HomeMy WebLinkAboutBuilding Permit #00-0164
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
MAR I 6 2000 ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
~r) ~~
3. LEGAL DESCRIPTION
LOT l :1 BLOCK
NfJJLth~
7. TYPE OF WORK
New Construction JiC
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. \ I 0 '11 Width t(, Depth \ ~ <<; Yes No ~
I hereby certify~h t 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 m ned property a d t 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 0 .. C rev e is it for jus ca e. Furthermore) I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ,. /)~ All- &.0'\ ~ J/9Ln !3 - It;;- vV
P.ePi; ti?^ I- - , - -, License No, Date
\-\- fA.;vJ r
ADDITION
4. OWNER (Name)
}.l.!J!1ft\ WnlJf 1 () fA (' j l..- L t..
5. ARCHITECT (Name)
6. BUILDER (Name)
~(.thle. ~S.
Fireplace 0
Alterations 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~<)~
1. DATE
t.1 dip
l...
~
fJ..Of.4.d
3 -/~ "'00
12/S{)
PID 2S-3tr:O-O/ft;-O
Eifl \ f 1\' tl ; t IU___
(Address)
(Tel. No.)
& /1- ... J 1/,... -u.::J... J
(Tel. No.)
(Address)
C11 ~dl.SS) /Jvl (Tel. No.) U / ).. -
o 'I ~tJ4 i< f"ri -
~/CXJIVlJ,,;~ WlV\ ~~LrJ:() ~
Septic 0 Deck b Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION d30/~. ~
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 ................................... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit...................... $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. OO'OI&r
BUILDING..INFORMA TION
11. SIZE OF STRUCTURE
Q-l~9ht) .!Width) V\ (Depth) .roIl
\\\,t~ ~~'O ~-..
12. NO. OF STORIES
A
13. TYPE OF CONSTRUCTION
ST', (.. t.. Q i tY\en , j ~ 1 L\;t.~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
'-!
SEATS
16. PaoJECT COSTNALUE
.:(~30.()O()
17. COMPLETION DATE
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 0
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
~!=:t) . ~()
1~.oO
Collective Street Fee ....................... $
Sewer Tap ................................... $
~ ,. $
Pressure Reducer .... .!J................... $
Meter Horn................................. ~
Water Meter ................................. $
Sewer & Water Connection Fee ........... $ 16 J () 0 .. lJ 0
· 7ao · Ol)
I. ~3'''. ~ s-
''f9'. ~ I
, IS. 00
I 00 · 00
I 00. 00
35 - SO
40 .00
~
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ J I 600 · 00
Other......................................... $
Total Due .............................. $~. 4'-f~. q~
, .
Paid B ~..- ec" Receipt N~. ~ 11 1 ! 1
Date .~ - .1. Cf - 2crD By fiJ /j
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
sig~;:,::~.temporary Certificate of Zoning complia~nd allow~ to commence. ~f~re occupancy, a Certificate ~ O,OCupancy must be iSSUed. .
, .i:::2-'-t~ ~_ . '"-~ ~~.JB\ ~. ( ~MC
1 ~ City Planner Date Speci~ Conditions if any
Gas Fireplace Permit ....................... $
Thisa~r4comes Yo i1ding Permit When APRrovM.
By ljAZJl): Date -3 ..aJ.. Ol.Oc;t;)
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
45'.00
I 2S" . 00
~
(J- 1&4-
The Center of the Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
O/l/-/~6 L3/CDS.
3//6/()O
/ - / -
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30?S /-lAW/:::.. J2ID6~ RLJ/tD
- ,.
Accepted Accepted With Corrections X-
Denied /"); ~ J
Reviewed BY(~~)7" ~
Comments:
Date: :3 - ~ /.. ;;)000
J, &aJ alt ~d n~s
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.1I
'/'~
D
t&4-
The< Ce<nle<r of Ihe< Lake' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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:
'.~_".., L~~ /:,/'r:: I i l::,' / I' (-:::1";' {:~ ,l:'.//", /:.1/' J
.",. - __ ," '.....',' / I --'"
Accepted ;/'
Accepted With Corrections
Denied
Reviewed By: ~l~
Date:
5 -2- '-f ~ &0
Comments:
M;w~ ~~. J,~ /2r;::, ("'~(;.w-~
~")~ ~ \\6 ,-~2~\ (31);l6L~ ~.
.~/L ..\-- f)'i~ 1-I-eL:t\/~~O ~;jJ~
~.~ }...~ ~o~ I\I\.~~ .g~c1.
~>.
~~~ ::-'-1 Fr ~~ L1J~ iA. ai -
~ ~. (/VIA.e "J.-C[ku P"v. 'fJ... .C) -W \j;, Cv-kJ I
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.1I
/-
o - [toLl--
White - Building
Canary - Engineering
Pink - Planning
Thf (-fnlfr or Ihf l.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r )/~'] I I / l~ ,-) ,/) /"" ..,--.
~T.i /-j G r=~. C; /~ Go .
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30?~ J-1/7t:VI::. .RIDq(~ ~()/l:(~
Accepted
./
Accepted With Corrections
Denied
"". .'~. .~. .. -. .-
3/1.1$/ 00
I
Reviewed By: JJAL-rt'~ EHA.E SMA AJN
Date:
Comments: ~c I~FoA.""ffTroN dtoJ THE: XftlOtsf! SloE.
SEE A'TiJ.1Ca-lMt:rJU: I. F;4J4~A..AO€ INSPcc..notJ INrolt."\ATloN l. <>RAOINt... RAN
1. tA.Os'.,J CONT"I\OL- McasvA.ES
C/. E1J.I.,~'tJN r.()tJr~OL RAN
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.1I
LP Gas - Natural Gas X
Job Address3D;6 }f-AVJ K R+~ \) ,
. HeatinQC.. ontracto.r...~ AIRE. INC.
Name of Tester. .
)-17-00
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t3 ~~O~
3~S fvJ~~
t]{c~
Date
Percent, O2
Percent CO
Percent CO2
Stack Temp.
Pressure
Input
PI
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Q.
PI
In
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CITY OF PRIOR LAKE Me
16200 &gle Cleek Av. S.E. Permit No..OO - 0) 6 Lf
Pilar LaIut, MN 55312
HEAnNG APPUCADON I PERMIT
PID. dS-- ~3bO-O/6-- 0
Sie Adckus 30 2. ~ ~~ ~cl..,. Q- Or
tal ,~ Block ~ Add~ion N\.1"'ff\vv~ O~
Own8f'lNam.~ etws ":t-(...
AdlhSl ~ L-~~da.\~ ew <;
Heat-.Canlradol Uqjj~,"", ~ Le-
v
Address '} I ( l t.J a" -\ " S....
Telephone . ~l)" 4:30 ~
Fwaoe Make & Model t.~ 'C c- 2.)
MIld.. Size --l 00 ,I~)
atM.LDad C C42IQ
Fuel JUA~ FlJe Size --3"""
SUPPIr Openings i<;""
7
~
D.,.
Rltum Openings
I..... 1~1 ~~""\ ~lput.:...!jO:~
Edr.
am. l 2.. Ou
lYPE Of WORK
AbraIicNJs
TYPE OF SYSTEM
Warm Nt Plants
Gravity
Mechanical
Ail Condliofting
Venl S,slem
-
V
;/
V
HEAlING OR POWER PLANT
St....
HoI Water
Ratialion
SpIICiaI Devices
Ohlf Devices
New CCMstruction
R8pM
n.pIacemenl
EA. Ca. Oa18
8uidi1g Perm' I (<:;() - 0 l ~ 4
Est. Cost I
HEATING PERMIT FEE I
STATE SURCHARGE $
.u.AL PERMIT FEES $
.50
- ..,..
Receipt' ~
Single Farrily
ComrneR:iaI
TYPE OF $T~ I URI;
~ Two-Family
"'
J. .,;.~ l:i.,
J. Tell-. - 0.....
Industrial
P\A:llc
, Uuli-Family .
Olher
Fe. Schedule
\* ~rial. COtnIIIercial & Muhi-Famly
. Residential. Heating & AC
Residential. Healing Only
Residential. Gas F_epIace
ResidenCial. Addhions & Allefations
R8Side~... At Only
1 % of jab f:08\ (139.
199.50
164.50
139.50 .
$39.50
$39.50
'~--
APR26m
Remember to add the Slate Su.charge on th. bono... 0' Uil appIcaIion.-
The price of your healing pemil includes OM rough-in'" one r.. inspedim.
Additional inspections wi' be bIIed 8'$35.00 each.
House Heating T-' Reea", must be subml1ed wilh IB.ildimIIIIIDil 0IIDbIl before build.
ftg carlilicale 01 ocaIpancy wil be issued. .
1:I.EAI CALCULATIONS REQUIRED .Mt runber of supply and r81urn ..Ii.. lisled pe.
room with CFM's pet opening. New slruclUres or addilions send Ioor plan wiIh supply
and re1um roc81ions shown. HEAT lOSS CAlCUlATIONS. MYMEHf AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CAEEK AVE. 5.E. PRIOR lAKE. MH 55372-
CIIy Hall business hOUlS are 8 a.m. - 4;30 p.rn.
AU WORK MUST BE INSPECTED (ROUGH.... AND FINAL) · CALL em HAll
441-423D
, hereby apply for a mechanicallystems permit and 1 acknowledge that the
informalion above is complete and accurale: "a' 'h. we" wll be In QOnlormance
with ... ordinances and code. oIlhe city and with the slale bulldinglmlchanical
code.: "'at this Iorm does nol become a pennil unOl signed b1 the BUILDING
OFFICIAL: thai 'h. work will be an accordance with'" approved plan In the
ca.e ...._" wOfk wI~"ch requires review and approval of plana.
d /lJ - cl'~ '-D~
AppI. 1ft DIlle
-~. . jrlA:4/h/,~ J 1&,6:0
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YELLOW . ~IC&IIT
GOLD - ety"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. OV-61 (:;4
NOTE:
Sewer and Water
contractors must
be registered
with the c.ity.
APPLI,~ANT: ~~ y.-h'
ADDRESS: /0 Il.~ . _ v,\f.l'\r
SIGNATUR~: ~..~ _ _ BLDG. PERMIT #
SITE ADDRESYYt12S u.JI ~ PID#~S"- 3~O~6/6-()
t?
FILL IN THE BLANXS
S-tJ
. PHONE: _ ~ ~ <,I..;. '1/ 'If
DATE ~ t -/'3 - CJ(}
1 .
Estimated length of water service
/ tl
size of water service inch(es).
feet... \ \ n 1.0f'
III \~ ;)
...j .,..-'
2 .
3. Location of any couplings tram structure t~et.
4. Type of sewer pipe. ABS PVC ~ Cast Iron
5. Estimated length or sewer line ~d feet.
6. Clean out (if required), located at
structure.
feet
from
===~==~=M====~~_~~=======~_~_~_~========~~=_=_~~==========Q=~_~~=~
ThiSL~Plicati n ~eCOmes your permit when approved.
BY - Jjy,LA~~1~ J DATE: b// q /!J1)
L - / "/
---- - ---- ---~~~ -- -------~~ ----------
----~~-~ ~-----~--~~---------~~~~--------=~~~~~-=----------
$ 35.00
$.. .50
S 35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee tor either sewer or water individually is $197.~ 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
RECEIPT #
//
/'
AMOUNT PAID
REC'O BY
/
/
/
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Oppurtunity Employer
~
~
CITY OF PRIOR LAKE t a a-
pl...sMS::PfR_ 6' 5 PP No, 00 - QlbLJ
Appl~~yt?K7C~ vp(&/,~ Phon: ?: X t:' 6'6 9 C
.A...d.Qr8.....'.ss.:. ?7.......rV'............ ffV? .a... .....Z;./''-...........~R3. //........GA'0&........~.........:.~-._..D~. ;...~.'.y....~. C.'i-L,:::> ~,
Signature:' yZ..~~ /~.~..-?-- ,
Legal Desctiption: .Lot / 'f Bloo~;:>. SUb~//A?PA'a#/ ~~ /yt
SIte Address: . 7(7:? ~.. /1<9~ A R/~.?l ~/
~". . .... ..' . ,/
Building Permit # .1$)- (11 h,L-( .PIO #;)S-"'r~i:sO-(rJ{.,-O
NOTE: This permit wUlnot be processed wtthoufcompletelnformatlon.
FIXTURE UNITS
Tilt Ctl"r 0' the Lake Coyn..,.
Quantity
(
/
/
zy
/
?
/
Type of Fixture
Quantity
Type of Fixture
'J
Bath Tub with or without shower
· ..........Pt8~~8t!f~tVr;,J~;~;f.i;::.:r~~1.%~;~tt.;f~2,.
ROor'Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stan
Sinks
Bar Sink
Water Closet (toilet)
5
Rough.jns
'.;,,~..f.r:.:~~:?o::rli~;~',i~:;.r;::<w.(:);JC<:"V:/"\,c';~'i:'~'; >:~1:;;:!;,!.t:;~:'..:}I:;'~
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
~kfiow.~. (RPl, DOuble Check, PVB)
BackflowA$8embly Test
Lawn Sprinkler
Other
/
FEE SCHEDULE
MAY 1m
Industrial, Commercial & Multi-Family
(1010 of job cost, $39.50 minimum)
Residential, New One & Two Family
'<",' .... .;..I1$,~iq~p~j~l,l\~q,!t~Q!)~~,,!Mt~r.~!iQn~,
."'.. .,'....... ;>i.":'<<;"~,~',::';';:_i,;';;-rii:'Y;;':":::'i:~;';~<;:>(';".:.;ri.<<ri.,:,::(~. ,..
State: su'rcharge :" '.. ' .' . '., .
:~::~!'~:~~;'~.:: :,;ji'~:::~ ::~'hi,: '(~. :_(.~ :::-. , :;.
$
$
::2::':::'~:;\';"+~!SQ/. .. .
':' ." ~,,;."
$99.50
;r-~}.~Q,...~:,{:.t}...<:..
GRAND TOTAL
$
I (;(/11 Y -
tJ,/
f{}{Y
This pennit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the. State Plumbing Code and. the.1.C.. ~~. ts thereof..
j. :_ . NO. 5.'.' DATE
. . Al . ~ST
rc;; 1 for all in~ons 24 hours in .ad~ance.
16200 Eagle Creek Av. S.~ ior Lake, MN 55372/ Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. (Y)-Ol 1::,4
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale ~ :J"frJ PID' ~~ - ~c...O - 0\6- CJ
Site Address r-fG.1d,) !!I'JJI'rIl, ~-;al_
lot I~ BIoCk.a Addnion ~~mY} (){LIt:.~ ~~
Owner's Name ,OaJ.h... k.
Address .
Heating Contractor ~LL rEO FIR ES I DE d ba FIRES IDE CORNER
Address 2 7 0 0 N. F A I R V I E W ,
Telephone '. 6 5 1 - 6 3 3 - 2 5 6 1
FIREPLACE ~/
IXJJneIl'J Make & Model p'''~ I. ) 66
Model Size. . ~7F,R
ROSEVILLE, MN 55113
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Conditioning
Vent. System
HEA TING OR POWER PLANT
Steam
Hol Walgr
Radialion
Special Devices
Conn. load
Fuel ~
Flue Size
Supply Openings
Aelurn Openings
Input Oulput ,.2? I ') 'h
Edr.
OSher Devices
eftn.
TYPE OF WORK
AJtaralions
Replacement
New Conslruction )(]iJ
Repair
Est. Comp. Date , Slv/o')
, f
//Q.')_t~ Building Permit' -L'""5() - () 1 h4
Esl. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt'
Single Family
Commercial
1
I. ""k - file DI
t. (mil . 01, '<
!. Yell... . COItIIKtG I
TYPE OF STRUCTURE ~
I
o
Two-Family Multi.Family 0
Industrlaf Public Other ~
Fee Schedule
....
Q)
)>
1% 0' job cosl ($39.50 minimum) i11
$~ @ (C:: rr:: ~ ~Jl f2 1 L.
$~... '.. . .....5_ / .~ _, '---4 L5. .... \...~.
~ _. -~ - -. l ! lD
s3!i : .. :!Yl
:' I, .....
$39.50 .-. Ii' . a.
$39.50 , ID
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.'1
:1
ID
'1
fndustriaf, Commercial & Mum-Family
nesidenlial, Healing & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Rp.member 10 add the State Surcharge on the boll om of this application.
The price of your healing permit includes one rough-in and one final inspection.
Addilional inspections will be biDed al $35.00 each.
House Healing Test Record must be submitted with "'I~~~~ ~,~~ F1f~r be,or. buitd
ing certificate of occupancy wiU be issued.
HEAT CALCULATIONS REQUIRED with number o' supply and return operings IIsled p
room with CFM's per opening. New structures or additions send lloor plan wilh 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.
en
....
N
en
W
W
City Hall business hours are 8 a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CALL CITY HALL
447-4230
Q)
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I hereby apply Jor a mechanical systems permit and I acknowledge that the ,r.
information above is complete and accurate; Ihal the work will be in conformance
with Ihe ordinances and codes or the city and with the stale building/mechanlca!
codes: that Ihis form does nol become a permit until signed by the BUILDING
OFFICfAL; Ihal the work will be in accordance with the approved plan In the
case ~II work which requires review and approval 0' plans.
J5?,,,,tJ.. .dutzc ~
I " AptJlica~.?1 SignatUf. . Dale
f ~ ,1LJ.,n. -# /, ;rll< ;,~~ 6/0;> 1M
(~ ) BuildinifOrl'S l>/gnalure - , Dale ~
"0
.
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PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 30;tS- Haw k R.I'~
NATURE OF WORK -1\JPl.L\ ~.~.J'l-Uc{.rl.J , \ -
USE OF BUILDING ~FD
PERMIT NO. lTlJ ~O IfR/l-- DATE ISSUED 3~J -~()CX)
CONTRACTOR Da.-~ \-Q. ~\T!13.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR J 1 DAlE
FOOTING 4r '~)/fu
FOUNDATION (Prior to Backfill) y J <t <9 W
PLACE NO CONCRETE UNTIL ABOVE ~S BEEN/~IGNED
ROUGH -~NS
SEWER I WATER I SEPTIC (.-L dl74rfl
FRAMING ~p. ~ 5/?'S/()\) ~!e &r. ~ I / -
INSULATION -'---.P;:r ~//z/~
ELECTRICAL ~
PLUMBING ( r b/;a/G( 7 '"'.
HEATING (if required) 6J:J., t- 1,/ ,6/1/ t7f} I~ ~//(;), /47
FIREPLACE r \ tf- ~ ,~/1A 111 V I (
GAS LINE AIR TEST M~~'fJ I/J:r. 7 /? / IN
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
FIN~tS
-'~,~ \
~ ~\Ja~
QLt410!
f /
()~~
EEN SldNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
J Dtpartmtnt of .uilbing Jnsptttion
JX...Final Permitted 0 Conditional c. 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 ordi1llJ1lces. of the
City of Prior Lake regulating building construction or use. For the following:
UseClassificatiol'l SINGLE FAMILY Bldg. PennitNo. 00-0164
R3 VN N/A R1SD
Occupancy Type Type Constnlction Fire Zone Zoning District
L13, B2, NORTHWOOD OAKS FIRST ADDITION
Legal Description
Owner of Building Site Address 3025 HAWK RIDGE ROAD
Contractor's Name & Address DALE BROTHER~, 9304 LYNDALE AVENUE, BLOOMINGTON, MN 55420
'l?' \ I DON RYE
"'t:> V City Planner
Date:
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DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l/ -/ '7-a;:,
ADDRESS 30.2S- J::LS..!:,dL R,J:;e. Rd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(!)C>--/? 'I
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
cB'ANAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
4/1 f9(.
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspectO~ -=-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE ...
INSPECTION NOTICE . SCHEDULED ~ 8 !Xi tJ:r:o
ADDRESS --.302S 1-!~ ~~
OWNER CONTR.
PHONE NO. PERMIT NO. (j - 1"4
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D~EWER HOOKUP
#PLUMBING FINAL
~ECH FINAL
COMMENTS: V"dtru 0lrw- ~ q Ok------
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
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W~
p~
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o WORK SATISFACTORY, PROCEED
o CORREC liON AND PROCEED
~REC we K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL 44/9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE RE 2UIR MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
~/;~
~~c..
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 302.5
H--oLU L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A ~ECH RI
rr ATER HOOKUP
..l1 SEWER HOOKUP
r 0 PLUMBING FINAL
o MECH FINAL
COMMENT,: 1
10<< ~~
. t t( r~ ~
~~ -- ,.jO
TIME
, (:~
0- l<o 4-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.~ ~ ~y~ ~17 tht
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/
o <:KS
;t:~EC
o CORRE
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V
.
I
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Gv~
Inspector: J Owner/Contr:
CALL t.7-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUlRE~ENTS ARE FOR YOUR PERSONAL HEALm & SAFETYI
V msNOn