HomeMy WebLinkAboutBuilding Permit 03-0795
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5- 9-~3
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. OJ -() 715""
q'lease !YI'" or orint and sUm at bottom)
ADDRESS
3-=t-32 JEFfFI? c::, ~O~
~O~Ci(officeu~)
JJ
. LECiAL DESCRIPTION (office use only)
LOT 10 BLOCK 3 ADDITION .J~s. SOU:::n-\
PID 2S- 3q5"~Ofoa-O
OWNER
(Name)
(phone)
(Address)
, BUILDER /\ /"\~I \
(NameL_~_O\\.p'i\f - L-\ ilO'mf.-s'
(Contact Name) ~Ar\\E:;.. DrCL-
(Address) -=1Cf2h Lalt-E;;U'-' I c- 8w 0 l /\IVet n H"C.-
(Phone) tlB2. %q. {PC{CQ .
(Phone) ---.1Id12..' fp 8G. 32.l')CL
ru II 550<./4-
TYPE OF WORK
l!:ew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration OUtility Connection
PROJECfCOST/VALUE (excluding land) $ "352 .-=t-OO,-
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 r'-"r>"'--J' and that all construction will conform to all existing state and local laws and will proceed in accordance with
subrmtted 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
ente e..u u J, t:.u.t~ededinspectiOnS ~ J::J.fJ.9 5!!L/~
___ - slgoa~ Contractor's LIcense No. ' Date
I PermitValuatioh ~';;53 DOC. ad I ParkSupportFee # $
I Permit Fee $ JT I f:{so ,5"!i> I I SAC # $
I Plan Check Fee $ l"Z..oz...~t;. I I WaterMeter~';l...; $
I State Surcharge $ /"2..<0 . -5' IJ I I Pressure Reducer $
I Penalty $ _ I I City SAC and WAC # $
I Plumbing Permit Fee $ 100.00 I I WaterTowerFee # $
I Mechanical Permit Fee $ / tJ o. D i!l I I Builder's Deposit $
I Sewer & Water Permit Fee $ 35. SD I Other $
I Gas Fireplace Permit Fee $ ~(), 00 I TOTAL DUE $ (j, 4 Z5. 4-'/
.-. ;.__~Jl
I Paid ..g- Lf dO ''1'
I Date //7~ ':"J(~
_~__J
/Z7C).()O l~
e9-S'tJ, 0"
~,OO
I '2eJo. 00
/]0 (). (JO
I~(,J(). 00
This Application Becomes Your Building Permit When Approved
I ~~eiPt j~ ,-!~q i 8 /
~ '-:f~ sp.9ftJ:s>
Building Official 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 signed by the City Plarmer constitut;.s a '~'''I''~''''J' Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
:z~ 9~rJ Sh9~3' ~_ a..U ~
Planning Director Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
'v
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please ~ or_1IIlI sIm at bottom)
ADDRESS ZO~G(officeu~)
3732 JEFFERS COURT
lE::. S.....I PERMIT NO. 3-7951
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name COLLECiE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOMR
(phone)
651-/i~3-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-256]
';5113_
(Zip Code)
APPLICANT SmNATURE
BRENDA HUSTON
DATE
7/31/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR PUWJ>A 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
F]REPLACE MAKE AND MODEL
REA TN GLO 6000TR X 2 & ST - TRC
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATINCi PERMIT FEE
STATE SURCHARCiE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
eu,{~-4JD ~
V""e ;'~/1i
,o~~""'"
(Omce Use Only)
This Application Becomes Your Building Permit When Approved
BuildinR Offici.1
Date
1ilr(~lrU-W ~.
tftrteAUG 1 2003
., 'teceipt No.
I
~Iry 1-
24 hour notice for all inspections (952) 447-9 :SO, fa. (952) 447-4245
By
07/11/2003 09:50
5077445555
BADGER EXC
PAGE 01
-........-i...--...-..-........ ..-_
.... ..,.
.. a . -_ or . ^.. ... ~ ~ ... " : . .. ...,.
">.4...... tl\Jo'J(\ ...'\(\'-
\(0111",
CI'rY Or' PRlOR LAKE
SEWER AND WATER PERMIT
Dale Ret'd
r-.' "no' IlI!.IiP It boaDml
ADDRESS
~73:L ~ Lour1-
11.
