HomeMy WebLinkAboutBuilding Permit #03-0465
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CITY OF PRIOR LAKE
~rpatfttu~uf of ~uil~iug Jfusprrfiou
[}Final Permitted D 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:
Use Classification
SINGLE FAMILY
Occupancy Type R3
Type Constructio~
Bldg. Permit No._
Fire ZoneN / A Zoning District
Legal Description
L11, B3, JEFFERS SOUTH
Owner of Building
Site Address
3718 JEFFERS COURT N.W.
Contractor'sName&Addti~!-!.SMANN HOMES, 1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
ROBERT D. HUTCHINS _ City Planner_ DON RYE
, , Building Official
} ~/I " 1..J. ~}I . () ~.
Date:
Date:
~'
.'''''1''11
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DATE TIME
ADDRESS
CITY OF PRIOR LAKE -
INSPECTION NOTICE SCHEDULED i~: - B /-0:9
37/~ ~ aI-
/Ccft:TR.
OWNER
PHONE NO.
PERMIT NO.
'3-q~,~
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
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
e:; if- /
() )(
/'\ J /'j C e-
I I / v J
L-/'
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 INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
/NSNOTl
I II
I" lIIil
II'
ADDRESS
-a'~
~1 ~ ~fft.E~S G-(
nME
(OF PRIOR LAKE
;PECTlON NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
Q~-Lf(oc;
o ~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
g..1INAL
/[) 'sITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G{(.P()6.. - OV,
CuR.. <s S-( oP ... 0 \.<.
\
1 1r1 Ylf\ (#... \-P.~S
;a<+voRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. V~.A A-..'L Owner.IComr.
CALL 447-1*t50 ~:::lE NEX;T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED e - 4 -t'~
--./
ADDRESS *2~ __~ ~
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
S"- Cft_<
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: . _ ~ .'1
~ ~ flci:Y>,~
'V ,....,-- - -
~. ~, d- \ I\Q.Q~
~. ~~ ~~ :rVL~J-~_
~
.rJ~
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Vic) 1~
J^ -7bo-S
!-LJ , /
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
;J\.OR T K, CALL FOR REINSPECTION BEFORE COVERING
Ins or: !A Owner/Contr:
i i'
ALL 14850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I ,I
UIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNon
'I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3ru8 1oCL~
OJ-
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
Ii' PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. ~ ~~
~
I ~
'\
DATE TIME
7-'Soa7
J - '-1&5"
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
, . ?D ~ ORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRE~Wt...K' CALL FOR REINSPECTlON BEFORE COVERING
Inspector:.J Owner/Contr:
~ --
CAL 44 - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSllOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
Date Rec'.d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2, Pink City
3. Yellow Applicant
4---l ;03
PERMIT NO. (J3 -64{,S-1
(Please type or print and siJtll at bu..un<)
ADDRESS
37/8- j~FPers e)our't n LV
LEGAL DESCRIPTION (office use only)
ZONING (office use)
P-I
LOT J J BLOCK 3 ADDITION j e F f t Y 5 Sou th
PID ~S- 3Q'6- t)~3 -L.l
OWNER
(Name)
Wen S fl1 fJ n Yl
/ gq s- -.fL t1 zit
Homes
Dr I U e.
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
511 f'YI e
{h,~ k
TYPE OF WORK
o Misc.
HelL t+1~Y\
~ New Construction
DLower Level Finish
~Deck
~ ri Fireplace
. (Phone) ~51-40~ -4Lf OD
E. ~.1 An . )rJ 11
"' ,
St:.A-ltc ~oo
(Phone)
(Phone) b J Z -3 b q - } 102. 9
OPorch
ORe-Roofing
DAlteration
ORe-Siding
DUtility 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
;ter~t({~rfOra:::S' J 45(( 4 -I -03
D Signature Contractor's License No, Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST/VALUE (excluding land) $
DAddition
'fr 0138.000,0"
$ /1 (,(,. Sc;~.
$ /J 4 >:I. ~lt:J
$ . - / '9, ()cj
$ .
