HomeMy WebLinkAboutBldg Permit 05-0667
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
C? .If', t) 5
I White
2 Pink
Yellow
file
City
Applicant
I PERMIT NO. () 5. 0'" (, 7:
(Please type or print and sign at bottom)
ADDRESS
3380 S/C-f vA/CJe-
ST St1/
ZONING (office use)
,e/
LEGAL DESCRIPTION (office use only)
LOT Z- BLOCK z.. ADDITION
/"1/!??G C;LbrJ
PID Z~ +'32-. (; / l ()
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
/VI.f ( \ 'I ""
~e.J; r:.. M L brv.. tN
" ll~ t= erdhR ( ,-\ fll'\ f?
. - -. - - - -. - - - .. ..-. - .
o \ ~()'^
HOMe~.
(Phone)
(Phone)
S(.,.v',~e ,_ MI\J
1_1-2- 7C)--7c:4_~
~ \2 - 801- 6'1I~
\")( .
~S-~/9.
TYPE OF WORK \;rNew Construction DDeck DPorch ORe-Roofing
(ljAddition DAlteration OUtility ConnectIOn
CODE~' .R.C. OI.B.C. 0 Mise.
Type of onstnIction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding DLower Level Finish 0 Fireplace
PROJECT COST IV ALUE
(excluding land)
$ ? -? '" Jik..
..::>~ 000.
,
I hereby certify that I have furnished mf"rmation on this applicatlon which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent I"r the
ilbove-mcntlOned property and th~. constru .0 will conform to all existlng state and local laws and will proceed in accordance with submitted plans I am aware th. at the buildmg
:~~rmlt forU ,use rmO,=bY agree that the City official or ad:;izay ~ upon the propel1y to perform nee~ :'P7~(s_ 0 <)
,/ /Signamre Contractor's License No. Date
,
Permit Valuation 3J /). ax:>.--I Park Support Fee # $
Permit Fee $ ;)3'1~ .-S(l SAC # $ I'-/SO. ..-
Plan Check Fee $ J 54 d. ' 7 c;? Water Meter Size 5/8"; I"; $ d.50, -
State Surcharge $ /W. - I Pressure Reducer $ 56.-
Penalty $ I Sewer/Water Connection Fee # $ 15 bO.'-
Plumbing Permit Fee $ tOo,- I Water Tower Fee # $ /oec. -
Mechanical Permit Fee $ 100,- I Builder's Deposit I $ --
/Va) .
Sewer & Water Permit Fee $ 35- 50 I Other I $
Gas Fireplace Permit Fee $ LlD,- I TOTAL DUE C/tu.EP 7. /:5,05 1$/0,101.7
/0 / (u I - ~ig" ,,, " /' /
This Application Becomes Your Building Pennit When Approved Paid i Receipt NellY' J <~ /
~ ~ t,/Ztj k S Date 11-, ~ I-()'? I By r:
/~
Building Official . Date
Tlus IS to certify that the request in the above apphcatlon and aecompanymg documents is m accordance With the City Zoning Ordinance and may proceed as requested Tim (
when si ned by the City Planner conslltlltes a temporary Certificate of Zonmg eomphance and allows construction to commence. Before occupancy. a Cenl!,cate ofOccupanc
, p(,"",~/...J ~A<'/6:-, dJ cU{i"~
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts',
Reviewed by: ~ ~
Building Permit #
Address: 33?O
Legal: L ;;.. I 8
Date: .Co("L~ les
PID: Zoning:
~ ~.SfIJ.
d- Subdivision: ~ .L1L.-
Existing Structure? YES@
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NAI FAIL~MPLI~
. 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)
, Floor Area Ratio: NA I FAIL~OMPLiW
Yard Encroachments: NA I FAILSf"G6"MPLt5V
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 I COMPLIES
· Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TE\BLDGLlST.DOC
Existing Nonconforming Structure? YES~
YES
NO
Standard Proposed
25' 2..-> r
10'1 r
25' if abutting a street \2.5G,
10' setback + r
2"/1' over 50' Il ,3G:,
25' .t.t I '
10' sidel
25' rear tJ~
30'
NA
75' or setback average of
adjacent structures, but no f'JA
less than 50'
.30 Maximum 21~n
Standard Proposed I
.1
l--J() ,.J 6
No,.J6
Standard
Proposed
Y2:1
-
I Driveway: NA 1 FAILs:[ CO'MPLI~ Standard Proposed
. Maximum width at property line 24' -z.. ~ \
. Required setback 5' from side lot line or ,
30' from r-o-w on corner lots 15 .
