" r.....~ - - . _. .:'II"
" I .1';.... ,i ~. ~. i
. ,1'1~"" :-'1\"~:~ ;..
.,. :~ ",,' 1t. . -?'. "P:," ''il,.4,." I
'I-ntii~ ~ n m .~ iT ~~.~>~,~"~, .~ "
-1~L2 2 2004' Il' By \,
PLUMBING PERMIT FEE $
ST Am SURCHARGE $
TOTAL PERMIT FEE $
(0t1Iet tJM 011I7)
nil Applkatloa 8<<omel 1'oar DaUdlal Pena~l Whell Appl'O\'ed
.
Dirt
14 '..r Bollce ror IlIln'p<<tlo.. (952) "l?~50. rl' (952) ",..us
N
CL
C~~~~~A~~~ P:;ftN..O+~
Prior Lake, MN 55372
TYPJ: OF SJm.k., I
HEATING APPUCATlOH I PERMIT
Date t-d-..I -04_ ...... PIO.
Site Address 4 4~v~( 100(<. j) r,
Lot' Block Add~ion
OwnH'sName u..>al-kr HoM.e.s
Address I q'!:> ~O l If. e ~ k( VJ6.u
Heating Contractor FarWl/?':" p~ <a...,J)..
Address f)..[D3~ C~ ac,<.-
fr6, -L(1a1- 7'i!1~
Furnace Make & Mldsl kE:'nncw <:f251
L
CL
m
1"1
N
Gl
'<t
Gl
Gl
N
rl
N
-;
..;
Tel ".:, .,.81!
ModeJ Size
I ()(::dX)I;::J
o
z
x
IT
LL
CoM. Load
Fuel nIL .(., .Rue Size
Supply Openings I If
Return Openings .$
Input IOO/X') Output
Edr.
q~.oeo
~ \\ ~'" .
Cfm.
TYPE OF WORK
AIte.raIions
Replacement
Repair
Eat. Cost $
L
o
ll::
LL
STAlE SURCH
TOTAl PERMIT
.--. .o;..,~. :-:-:--2-'! _~':i--_.,~-.""'-:
x:.
Two-Famly
IndusbiaJ
Si1gIe Famitt
r
Com, , ,; ~'aJ
Fee sCheel.lle
!
H~
1lvk~,Com...o.....:aJ & MLiti-FamIy 1% of'
Ri';;"~ ~I~_~,J, He,.tjng & AC ~.So PLEASE NOTE:
,~I~~_ ......~~~e;~~~~
:c:" :fl~lo add the State SUn:h8r9!l-a1Jhe l.. ::,;: . d thi$";r.._,'!!._ _
..{e:!~~i~1;1t:==li~j~il~
'~'H8afh9 TestRecoJd must beSoUbmitted Mth bWking,llmIDI~ beloJ& buJd..
ang~ ~ ~cy will be issued. " '. ~
- ... , .,
1.ifAL~cAt-CuLATIONS REQUIRED win ru1lberof~ ancf~ Clpflrings, ,listed per
1'OQlJt~.CfM's per opening. Newstnduresor additions.~JloOt:.." 'Ailh ,supply
'. an(f~tOocidionuI,., I.. HEATl.OSS'CAL.cuLATIONS."~ANO
,~'ri4AY BE MAILED TQ.tHFCITYOFPRIOR [AJ~E.:..1&,200 eAGI..E
_*::::e~'f4:';. .! . . ....
"Alt~~STBE IHSPECTED~"""AND FItW.),~ '.~ CITY HALL
;~ .~ _~-~.~:.:~i;-~:~'~:fi~.:-~; ;
:-.0 :_-::"; ~,_ .".
TYPE OF SY~I~
Warm Air PIan%s
Gravity
Mechanical
Air Conditioning
Vent System
HEA TlNG OR POWEfl Pt..ANT
Steam
Hot Water
Radiation
Special Devices
. .
Other Devices
New ConstrudlonX.'
,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or Prin~d s' om)
ADDRESS
OVERLOOK DRIVE
I. Pink
2. Green
3. Yellow
~~;y I PERMIT NO'O,A. /"IA..I'~ I
Applicant ~ ~ l2J
ZONING (omce use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WALTER HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/26/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants
OGrav1ty
o Mechanical
OAir 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
HEA TN GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA IING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
PAW WIllI
.50BUlLDING
1-' bRMIl'
I p,: :;;;j31 ~ r 3.
. ~) ~t@ ~ [I Ijj [~,-I'\ \ By
Date . I !
24 hour notice for all inspections (952) 44~~to,~a~~9Jz) g4~Q!; I ij i
-IL L;
Building Permit #
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Buildinl! Official
~\J
12/17/2884 14:41 9524512155
MAY-26-2~e4 16:~6 CITY OF PRIOR LAKE
DASEH comRACTlrjG
PAGE 81
952. ~4~'4245 ~ .61/61
1) ...."" .1.,"".... ""
~l.l iOFPRIORLAKE
SEWER AND W A 'fER PERMIT
~ =.. ~ \ PERMIT NO~ ALl"
), a... ~.....'" u-r-ID:W
C1"\eue r;~c I$d,1D II ~,~
ADDRESS ~
L-, ~;J.Q,
LEGAL DE$CUP':"ICl'N (oftj,:. - 0Gly)
LOT I aLOCK I ~omON ~~d ~ttf
ZONJ]{G (: ftll:e \ale)
.I
trlid11- ?ID
.
