HomeMy WebLinkAboutBuilding 02-0209
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;;;; 8 9~
LEGAL DESCRIPTION (office use only)
LOT j BLOCK
ADDITION
OWNER
(Name)
~
tse~
~r le,-tte
(Phone) ~/~ - ~ I -'4~o~
~
(Address)
BUILDER L~' I i I
(Name) · 11'\...0 t:TOM.'" :s
(Contact Name) ~~~d
(Address)
rlJ\G
TYPE OF WORK
)(New Construction
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
0000
ODeck
o Misc.
Date Rec' d
l-r~-02-
1 White File
2 Pink City
3 Yellow Applicant
I PERMIT NO. O?/020r I
:v~
ZONING (office use)
.pUS 0
2.3-0
(Phone)
(Phone)
~S' - ~;;l;J -' cx3 0 a.
%Cl-a.o;(J.-ifbO
k.\I\
~5 I do
ORe-Siding
OUtiIity Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perfor e insp.' 0
X
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
our Building Permit When Approved
/- ~5" -0 ~
Date
o Porch
ORe-Roofing
#
#
#
#
I -15' -Od..
Date
$
$
$
$
$
$
$
$
$
DAddition
OAlteration
,CG
00.06
(;tSS ,0 0
70 ~ CJ C)
~oo t cJO
00-.198
5DOICJo
Paid
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign' by the ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu rA ~
~ /~te(() '"L ~ ~tU GM;~~(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
d..O oa 4-4-95
Contractor's License No.
Park Support Fee
SAC
Water Meter SizeS/8", ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE /1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
2880 PJAJ1SVJJ5W ])f</iJ:5
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
BLOCK
OWNE~ _
(Name) A-RLET) g R:Ef~' fJ ~/VGg
(Address) Z 85 tP p) }JgVl Kl i/g
In,
3.280 Gorham Ave.
Sf. Louis Park, MN 55428
Sal~_I2H787 Lise. M4042
(Contact Person) t? II /?)~ JIA 1/ 8L.A X.
APPLICANT SIGNATURE ~ d/2'd ~A."""''-=:> ga
APPLICANT
(Name)
(Address)
Quantity
Z
.2
~
.
;::::: ~~~ I PERMIT NO.CV ~~
3. Yellow Applicant , _ _
ZONING (office use)
PID s- df'7 - Od- 3.....
(Phone)
(Phone)
(City)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Estimated Cost $ /,?, V'V'O. s2
,
Building Permit #
/
R.~,
I
/
R.I.
Type of Fixture
Rough-ins LLJWCK'LeIlEL FI/U...
Water Heater
Water Softner
Stand Pipe (Washing Machine)
3G..a~" Ljeeter S'dhf7 .PI/.
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other /(1
j
FEE SCHEDULE
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
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
f}W
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
03/20/2002 15:31
6514808348
DLO E~C~&PO~R~D.WALL
" -: ",.." ,_':" l._~, . l~..,. .
PAGE .01
CITY OF.:PRJOR LAKE
SEWER ANllWATER PERMIT
:Date Ree'd
3-20-02-
i tiw ~~k. [!ElWlT:~OZ-ozo~ .1
~Mn
(efly)
fZ 5NT.~G (office.'
LPUSt:)
" - 2'6..:?,1~"0Z3-0 I
~hoM) h~W~ I
AA'# &IZJ~
--=~?Coce)
kJ/-'-I~Rt~'7 -
M v1/ ~() 3-.3
(Z P C~le)
G1A-
I
LEGAL DESCRIPTION (oCflc. \Ue oaly)
LOT / BLOCK 3 AoomON mE WI t-05
A1'PU~ ()
(Name) L (phon,)
(Addres$) jJ./, <:;] -J;M 10 ~c, 1-- ~. _ III),/ .Jl1J, ..5
~ (~ ZlG~' I~)
(Contact Person) ~, ~ n · . v is/a;/:.fJ (phone)
APPLICANT SrONA T~
DA TB _
.:..: a:t=_
Residential !bwer and water line cODDeetiql1
Sewer connection only
APPLICANT PLEAS:E COMPLETE BELOW
Size of water servlQC ~ inc:he$.
Location of any eouplings from stlucture _ feet.