I · Maximum slope 10% a .1- (0
. All parking areas to be paved including R-Vor
spaces adjacent to the garage o-h....
I · Location to match subdivision grading plan ~
J Building HeightKtdMPLlES) FAILS 35' Maximum ~
I Shoreland District:(NAYFAILS 1 COMPLIES 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
I Bluff in Shoreland:(r{A!J FAILS 1 COMPLIES Standard Proposed
. Setback from topef 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 FloodPlain:(QI FAILS 1 COMPLIES Standard Proposed
.
. 100 yea'l1lood elevation 908.9' Prior Lake
914.4' Spring Lake
. Lowest floor elevation 909.9' Prior Lake 1
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 Structur(NA,P FAILS 1 COMPLIES I Standard Proposed
. Size 832 sq.ft. or 25% rear yard
I · Not located in front yard (Materials)
I. Side yard and rear yard setbacks 10'
I · Maximum heiqht 15'
I · Materials compatible with principle structure
L'TEMPLA TE'BLDGLlST.DOC
.i
White - ~uilding
,-l,anary - t:nglneeriii'9>
Pink - F1anmng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-,
,
l
,/ ( i,:_~.t;JH
\
/~' )
j.' <,.. ,-"",7 ./
/'
(~~.~.:.
/
~'-,
)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-~::~ ,:~., (-(J -"
k-' ."f. JI/ c. )_,r
"___. ~::-. ,.... /."" f.,."'" _."
Accepted
.x
Accepted With Corrections
Denied
Reviewed By:
I't4b
Date:
/-JZ -t9J
I
Comments: Br:>r:> Rr:>\{S.rc::r:> ~idr:> for Arldition::\llnfnrmr:ltion!
Lv,b 6Jop WI' fl re?J.',ie Of F;rc/41 L&tIlY.f:>y- (J/o!<ei-;bv,
I
A Yl rDC1f'1"~ 'oIo.1c Iv B ; -/Vr"'/,'tll;X/) ()l;' fAt yvI{f,,-f ~
Q b I
-fC,/)cL)/(o( foV v," Ide"
See Attachments: 1) Gradinfl 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."
White - Building
Canary - Enc:1ineering
~ll1k - Planninv
BUilDING PERMIT APPLICATION DEPARTMENT CHI;CKlIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /,ikf
. .. Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments: ~~
~~~
~ ~,~Oj.J
~,~
w-VJ :b;- ~
Date: &'/~'i /0 S-
. ...L J... A ~_~ ~ .-
~- JU-r-ell
af
~
9....~.
Air Conciition~~ ~ C..hcr A!cdlad~al
Units Carnot Encroach into Required
E~_de Yale Sei:uac~
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."
~ite _ - Buiidri;a-....
\.;~i'iawy - t:ng,rmiri'rlg
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7J?1A~- & C'Li';')
APPLICATION RECEIVED ~ - I L/:" ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-33f?O- ~-'K',k)l/CY-
Accepted
Accepted With Corrections
v
Denied
f).J'LeJ-p
()
~ ~ :iL;N Date: 0Iz7"'~J
I
L~ ad ~ ; ~ o.v-fJ ~
~~~~
.I
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."
0.;W' \ /~. U~~~y.
- /1 \:"
U fry
\'~"'".\I)~!"
crr'V OF PRIOR -JAKE PLU!vIBING PERI\1IT
_(!:.k~:~!,'Oc ,,-ruriot;]11(\ ~Jgn 3! bottom)
ADDRESS
3 3 g' () SKI"t- Pl-C-r- S -/-1-" ~ -f-
; ~;~ ~I:,~, PERM." 11' NO. /\L)-._G~~
1 Y~lIo'" AtlrU':l'Inl U ( I
ZONJNG (nmCt 1I~r)
.,.
LEGAL DESCRIPTION (office u~c only)
LOT
BLOCK
ADDITION
-
OWNER
(Name)
PJD
(Addrr;:,~.~)
M~'f)^- 0 /So ____
'J
#,'oy- L ^-,/L--(
,- (PhoDe)
APPUCANT ~ . "' C
(N~nlc)__.L....Jr? u.. y~ J1A.ed.cZ..~./c. ~-<-__.
(Address) _ 2loo?", U!;2.~~ /1~~
(Addrcs!>)
(COnt.let Pcr"on)
~o/!