~~~} All1-1ef '-l1~
(A....,,) /q5D ~ ?A)~
---
~~~~~~J[~td;/lQ ('Ihone)9t?;i/dJ/-;)fOO -
{A~"alJD!:i'j 11.We))/:dK1u.. ~K,p.MliR- . 724!/..d
!.Li (Oty) (~ C,ck) ,
(con.'~Pet.,,:) ~rPc r~~ Idt. i!\ (PboO<)~~ '4~1.4Po -
Al'PLrCANt&IG,MTURl.. . ~~ I~ _~ DATE =__===_c.
APPLICANT PLEASE COMPLETE BEl ,OW
Size I)fwa'ter service. inches.
Loea:!ion of :my couplings from. strUCture' feet.
Type of sewer pipe. 0 ABC 0 pve 0 Cas.: :ron
EstimAted length or sewer line feet.
Clean out (if required) locate,! at _ feet from strUcture.
_ (pkc o.e) f}j) - Lf.a S- {ft ij ~ /3- .
(Ot)')
(Zl;! Co~,
FEE S....J:1.l!.DULE
Resid;mtlal J"'" er iUld wmer Jill! COl1Doctlon 53.5.'0 Ind\IJvlal. Com'l & Multl.t'amily 1% of J,')b l;OiC wi'h I $39.50 n-.inimum
S~e: conne c;tlon only S 17 .~O Wam- connel;tioo only S 17,'0
Estlnated Cost S
Building Permit '# __
SEWER AND WATER PERMl! FEE
STATE SURCHARGE
TOTAL nRMIT FElt
s
S
$
PAID WITH
,: -BUfiDING 'PERMIT
10l'll1ll~ \Jilt Only)
.,.,
This APp.llcatlDT. )GCOIBes Your Bulldlac Permit Wh.-,n Approved
Paili
lU~?t No.
BlllI~i~ Omt!al
nlte
D'rltc 2 7-2004 B)
--
l' hour nCJcll:t for .11 iJI~pc~Oll. (9S2) 447.'850, fu (51~) '~';"-4'2."~
TOT~'L P. 01
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTI N RECORD
lJue7e t.A:JK ::D12'
"N6*MJ ~'$"'lI2u.cr/~N
~F:D- ~-
PERMIT NO. 04-. 04-/f} DATE ISSUED 2f Z& f4'1
CONTRACTOR /.!JALU/I. tfJl~ y..Jc '- PHON~P -~i'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
INSPECTOR! DATE
I FOOTING \j\.AIf.. , 5 -() -{ft\
FOUNDATION (Prior to Backfill) I //VV/ I !JvW-OVI
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC rVY:/~
FRAMING ;/W./
INSULATION //:1'
ELECTRICAL ..' ., "
PLUM8IN~~ 11 ;)~,;, $f' 7/z~~ d lI2r16,~
HEATING (if required) jI'f/f. ilAr /tJ.'e(
FIREPLACE ... /I('~ J7/r~~.
GAS LINE AIR TEST~,i I f: / , . t!,JJ {o1
COVER N~~R1<PlfNTlt7'~OVE HA BEEN SI~r?'{60f
~~~~~~~J~~s .P'/f/ I
GRADING (Prior to Sodding) . .. NJf.
BUILDING/e~/J CO.. v"f;.! 9ftk: //// ~/.upt
ELECTRICAL/
PLUMBING
HEATiNG
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
, y hJ-U-v\
f{-/7,-{)4
?? /..?/~<;/'
?,'b/r
9/thb . .
/#K, m~,
" f /~/~S
/~/f 1;"1
~/rr-#~
BEEN SIGNED
~
&'i-
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 INSPECT10NS (952) 447-9850
QIertifirZtte of <IDrtupZtury
CITY OF PRIOR LAKE
~tparfmtuf nf ~uil~iug J[usptrfinu
.d-r'Final Permitted D Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section IIO of the .::::J Residential / .::::J 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
SINGLE FAl'HLY
Bldg. Permit No.
04-0418
Rl
Occupancy Type
R3
Type Construction
\TN
Zoning District
Legal Description
LJ, El, RED CEDAR HEIGHTS
Owner of Building
Site Address
4403 OVERLOOK DRIVE
Contractor'sName&Address WALTER HOMES, L-9380 HETTEL :,-JAY, PRIOR LAKE, Me\; 55372
ROBERT D. HUTCHINS /#~/ City Planner DON RYE
,'_" /" ;ABU'" ing Official r
Date: (//'/ <;:/ [('..:; Date:
//'
POST IN CONSPICUOUS PLACE
DATE TIME
~~~
/
~p~ ~~r~O~ d-
. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~ULA TION
J7fiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
""
~ /
r /nq (
~/'
e-/tC
..
q-~JY
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
._----------~
/// /' ,.----/ ~\)
"--L~~J-e /7/r' ~ /
-- -----
~ORK SATISFACTORY, PROCEED
~ORRECT 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.
INSNOT/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
11~-2 ~ /b-er k~ j'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~TION
~I~~L.
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
OA TE TIME
~~
~
-.
~-#r
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~/OUt:? I
//
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o WORK SATISFACTORY, PROCEED,
pRRECT ACTION AND PROCEED
o CORRECT W:;/YOR 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/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Lf!J8I19Vt~ loot D~ ~
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:
G,rth- e!
C(),b BoY- (9~
DATE TIME
r.,.o'
bY-'ll i
)JC&xJ~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~ ~Ov,,"er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYl
Job Address f:!~ u</Io.1c.. flI.
Heating Contractor &"1-'1 IA./~,J hi
~,
Name of Tester I}'II'-'I J
Date J ;L - ..:r -Pq
Percent 0 t:j, ~ '?n
Percent C02 ~.l)" t1
Percent CO ').. 7 ffl1
Stack Temp. ) CJ7 p 4 'J Q Ah:-ll: