HomeMy WebLinkAboutBuilding Permit 03-0539
@rrtifitZttr lIf OOttupantl!
CITY OF PRIOR LAKE
~tpCtrfmtnf nf lJ!luil~inB Jl nspttfinu
illFinal Permitted 0 Conditional e.O. Expires
/'
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Occupancy Type
R3
Type Construction
SINGLE FAMILY
VN
Bldg. Permit No.
Use Classification
Fire Zone
N/A
Zoning District
RISD
Legal Description L4, B 1, NORTHWOOD OAKS ESTATES 2ND
Owner of Building . Site Address 3058 HAWK RIDGE ROAD
Contractor's Name & Address KINGSBOROUGH~ES, 8750 90TH ST., COTTAGE GROVE 55016
ROBERT D. HUTCHINS(//l, City Planner DON RYE
, ~ I ~l Building Official V I
Date: 1,1 . I Date:
,~~
~
~~ '..,.;...\..~"
.......~...:....~~
L~~~
",1--;.::'
~,~,~~,:,: ,\;..,;.l~~~.~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o !J;ISULA TION
~FINAl
o SITE INSPECTION
COMMENTS:
J
()K
SCHEDULED 10 -,~-o'5
DATE TIME
tk.wk
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,
-/-Go
I
(" to~
~
3 - S3~
o EXIGRADlFllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-!-La
o WORK SATISFACTORY, PROCEED
~ORRECT ON NO PROCEED
o CORRE W . ALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 8, ,co- 0")
":'Zo
ADDRESS '30-::,8 'uquQk 12c:Q.c/'
!! 0
OWNER CONTR.
PHONE NO.
PERMIT NO.
3...
637
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TtQN
lLFlNAL 14 ~~
o SITE INSPECTlO"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
1. ~LJ- lM.o 1\ 0 t::AJlJA~ ~ :i-- ~
T~
-h,
fJou
.
(
~~
n
~~ ~,. 1J~c{
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
"j. CORRE, 19rK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: < V Owner/Contr:
CALL 4 i7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE i.. 'j-03
INSPECTION NOTICE SCHEDULED
ADDRESS JS89 ~'o~ -rt= ;
OWNER CONTR.
PHONE NO. PERMIT NO. 3....~
o FOOTING o PLUMBING RI o EXlGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL )( PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I" Po.-f ~ rl~~
1.~ ~_ ~f ~fU.-7
3. J:;.w:J.. ~ tl~ r~
o WORK SATISFACTORY, PROCEED
)s(!ORRECT ACTION AND PROCEED
o COR~ -rORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect : \ Q. Owner/Contr:
I
CAL: 4 S -9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"
CODE RE UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSNOTJ
DATE
8(~/zJ3
~~V4l
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.if FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
h. ~ PLUMBING FINAL
~ , MECH FINAL
TIME
3-53C2c
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
J ~FIREPLACE FINAL
~ 0 GASLINE AIR TST
o
CQMME.N. TrA: ~,_. .' i I ~
[; ~VJ-WN\- ~d- W&J-.,- AM~
~ /~.,.~ ~, ~ ~icFHHw?~1
?l., 1/, ~~~ .-' Ii!; ~. (~~~L:~
l.(~ :'ft \J~"\ ~M?; i~
PK~~' \ - ~~~
~~ \AA ~~~ -I~~
..~~~~~~I- 1.J~.o 1.;2,01
I~ \/0. ~~S.. n ~ ~ ~ ~~ lV).., .
Y-~er...Q5 1 ~~~,~~.,
o WORK SATISFACTORY, PROCEED
.0 yeRRECT ACTION AND PROCEED
16 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED 8 - I ~-o Y
3'\00
ADDRESS 50 5~
H~,k_
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
')(plUMBING FINAL
o MECH FINAL
COMMENTS:
J. L~ ~ ~~
.1. tSr.ak 6 ~ t III J{ o--.A...
R~~
~ _ 53Cf
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
VA~ IoJ~
~ ~RK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRE1"1{ {K, CALL FOR REINSPECTlON BEFORE COVERING
Inspector! I t;./1 Owner/Contr:
1--
C;" .l 44798 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~ ~qREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
~ INSNon
DATE TIllE
CITY OF PRIOR LAKE 71i~
INSPECTION NOTICE SCHEDULED ~0
ADDRESS ::t:>S8 Hko.JlA ~c;,b: -a.. {')
OWNER CONTR. l41.kYQ<:~)(}( 'JH r~)III'i.)
PHONE NO. PERMIT NO. ()"l:;)-6~~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAl
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o J:Y~ILLlNG
O~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
G,e..j)JJk ~ () V,
-WNl..(h.~p-~
~0 ~D ~)f<"l~~S
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~
Inspector: ~ Owner/Contr:
CALL 447- 50 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-;/0 -03
I. White File
2. Pink City
J. Ye\low Applicant
PERMIT NO. 03- 05.39
(Please type or print and sil!;ll at bottom)
ADDRESS
'1D58 WQwK l(lr\[)E hOud
J
LEGAL DESCRIPTION (office use only)
LOri BLOCK \ ADDITION I\br4hLUoo d
ZONING (office use)
~/5D
LtlK. ~ t skt ~es MJPID 2.5-37/- 0 04~ -~
OWNERV' L il"
(Name) f\ tl\JC..tS DO (0 U 6/-\ tf() mes
(Address) 12150 00 #, Si..
LLC
L'b#A6d~ L'1(OU~
(Phone) f.t;5 J - qeO - /66/
fnN ~~[)I W
BUILDE~ . l. I ,
(Name) f1INtoVOr-Dubij HOfYIeS
(Contact Name) Sl-tv e V\~or.;e
(Address)'81lJD 0o+-h .51- .
LL~
(Phone) /flSI. W,O- J BS I
(Phone) lc5'/- lIGO - I~Bi
fhtJ ~5D)lo
00# I\b,( b YO \J ~
TYPE OF WORK
ftl New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ fA 45'. (i7D .~,
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 prop~to perform needed inspections.
x~/\ ~/"- ---~ " ,~DD5G5'5()
Signature
Contractor's License No.
L1 /f] /03
'-fif;11
I Permit Valuation -Z~jav. - I Park Support Fee # $ ), 8'5'0, {) ()
I Permit Fee $ /~ II. 3<) I SAC # $ 12..15;:-
I Plan Check Fee $ 1/71-3tJ I Water Meter Si@'.I". $ 2.5"0.. -
, ,
I State Surcharge $ /2-3. .... I Pressure Reducer $ f-S" - -
I Penalty $ 4.- I Sewer/Water Connection Fee # $ \2~,-
I Plumbing Permit Fee $ It) o. .- I Water Tower Fee # $ -?Oa -
I Mechanical Permit Fee $ I Of). .., I Builder's Deposit $ I SDO. --
I Sewer & Water Permit Fee $ 3> S-. ')V I Other $
I Gas Fireplace Permit Fee $ 40../ I TOTAL DUE i/.1'UBO s'f(J.oJ $() ZO"1. ,7...~
"'
This Application Becomes Your Building Permit When Approved I Paid q ;;Lor/ . -0" 3 Receipt No. l/ i/S /6
~ ;;~;w ~9~..7 I Date ,1:::- 7 -0-3 By ~
t.:l
Building Official Date
This is to certify that the request in the above 'Wplication and accompanying 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 compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
~~";l~ 1/~~~3 /~~;.c~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372 \..
(1YhmL - Bui~
l.ClI. jClli i ' - t:n1Jmeenng
Pink - Planning
Thr (Otnltr of Ihe 1..llt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tl NcqSf3O~OlXir'- Hot1~
4- - I (- 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3058 HAW/L RID6b goAD
I
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Comments:
~ ~ Date: ~~~3
_h~ at-( ~~ ~'L
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."
I I
White - Building
Ga.narv - Enai~ng
(Pink - ~lannln9>
The Center of the Like Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
t! NG(~ Be ~c lC1r'. Hot'lt:;
. . ( ,
4- ~ f .. 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3C)~f) /(I\Vv/C f<-f OGt" {2cA0
Denied
~,.
!lJi\-
Accepted With Corrections
Accepted
Reviewed By:
Comments:
Date:
~943
"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."
Thf' ('''"If'r of .he' I.alle' Counlry
White - Building
l'""'C'anarv - - t:nglOeenng...>
Pink - P'larining
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
k~ I t'~G,S BOEOlt1H Hof/IE5
. - I .
4- - f (,- O~1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~? () 5 f:i F..I f\ \1\) it:'" F~j r)0:1'E~' F~~()~~:" 0
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4n
Date:
Ltll-ro
Comments: See Reverse Side for Additional Informationl
See Attachments: 1) Grading Plan. ?) Erosion Control Measure~
"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."
"
. I I I
Aug 21 03 04:53p
. lVU c..l -l::.t:JV..) J..);; t1I:j
TAMARA LYNN RUMPCA
CITY OF PRIOR LAKE
651-459-2931
9524474245
p. 1
P.01/01
Date Rec:'d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Pk_ fYDe or /lIUIt ud Jim It !/gllOml
ADDRESS
; ~:. ~\:~, I PERMIT NO. 03-0S301
) 0014 ""',.... I 1
:J(J.58
I#J W K-
,e/O('j6 IUlHO
ZONING (ClIIl<<wcl
,eISO
LEG^L DESCRIPTION (office 1l$C only)
LOT 4- BLOCK / ADDITION (ll"oe 7H!r/O~,? (J11~.r ? fIIJ:)
PID L?: 37/. ()()I/.-. ()
~
OWNER
(Name)
(Phone)
(AddreSli)
(Addreu)
{c::icrl
(Zip Code)
.
~:~~NT ~P~A eAl7ee~.e.lsF:s, INC. (phon" &51-1:59-293/
,
(Addr(:$S) /tJ.370 "vno6/e;f'-i CT. (!.dTT/l6E- 6,ecJ1/b 550/to
(Addrest~ '. (eil)') (Zip COde)
(conucrperson'i< en'l- I LLm(kC"'- . ___ (Phone) fr)"{-J-tfi-qi-l'lt..j
APPLICANT SIGNATURBf. M- ;I~-.Jt----/ DATE f g- ::l/-03
APPLICANT PLEASE COMPLETE BELOW
Size of water service , inches.
Location of any couplings from structure AJ I fi feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line 30 feet.
Clean out (if required) located at ._~.!,A feet from structure.
Estimated Cost S
RESCHEDULE
S35.50 Industrial, Com'l8c. Multi.(amily
S 17.50 Water c:onne<;lion only
ca'I.\O, 00
I % of job cost with a $30.50 minimum
$11,50
Residential sew~r and water line connection
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit ti ()3 - as.39
$ \ / fWD WITH
~ X .5tuLDING PERMIT
I \
(omtt {lit OaIy)
Tbis APplication BcCOIIIQ Your Building Permit When Appro"td ~ ~ ~
, - DI'- Dale: tJ..? 7.0? I By ~
Bllildlnc omc.ial . r I w::-v .L
,.. bour notice tor III i..pcttiDIIJ (951) ...t7-911~ (95%) 441-4140
. -
TOTAL P.01
FROM: BINDER HEATING
PHOt~E NO. :
Jun. 84 2803 0i:2iPn Pi
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'o
~
I. Plak Fil, PERMIT NO
1, Gr-. City . ^ -:>_ 0 c ~;J6
1, Y.IIo.. "ppficonr U ,,;) ..::> :;) L
(please tVPe or print and si,;n at bottom)
ADDRESS
~S <3 H OJ.A.) ~ R \ n'jp R0\
ZONING (officcllSC)
LEGAL DESCFJr J. J.ON (office use only)
LOT ~ BLOCK \
ADDITION I\J 0 r -\-- Y\ \. u ood 0 a..t s..
PID
OWNER
(Name) K, \f\,Oc..>OO \' oua \\ \-\0 h\PS
J \ .J
(Phone)
(Address)
APPLICAlj,f, , \
(Name) ~ r \-i--f> (\..*'" Y\j
(Address) d.:).~. t--ta.rd..ma.n Av,<- fU
(Address)
(Phone) _ lns:.. \ -~~ J - ~ 'I ~ \
S. ~-t-. Po..uj yY\ AJ ,~SO" S"
(City) (:Up Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE __~~ .e1 A~ DATE lo-~-(:)~
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TEM nONS
FURNACE MAKE AND MODEL -rr aJl.Q -T~ \ ::+0 FUEL <3 a...S
FLUE SIZE ~' RETIJRN OPENINGS . INPUT \ ~O,~ _ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
" OWarm Air Plants 0 Steam
OGravity 0 Hot Water
I Mechanical 0 Radiation
Air Conditioning 0 Special Devices
Vent. System 0 .other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &. Alterations
$64.50 Residential, AC Only
$39.50
R.esidential, Heating &. NC (New Construction)
Residential, Heating Only (New Construction)
S39.S0
$39.50
Estimated Cost $ Building Permit # () ~ - 0 S 31
REA TING PERMIT FEE $ / 8lJlt ~/D 111
STATE SURCHARGE $ .50 DII\tG '1~
TOTAL PERMIT FEE $._ / _ ,()~~
(Offitt liSt Only) [re (fn ~ ~/.,.
This Appli<:ation Be<:omes Your Building Permit When Approved r !paid.l' ~ 0 r!J [E r- Receipt No.
""~.. o.,,~, 24 h,"~ ..<In r., :';......... =1 ... ~~:~) :.:: 01 By tt
FILE ~Jo. 029 06/11 '03 07: 47 I D : PL'mOUTH PLUMB I NG
/'<p~
o ;,.---r-:---.: ~
(~..(~~.\
\uL~m
\. .". ...;,.... ,/
,....~~~....,.
FAX: 7635331121
PAGE 1/
CITY OF PRIOR LAKE PLUMBING PERMIT
D:ltl! R~c'd
I ijl&,ll! Filii: PERMIT NO 0 -3~
~ Goili ClI)' " "'5
.1 \' r.Ho"" AP1Ui",,..,
(rlc::as~ ryp(, Of' pnnt :tI'IO Sllln ~I. bQr\oml
I ADDRE:~5X' ~I~ 12t4t Rei,
(/
LEGAL DESCFJPTlON (t1f1iCt use only)
LOT
OWt-.lE:R
(Namel
(Address)
B L OCl<
AIl D IT] 0.1'0)
~~:J ,J1\~ ~NVS '
A.PPUCANT (J I .
(Nl:l.mt) P IIJ Vv\.('1l..c --\ \.. '\ I I r...L ,V\,\,,,\ I ^ 0
iAddres,c;) (oc{ C1 q \1\) 11'\ vd {y. r; ~ \H . k...)
(Address)
ZONmG (Oti""'l""
Pro
(Phonc:) ,
(Phone) ('1 i-C ~ f) '?:>"';"l.\~5 (
(f-Y1 !l. ) k.. \ VI,/l, P"d( r) S L.I rl.r)
(City'}..) (2.I}' Code)
(PI10ne)
(COl!ti,lCl F"ersl"ln) _" . ". ~ ()
AP~.~jCANT SlGJ-.JAT1..TF,E ~ _ ~~~. -:>
Quantit),
r~
~
DATE
1/-7-/0-"3
APPLICANT PLEASE COMPLETE BELOW
':),
I
I Typ(' or Fixtu r~
I Bath T.lb with or withNll shower I J I
I Dishwa;;htr
flour Dra 111
Lav:l:ory iB"rhrc)(l111 Slnkl 11 Ii I
! Laundry TrLl) 11 01':2 Ctllllpllrtment sink
Show!::r Stall 1
Sinks
Quantit)'
T~!pc 01' Fi\:turc
I
ROLlgh-ins
Wattr He."Jt<:r
Water SOfli1er
I Stand Pipt (WIi~hll1g.1vl;.lclllne)
\ Sewage EJcctor
B<.lckflow Assi:!liIbiy
Backf10w Assembly Test
I
J
I V".~ ..,)IIU\.
Wattr Ck)~cl tT(\i\tn
I
I --"" _',.....,.'.....-.
, Othtr
FEE SeHED tILE
loch'Slrl"!. COlnm~rclal & /"lulll-I;\I1111> II!.;, i1fl"lb ~lIst 1\'lllI ~ $395(\ nili1imurn
Il,HliCt, l"c 01111'1
!::.S1101;\1.eo COS1 $
1)J.,l,IMBING PERMlT J7EE
ST.; TC SURCHARGC
'fOTAL PERMIT FEE
R~~I(.JcnllaL N~w One to; 1"w,I.F..llnlly :t.99.51\
RtSicknti.d. Addillm1;. &. Allcr:lLllln:; ~,:;9jo
Building Pcmlll II
8Uli~~~ ~
PeliMI7"
5;
c, '1, SD
,,:1.___
5U
-j"Si-;':D
~'
./I
f,;
oj
TIllS Apphc.:::tllllfl BtC:lImc~ \ Ull,. Building Pcnnll When APl'l"I'\'(:<.! r'.\ltJ I R~C~lpl No
rjllill~;.:T)jt'l('U1I -- 11'11'--' . '-, ~ -~@ [ H ~ [, B~ ~
J '-JOI'f'1 6 'LnbY" - - -- - -.
~-l IIUlll hull~l' 1111 ..llln~fl"ctJ"ll~ I')~:J.... -'1.:"11, l;n. (452) ~4';--I:4S
Ill~flf' F.;l~.k ('I'llld; ,1\\". ....i,I; !'1"ltll' l.;d..c. '11'\.' ~~,,~~.I"'!J
By
Jul 01 03 11:39a
" II i l\ , '1111 ( 1 1 ' (,1
~
D.A. Distribution
CITY OF PRIOR LAKE
763-717-7207
9524474245
p.2
p.auel
Date RA:c'd
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGJ t lKEPLACE PERMIT
~: ~ ~~ I PERMIT NO. ~ ~ c::. -:2 01
J, 'oIto- "..,.~... () ..:;/.:..L:!J
J..'ln'.. ~r."'" and ~ilP'.~nnlll)
Al'URI:SS
1>0'5' .cg~ I hvV v.1"~J.r~(;~(s I<D.
ZONING (off\<< 1IX1 I
LPGA1.. Vl'$C1Ul'TION ((\m,r. UJr. onl,)
l tOT
RUKK
ADDITION
PIO
i"'()WNlIR .
(N;",,~) jJ1!:---}(' "\--221. f/l r ~*-f l--I OM l::-: S
(.Phone) c::'IZ - 22-1 - oc:; I n
I (Add,C'~')
ArT'T J( '^t-lT
I (Nllmc) I !~,f:.:.J) \"'/~ I .1.'k..!.,'J'}f'C'-' F STONt=:
(Adt1rr,'!>) ~ ~.~ p.. 1\ r . II I i ~,( .~-) ,.. "-\ c. ) ~ 'P1Gi t-J Ie..