,./7~7 Co
~--.--"-7
(Phone)
~ ~/~ ~ 5'535_./
(Cicy) (Zip C(ldc)
(Phone) &/Z-Z2/- ~~;s-
Sc---/.-L'~ DA TE 1/- 9 - () 5"
f/' 92 - c:?-~ "'/'t!..)
APPLICANT SJGN/\TURE
Qt1a~ty I Type of Fixture
d-~ Bath Tub wir.h or without shower
-~--.J OislnVilshcr
i I Floor Drain
.;z- Lavatory (Bathroom Sink) ----.-.- I
/ Laundry Tray (I or 2 compartment sink
( = Shower Starr-
/ Sinks
Bar Sink
~ I Water Closet (Toilet)
APPLICANT PLEASE COMPLETE BELOW
'Type oft.ixtur;-
Rough-ins
Water Heater
W81cr Softner
Stand Pipe (Washing Machine>
Sewag~ Ejector ..
Backflow AsseiilbTY
Baci<ffow A$sembl)';1"est
r_i\\'Jn Sprinkler
Other
QUflntity
.---.
(
FEl!: SCHEOOLE
'ri,iI, CCirnmercl:J.I & M'Jlti-ramily 1% of job COSt with a .'b39.50 minimtlm
Residential, New One & Two-FAmily $99.50
Residential, Addilions & Alterations $J9.50
Estim:\ted CO$t t
Building Pennit 1/
U~C O~I)')
PLUMBD~G PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~ ~v
'P,id ~\;\ ~- Receipt No.
AppHClJ(jOI1 B~comcs Your Building Pl':rmi! When Approved
Bulldlne OmclHI
r)~lc
D~te
i By
2<i haur or)ficc f~r aH illcpcetiOl1s (951) ~47-9'l50, fn (957.) 447-42<15
~ WL- .~J ..-.~.i:kJ'~ 1 J. - -.J.'~
1.I I r Uf fOR lOR LRI<E.
9524474245
('.81
C.ITY OF PRlOR LAKE
HEATING/AIR CONDITIONlNG/F'IREPLACE PERMIT
]l!llIIteRcc'd
(Pleu.e ~l'inr Rnd .nm ~ botrcm)
ADDRESS
3380 c5K,'lt-n-er Sfr~e -I-
~ ~~ ~~,~ I PERMIT 1':0.
l. y,lI"", ^Prlieoot
-f--4 & 1
O-JJ J
ZONU'TG (o[1]~ Uv)
LEGAL D,ESCRu:'J,lON (office me ollly)
LOT
BLOCK
ADDITION
, OWNER
(N Itn1c)
PID
(AddrC'~s)
M~'-r/~ C/.J6~
L./'
~/'or- L,..._~
(phone) .
A PI'LI CAt'\JT
(Name) ( ~fi~
(Addr:css) 21 {)() (;
-~-
/1{ed~A'uc",J
~-I-
/97/'--(.
. (pJ)onc)
J 0lrdd'~ ( ;1'~L :5 5''::'55..::L
(Cit'/) (Zip Cc,,IP.)
<</2- 22/-599$
1/- 7.-iJ 5
~9./-;{/yc)
La/79~a/
(Acldre;~)
R~""-'CLCd
(Contact Person) , '"
APPUCA1~~r SIG~!ATURE _ /7A": /7c::;Z::
. (Phone)
0cJ-r.-4-' rr..L
DATE
APYLIC,\NT fLEASE COMPLETE BELOW
- -~EW CONSTRUC~!9Y - 0 REPLA_SEr-.~NT 0 ALTERAnUNS
fURNACE MAKE AND MODEL Jf'aV l~_ Yu / FUEL /1. ~.__
FLUE SIZE REiU&"l' OPENINCS lNPUT OUTPUT
TYPE OF SYSTEM BEATING OR POWER. PLANT
OWmn Air Pla.n(~
OGrnvil}-
o Mechilllk:11
OAir Ccmdirionil1g
C1Vcnt. SY51cl1J
o Steam
o Hot W3!Cr
o R:ldJatlon
o Sped"! D~vi\:es
o Oth~r Dcvkr.:s
PLEASE NOTE:
Ai'!- Condition'l,r Unlt.ll
Cannol EnCTl.1I;,,:h into
Reqttir.~d Side Y:u-d
Setb:Jrkn
FIREPLACE MAKE AND MODEL
I~du~rial, C~.mmcmin.l &. Multi-Family
FEE SClJEDUL.E
1% of job CI)S( Res/dcNia!, GltS Fir~I~t!
