HomeMy WebLinkAboutBuilding Permit #00-0111
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
fEB , 0
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS -'-
1't~?7 ~L"'T"'"
1, ;7q jtc?
~,~ Ie/SO
3, LEGAL DESCRIPTION
LOT
II BLOCK I
UOt.-TIt 4~ ?Uh'r
. f
PID ZS --OL/.() - (J 11- 0
ADDITION
404;~ ~~e)&,. [tJ.:
5, ARCHITECT "" (Name)
f ,
(Address} . I ~
&WJ BtVpn) 1-7. e~IPe:..JdtJL:e
(Address)
U
(Address)
6, BUILDER
(Name)
fI
i,
(Tel. No,)
/, fZ ~- ~7 '-fCCJ I
(Tel. No,)
if
(Tel. No,)
It
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 -OJ II
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) _ I (Width~
:u, ~I
12. NO. OF STORIES
Z,
(~q)1
13, TYP : OF CONSTRUCTION
JlOaJ (" I2A 11l?
14, FLOOR AREA APPORTIONMENT USE
fi1J(jIA; 61M/~1 DU}1UlA~?
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7, TYPE OF WORK Fireplace ~ Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction'J Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE
Chimney 0 MiSC."" 1f t ~ q 000 Cp
8, PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPL~ION DATE
Sq. Ft. Width 51,;11 Depth 307 Yes g JvUf ta?C7
I hereby certify that I have furnished inform ion 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 menponed property and that construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building O"ii,a,}';." thWn~ !USI , Furthennore. I hereby agree that Ihe Clly oIlldal or a deSlgne~ may enl.r upon the property 10 pertonn ne'l"e1dinspections,
X ' it f/l r/~1' 725/ 2-/q (;'0
, - I Signature / License No. ( date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
.5F.D
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 13' 1 eoo .Cd
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $ '.082... G~
Plan Check Fee ............................. $ 103 · '/ '-
State Surcharge ............................. $ ~. 5"'0
City:
Penalty ....................................... $
fOD .00
100 .G)7J
3tb ,~C>
t ..~.... ............. $ '10.00
com r Building Permit When ,ApPIoved,
B Date 2 .. ."I"~
Certi:::-e of OccupaJ;
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
tt~
1 ~
Sewer & Water Permit ...................... $
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $ e 50 .00
SAC ......................................... $--L.,.1 0(,'). ~~
Collective Street Fee ....................... $
Sewer Tap ................................... $
Sb I, $
Pressure Reducer ... ~................... $
24 hour notice for all inspections 447-9850
Meter Horn........... .if.................... $
Water Meter ....~........................ $ I ;l5'". 00
Sewer & Water Connection Fee ........... $ {. 2~ . D 6
Water Tower Fee ........................... $ I /..on .00
Water Tap .............................. ..... $
Builder's Deposit ............................ $ If S-l?t? .~
Other ......................................... $
Total Due .............................. $ "1 h50. 71
Paid , C. 50. '1 , Receipt No, ,~f.:, , ..., Z--
Date 3/,<1(90 By p-o t-f
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~a~ce and may proceed as requested, This document when
S~ ' nnerconstilulesa_rary3..'q~~comPI~~ ~~te~~beISS...J'
- C' lanner Date Special Conditions'if any ~
~5.oo
:":f."
Thf' ('f'nlf'r or Ihf' Lah Counlry
00-0111
White - Building
Canary - Engineering
Pink ,- Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
S;:-l ;v'D/-J L/ L, {,; /V':;; I Iz..
Z/ /0 /eo
/ /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~1.557
c ~-'~' C "~
~ .J--r-....;;- I ~
-I-li I ,.;~
IG/YLL
l~ ('v
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~T~
,... .
~t41ANI\J
~a.-' J I
U' le; ~!CO
Comments: Ktl,.Jof"(: Musr BE
COI\JvE:'r'Cb 10 J4.vQ (.}L.fJl'..!(, ~ IDe.
PRoP~'i
L., /oJ f: <;
As MvC.H As.
p~ A C. ..crt c.. .
1-1
e (.J TrEll.
,
f DDu.J~SPo';l
~vs-r~n wlc..L BE:
R f: <:l VIIl.Q) f')N 1}it:: we: ~,. ~I 0 E of="" TH E:.. fhoA:Js.f1)
&."u. [)IAlC. 10 ~ON "E""
Ouu_OIAlI.. KurJaFF 70 r~~ LA ICE. '
7H E Dtt.lI.JE vJA 'r'
''$ Re:: Q.v\A.ffi Ie) BE
MAtto _<;I.Jn.F~,r1:)_
..s, L. r fENc.. E: ON "-1-4 ~ "E1le. K
of -rldt; La. tttos'- 8E. e:REC.rE/.) AI 1iiE. E:ocaE... OF D.STtJR-JE:l)
.so 'L.. _
~ IAJ~oQ~AT1oN QJ 'HE: KE'0E/tS( SIOff:..
~ lJTi'l\c.H M.E,J,~ '.
t -h.-JA'-:- ~e: J,JSP~c..'-JoAJ IAJFollM4r,otJ
Z. ~(l.AO'~fp / fAoSIO~ eO#J'(7U)l- ill/^-,
I, A
'<f. S(wr/l f cJ..~ s.. g",c..r<;
3. &oStOI\J C,~;no,- r11E.q~J~t!fS
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, thi~ code 2r other
, ordinances of the jurisdiction shall not be valid. II _.
FEB I
O "":'~,rf"\
,. I :. . ~ l
~;... '.~ ~_' J
.~
~~
Q2 ~ ~i~i~9 \
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
~i-j/,/ I .~J. C/ ;' l /1\ / r--: ~I L,../
,.-.".- I' I L-.,/ ~../ v__c I "--.. *
APPLICATION RECEIVED
-~/ / j I
/' ;(//(,(>
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ // F)- "---7-
~ ..- -----
.~~:~(.. /:;;::i:.:: . ,~~.- _._-~.--/,k"':: I j IL-
PA/JU (<J
Accepted
~
Accepted With Corrections
Denied
~\ r
Reviewed By: ~ .'-:A.,~ Date: ~ - f!:rtJ20
Comments: ~~\r.(~ "'~C:;-Wv1f ~ ---Do? J ~ ~~ -
<0 lep cJ)jv{>~ "id> I"~~ c.J~_ ycVl9-~\
(' -bW-~le:t.i&-V\~Atj~\.t\eev< (' ~ t ~~~_ ~
~ ~~VVl~tlect lD (J~l1 ,~'n !2L,~
~~~ ~~ )/L-V\CP f' tJc (~ I9-v-
~)~ ~'3:;~.~/A)/~1tL9~
~ 2-~02:1' &l_~l ~~~49
~v~ ~~e--$eyV~p~ h-4A ,~9e.<< {~~
'Ie ~ ~w0 4-- ,C: '7~~ (J-77t{ · l'
'TO Ybe ~kAfJJ.. 4J5(9CY"/~iJ~~~rJM
liThe issuance or granting of a permit or approval of plans, specificatio {s 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 cqde or other
ordinances of the jurisdiction shall not be valid."
FEB I 0
(}I) -0: I I
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SA IV 0,4 U CAJN5 I Ie- .
2;/ /0/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4557 5M~, iJJe1'fri:.-P//yV< aV.
Accepted
Accepted With Corrections :x...
.............
Denied ~
Reviewed By:A~---A.--
Comments:
I. t1 Cl\\AJaJ\A.. Oo~/cJV\. ~~ f, H~._ { .' ( \ +or r ," s eshJof (~
2. S~ c.vU ~ S8,\ a.ntLq, ~
(. ~ a.QQ ~~ U-.Q ~
Date: "'"2. - Ie.( - 'GOoCJ
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 qod.e _or. olh~r
ordinances of the jurisdiction shall not be valid." .
0"
~~
~NE~
GREEN - FILE
YELLOW . APPLICANT
GOLD - CIT~
CITY OF PRIOR LAKE S.W. No. 00 - //1
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: HAJIJL- GK'/JLJe J7/Jc
ADDRESS :~~ /;#/ULJ../~2J
SIGNATURE: /3/5 ;JJnMs Sr =If/, SIf/JJ<oP'-E"E
,
SITE ADDRESS: /~5"57'-.)~~ ~}/L A)L;3-' PID# 25-040-0"....0
- FILL IN THE BLANKS/~~ )e d
1. Estimated length of water service ~OO I feet.
PHONE: 15J- 263 - /cf( tJO
DATE: s/t5?;1 J LJO
/ /
BLDG. PERMIT # 00-11/
2. Size of water service
I
inch(es) .
I
3. Location of any couplings from structure /DO feet.
5.
Type of sewer pipe. ABS PVC )(
Estimated length of sewer line c5?~S I
Clean out (if required), located
structure.
Cast Iron
4 .
6.
feet.
I
at /00
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This
apPI~' . ledk;, es yoit permit when approVfd" /
."tlfk.~ DATE: 3/'-2-- /00
"'-----.) I .
BY
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is ~?~ plus
$ .50 surcharge.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. /
DATE PAID FA-rO '--'V" p~ l1
*
AMOUNT PAID ,// /) /
REC'O BY ~ \
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
-~
If~~' .~, CITY OF PRIOR LAKE Me
iO "... 1&2llO e.gII CrHk Av. 5.E. P.,ml No, ffl'\- 0 \ I \
\ J Prior La.. MN 55372
.~ I
~ HEATING APPUCAnoN , PERMIT
Oat- -:, v.. 1 DO PIC' EX ~... () L( 0 - (} I } - (1
sl\ll~ci_!4651~!~ 'p~ M
UlI 1\ BIoc:k, I Addi\illn.~rr\1-'") 2) tvll'/2.... ~
N . /.A:J.
AddI..I.Mr;, &UD\N ~~ ~ ~.az _"'- 65?11'2-
.
Hlaling Canlmcla, , AUTOMATIC GARAGE DOOR I fIREPLACES
AddllS! 9210 WYOMING AVE N I BRODKl VN PARK I HN 55445
T.tIphanll ,763-315-7500
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(
F..,.C11 MIM & MadIll
MDdtI Size ,
Conn. LaB ,
Fuel
F1uI SiZI
It)
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N
C\I ....
o .....
..... ~
o ~N
an ~D
~ 9""1:0-
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C\I I'J
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co <"
~N
lloI!l fit
<: =.
l:t.. ....
.....
m 1")<
o .-I:';
Supp&v Dp.nif8s ,
RelUrn OplNrgl ,
Input OUIpUI,
E*.
elm..
TYPE OF SYSTBt
WI,m Air Plalis
Gravity .
Mechanical .
Ai CondilDning ,
Vln\. SyltIR'l ,
HEATWG OR POWER PLANT
saHrn ,
Hol Wall.
Radiation .
Special DlYicls
Ou,er Daviel. ,GAS FlRCPLACE
TYPE Of WOAK
New CanslrKlian
AlWratians
RepI.....n'
. EsL Camp. Date ,
..
..... ~.
o I=iIfJ
....
o 0
o =
........ CI
~ ........0
C\I C')O
........ N'
an ........PI
o an Ell
0'
III
o
Repair. .
Esl. Call S ,
HEATING PERMIT FEE 5
/
/.50
/
Building P.rmil', Ol\ -() \ \ \
pp..\O 'l1I~tt
p)l\\J)\~ P
Receipt r:~
STATE SURCHARGE S
TOTAL PERMI'T eEES S
II'
1. ,.~ . fie
l. ~,.. . eM
] Vdlaw . c:.8aalDr
TVPE OF ,~~I)~TURE
Single Family
Commercial
.. lwo-Famly.
tadultrial
U"i-FIImIv
Public Other
Fet SchecUB
IndLanI. Commerciall MUJi.Family
Reliclentill. Heating & AC
Res;anal. ~~ Ontv
(16iiie~1iaL Gal f"nplg
RIIidInIII, Addhionl I. MerIliDl1l
Rl5idll1fial, AC ani,
1 % Df lob casll$3I.50 miimuln)
588.51
....50
S3l~
131.50
539.5D
r:-" ,
.:1 _ .
MY24am
"-.. :-
RelnellDr 10 add the State S&Rharge DR th. AJonom at this ~alion.
'.. .
The pr~e Df your hlj!jlng pennillrdnlea one lough.., and Dnehl inlplCliDn.
Addtianil inspectians will bl bill.. at 535.00 each.
House Heating TeSl Record """Ill be submilled wlh dIJs IIBDi1 ~p.t befarl build-
ing cerli&cale af DC~ncy will be iuul!Cl.
MF_r CAlCL1LATIDNs lU;.CUIRED wiI\ numbBr al.uppiy .ni I.Nln apeni1gIli1ted p.
ro.... wi.. CFU's pi' bpe"'g. New .tr~ Dr Iddilianlllnd rIGo. plan wiIIaupplr
and rillWi' locatiaTII sha\Wn, HER" lOSS CALCULATIONS. PAYMENT AND
APPUCATIONS MAY BE MALEO TO THE CITY OF PRIOR LAtcE. 11100 EAGlE
CREEK AVE. S.E. PRIOR LAKE. MN 653n.
City Hal _mess hours all fJ ..m. . 4:30 p.m.
AlL WORK MUST BE INSPECTED (RauD"'. AND "ALI- CALL CITY HALL
447-423D
I hereby apply far a mechanical Srd8l1l5 permit and J eckI1awledge lhal the
InlarmaUon abovl is CDmp"" and ICGurale: Itlat IhI WDrk will b. in c;onformaftcl
wilh the ordinances aM codal of.lh. citv and _tll Ihe 11.11 butJcllnglmecnanlcal
codl.: that '111& 'arm doe. nat become a permtl un'" !ftgned by thl BUILDING
OFF1CIAL; that the worK win be in accordancB wi., thl approvad plan in Iha
7/J;;;A;J;;r approval at ~ ~~
I (j Appllcanl's ~e · Z f~ '
. _CU~ 11 /o}rllAh~ sJ;;LlIrIl)
\. ) Buidil'lg ORicarSigililuie I [JaIl. /
Telephone #
Furnace Make & Model\ffi~ \\.A.~D TYPE OF SYSTEM-.
D...r-... Warm Air Plants ~ ~ (\O-~
Model Size C-:AJ. CJ::X:::; Gravity Additional inspections will be billed at $35.00 each.
Conn. Load , ~echani~1 ;- --r; , rJ ,~ ~l ~~~~ ~eating Test Record must be submitted with h. lilrlina oermit number before build-
~ \\ Air Conditioning V~j \\:" ~u QL) J d-~el1Ricate of occupancy will be issued.
Fuel ~-\ Flue Size;,:) Vent. System
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. oo....q I
Prior Lake, MN 55372
Date
Supply Openings
\~
~\
Output 1 ~ ~ tfJO
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special DeviceS\~::O-l\ ,~ \J ~to
~" s; 'f..C ~~
Other Devices - ~
Return Openings
Inpueo~OOD
Edr.
Cfm.
TYPE OF WORK
Alterations
J(
Replacement
New Construction
Repair
Est. Cost $
Est. Comp. Date
Building Permit #
60 - Oil }
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
qC;SD
.50
/00. OD Receipt # ,..-
?d b;-- ffi~~
..
It 18r?S
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial
x
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
r
J .1tt.~/.. ~.r..
, i.... (/j/,""t!i"'" .
.~? : '''~,~' ,~i :
, '~f.~ ~'t:/!l"';~.
. '" f-'J,!...:'
~cost ($39.50 mmi'rhO'm) '_
C $99.50.-J . i
$64.50
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
*R 3 I 2000
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CAll CITY HAll
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires rev.' wand approval of plans.
f:l~ ( 3-c29-CD
/ 1 !.'~icant'S ~"{e r.: Date
V/~ -r IeA('JuAJ~ L/_ 7 - OCJ
d Building Offi"iignature . Date
NO'l'E TO BUILDER & HOMEOWNER
Subject: Impact Assessment for Lot 11, Block 1 North Shore Crest
Per City Zoning Ordinance, Section 1104.305: The owner of the property
shall provide certification from a Professional Engineer registered by the
State of Minnesota that the recommendations contained in the attached
Engineer's Soils Report have been adhered to.
~ltJ~~
Bud Osmundson
City Engineer / Director of Public Works
City of Prior Lake
g:\forms\bluff.doc
16200 Eagle Creek Ave. S,E" Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
MAR-08-00 0~:00 PM Ins~an~+T.s~in9+Co.
612 452 1826
P.02
I]CO
\JS-A 'J
:s
\JG CO-'1JA \JY
4000 Beau D'Rue Drive · Eagan, Minnesota 55122
Telephone: 851 454-3544 · F.x; 851 452-1828
March 8, 2000
Mr. Mike Hodgens
2306 West 52nd Street
Minneapolis, Minnesota 55410
RE: Impact assessment for - Lot 11, Block 1 North Shore Crest,
Prior Lake, Scott County, Minnesota
Oe.r Mr Hodgens:
At your request, 8 lite visit WBS conducted on March 7, 2000 to evaluate the subject
lake shore property for the proposed construction of a single family residence. A
certificate of survey, dated July 19, 1999 as prepared by Valley Surveying Co., P .A.
was provided by you prior to the investigation.
The site, identified as lot 11, Block 1 North Shore Crest. will include construction of 8
new residence located approximately 49.3 feet above the level of the lake, indicated on
the survey at an elevation of 903.7 feet.
Baled upon Information pro\lided within the certificate of survey, the topographic
feature "Top of Bluff". as defined by city ordinance, is indicated at the 949.5 contour.
Our findings indicate that the proposed setback is within general compliance with the
bluff impact zone requirements.
A handauger probe conducted within the proposed house pad area, indicated a stiff,
granular clay loam at depth. We would anticipate that the proposed residence and any
appurtenant structures will lie in competent bearing soil having low erosion
characteristics. Based upon the data provided to us, and our visual observations, we
were able to establiah that the soil and general topography is acceptable for the
proposed construction and tonslstent with adjacent residences.
It is our further opinion that the proposed construction, including any deck and
landscaping improvements will not compromise any slope by imposing loads or
unstable conditions that may affect the safety of structures or slopes. Also, the
proposed sit. development including landscaping has minimal affect on existing
drainage end will not obstruct, damage. or adversely effect existing sewer or drainage
facilities, will not adversely affect the qualities of storm weter runoff, will not adversely
affec\ aowns\ream properties, wetlands, or bodies of water or result in erosion or
sedimentation.
Sensitive watershed areas require provision for erosion control, positive surface
MAR-08-00 03:01 PM Ins~an~~T.s~in9~Co.
612 452 1826
P.03
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i'(", ~l. I
drainage and site restoration in compliance with established engineering practices and
city codes.
The aforementioned observations and opinions represent our recommendations for
construction. based upon current building plans provided by you the own.r, end
compliance with Prior Lake city codes and zoning ordinances.
Sincerely,
Instant Testing Company
Gary Standish
Environmentaf Assessor
i~~' Ad'~
Carl E. Anderson. P.E.
Chief Engineer
MN registration number 10736
Charge codes:
#605 - 2.0 hours
~08 · 0.5 hours
Rc-:
#612 - 30 miles
#70.1 .. mobilization - 1
PRIOR LAKE
INSPECTION RECORD
P~K~
I
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ---Vls-5'l ~~~ ~ -~;t
NATURE OF WORK ~~~, 0~~tutJI"d1--f
USE OF BUILDING SF Q
PERMIT NO. 00 - 0 j I I DATE ISSUED
CONTRACTOR ~dlCv.J ~sJ-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO~~o~NT ~ DATE
FOOTING r- ;1) 3 . 1.1 ,..-8'11
FOUNDATION (Prior to Backfill) ( /" J) 31<) '3/ n · I
PLACE NO CONCRETE UNTIl{)rSO'0:. HAS BEEN SIGNED
ROUGH -rLt'JS
\.(] })
61. ~/(P/~
jq. 5/1"/~
fr;J. 5j;%~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~, ~tJ/dr;
5~
"2 -rtf-ZoO
~)" i ~'(1
hr;-/~
Y J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-
Blurt c.e.rht:(C4.\'~ e.~. ~~'-e. FINALS (}.o~o
C GRADING (Prior tots'odding) If) I~
p BUILDING T.u,-tJ..p ?~/)-ao C};J 71,'~ ' · v ~
ELECTRICAL 'I (. ~ v
PLUMBING 'I (X'
HEATING ~\ I
DO NOT OCCUpy UNTIL ABOV\ai tAS
NOTICE
Z- 5 \ o~
t/I?;d~
". . ~ ,
1 } oJ ~11:f
-L ,L 1 J IJ8
BEEN SVIGNED
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 s~al~ be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
AOORESS _ \L-\S'Sl
OC:CUP,\"WT
M!~T ~OSS_
50l..0 l!iY _
Ele.tricel \If.... 8y "
T"'pte 011 HGAT
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O!~80 lnH~)6616t..'Onr
CITY OF PRIOR LAKE
INSPECTION NOTICE
_ } :7 _~_ TIME
-~ <1:.b.
~t J..,J ~ ~ /'-??U R ('I
SCHEDULED
ADDRESS \4557
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0- Ii ,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
.. A 0 WATER HOOKUP
\ D~R HOOKUP
~ ,-UMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.kOMMENTS:
(:.) bw=:. ~)0~r- ~~ ~ ~
(V M&';-\-f)lY\ Jl Be, J:U>~_ eN' -/__
.3 if fJ VG WcJ:i~ ~/' V.eM4
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-;Pi ^ ~'H1 ~ o~/\
v
~
I 0 () J
tl..<) -t- YLe-t/t:/
.l~
/
E COVERING
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
~v ~".. r:- c1..;
tV -?7'4? If? cl
0- il (
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~
l455,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
'- 0 ~SULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
I')! MECH FINAL
DATE TIME
"!}ef.lKl 10 'CO
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~' {;,w.i?fA ~~n.lljl'hJ ~ J
So&. ~IVl... 4.0--( C)....:-<::;-k..0 ~c..'f
~ \..\ .~-~ <S~ 6N NM <^V\
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t"'1'^lft" d(\ 5; ~ ~.
~,
I
I
.
o WORK SATISFACTORY, PROCEED
o CORREmCTION AND PR D
~ORRE K. CAL OR REINSP~CTION
~-
Inspector: . ~_ '., Owner/Contr:
~,-
?
FORE COVERING
CALL '147-l850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~EQrIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ fi-T;
ADDRESS
/4557 SI/t'~C
PHONE NO.
PERMIT NO.
- f
I'~~
?~~
00 - n/ / /
OWNER
CONTR.
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~~;7;~
(
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
tI FINAL
b SITE INSPECTION
e. of I), ~
....
~
VQ _
~~..[2,
~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 & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I ~ 4s l
c--_o:::b ~
~ v",,-- \ 'L-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o 1N~ULA TION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~'yLUMBING FINAL
pECH FINAL
;[' '1fP 7-;(0
I~Kd
(J-II/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o/rE ftn~ C,,\, ~c,..i\t\<<-Y~ t?I~
,c::7J Sod ~ cCi~~ ~d a~~
~~~~c1 ~ - \
~Vt.,~Ci~,t~ ~ ~ ~~ ,',
~~ ~ ~ +- .. ~ ~h:JA
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40-9- Or' c;.r~ ~
l€o'- c ()
~c o~~
\0
9-f S-'-Cf0
o WOR ATISFACTORY, PROCEED
RREC~CTION AND PROCEED
C RREC W RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:. \ Owner/Contr:
CAL/447:S iO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODJREQUiREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-V-- INSNOTJ