I LEGAL DI!SCRlP1iON (011I.. u" anI)')
I Lor llLOCIC ADDITION
: ~:. ~~ I PERMJT No! '"-'- - """''''-;51
I, c:..I, ..".leW v ,'-',
. .
I ZO~O~'K)l
PID
: OWNER r I \ _ r .
I (Namel, ~J' ~ ~
I (Addles,] r<i .l() 1.,.~ A I uJ
IAddrt..l
(PhoneTi S;;.-t.fbiCf-4> rdO
L..~ ..:::>,"")()I.fCl
10,., . lZOf Co4oi
I APPL/CAJIDf--... I"'::.. c-
i INtm" \~4~ C'l((c.<u~ (Phonl).QY7-7Y'Y-S-S'C,,>
I (Address) 83,s W (()~ S+r~ LL/)'\~,J~
(.o\dllroJll lei.,,)
(Con..", Pellon) ---l- Cp..".....L.... , \, '1Y1"'Y1 (phone) ~<::;~
~PtlCANTS10NA'iU~ I v_.t4 ~ DATI! ~-8"'-cW
~l..f~
(~Codc)
APPLICANT PLEASE COMPLETE BELOW
Size of waLe, service ..L inches,
Location of lilY coupllngs from str\lctuIe -=:. feel.
Type of sewer pipe. 0 ABC ~VC 0 Cut Iron
Estimated length of sewer line ~eel,
Clean out (ifreQuired) located at _ feet from SlrUClllre,
FEE SCHEDULE
Re~id.nlitl"w't and Wlllr liII, cOM..tlon SlUO Industrial, Com'\ '" Mohi-ramily W. ofjol> cost willt a S)9,.I0 minimwn
s."tfconnrcriononly !17.S0 Wllor conne<:lion only $17,.10
Estimated Cost S
Bulldic& Permit N. ..-.
I Tbl. Appll~lion Be.OID" Your Bulldlne Pormit wnen Approy,d
I
I
aylllliq om..1
D11'
:.1<\ 8(Jli:,~LD WITH
G PEIiMrr
..I~~ [G; ~ n W.~ ~~IPINO'
, ]ueJUL ; ~2J. V - ff'.
II
s
S
$
SEWER AND W A TEll. PERMIT PEE
STATB SURCHARGE
TOTAL PERMIT FEE
lomc.\'uOflly)
\'
2. hOlll' noUu (or 1\lln,p'CClonJ (PSZ) ."'T~f ~ r.so {GIll1} .t411lil
r
.
. .",
'.::.'~. _, t
May,27, 2003 11:61AM
GENZ RVAN PLUMBING AND HEATING
No,4797 p, 4/6
Date Rec'd
,
CITY OF PRIOR LAKE
SE'WER AND WATER PERMIT
. '
i. =~~. I PE:RM.IT NO. 3 -
). Gold ^",Iic.u
~
71~
f'!'leue.ffile ornrim ilDdsi.<n atbot1om)
ADDRESS
,1-;1 0;;). <;Je~tee.\ . C+,
ZONmG (oll.,.",e)
LEGAL DESCRI1'TION (oll'ice we only)
LOT 10 BLOCK -3 ADDIDON J -e-ff~ SDu..:th
P!D
~~R iI\, I f1I..
(Address) 'JqdO IqkLi!l.//f'./ 15Llld. .~kh/le"J Yhn
~~~ ~~
~~fANr(JfJ7? -_ fJ4f1ij / (phone) 1ftJJ- l/a?5- I !'-/~/
(Address) 1!f1jt:) (Liflm;ej..J.Ri" /tJJM11I7U11f. mh ~
(.Add!e")C, / /,.. '. .(0",) . (Zip Codl:),,, /
(Contact Person) Ci1.fl(fJ Tl1AtJ . ft . (1'ho~) ljJf57 ~ .t-k):Q- //ilt
.' /"LlCANTSlCiNATURE ~) ~ DATE" c("----r9'i -Ol?)
(phone) ~ CfCi9.- L/.kftt ~lfm:;
fY5l)11-
(zmCodc)
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC . D Cast Iron
Estimated length of sewer liile feet.
Clean out (if required) located at ~ feet from structure.
FF...E SCHEDULE
Residential sewer and water line connection $35,50 Industrial, Com'l & Multi-family 1% of job cost With a $39.50 minimwn
Sewer connection only $17.50 . Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ _,,:'7':;
.50
'~....,...--:..,.-'-
PAID WITH
BUILDING PERMIT
(Ollie. u.. Only)
I This Application Become. Your Building Permit When Approved I paid-;--' Receipt No.
Ds!.. '. I Da i ~ 1f ~ ~ \ ~~. .
~ . . . \~
.' 24 hour notice tor aU in.Pect.io~ (9Sl)447.98so';~l.M71zt; '2.003. .
"
~
Building Ollieial '
2003 I 1:51AM
GENZ RVAN PLUMBING AND HEATING
No,4797 p, 5/6
Date Rec'd
Ul'Y"OF PRIOR LAKE PLUMBING PERMIT
(phoJ)e) _ Q9-L/&q;-(gqcJv
J JJJ)(J)// liP- - fh J1 - 5'5OL/</ I
(phone) .lt0/- tJ:r8- .1M!d
- ~+ 1 [lvUIl . iEDlPB
. (City) (~ip Code)
(P1<i.. tV1>. or ~rln< and si,., a% bottom\
I ADDRESS
3/3~ tJeffaJ' (lj
LECiAL DESClUPTION (office u"" only)
LOTIO BLOCK ,~ADDITION
OWNER
(Name)
(Address) 1C1J{)
. APPUCANT fl.. .
(Name) n
(Address) ~ 5 S, TY2J .
(AddresJ)
(ConlaCtPerson) rV!.ILUh rrJ.L! \.
rA,(1~jU1
APPLrc.o\NT SIGNATURE
. i ~~ ~~. .1 PERMIT NO. 3-7C~J
,. Yellow Appn.canl. 7J
ZONING (office...)
Pro
(phone)
I(
II
DATE
6-c;.7-D3
Quantity
APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture
I 1il t:) Bath Tub with or without shower
Ii' Dishwasher
I I I Floor Drain
I fJ 1- 1 Lavatory (Bathroom Sink)
I 1 I Laundry Tray (1 or 2 compartment sink
I i I Shower Stall
I , I Sjn~
I I I Bar Sink
I in I Water Closet (Toilet)
)
~-1:-
I
I Type of Fixtll.re
Rough- ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
I Sewage Ej ector
I Backflow Assembly
I Bacldlow Assembly Test
I Lawn Sprinkler
I Other
I
I
I
I
I
I
I
I
FEE SCHEDULE
InduSlnaJ, CommtmaJ 8< Mulb-family 1 % of job co.. with. $39.50 minimum Residential. New One 8< Two-Family $99 50
Residential, Additions 8< Alterations $3950
--,
;~.;~ ~ D W ~ \ ~)ReCetPt No,
1~ate . By (f
Dlt< - 1 1I1JL'1. 3 Z003 I
24 hour notice for III inspections (952) 447-;' , fa. (952) 447424S ~ , ...
tBY
Esl1lltated COSt S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE . $
TOTAL PERMIT F.EE $
(OlOt. Use Ooly\
I This Application Becomes Your Building Permit When Approved
;;;';,;i,.'<I';'.
)
Bu~dillli omclll
~~'..,...",
-.......... .50
PAID WfTH
B~ING F1RMIT
-'
2003 11 :51AM GENZ RVAN PLUMBING AND HEATING No,4797 P. 6/6
. \..11 X OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
: ~':. ~::.. I PERl\U1' NO.-:::J ~I
,. ytllow "PfIJJt&At t ,--)- 17':::>
crl.... ~. or mint and 51'" at bottcm)
ADDRESS
,~'7?JG\ Je,ff~ ~ '
~ONJNCi (offi......)
LEGAL DESCRIPTION (o/fiJ>: me: only)
LOT IDBLOCK.~ ADDITION \ }eff.e(,~ S'fJItfVl
~=Rr1JUtqJ, rAl1~\
(Address) '71J..1) 111/ ~vlllf, f>lvd.