Type of 5Cwer pipe. 0 ABC <gPVC 0 Cast Iron
Estimated len,gth of sewer'lli:!.o .1f1._ feet
Clean Out (if'required) located at -:~ feet from .struCtw'e.
. FEE SCHEDULE
535.50 IndusUial, Com'! &: Multi-fllmUy . 1~ of job Cl'tSt witt. a $19.5(1 minimw:n
$17.50 WBtcrcoMectiouonly,. ..... ...$17.$0 ..
Estimated Cost $
. .' Building Permit #
()Z-OZ-O?
.~O ifoA
SEWER AND W A 1ER PERM1T FEE $
STATE SURCHAAGB .t
TOT AI.. PERMIT FEE S
(om.::~ U'1I Only)
T.~ AppU..ti..lleaomos Yoo. ..ildlag Pormi' Wb.. APP~ I
~ -" 3-"'/...0.-02-
Blllldilll Official D.~
~4 hour noricI for olIllln.pec:tlolll (952) 447-9850, fix (9~) 4.7~Z45
APR.26'2002 06:17 651 633 8884
FIRESIDE CORNER
#4790 P.001/001
Date Rec'd
CITY OF PRIOR J.JAKE
HEATING/AIR CONDITIONINGfFJREPLACE PERMIT
APR 2 6 200L
~: ~ ~:~. I~ERMIT NO. ~ - ") CiA I
!. .,.11_ "pph...~. ._ ~ / I .
I ~;;;~-;::~^ u,A.J L~
I
ZONING (<.Iffice Ilse)
LEGAI~ DESClUPTJ.ON (oma use only)
ADDITION
pro
LOT
BLOCK
OWNER
(N arne)
(Ad.dress)
U'/l& -LJrw_r
(phone)
APPLICANT
(N"ame) ALLIED FIRESIDE DBA FtRESIDE CORNER
(Address) -.2700 N. FAIRVIEW AVJmUE
(AddreSA)
C ) BRENDA HUSTON
( cnmct Person
(Phon.e) 651-633-256J.
APPLICANT SIGNATURE
ROSEY.J:LLE MN
(City)
651-633-2561
(Phon.e)
DATE
l:)r.;111
(Zip Code)
APPJ...ICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPJ...ACEMENT 0 AL TEM TIONS
FURNACE MAKE AND MODEJ.. FUEL
rUlE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
o St.elUJl
o Hot. Wal.er
CJ Rlldilltio"
o Sp~illl Devices
o Other Devjces
~p~
o ,/3
OWarm Air Pllmrs
o Oravll)'
o MecbBnical .
DAlr CDnditioning
OYl:nt. System
PLEASE NOTE:
Air Conditioner Uni.t.s
CanllQt Enc;:rosch into
Required Side Yard
Setbacks
.g '1/i!.r--
FIREPLACE MAKE AND MODEL
. A) Cc.. ,~-
FEE SCIU.DTJLE
I % of jo" cost Residential. Gas Fireplace
$39.S0 minimum
$99.50 Residential, Addlt;on...~ & Alterations
$64.S0 ResidentIal, AC Only
539.50
$39.50
$39.50
Industrial. eommercia.! & Multi-Fam.ily
Residential. Heating & Ale (New CDnstruction)
R.esijjentJal, Heating Only (New Construc;:tion)
(Offir.t Use O'''y)
This AppJiutil)J1 Becomes Your Bulldj.ng Permit When Apptl)vcd
E5t;mated CDst $
Building Pf!nnit #
IiEA T.1NG PERMIT FEE
Sf A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Il:( 'I. 1;"'1/')
.' ~D,'~ ---' [.~-,.~
'i Ii'''' '!"7-,
..... f:,),:~ " !
Rece'
. I
.50
Paid
Dat.e AI-'K 2. 6 2002.
r,y
c~
Dllte
BlIildlng amelld
%4 hour rlotlce for A" ill.pecli"I1s (95:1) 447-9850. fftl (?~%) 447-4145
L
4 26-02;'1: 44AM;
4- 9-02; 7:29AM
;952 894 0925
# 1/
6124474245;#
.----- ---
.---.--
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Ree'd
I. Pinl:.
2. Cira:>I
1. YoU....
,
~~~l_t I PERMI'rNO. d-/ dL)\ql
I. I ZONlNG(~~ I
~it:s~:' md", ~bonnmJ
[ d'iLlD \X:(\O
\!le.A....l)
\)\.
LEGAL DESCRIPTION (ofticc use only)
LOT
BLOCK
ADDITION
PID
(phone) . S?<1 ~ - $~fil.9
[OWNER' (
_ (Name) U {\C\ \-\ ()'(\{\ () So.
_ (Address)
APPLICANT PLEASE COMPLETE BELOW
BW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL la n(\D)( C:q ?'d. VS- UX) FUEL t0cd .l.-C)\ \
FLUE SIZE RETIJRN OPENINGS \ Y INPUT \ l") i"t l")(")D OUTPut
\
TYPE OF SYSTEM HEATING OR POWER PLANT
. OWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVenL System 0 Other Devices
(phone)
S.
960< - ,~9'i)-';J6(;'~<' .'
6~3;7
(Zip Code)
APPLICANT
(Name)
(Address)
(Contact Person)
(phone)
DATE
H-,WJ'/ -'CJ~
APPLICANT SIGNATURE
PLEASE NOTE:
Air Condition~ Units .
Cannot Encroach into
Required Side Yard
Setbacks
;
f:'
~"
k'
f~
.W!
~
FIREPLACE MAKE AND MODEL
Residential. Heating &. NC (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
539.50 minimum ...... ,.. .
$99.50 Residential, Additions &. Altc:rations
$64.50 Residential. AC Only
S39.S0
Industrial, Commercial & Multi-Family
$39.50
539.50
Estimated Cost S \1, ow. oc)
.
Building Permit #
HEA11NGPE~TFBE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
qq, bL>'~
.50
10.0. Or)'
('t!., j".~ :,.~~ -.'"
""";....,
r
<...
':jr
(Office: Use Only)
This Application Becomes Your Biiilding Permit When Approved
aid
...-.--
..,....
jte'ceiptNo. . ..
_..-,",'-_.'-
Dare
Date A
. ,Uk r;
By
Building Official
i~
._ __. .._ __.... .._ __ ,."'..." ....... ......Ae!
FROM : HEATED FLOOR SYSTEM PHONE NO. : 651 771 8485
.. ,uy ~~.( ~..!...!.~~_ .\!~L.~9. ~'M,. n~..H.~.~_~.4~.._. ................. Cn:~ QF.._.P~}_~!LL.P,.KE;. _....
Apr. 29 2002 09:52AM Pi
. ~~I() 1
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FlREPLACE PERM1T
Date Ret'd
OWNER
(N" iLm=)
\.\.~ ^^ E '-::.
'l, 1- o.:y:;
~;~~. ~lJ
j:'~~~7-q::-'(D~\
'11. J PE-e....TiYi
cilr I ~",u... NO. ,,- """"\ /\9 !
~...., . 0' c+<-' I
I I ZONINO__, _I
-,
I
I
I
PID
"_~MP"""d'''''_)
[ ADDRESS
: ;? ~'6\0 f', ~ ".1\ 1EL.J
I. 'In~
1 Gt...t
l. YoIlow
I LEGAL DBSClUP'I10N <olli<!e ~ only)
I LOT 5LOCK . ADDtTION
(Ad.cS:-~ )
AFPI-ICA~T
(Name) \\€.A~~ ~lo.."")~ "7~ S'\E M~ '. h..) ( (Pbone) (p C:. \ -lJ \ -<;(1\
(Address) \(oSK LO\.A.\S~ (\\lE ~ I~~\.._ fA.. 0 l?L; l D(P
(i\~,,) (City) (~ Calk)
(Ccnl:Act Person) A\J€. :<A,:) ~ 'Phone) ~ C; \ ~ 2- '30 -4 1...4?::.
DATE ~-'2-~ -02--
aWU'm AIr "ll\Ill~
rGnavlty
,M~hllili;1I1
8Air C~ndltiDnlns
I V~nl. SYMsm
F[REPLACS MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
N'EW CONSTR.UCTION 0 REPLA.CEMENT ALTBRA'l"ION$
FURNACEM4KEANDMOOEL Mu~\?-\\....') '7<~ M ~ FUEL N ~\ 04.S
'FlUE SlZb ~'t t\l t- R.ETURN OJ'ENJ'N'C1S .- TN?UT ~y_ OUTPUT ~-c::....
TYPE OF SVSTmof HEATINQ OR POWER. PLANT
iStetJt1
tlot Wlll;'l" CW \ ~ Se.::::> i
rc.clllllDrl \ \..J ~\_~ 'i- \-\e.
SpedtJ Ol!\Ile ,
o 01:h<< DCv(o:;Cf ~ i
PLEASE NOTE:
ir Condition81 U Ilits
annat Bncroach into
Oquired Side YlIl'd
Setbaeks
----J
R.c:sjdllil'/.ti~.J. 1'!llatlna &. Ale. ('N!;W ConltructillTl)
Resldl!ftt\aL J'!I!!/ltlna Only (Nc:w Ccn;tructlon)
'P'IE SCHEDULE
1 % g{ ,111b con Rl:Isiclc:ntilll. Ou Fin.plll"!;
$39.50 mh\i~\ll'l\
$99.511 R.~~lc;lr:mtlal, Addltlolls if. Altllratlons
564.50 RG:iidlmtill, AC Onl)'
$39.50
lndllslrlal. Comme~lll.sc. Mr.:1tI-PlnlUy
$~9.~
S~9.50
Estimated Cost $ ~. OQ\)
Bulldlllg Penn It ~
flEA TlNO PERMIT fEE
Sf ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.so
(
~-.-...
_. .
." II
(OlYiec lJK Only)
'nib Al'plicatiDII Dct;omIN Your Bullclhae Permit When Approved
DU~
1leoe pI Q.
..--..----..-
a.lldi", omc:lal
," f\ 3 0
%4 hour notl" ro, .11 in.l'tIC!don5 (952) 441.9&50. fill "J2) "7..Q4S
Thf efnlt. 01 thf I..k, ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
LIJiQ HOM55, INC--.
[- 16- 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZPJS(o plNb VISvJ De,V5 NW
Accepted
Accepted With Corrections '>(
Denied ~~ J--
Reviewed By: ( . /{ -
commenb
J df~ Iv~~'--
Date: /.25""- 0 '2-
"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."
Tht Ctnlt( or Iht "okt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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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:
':.> i~' 0. .,;
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Accepted L /'
Accepted With Corrections
Denied
Reviewed BY:~~tf4~
Comments:
Date:
3/L{!&2-
L
A C- I!\J\e.dyvvUC('& 86fJJ~ ~ ~
~eZ~~t~~J~~~ t{J~
"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 Crnlr' ollhr I.lkr Counlry
02. - 2t:J 9
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
L I ( f t' ~ . -- ~.
/ f\)) - () 'I c/c~,
f
t- 10- 02-
IN~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z8~;(o f)lt\i~ Vlt/VJ DI2IV~ ~\IV\/
Accepted X
Accepted With Corrections
Denied
Reviewed By:
/llJ'lt3
Date:
3 - '1-0 2-
Comments: See Reverse Side for Additional Information!
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
MAR 13 2002 13:55 FR AM EHG TST ST PAUL
651 659 1379 TO 94808348
P. 2l1/01
.......
To:
Of:
Fox h:
John Oney
DLO Excavating & Poured Walls, Inc.
651-480-8348
From:
Direct Phone:
Date:
Jeff Hand ~la. ut
65J-603-661a
March 13 2002
')
-
Message:
On March 11 and 12, 2002, we observed the soils exposed in the excavation for the ,~esidence at
2886 Pineview Drive, NW in Prior Lake, Minnt'Sota. We judged the soils exposed if. th?
excavation to be suitable to support the fill andfoundation loads. Compaction tests rsel' teu field
notes faxed this morning under separate cover) results have met or exceeded the min ;ml. Tn
recommended level at the locations and elevations tested. A formal report will be prep, red,
lfyou have any questions or need additional information, please call me at the phon.? nlunber
above.
'e S. Handeland, EIT
Engineer 1
General Phone: 651 ~659-9IJOl
Fax: 651-659-1379
** TCTAL PAf,E. 01 **
MAR. -13' 02(WED) 11:50
AM ENG TST ST PAUL
TEL:6516591379
REPoRT OF DENSITY TESTS
//lr LU/4l..S
PROJECT: ;:;'.;VEv/~ ~A&vE ..Rolj~e~ClS
PROJECT MANAGER: :::t;"" oIf.( 1M llLF~
FIELD DENSITY TEST DATA
AET JOB NO: 1!C/-t?ZOp.}~
TECHNICIAN: ~ ~J
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: Dry Moist. '';', .'
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' 't~sf .: . . : . . , n';"'h" J : ' , Oversize' .Ptilc. . ':.' '%.."
Test'. ' . . . ,. .. Dens. emit.
',No',. .' , , .'- ...... .". , Mat~. ." .': No_:.. '''Co~~,,:: '.:'.M.llI;':,
'.. .Date' : :',:' Test LQ~tton, : .' . : ~Elev.. : ~. pef
I ~%2 81tJUC 3 1-
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1//.2 2
2 LiT 4 ,
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lilt I i I
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4 . .' I '/ J % I
~ La'// 9iJ lJ/2...l _ b.,
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Method: Sand Cone (ASTM D1556)
; Nuclear (ASTM D2922) k
LABORATORY MOISTURE-DENSITY RELATIONS OF SOILS (PROCTOR)
Opt. Moisture Max. ])ry
No. Tech. Soil Descriotion %+#4 Method COlltent % Dcmitv .P91
I 4C, , ~I ~lo\Ir,o - (It- /2.0' //~i
!){(OtU~ 6<2.lA-J.ut'~ I
~~ l5Y
7
Procedure & Method: Standard (ASTM D698) _; Modified (ASTM D1557) ~
c:\ WP51 \JC\AET\FORMS. TST\ T.1O
P. 002
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Adjtl$:
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CITY OF PRlOR LAKE
Impervious Surface Calculations
(To be Submitted WiL~ Building Permit Applicacion)
For PJl Properties Located in the Shoreland District (SD).
The ivia.ximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
L__'c7rt
--?
U,,-c:!c.~
3
..,/
'f
/-/6
liL.LJ<;
Lot Area -4'c;), 7'7;:;. ') Sq. Feet x 30% = .............. / ~ 23 J. 8 >
**~*~********~********.*************************************(***********
HOUSE
LENGTH vnDTH
.-zJ2iZe6U~.4e. x
x
ATIACHED G.A.R.AGE
x
=
TOTAL PRINCIPLE STRUCTURE...................... ~. 900
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BU1LD[';GS.......................
DRNEWA YIP A YED AREAS .f.ze~&u?,4x, x
(Driveway-paved or no,) X
=
=
2,~9?
/
(Sid~walk/Parking Are~)
x
:::
TOTAL PAVED AREAS......................................... 2,::;-97
/
(0,:::1 Decks '1.- rr,::1. o::ening be~~:1
c:cJIds. with a pcr"liol.:s SUr;..l:: bc!o"".
J:: not considered [0 b~ im\=cr,;cu;)
//,1.,..... X
../ ,to. L e (1 r.) t..,:JtZ.
X
:::
)L)~
P A 1l0S/PORCHESIDECKS
:::
x
:::
/~~
TOT ..\.L DECKS..................._..._._.............._.........
o i ciCi?o
x
X
==
=
TOT A.L OTl:IER..__................__ _._..._.............._......
TOTALI~~ERVIOUSSURFACE
r ;";b91
"/
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I
lJ~rnER/OVER /; /;;'> ./ / /'
PreparedBy /7~a1 L-l~~/,<'_{t. Date
. \,.../
('~2.- 19 .-C2
-j
Company"" 4/4/ ~'
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Phone # 952- A90-6cJ-L/V
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS aSBCo (i\V1eVt€ltJ G,
NATURE OF WORK new
USE OF BUILDING Sf:'D
PERMIT NO. ()Z - Oz.-Oc; DATE ISSUED ~ - ;;r~--OL
CONTRACTOR . %;V\al ~~ ~ , PHONE 9StX-:J.9;;(-Ic{rJo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
~;
FOUNDATION (Prior to Backfill) ~ @-: -'-' -' -, d ~ {);;L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING {,,0J tft/ {,-'/:l,-. '2--
INSULATION L. ,i. . (p '/1 Z....
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
, IS r cr
1/, ,02- Ijl(?
GRADING (Prior to Soddin )
BUILDING PC.. ~'ZD 02- (.l,
ELECTRICAL
PLUMBING '\
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have neen &'Pproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
'tV
i3V
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850