(Acfdtwo<s)
I (ConflK! rc-t":(IfI) , I )r, 'I.~' u.~';r~ e::x"l-
; APPLICANT SIGNATURE__(- I(J .lIft. ~l.-V~
.. - - --. . /'
(phone) '1.b ':) . J'Ob ~?~Lj. I
Lp...lL€ --Pl='--r~~_, f\/\ N Ss 432.-
(City) Clip Code)
(phone) :J.1~~ -1f)0 ,'2.'3~'1
/ ,- 0 I - 03
DATE
ArPLICANT PLEASE COMPLETE BELOW
tLiFf.:ai ~ONSTR.UC110N 0 REPLACEMENT 0 AL TERA nONS
FURNAcr MAKF AND MOOJ.:l. f-/I-A"T' "-t("~--.~~ -~_ FUEL NAT. GA::.:>
J..HI! ~r7P RETURN OPENINGS rN'PUT OUTPUT
1'Y'PP. OF SYSTEM HEA TlNG OR POWER PLANT
OW:\nn Air P141\1~
r'10,.." ily
U Mr~hlUlic.1
(J.. Air ConclitiQrlIJlI
11Vcnl. <;)'11"'"
o Slum
8 HO( Wakr
Radilltion
o Spo:;cial D~iccs
o Ocher DevICes
C.'C:00I'Y~ OA. (. - J-h.:AT ,.j b /.-.0
PLEASE NOTE:
Air Conditioner Units
Cannot Encroacb into
Roquired Sid. Yard
Setb..ck....
11'IRFrL^,T M^K.~, ^ND~.ODEl.
Ind"~Uh\l. ('''"II\ICI\:.1\1 &. M"It..r"m.l)
FEE: SCHEDULE
I~. of job cast Residenlial. Gas Fireplace
In.so miftimym
S99.~O RC5idcntial. Addilions.t Alteration,
164.50 Residential. AC Only
S39.S0
~39,SO
$39.'0
Rc~id~\lllA11",":\I;\Il~ "" A/I,; (N..w COMtnl(;rion)
!\C\lJcn'tl\l. 11(':\"I\I~ (lnly IN"'" Cu",ll\.~1I0fl)
E~llim.l..d Cost S
Building Permit"
HEA nNG PERMIT FEE !i
STATE SURCHARGE $ .50
TOTAL I'ERMIT FE~ t:...
(Ol1\rrl'.r(hol'I,. I n I ~ IJE ~ U \~/I~ I,
l'hi~ Appllcatkln n.ccu"..,. Your Bllildinc Permit WhclI APl ~ rioed Paid
J' Jl -R2e 288J 7
Dal~ I ~ ~,
2A .....r nollce tor .n 11I&'peCdo~2) &4':'~~~5Z)_ 447.... ~
1l.1"1I~~ OOlrl.,
~~
'BY a~l1'
- ~L P.01
\.. \ \ ,\. '\ . I ' '\ .
"""-, .' \ \ t. t., \ '
(\ (,\Ji,\I( J, v('(\h.,..~,) f~n~- (;'f\0 ~ ~Y{i-\I;.V'.s
J-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 30Se HAw "- R., IXStc. ~ItO
NATURE OF WORK jJ&tJJ CO,JSrtacc'/G~
USE OF BUILDING $F:D. ,_ ~
PERMIT NO. ~- (j3L~?:..!ft t: DATE ISSUED !{I.J.U~I
CONTRACTOR lL/J4WJI:.IW /JbM,s PHONE~-~tJ8(
NOTE: THIS IS N01'-J!l PERMI FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I5:r
I FOUNDATION (Prior to Backfill) I FIJ 5-iJ' I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -/~N~
SEWER I WATER I SEPTIC v ;LT'
FRAMING P;I) t., po 2r
INSULATION ~b ~ A~
ELECTRICAL
PLUMBING ?~ l; y~
HEATING (if required) {'b Ie ?O
FIREPLACE kl( P LJ ?- / /
GAS LINE AIR TEST ~~ .>,,~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
J:/iACt.D~ ~l'lNGtIlYlfD I
FINALS
U- ~.I.>r a J
r if((
~h 9-7
{-'pi ~ (S /~~ ~
OCCUPY UNTIL ABOV~ -HAS BEEN SIGNED
NOTICE
I FOOTING
GRADING (Prior to Sodding)
BUILDING ~~. <\.-, \t, 1..\ o.()~
ELECTRICAL ./
PLUMBING
HEATING
DO NOT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
I S/7/t.l3
tlf) ~{7
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