PID
APPLICANT fl,PIM-... Ifll h
(Name) rJ~/l
(Address) 1414 t:) ,(. J&hulJ T d ,
(.A"ddrcs~
(Contact Person) ~fU.l,i.I. ~
APPLICANT SIGNATURE ~ .1 '--;;::;J;-)' :I/xn
(Phone) tJt5~-4tpq-lAtJl)
I tlkLVZllv. mn, f75D44
(Phone) .115)- Lf~?:rII!:LLj
K1xr~.; I11h %lJft;J8
(City)
(Phone)
PATE ;;::Y~;}7-()3
(Zip Coclc)
/ /
II
" APPLICANT PLEASE COMPLETE BELOW
'" ~WCONSTRUyTION o REPLACEMENT o ALTERATIONS
FURNACEMAKEANDMODEL~evt -Vf'~D ..' FUEL~44
FLUE ST.ZE _ RETIJRN OPENINGS ----r4 INPUT 11f4mll) OUTPUT a /()V
TYPE OF SYSTEM HEAl1NCi OR POWER PLANT
OOWarm AIr Plan!! 0 Sleam
15Gravity 0 HOI Wal<r
DMcchanic.al 0 Radiation
J29'Air Conditioning 0 Special Devlces
oVenl. System 0 Other Devicis
PL:EASE NOTE:
Air Conditioner Units
Cannot Encroach inlo
R.oquired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEES....l;l.I!.Vu...E
lndustnal, Commercial 81- Mulli-Family I % of job cost Residential, Gas Fircplace
S3950ntinimum .
ResIdential, HeatIng '" AlC (New ConSltUCtion) S99.50 . R""dential, Additions & Alterations
Rc.sld.nual, Hcuing Only (New Constnlction) $64.50 Residential, AC Only
139.50
$.39.50
$39.50
Estir/lared Cost $
Building Permi!. ~' c; _.
~.a-,.-::.:..--
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
PAID WITH
SUJr.o'NG PERMIT
tOllI.' U.. 901y)
"'.;~is Application BecolRos Yoor Building Permit Wben APPl'Oved.~. \.. ~.p. &. ~ u ~n~.]\
. Ilwldio.Olllda. Dot.' jt1N2il2003 U i
, " .
14 hour notice for an inspections (952) ~ 17-9850, fn(9S2) 4474245
. @Y--
. Receipt No.
By.
c-r
~1
rWhite . Buildiiilt>
. Canary . i:nglneir,ng
Pink - Planning
Tllr ("!fnlrr of lllr t_kr eounl.,..
BUILDING PERMIT APPLICATION D~RTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f/o~F., (fAn!
5 -q- ()3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<3732- J6FF~ UJu12.-,
Accepted
Denied
Accepted With Corrections v/
Reviewed By:
~~
~bHP
~
;7~ Dme: 5>~'~Y
a..U ~ T' /~,
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."
~\
White . Building
Cana'Y . Fnaineering
~~ . Plannlng~
Tht ('fnlll'r"'lht I..b{'ountry
,"";"".
BUILDING PERMlLAPPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ('~OLCE ~~ E f~ I nI
. ,
APPLICATION RECEIVED 5 - q - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3732- JET(6!LS LuUf2 I
Accepted
Denied
Accepted With Corrections /'
Reviewed By:
~~ 9~+--
A.~. ~ e..-.
~~~~.
u
Date:
s~, ,4~
.t.._ e-l.~ a?-
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."
/ . 0< PRJO;\>
. ~~
Th~ ('..ftl.., n' IIII' I..h Country
w~ - ~~sllnp
c:::;:- C. rv.. in~linQ ~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(~OLLE &, f (I I n/
{
c::- /1{' / '<
~ .. IA - ()~.....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'2'7?? "n:;:-F- r-: r:-:J.; \' dr,,; f~)' I
~~ -' '--~.J l,... r' t"j /__..J C' U \..... c
Accepted ?<
Accepted With Corrections
Denied
R~;ewed By, 1:'^ n Date'
~.~
Comments: See everse Side for AdditionallnformatWn!
~{11 (en
I ..
See Attachments' ]) Grading Phon ?! Erosion Contro] MeasUres
"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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~732- uC,.n:;/tS ~U LT
NATURE OF WORK JVEW ~i~1A
USE OF BUILDING ~,
PERMIT NO. /13-0/'95" DATE ISSUED
CONTRACTOR tv ~ PHONE ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT '
INSPJFgf
11.0 I ').::: t>
, FOUNDATION (Prior to Backfill) I b)/.d!f' ..::>-~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
f/a/
1$
.rr~ s: ~
If1,
GAS LINE AIR TEST ~~ ~ h {t-15""'-er
t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~F~mN6ISlJ<<.OJI I
~ ' FINALS
.~ GRADING (Prior to Soddin~) /Vtf
BUILDING 1'""J...-.wI -k> g.. ~-06, 4) c..