$39.50 minimum
599.50 Rc~idCntla.l, ,~ddlti(ln3 b, AlterQljor>~
5;600 RC~1ucn(ia!, I\C Only
$3',UO
Residenlial, J-Ie.'ltJng & NC ~Tr;w ConmnlCl1onj
RC1idcmi3.1. HMling OnJ)' (New CCJomucrlon)
:t3'UO
$]'UO
Estimated COq :;;
BufJdjr.~ Permit #
(OlJiu V:<1~ On.}')
HEAT1NOPER~TFEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
:);
$
39.50
~O~CW~~~~
j'ajd ~\)Y I Receipt No.
Dllto Y \ ! By
Tbi~ Applicflt\an Buom4?;S Y~HH Dlliluing Perm't Wilen l\pprolfM
Building Off/tinl
Dn~
24 !lOllY notlc~ for alt h\'~,\lCCII(mll (952) 44'1-911$0, Iltx (952) M7-1245
16200 F--<1I:Je Cr?t:k AVClllJl':. Prior LlJke, ]\.fN ss~n
Rug 04 05 08:52p
JUL-11-2005 14:34
Carol~n Feldman Madson
CITY OF PRIOR LAKE
8524477848 p.l
9524474245 P.01/01
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. 0... fHe I rL.K.i.\1IT N~ ~/ ~7
L Veilgw CilJ .
t. o.M A"l......
(l'Jruc ~ or tlnllt Uld ~ at bol!l)dl)
. ADDRESS
~-~ go ___<1 kJ JV Nfl!.- ,<) J . ~y l,J
ZONING (allia:_l
LEGAl.. DESCRLr .llON (airier lI!eonly)
LOT
BLOCK
AD DrTION
PID
OWNER
(Name)
(Phone)
(Address)
(Adtlrcss)
(Ciry)
(Zip Code)
:jtr p?1) f):1~~ ~X LL~ (phone) . ~-J - <!Y7 -,J7~:r
(Address) ~,,\~ ! ?x8<. . /)J2f' P .elt.~ Lnk fJ;1.-..; -) s: =? 7:+-
(^~) ,(CilY) (Zip Code)
(ContlLCtPttSon) A.Jtf'1R(lIL &tJj~~ - (Phone) 6/~ -1/?-1ftJ 1
4 )j{~ /I~~~ DATE ?- </-{)-(
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service -1- inches.
Location of any couplings from strUc~ feet.
Type of sewer pipe. 0 ABC l..XJ PVC D Cast Iron
Estimated length of sewer line $J feet.
Clean out (if required) located at _ feet from structure.
R.:sidential sewer alId water line connettion
Sewer connection only
FEE SCHEDULE
S35.50 Industrial, Com'l &: Multi-family 1 % of job c.ost with a S39.50 minimUPl
S17.50 Watl!l'conneCtion only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
50w/
~I ~"'~"" No
(]/ 1 By
(omu: \},.. Only)
This A,pplk:uion Bel:.ome.! YO\lr Bllilding Permit When Approved
Bulldin~ O!Xid.1
Daft
I Paid
I Date
14 hour lIotitc for all inspecdons (951) 447-9850. fait (952) "'7~:Z45
TOTAL P.01
FAX NO. :9524473940
Sep. 22 2005 09:47AM P2
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
q tZ-.05
i ~~ ~~. I PERMIT NO. ()5 O' (O, -, I
3. Y.n~ ^ppl~~d . ~ I
CP~ me or mat .... dill III bottom)
. ADDRESS
3360 5kr,h1V .$..ft<<..-f' .s, LJ.
LEGAl", DESCRIP'ItON (olJke use only)
LOT BLOCK
ADDmON
OWNER
(Name) (;;~a'Y Ck) -re;....<f"' J.t~"i
(Address)
ZONING (offtce UfI(:)
PID
. (Phone) %..2- i/1./7-dl/~1
APPLICANT
(Name) Sc.1'Wl...- Ca...!. Cwl'\.c.r
(phone)
(Address)
(Contact Person)
APPLICANT SIGNATURE
(Addt'C!IS)
/l /)
(Clry)
(Zip Code)
. (phone)
DATE '1-,)./-;;C<;:\.
APPLICANT PLEASE COMPLETE BELOW
l&lNEw CONSTRUCTION 0 REPLACEMENT 0 ALtERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUlPUT
TYPE OF SY~lJ)..j,\{ HEATING OR POWER PLANT
DWllIm Air Plants 0 Steam
o Gravity 0 Hot Watc:r
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
DVent. System 0 Other Device.~
FIREPLACE MAKE AND MODEL (~) ~ ).), (SId 1?5~ 'Iz .<J<U J(""Ul~eL,,$
Residential, Additions &. Alterations
Residential. AC Only
05.o(P(p-7
Building Pcnnit #
6~'
IncIustrial, Commercial &. Multi~J1llmily
Residential, c!eating & NC (New Consttuc:tion)
Residential, Heating Only (New Constmction)
FEE S'-.tl.II.DULE
I % of joh com Retidentilll, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Estimated Cost S
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
(Omce Uae Only)
Thj, Appllcati~n Becomc!I Your Building Pennit WIlen Approved
I Pai~~
I Dater? zt,05"
Rldldhlll omr.t.1
Dt~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt~
I By /ldiL- .
j"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 33a-O cSKiN~ey S-r _
NATURE OF WORK IJ~'.) C/>>J~1. 'Wi t.L. J;:;j,J;S'H)
USE OF BUILDI~G . tF "
PERMIT NO. ~to - 0 (007 DATE ISSUED .
CONTRACTOR iM,,_yIUA/ OIStJN PHO~. TD3- 07;;J.
NOTE: THIS IS NOTAPlRi;lIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
,
'FOOTING l)eeJ: VW1 llJ-lIIA,Y I ;'/#1- ~S/uJ
FOUNDATION (Prior to Backfill) I ;lcjf I ~~/~.s-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC /lL~ J" / kjt:JS-
FRAMING Ifpt-.~A J. . 11 (q IL~5
INSULATION $'rf ~/~/~
ELECTRICAL , 1/1 ~ /6~
PLUMBING /%~ ~I/(J.~
~I~~T~~~: required) ( -2") ~ 1 9 :J::;:;
GAS LINE AIR TEST~c'd f dr;#~2f.~~) ~rh . .,2~t!~/[~u I- ~ 114 /oP; ~
1// .
COVER NO WORK UNTIL A,~~VE HA~ B/EEN SIGNED
'1.A11t6LH~1I$4~ I <<IV ",,J CJ:/}3/eJ5/ I hit.'
FINALS
fi/p /1 "-IS'
,
#ff
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDlNGh~prO 11/15b ptJJ It ~4.)~
ELECT81CAl
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
. /
j;U1:I'y
. //Pr
/ /
Y/.7S'),t:,
/1/;~/t1IS'
/ojz71t>~
/O/27M5-/
BEEN 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 INSPECTIONS (952) 447-9850
<tlrrfifirafr of <IDrrupaur\!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uH~ing JInspttfinn
ftFinal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section]] 0 of the D Residential / D 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:
SINGLE FA~ILY 05-0667
Use Classification
Occupancy Type
Legal Description
Bldg. Permit No.
R3
VN
Type Construction
L2, B2, :1APLE GLEN
_ Zoning District
Rl
3380 SKINNER STREET SW
Owner of Buildinl! Site Address
HERLYN OLSON HOMES, 6715 FEATHERSTONE DR., SAVAGE 55378
Contractor's Name & Address
ROBERT D. ~IUTCHTN~,.~.( _ City Planner JANE KANSIER
_ . / BuilsVn. g Official
Date: _~-;/ --",'?) /Ch Date:
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DATE TIME
CITY OF PRIOR LAKE ~ ~ d
INSPECTION NOTICE SCHEDULED (/ ~"d'
ADDRESS _ ~.~S rO csL~.q~~ ( S"'h
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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o CORRECT WORK, CALL FO EINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
33J'O S)I~/1CY
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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o CORRECT WORK, CALL F 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!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1I.9-~ 2 ~r;O
ADDRESS 33 ~o .s ~im7er 51.
OWNER CONTR. tIIer/vn O/$tJ'"
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PHONE NO. PERMIT NO. as' -" 7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J'8NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o COM"'J!I[AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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COMMENTS:
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CuJh~j. 'ot
~, WORK SATISFACTORY, PROCEED
~ 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!
INSNOTI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~5 c?{)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~
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DATE TIME
SCHEDULED ~?7~~'--
s;Lh/?er ' s/-
CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~MBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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o WORK SATISFACTORY. PROCEED
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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!
INSlVOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
3J?O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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
~CH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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COMM~NTS: /~ ~ /'
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o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 'R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOT/