HomeMy WebLinkAboutBldg Permit 05-1023
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t) I Main Eii(!"o", I
J") 0. s~
(Please type or print and si~n at bottom)
ADDRESS
~bqS- :se {.(.ers;. P~lWl
A}w
LEGAL DESCRIPTION (office use only)
LOT II BLOCK ~
ADDITION =s e+'fv'S
OWNER
(Name)
BlI: \,ler
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) R I-lS
Wt.I\'
D~^^:.s
ft.: leL.:^:)
/'11.(4."" ~O.-f..,.S
P- Sc..J~t: :J.t"'.r
I Rq~ PJ(1~r;vo!.
(Phone) --.b ~ I - Lf 06. - '"'f'1 0 0
(Phone) l.,) ~ - ~l.ct - 7 9 ~ "t
E A.J"''''" I M JJ ,<;-.s- J :). ~
C~\
)'11' ,j ~
!; ,/{;l ",
" / ,u- , ate'Rec'd
C/J4.cJ
PERMIT NO. 05". / 0 7~
p o,j ;::- rS f o.JJ.' t :o^-
ZONING (office use)
pilip
PID ~.s--l.{3~)-O&I- 0
(Phone)
5u, t<-. J-oo
TYPE OF WORK ~ New Construction BOeck OPorch ORe-Roofing ORe-Siding ~Lower Level Finish ~Fireplace
OAddition o Alteration OUtility ConnectlOn
CODE: ~LR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
o Mise.
A
R
5
B
S U
PROJECT COST/VALUE $ I g~ OOO,e) ()
(excluding land)
I hereby certify that I have furmshed Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authoJ!zed agent for the
abllvc-mentlOned 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 buildrng
:licial cCi)';: t7e~It \:JEermore, I hereby agree that the City official or ~ d~;;ay enter upon the property to perform need~ I~';::'~~~
Signature Contractor's License No, Date
Permit Valuation
'If/75': 00 (), OlJ
$ /5ZI.50
$ ~V'r:9Y
8'1. OT>
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
/00. ()O
/oo,{ja
35'.5"0
10, Q1)
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~ ~ -f/~Y!OS;
BIlIlulIl.g Oflicial Date
Park Support Fee
SAC
#
#
$
---....
.-
Water Meter Size 5/8"(!:,;J
Pressure Reducer
Sewer/Water Connection Fee
#
#
$ 10/50.00
$ 300.00
$ 75.00
$ l500,00
$ IOfJO,OD
$ / Set) . 0 0
$
$ f/,{, qq~ 9PJ
, ,
I Paid ?it/? '1q, Y X' __
I Date /D ~ a4- 6'1
Receipt No. ..!5 () !LjO
By 0"
/0/0~
ThiS IS to certIfy that the request in the ab,we applicatlOn and accompanYIng documents is In accordance with the City Zoning Ordinance and may proceed as requested, TIllS document
when ,SIgned by the City Planner conSlltutes a temporary Cenifieate of Zoning compliance and allows construction to commence, Before occupancy, a CertIficate of Occupancy must be
\~~
I'lanning Director
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~ ~~';{"'~ ~ ~ ~
II Special Con IOns, if any .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-424~ '0 ~ ~
16200 Eagle Creek Avenue Prior Lake, MN 55372 fV
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts',
Reviewed by: ~ ~
Building Permit # PID:
,
Address: 3Io1j ~ 3 fac!f5 ~r p~
Legal: L I H 1"'2... B -3 Subdivision: '7~ i?nJ I~
Existing Structure? YES 1@9) Existing Nonconforming Structure? YES (@)
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NA 1 FAILS~M~L1Ep
· Front Yard (can be 20j if avg. w/in 150')
· Side Yards
· Sidewall exceeding 50' requires additional side 2"
setback for every 1 j over 50j in length
I. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicatinq no deck will be built in the future
· From 100 year flood elevation of wetland/NURP
pond
· From OHW (Prior or Spring Lake)
-
I Floor Area Ratio: NA 1 FAIL~MPLlE~
-
I Yard Encroachments: NA 1 FAIUS/COMPLlEV
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(N11 FAILS 1 COMPLIES
· Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEivIPLA TE\BLDGLIST.DOC
Date:
./OP~S
YES
Standard
25j
10'1
25j if abutting a street
10' setback +
2"/1' over 50'
25j
10' side/
25' rear
30'
75j or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
Standard
Standard
Yz:1
Zoning:
NO
Proposed
1<&' ~ ~.
,
I-L ~. '3 H "I
I~' 0 (L ~ '*+ 6'~.
I 33:~' fa H()L I
...sA
I
~ -fo HLJL,
tJ~
"'CAD
Proposed
~~
NONe
Proposed
I Driveway: NA / FAILS (COMPLIES))
· Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-V or
spaces adjacent to the garage
I. Location to match subdivision grading plan
-
I Building Height(t.OMP~IE~AILS
Shoreland District: NA / FAILS / COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shorelan~)FAILS / COMPLIES
· Setback from top of bluff
· Bluff impact zone
· Engineering certification submitted/approved
· Grading in bluff or bluff impact zone
I Floodplair(Q 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 below
Regulatory Flood Protection Elevation
Accessory Structure(tN~.PFAILS / 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\BLDGLIST.DOC
Standard
24'
5j from side lot line or
30j from r-o-w on corner lots
10%
35j Maximum
Standard
7j500 Rip, 7j999 Non-rip
50j Ripj 57.3j Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4j Spring Lake
909.9j Prior Lake /
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22197 then
additional foot is not required.
Must be flood elevation or
higher
907.9' for Prior Lake
913.4j for Spring Lake
Standard
832 sq.ft. or 25% rear yard
I
I 10'
15'
Proposed
"'2- '2.. '
II' -4fs~ ]),~.
10(0. ~.l '70
~
trl... ~ S'j I bVA
~...
Proposed
I
I
JM If - tft. c.. 7.. tA- 11.- liS, J tJ?,.
Proposed
Proposed
Proposed
,;
Th(" ('("nl("f of Ih(" L.1w.t Counlr"'l
White - BuildinQ
( Ganary - Enqineering':)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
[IVE /,jJ/j~J /7 j\'//U
(') " r--
1.26-;,0')
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/
__5 &:} 9,:-S- ,:JErk7Cj- (/?It/Lj
/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
pJ AJ~
Date:
10--13 .o~s-
Comments: See Reverse Side for Additionallnforma1ionl
/l1c, ,'v, ~" ((
,.,
See Attachments: 1) Grading Plan~ 2) Erosion Control 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."
Thr ("rnlrr of th~ Lakt Country
White~1k ":'::" '.:::0'-
~n""ry - Fngineering
Pi~k_..._ - Planninij)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKL.l5T
NAME OF APPLICANT
APPLICATION RECEIVED
/ 'j, /~ //1/\ /\,/
" .,,,J
-, -
"J (
. c::: t.,. ( 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'""]./ f'" /--'
"-.-" ( /..--'
-..;
/,._/-,,,- {, '
I 1......//"-, ~
, ,/
,.'/,/ I! !f'
/ ,I<--- t "
/
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~~
Comments: ~ ~ a....uz..
~,
Date: /a/:s/or
I
~~~~
,
Vo ~ /~/ .~~ odJ~ d"1-
~~~~,
;/~~
~
~
-
Air C d.i'
. on tioller and 0tL'c.:& M~'lol.Jl.nical
UmtB~:~~m:Beqmed
"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."
CWhite - Building::::>
Canary - Engineering
Pink - Planning
The C"fnlt'r nf Ihe t.kt ('ounIl1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WEtif.F;vJ/J;J;J
f? 2{P,O r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30 95 Jt/P~~J- ~?WV
/
Accepted
Accepted With Corrections X
Denied
4? .
Reviewed By: ~~
Comments: ~
~ ~ ~_ No
tJ~ .:J~ ..rLZ:.-. ~
~ - -/ I /
r
~I-
a...e.f7 ~. fl~
Date: /~/3./0~
~ ~'~o;v
~~
V /
~
"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."
12/08/2005 THU 14:10 FAX 952 767 1900 GENZ-RYAN
[4] 003/013
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and siJln at bottom)
ADDRESS I"
o { (/ 9 p-~, -t -tCr\"
- -
l. Blue file I PERMIT NO>8:~
2, Gold ell)!
), Yellow Applicant
~Cl( k LiVa Lf
J
ZONING (office use)
LEGAL DESCR.i..t',110N (office use only)
LOT \ \ BLOCK ~ ADDITION
Pill
~=R ( tjfj,r^f) VY;!1 Y!(l MnntJcS
(Address) \ rx~0 PI CllD-. Dv, );+c :?U~!
APPLICANT (1_ 'j)
(Name) qe-J1l- - ~&J ~{vl
(Address) 21.JJo \N. Hli\/(A (,,3 BfA.t2J1~V /' (If, M N ~337
L' ,(~~) ) (City) (Zip Code)
(ContactPe=n) ~!llh ,<)( ^011tUJCiJ1 (phone) C5J - ~?,
APPLICANT SIGNAro@ UJv~aAr"-.J DATE I J I 031 0'_')
(phone) (rt5i---Crl5.' 37CI1
Fu C1/11 YI f\Jl N Ef5 i;)' d-
- "J . , ,
(phone) QCJ1--,1ff( ,- I aDO
I
I
I
I
I
I
I
I
Quantity
I
! ,
'L
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity
I Bath Tub with or without shower I
I Dishwasher I I
I Floor Drain If(' - I
I Lavatory (Bathroom Sink) "'",
I Laundry Tray (1 or 2 compartment sink ,
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
IJ-
Rough-ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I BackflowAssembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
.liEE S\.-.tU!.DULE
Industrial, Commercial & Multi.family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
~ILD'NG PERMIT
(omc~ Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date
JEC 0 9 2005
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
12/08/2005 THU 14:10 FAX 952 767 1900 GENZ-RYAN
~0.04/013 .
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/.lllKEPLACE PERMIT
Date Rec'd
(Please type Or print and silt[! at bottom)
ADDRESS \ ^ r
3lLfl ~ \ 1t r~eV\
~:~:. ~!~ I PERMITNO~ IA*7":Ji1
3, V,U.,... Applicam ~
~l,WCi (/
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT \ 1 BLOCK '6 ADDITION
--
PID
OWNER
(Name)
~ )\ )e\~S;ntj n ,1",1'1
. -
\-\[)n~
(phone) &51- ct0'5- 370S
(Address) I gq5 t:J1 all)"" r)~I', S-k: 'XO
E"Ltt1 ell" rv\ 1\1
r:::c 'J "\
':~ .J ( c~' "f:;J-
APPLICANT r n qF t) '7' ,,-/ fU'1 ,"\ "
(Name) c:TCrw:.-- 1<-..(jOYI (Phone) ';0\- lJ) -' UU
(Address)~~ W. t-hvUI 13 B tAynsvi lie ':n3~7
......... -
. . (~ess) . (Ci~ (Zip Code)
(Contad P",on) Uo.Y\, \ )C~mrl')')r..lVl (Phone) y ~ L -1(0 1-, \~l
APPLICANfSIGNATURECDROl. JY.1tLL{I\.O~~ DATE ---1dJtK. 0, )
. APPLICANT PLEASE COMPLETE BELOW
~NEWCOliS~RUCTION " 0 REPLACEMENT 0 ALTERATION~ _L r:
FURNACE MAKE AND MODEL ~n()OX 64~l1r-?iJc. - 00 (') FUEL 1\lU - tJoS
, ~
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
&Air Conditioning
RVenl. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.50 tsUfLDfNG PERMIT
(Office Use Only)
This Application Becomes Your Building PermitWben Approved
Paid
JJFr 0 9 2QQS
Date
Receipt No.
Buildin! Omcial
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
12/08/2005 THU 14:10 FAX 952 767 1900 GENZ-RYAN
f4J 002/013
Date R~'d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and si~ at bottom)
ADDRESS '
"2l ,n~ \ r'lr"
C A..;?'-1/:> \. t +-ri:rS
~:" ~~ I PERMITNO~ IA~'
3. Gold Applicant ,;;,., ,,~
.~C\r K, \N{1 V
ZONING (office use)
II
LEGAL DESCRlPTION (office use only)
LOT \ \ BLOCK~ ADDmON
PID
~=R [1 )fAn~ \'YVAJ\ln i-tDn:lcs
(Address) l<lQ5 PIOLlOu Dv, S1cd(J)
(Address)
(phone) (o5J-- q(J5- =~n00
'fJlUQll fv1 N 551 )1)
(City) (Zip Code)
, APPLICANT (ll'i/\/t n' /1 I]
(Name) l1..LtlL.- lL..-{~ lIll
. ' I
(Ad_,) 110D ~. ~
(Contact Person) ,- r OL-\fj : (. n Lt'
;~j. \
LtJ\, '
?LICANT SIGNATURE
(phone) Ij V/2 - 7&1 - ({)O{)
Bu tJl/ ~ Vi { 1-<> {\AN q:;337_
(City) (Zip Code)
(phone) Jti? - ]Lo l~1 ~ ~ L
MJUr0 DATE I dv 1)~1 C'f)
I ~I' -
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'] & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAID WITH
8UILDING PERMIT
(Office Use Only)
I This Application Becomes Your Building Permit When Approved Paid
Receipt No.
Building Official
Date
I Da19EC 0 S 2005
By
24 hour notice for all inspections (952) 447.9850, fax (952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rcc'd
; ~o~n ~!~ I PERMIT NO. ~ 'IJ?-a
3. Yellow AppliclUlt ~
(Please type or print and sign at bottom)
ADDRESS
ZONING (office
use)
~qS (\Jl/..g./\l\ p~
l/Ju~' 0'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)~/VV~ U.... JlL)
(Phone)
(Address)
APPLICANT
(Name0h:l.u..~A'"\~r_J_~ ~A. J.- ~ P (phone) ~LD3- SClI-'dS"dS
{AddressL
x9CD /09~ OAteJ...; #ICXJO r~j,,~ .n'vl 5S3/~
(Address) , I (~ity) (Zip Code)
(Contact Person) ~c\~ ~npK\"\O~ (Phone) ~""'"'<,- Sfllo-/~ Ilo
APPLICANT SIGNATURE t<PJ..~ ~ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
OVen\. System
FIREPLACE MAKE AND MODEL bl[..
INPUT
REA TING OR POWER PLANT
o Steam
o Hol Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Scthacks
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
_C.\):i~~l&. ~O.Jo~ 0___
FEE SCHEDULE
l% of job cost Residential, Gas Fireplace $39,50
$39,50 minimum
$99.50 Residential, Additions & Alterations $39,50
$64.50 Residential, AC Only $39.50
Industrial, Commercial & Multi-Family
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
BUil~ing Penn it # PAtD wITH
: etlW-O\NG PERMIT
(Ofliu Use Only)
DuiJdin!! Official
Date
Paid -I Receipt No.
~
Day.Z5 ~ I By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
zoo Itl
~ooa H~V~V~ ~I~VWO~OV
66ZL 9L9 C9L XV~ Ot:01 90/91/10
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~9 S ~Ef'Fa., ~..,y ~. &\J.
NATURE OF WORK ~ ~r.a..-r~l.i.;:. ~ ....&... F'.......I~
USE OF BUILDING S. F': A . _ _
PERMIT NO. 05, /023 DATE ISSUED '1llAllJS
CONTRACTOR ~"'^W~ HO,^e"S pHONEiIi.~"1- ~'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
;~R / DAJE
if/7 I kP /"Sf If}:)
/ ~ I'
FOUNDATION (Prior to Backfill) I VVY/ I I I (~~-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - JNS / /
rt5 _~.e.ff cr5"
(1X'
~v
DEPARTMENT OF Main File
BUILDING AND INSPECTION
I FOOTING
z~ I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING Vc~ lJ6_1J1
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
w/e-
I/~-;) J b
/1/3/crb
fLII I</n
If/L
- .
Il/J~,M1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lLA71I4* / 1/'lIr, ~JfIJ I I
, FINALS
AlP f;JJ /~~~
--
GRADING (Prior to Sodding)
BUILDING i"{~ uV'\'"' \ l~l~o~
ELECTRICAL
PLUMBING
HEATING
DO NOT
, -
t/VV1 ..
l/VV /
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
, J-J4-()(y
3-/-0&
SIGNED
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 INSPECTIONf' ..3-2) 447-9850
<tI:erfifitnle of @ttupnntl!
CITY OF PRIOR LAKE
~tparfmtuf nf 16luilb:iug JIuspttfinu
B Final Permitted
o Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 11 0 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 .5 I 1'/ (5 L E.- FI",I'-11 L 1./ Bldg. Permit No. 0 5. / () z..3
,
Type Construction- V AI
Occupancy Type
;<3
Zoning District
PU:::"D
,l<'\
Legal Description
L 1 J .
,? ?
LJ~ ,
JEFFEK'~ p(jj.JC
I ': T I-I!JO"j
Owner of Building
("',
Contrictdr's Name & Address /I' E IV ,'=/"/r) /'J 1/,
i(,\ \.U-..-r"\. I
\ I t (\7f \'Hl \ ( "j'-v'-'\
J Buildin~ Official
Date: I ~ () I.t:
, .
Site Address 3 C'c '1::'" J'E ;:: FE. K ~ P K-LV L/.
I
IF1~-; /JL/-/ZA 01<::""1 c/-iG;t9IU 5S /2.2...
City Planner
Date:
..
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
PHONE NO.
].-a"{t'
_?r;'t(:> ~" ~ ,J...e~ ayc;.~7- .
CONTR.
PERMIT NO. k l UL 3-
-
SCHEDULED
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP , )\
..erPLUMBING FINAL fir' j
B MECH FINAL (f!!) V!-/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
;"\ CORRECT ~~~K;?LL FOR REINSPECTION B~FORE COVERING
Inspector: t,; r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE ~6fP
INSPECTION NOTICE SCHEDULED
ADDRESS ~9S- J~
OWNER CONTR.
PHONE NO. PERMIT NO. 5"=- (0 2'"3
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
il FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
^ I _ , I~
'--"\.O~ ~
0./
\..-t l~
.-/
~ SATISFACTORY, PROCEED
o CORRECT A ON AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
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 3'9S~Jefto fJtV(
OWNER CONTR. 'W~II"
DATE TIME
PHONE NO.
PERMIT NO.
0<$"./023
~~E1LLlNG
o coMmiNr
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o ~RAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G~-ol
Cvlb BoJ--r:)'
o 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 INSPECrlON 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
INSNOTl