$
$
$
$
100. 0 CI
loa . lJ.o
35.5"0
J.{a.oo
This Application Becomes Your Building Permit When Approved
~1~
Building Official
~dj
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$fi3&4 .3J I
Receipt No. UL/O "7\.C) I
By ('f-/ I
1275".00
.3 00 tOO
7(), 00
\ '2.00 ,~E)
700. DO
/500.00
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 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
~1~~
Planning Director
I Water Meter Size 5/8'~
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
Other
#
#
~17;6:r ~ a-L( ~~
, Date Special Cond~ons, if any
24 bour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I TOTAL DUE
I Paid
I Date
Q -35 Lj,. 3 i
L(-~?~/~
April 21, 2003
"
To Whom It May Concern:
No portion of the single family home that we, John and Marilyn Miller, are building at
3718 Je1f~J.~ Ct NW , Prior Lake, MN 55372 will be used as rental property.
Sincerely,
~~!?1L
-
PL~~
Marilyn Miller
John and Marilyn Miller
21851 Calmor Avenue
Prior Lake, MN 55372
J~
1/tt-IIJ3
h.
I 'II III
rvvnite - tsUllnmlb
Canary - Engineering
Pink - Planning
The Cenler .'lhe tlke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!t)~g) ~
L./- 1- () "8
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction acti~hi~h is proposed at:
,~7 / 8'-..... ~ (1/1-
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
/&;A~
'7'~1'- Date: .L)/; 7ft 3
.,
aJ!.-( ~ ~-~ .
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."
I II III
White - Building
Canary - Engineering
c-Pink - Plannif}g.J
The Cenler of the take ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .~/ ) -,
APPLICATION RECEIVED L/- 1- () ,:
',' I
I. /
...----
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity/which is proposed at:
, ,. 1/ /
/
I
) -i-
......-" ' II
Accepted
Accepted With Corrections I/"
Denied
Reviewed By: ~-:J~
Comments: j(~ ~ ~ ~/L
~ ./-- ~ ~~~~).
~ .c... ; I
Date: 4/17 /0 3
. , .
~
"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.1I
I II ill II
White ~ ~uil~ing
c '.~@Il')an{ ~ t:nQlneenng.>
Pink -:-Planning
Thf' ("""'n of Ihr l..kf' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
, '
// )rt-1t/~}/?Jt1!;z.)r;-:1,'f)
r?'
l. _ ./
, dt) i"PL:/-.,:.:..,./
APPLICATION RECEIVED
L~ /-0. -=;
/ I "-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activit~-'A(hich is proposed at:
---). ,0. // / ,1' 'f-. .
""") 1/ .."... ~! i ,-9,<,/4 ''',' ).
\.. n, JJ.../"-'ll' 1'.1.,;; ./........(l/" , .."
,J. l:l l,/'~ " ,-,
Accepted X
Accepted With Corrections
Denied
Reviewed By:
A/EtD
Date:
4-IS"'03
Comments: See Reverse Side for Additional Information!
~ee A tt::t~hment~. 1) Grading Plan, 2) Erosion Control Measllrp.~
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. II
MaY.19, 2003 10:03AM
GENZ RVAN PLUMBING AND HEATING
No.3793 p. 24
~
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1.',- '/":,,-,, ~......
'~', ..r; ,,~~\.,.(~,.:t.' ,,~':<.'
'\~~..\~(~~\:\):r'''NE' 0"1:'"
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMiT
I G=1 File
:1. YeU;"" Citi".
3. O<>ld .'\.pplian~
PERMIT NO(.~_Llu;~
~lc:a:;e tYEe: orprmt ;u:l.:iSl~ atboaom)
ADDRESS' .
,~1/~ Je-ffetLS" ~+ .
ZONJNG (offiJ:e IISC:)
LEGAL DESCRJ..ruON (office use only)
LOT \ I BLOCK 2.. ADDmON J e -+{=-~<.: S nllt/h
PID
OWNER
(Name) Wensmann Homes
(phone:) 651-905-3709
Eagan, MN 55122
(City) (Z.ip Code)
(Address) 1895 Plaza. Dr Ste 200
(Address)
APPLICANT
(Name) Genz-Rvan Plumbi.ns<: & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl Ro!;emount. '4N
(Addless) (\ _ . (City)
(ContaCt PeI'on) _ Q..Vl 'f( lS'l 1JA IlL ~ -/. n (phone)
!. "JICANT SIGNATURE (\\ J ~A") '--TCU!J-/J DATE
55068
(Zip Code)
651-423-1144
~-'Iq-.o~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVCD Cast Iron
:&;timated length of sewer line feet.
Clean out (ifrequired) located at feet from structure.
FEESCHE.DULE
ResidentJaJ sewer andwa.ter Ime COnDectl.on $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39 .50mmimum
Sewer connection only $17.50 Warer connection only $17.50
Estimated Cost $
Building Permit #
PAID Wfn
BUILDING p'~. H
~~~ ~~r
, ~is Application Becomos Y oor 8niJd;.. Permir When Approved J ~- ,. _ . _. -Jil ~~eipt No t4
t ' Duildillg Offic:isl Date ' .. .! I
24 hour notic!: for aJlinspediotl9 (~2) 447-~ ~, rM~2~.J,~ ~' 11
SEWER AND WATER PER1\IUT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
By
I ~a III
200310:03AM
GENZ RVAN PLUMBING AND HEATING
No,3793 P.3,4
Da.te Rec'd
CITY 01i' PRIOR L.AKE PLUMBING PERlV1.l1
(Please [ype or tltUlt and SllW. ar bottom)
ADDRESS
311 ~ \ 'fif-eie.~ Ct"
LEGAL DESCRIPTION (office tue only)
LOT l( BLOCK C;<ADDmON Je.ffe,{e.S S~
OWNER
(Name) Wensmann Homes
(Address) 1895 Plaza Dr
I APPLICANT
(N~~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Person) r ffi IQk.S n ~/Lls
rAA~--frL,,~
1, Eluc File I PERMIT NO
2, G.oJJ City " .3- Lo! / -S
] V.lltl'" Allplicanl to
ZONING (ofliceu..~r:)
PID
(phone) .651-905-3709
Eagan, MN 55122
(.phone) 651-423-1144
Rosemount. MN
APPLICANT SIGNATURE
Quantity
,I
I
I
,,~
I
I
I
A
(City)
55068
(Zip Code)
(phone::)
651-423-1144
DATE
S -I t1-().~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
I Shower Stall- '
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
.3
I
IL-I
I
I Type of Fixture
I Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I L.nVIl Sprinkler
I Other
FEES~J:1.1ljDULE
Tndustn:d, Commerc.ial &. Multi-famtly ] % ofjob cost with a $3950 minimum Residentlal,}JeW One & Two-Family S99.50
Residential, Additions &. Altera.tions $39,50
(OIIic:e U~t Only)
Estimated Cost $
Building Permit #
PLUMBING PERMIT l' ~l:, $
STATE SURCHARGE $
TOTAL PERMIT :FEE $
,This Application Becomes Your BUildjng permjt When Approved
1'/1 (:""..'
1""
.50
PAID ~
BUILDING 7TH
PERMI;
T~~.,I ,.. ,1' ~ __ lleceipt No.
,/ ~~~~ ~ ~ ~l ~.;; Inky
Dan: . Lit-Ml\Y 3-l-z-uQj I
24 bour notice for all inspections (952) 447- ~850, fu (952) 447-4245 [!)
. , By
BuildingOt1kiaJ
I ill !Ill
.Xi,~
t/I/
d
200310:09AM
GENZ RVAN PLUMBING AND HEATING
No.3793 P, 4/4
,. CITY OF PRIOR LAKE
BEATING/Am CONDITIONlNG/fll.l<EPLACE PERlVu.l
Hate Rec.' d
i ~~ ~l~ I PERlWT NO. Q / l~
l YtJl~w "M'1l"""t r . -)-----r
(Plca.se prPeor print and $!e;n at botIom)
ADDRESS
31l & Jcff~ 6t-.
ZONING (oflict:use)
LEG~ DESCRIPTION (ajlice me only)
LOT l \ BLOCK ~ ADDITION J-effefeS &:~
PID
OWNER
~ame). tJ':>'\"\<lm.<lT'" ~,...m"'..
(Phone) 6-51_9(\1:;-~7..(1Q
Eagan, MN
55122
(Addr~s) 1895 Pla.za. Dr Ste 200
APPLICANT
(Name:) Genz-Rva.n 'Plumbin2' & Heat.inQ
(phone) ;, "i 1 _a ') .~_ 1 1 aa
(Address) 14745 So Robert Trl
~~~)
(Contact Person) J)h ~i;s fl" tz:UL(
. C-~
APFLICANTSIGNATURE ('J" ~,~Qp..<1
Rosemount, MN
(City)
55068
(Zip Code)
(Phone) -6..5.blt? ~- 1 1/.4
DATE '5' - [q-() '2S
APPLICANT PLEASE COMPLETE BELOW
~"., ~W CONSTRUCTION 0 "lEPLACEl\1ENT 0 ALTERATIONS
FURNACE MAKE AND MODEL LQnhOX fA 2{ptXLt.6~12~ FUEL ff.11r1.:4ft<,
FLUE SIZE RETURN OPENINGS ~ 'INPUT I d-.C:) ODD OUTPUT llStLr(1)
TYPE OF SYSTEM HEATING OR POWER PLANT
..8JYIsnn Atr Plant~ 0 Steam
OGI1L,\'ity 0 Hot Water
o Mechanical 0 Radiation
Wir Conditiontng 0 Special Devices
OV cnt. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach. into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
~
Industr'laJ, Commercial & Multi-Famlly
FEE S'-.t:1..r:.DULE
1 % of job cost Residential, Gas Fireplace
$3950 D'lJoimum
,$99.50 Residential, Additions & AltenUlom:
$64.50 Residential, AC Only
$39 50
ReStdenttal, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennit #
Building Ofii!=ial
PAID 1An.....
SUIl.DING .."",.,
PERM"..
~~ ~ @ ~ D \~l ~r ~fei~tNo I,';:). .
Dan I ~ 1 ~1I C/J
24 hour notice for :all irupeC<<ons (952) 447-9850, " (95~) 447-4245 ---- \
REA TmG PERMIT FEE
STATE SURCHARGE
TOTAL PE~llT FEE
$
$
$
.50
(rr- - Use paly)
,::"\<","
, , . _.,>$ Application Becomes Your Building Permit When Approved
I. ,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~e:n ~~;y PERMIT NO. 3- t,,!0r-'
3, Yellow Applicant J
(Please type or urint and silm at b" ..",..)
ADDRESS
3718 JEFFERS COURT
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) WENSMANN 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
6/5/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
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
HEAT N GLO 6000TR
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
$39,50
PAID WITH
BUILDING PERMIT
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
Buildinl!: Official
Date
. V@d(0 ~ 0 [] ~ --:' ' Receipt No.
, 11 Da9UN 0 5 Z003 "" By U-/
U
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447 ~O, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .,371' ....Je.;,cFt!!.rs 01-:-
NATURE OF WORK -"'~ w ~MS~'u.GrJ~
USE OF BUILDING ~ .D
PERMIT NO. (')5- tJ4~ DAJf ISSUED -
CONTRACTOR ~NN If'J~eS PHONE"I.:l.~6Y. 7'-19
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~~OOTING 1.J I c.~1Y1 ~ 'i I?'i 10'3
FOUNDATION (Prior to Backfill) I if/!;? I ,s- s-
, .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
Ct..
Rr:.
p~
" .~,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE p(l, I s~ PI (, -/ (
GAS LINE AIR TEST
616
pg' ~ '/ '>
~-I/
;PiS
ffJ5
6 -(I
t--l/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
<<-- g>..&. Q?
f'S'
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
/8/ 3/-63
.....
~/f
?-it;
FOR ALL INSPECTIONS (952) 447-9850