ELECTRICAL . if
PLUMBING
HEATING
DO NOT OCCUpy
, FOOTING
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ ) / e- M,C( 4bf-
HEATING (if required) T
FIREPLACE
. ,
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
;:> ./ q--
A-7k
P. - 'Z'B
~:~:
8-r/
--
;lo
t. 1'. 04-
(.-'-0 ~
~
(~
UNTIL ABOVE HAS
NOTICE
[)j'J t t'/3
Il-'~
BEEN SIGNED
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
~732- 0~v5
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
[] PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
,<< PLUMBING FINAL
/0 MECH FINAL
COMMENTS:
DATE nIlE
It t3 td.3
~
/3;,o.74r
o EX/GRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ ~ec..cR
1Je-v'\ ('~~,
,
o ~KSATISFACTORY. PROCEED
I1('CORRECT ACTION AND PROCEED
o CORRECT ~ /CA;L FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
"""'"'
CODE REQUIREMENTS AJ/E FOR YOUR PERSONAL HEALTH" &4FETYI
DATE TI1IE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED \\- ~-o"'"?. JJ:OO
ADDRESS:0~ ~ OJ..-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'{-~
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~NAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING ANAL
;:s(.MECH FINAL
D EXlGRADlFIWNG
D COMPLAINT
D FIREPLACE RI
~IREPLACE FINAL
~GASUNE AIR TST
D
COMMENTS: .
~ ~ ~IA.L ~Jrud--
2. 0_..(Jt-'A ~___J- c--*. <;...L..... ~
~ i ("'~. ~CA..fJp' ~s..d-^ 'S- J)
T{.. 9..:,] ~ \1iJlU- (' LJ/~""Lji........~,-
.-~ (\~ 1--
B-1 - 0 c
/
~+ H1A~A'IP ~L'Arr <'0, "" l
D WORK SATISFACTORY, PROCEED
D CORRECT ACTION ANO PROCEED
)( CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. I) (:-7 OwnerlConlr.
CALUJ/..saSO FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REALm & SAFETYI
-.
-
DATE
TI1IE
CITY OF PRIOR LAllIE
INSPECTION NOTICE
SCHEDULED
~
ADDRESS ~1'YL S~AAS U:xJR;\
OWNER CONTR.
PHONE NO.
PERMIT NO.
6-=-' 1~S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ZFINAL
o SITE INSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
[] MECH ANAL
[] ""~ILUNG
[] Ci)jjdj"irr
o FIREPLACE RI
o FIREPLACE FINAL
[] GASLlNE AIR TST
[]
COMMENTS:
GUA. P-- c..rr D.p - /') \L
,
(" v.2..AAG;-OIt...
}...):> :oc ri~ c,
X WORK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeeror: ~.J..._I Owner/Conlr:
CALL 447-9~ INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IIaNfm
DATE TIllE
CITY Of PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(,. 'j -0 $I
ADDRESS ~.I)3"'Z.
JJXlC. cJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?- 67"t6
[J FOOTING
[J FOUNDATION
[J FRAMING
,[J..JIlSOLA TION
~INAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
[J EXlGRADlFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLINE AIR TST
[J
COMMENTS:
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OJlo-:t ~
~:l d- -+00 a-
/
01---
~WORK SATISFACTORY, PROCEED
[J CORRECT TION AND PROCEED
[J COR K, CALL FOR REINSPECTION BEFORE COVERING
Inspe<:lol
Owner/ConIc.
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS.tRE FOR YOUR PERSONAL HEALTH" SAFETY/
-
QIntineatt of @etupanq!
CITY OF PRIOR LAKE
~eparfm:ent of ~uilMng Jlnsp:edion
~Fina1 Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements qf 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,
. Fire Zone
N/A
_ Zoning District
03-0795
Ri
Use Classification
Legal Description LiO, B3, JEFFERS SOUTH
7920 LAKEVILLE BLVD.,
DON RYE
3732 JEFFERS COURT
LAKEVILLE 55044
Owner of Building
Contrac""', Name & Address COLLEGE CIriIib!:IES,
- . : 1
ROBERT D. HUTCHINS I! i i City Planner
VV
Site Address
rupding Official
Date: 1(. 0.1 . i') \
Date: