HomeMy WebLinkAboutBuilding Permit 00-0868
~~
1. DATE
8!t;/.;o
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFORE PERMIT IS ISSUEO (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/Lj.I",S~ /A)/I./)~ vlE0
3. LEGAL DESCRIPTION
LOT
c::;-
BLOCK
I~
pro Z5-Zf/7-0SS-D
13. TYPE OF CONSTRUCTION
ADDITIONTJJF uJ I L1/7
4. OWNER (Name) (Address) (Tel. No.) t, ( 2
e.rnu~ ~ f.lJ<.,y I vJ~7l'riL J)e-) P s#~
15. ARCHITECT (Name) (Address) (Tel. No.)
/ I I \ / ?,7/ (p tLNtJUMltf1l "7 ~~ 1 crw
6. BUILDER ~~ oeJ~, ;;d7/ (., tJd~ ;woJ.::/!i DfL
~ IJ,", ,,') c~ /?11\JT1LA- . 5-5 3 b5
SEATS
7. TYPE OF WORK t,,~ Fireplace~ Septi~ [j Dec~ Ae-roofing Cl Porch 0
NewconstructiO~ Alterations 0 AdditionLl Finish Attic LI Re-sidingD Finish Basement 0 16,.P _"L._RO.J ~ECj~'}.AL.!J~
Chimney 0 Misc. ~ Vl'VVO
lB. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION D~ -pe:e. aIL.
Sq. Fl. Width Depth Yes No J{t-r.J 'ZOO (
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
:Ujl~~just cause. Furthermore, J hereby agree that the city Off~i~ 1t S6ee may enter upon the property to pe;;;;6~~;~OO
~ E I 1- Slgn.IU~ licenH No. Date
1. White
2. Pink
3. Yellow
.IN) 6 OJ ~ .;J.tJtJ () BUilD
11. SIZE OF S
PtJD 7~ht)
12. NO. OF STORIES
21'
/
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION 23l"",.NO .~O
SETS
COPIES
Water Tap ................................... $
Builde's Deposit ............................ $-4-S~ .~
Other ......................................... $
Total Due .............................. $~t.~. "f(p
Peid 8 (,""'1. 4b Receipt 4iJ 3 ~ 4{, Z-
Dete q. '2& .tJl) By ~~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin6 Ordinance and may proceed /s requested. This document when
Sign~e City Plan ~ nstitutes a:.:ary Certi21~~mPliance and allows construction to commence. Before occupancy, a Certificat'~f Occupancy must be issued.
ity Planner Date Special Conditions ~ any
c;~n
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 ................................... $~. 7.'
Plen Check Fee ............................. $ I,'" If'>. 7/
IIA.Qo
City:
State Surcharge ............................. $
Penalty ....................................... ~
Plumbing Permit Fee ....................... $
~
/00.00
IfH'I._
'<<::".~6
Pe .....~.. ............ $ '10.00
comes Y r Building permit.w~'A~p.E!ove~ _
By Date 7 f -{J::JC90
Certificate of Occupan/
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
PLANS & SPECS 0
SURVEY [j
PLOT PLAN
o
Amount Brought Forward .................. $
Parl< Support Fee ........................... $ B'SO.t'~
SAC ......................................... $----1,1 or.>.1"'I ~
Collective Street Fee ....................... Cl:
Sewer Tap ................................... Cl:
.. $
Pressure Reducer ....1..................... $
Meter Horn ................ .... .... .... ....... ~
jt').oc
Water Meter ................................. It
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
aso.",,~
It' 00 .0('\
7 r!> (') ",n
24 hour notice for all inspections (952) 447-9850
.
~~
oo.orro(
TIH C~lIlu of Ih~ L.k~ Covnlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lv GS-r S-TI! K
F3.~y.CO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4((::;3 tV/LfjS V/EVJ
Accepted _
./
Accepted With Corrections
Denied
Reviewed By: (;rtJnf {;,rl>dIl
Comments: 5e-<,'_ Ift~ f'fllff's-e !7itle
Date: Y/1/m
& ddrthd7rdl/4!J/7J1ah;yz,.
~e.e a Iffl('!'jJft'.I1tr: /. ~a/ 4<t# Z1.ye'l7hbt J;;~;'-/J1il'h__ ,;; r:'rttd,fY !fait.
..1. E051#/1 I~/ I/t/!J((/"" if Ero~/IJ/I iZh/ ?/;t11
"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 notpe valid."
"
~
,;,>-'
'"-~~~ PRIOIi',
./-.. "
- l'
U rn
00 ,og(g~
Th., C..nt... of thO' Lak.. Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1__. 7'-:,~ ! f::-
- - ('.,
r-- ' .....J c.- .
/' _ r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~:.J,-; ".- i i / L i) , I. lEi ,j
Accepted
Denied
Accepted With Corrections ~
Reviewed By:
~.' JA ....,._
~-, --
- .- --
Date:
qyLC/kD
Comments:
2'i-cr ,~JM JY~Ae.(.(~d7 IA~OJ.i: ~~
~~11/~ ~<fkvl1 (:2,c{),t-J <:[2;~~~
"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."
~~
00 '0 nJ
Th., ("..nlu of th., I...... Counll')'
While . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WGs:r ST71~
8-22/-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4(053 W/l-.OS IIlaV
Accepted
Accepted With Corrections ~
Denied n/ /;J t1
Reviewed B~)'- Date: tf'-7- Lo:::JO
Comments:
I. {lor.JLaJJl a~ ~ ~
"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."
.-<
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CITY OF PRIOR LAKE
16200 Eagl. Creek Av, S,E. PermH No.OiJ.::...fYl LSf
Prior Lake, MN 55J72
Dale
PID. ;:;.5-,::)91')- Dt:it:J-6
.:Jlu /))dJ &
Addr...
~ S\~~~oll~j1l{~~':> e,LJI~ lS""x.PI2Jr!;<;_.
~ Addr_J"~...I0O::;- I c;-<J14 1-1.-1/ ' Nn . ?~'rV\11\lXt 5E;H~1
'" \)
g,J Telephone. ~'3 trFtf./ t/t..~ 3
'" FP. . .
~ ~U!odej.$'iJ~Q'oP
~ Model Size pvr (;, ("./.../ N ~
'"
TYPE OF SYSTEM
Warm Air Planl. ..
Gravity
Mechanical
Ai, Condftlaning
Vent. SYllom
l>:
I~
I",
Conn. load
Fuel ~RHtr1ue Sin
/?''''
Supply Openlnge
Aelum Openings
InpUl~
/
I
HEATING OR POWER PLANT
51eam
Hal Walor
Radlalion
SpedalDovices
.OUlput
r-
oo
00 Edr.
o
...
:g Clm,
...
'"
r-
><1
;::; AIle raliana
Other Davice.
TYPE OFWOAK
~ ~~hu;ion
K
AepJacemenl
o
~ Repelr Esl Compo. Dale
'" 4:!
: Est. Cos! , ,/O(:)el
'"
'"' HEA TINa PERMIT FEE $.
. Building P.rm~ N
.-<
~ STATE SURCHARGE $
.-<
::' TOTAl PERMIT FEES $
...
o
.50
PAID WITH
BUILDING PERMIT
R9coipl M
TYPE OF STRUCTU~
I. "'n.
10-
J, Ydlaw
FJ.
t:t~
C"'''.C:I.,
Single Family
Commerc,aI
/}(
_ Mul!i'Famlly
Pul>ic 01 her
Two-Family
Induslrial
Fee StlJedule
Induslrial, Commercial & Mulli-Family
AealdMUal, Haating & M:.
Realdenllar, Healing Only
Aesldonlfal, Gas Fireplace
AelldenlJaI. Addllons & A1I8talions
Realdanlia ~ At Only
1% 01 lob cosl ($39.50 minimum)
$99.50
$64.50
$39,50
$39.50
$30,50
Remember 10 add the Stale SUR:harge on 1I1a bollom of this application.
Th.. price .01 your heaUng perm~tl.nolud.e. one tough-in and ons Unal ",speclion.
Addltlonallnspeclions wil be billed 81 $35.00 each.
House Haallng Test Record musl be submitted with IlIIiIaiog JmIIIilIllllIllw: belo,e build-
Ing cerlllicata of oecup8l1Cy will be Issued.
I:lfM CALCUlATIONS AEOUIREQ wilh number 01 supply and relurn openings IIsl.d pe
room wllh CFM'. per opening. New slruclures or addllions!HInd noor plan wllh supply
IIl1d ralum locallons shown. HEAr lOSS CAlCULATIONS, PAYMENT AND
APPlICIITJONS MAY BE MAILED TO THE CllY OF PRiOR lAKE, 16200 EAGlE
CRE:EK AVE. S,E. PRIOA LAKE. MN 55372.
ClIy Hall busmess tlour. a/8 B a,m.. 4;JO p,m,
All.. WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)- CALL CITY HALL
447-4230. ;Y7-~'IS-
I h1Ireby apply 101 a mectlanical syatems permit and I aCknOWledge thalltle
inlormallon ebove is complele ~nd accurale; thallhe work will b. In conlormance
wilh the ordlnancBs and codes 0' the elly end wilt! ttle stale building/mechanical
code.; !hat !his lorm doe. nol become a permil unlJl signed by Ihe BUILDING
OFFICIAL; Ihal the work will be in accordanCe with the approved plan in the
D:Z:t:?z::.::pprava, a' PI;~ / /~ ~
Appijeanl's Signalure . Dala
Qr ./ LI- (/-0 J
Building o""r. Signalur9 Date
...
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~~\ CITY OF PRIOR LAKE
Id' r... """"',~ 1&200 EsgJa Cleek Av, S.E. Pe,mll No. 6tJ - () 8 b>:s
.. PIlar Lalla, MN 55372
. . . I HeATING APPLICATION I ~ERMI~ _
0Ile ~ ;31en PIO, jt:,- ;)17 -tJ55 0
, J)U1"J. -
SIIAddtIIl CfIRd~ !IJ/Ilj;)$ J/;I:!"J1/ .
~I S- B10dl {Q AddlIfon T j, e W dce~
Ownl/'8Haml ~.sr,f)e.
tlI Addrau
tlIfl~~ ~..
f .... ConIrIClDr ~'4l!1l.'s BotLDnk.'!. E.c Pf'~:">
M .
r.l Adch..I"No.. I"'~ A..! 1\\... Pu.aM,d,UT'w.
tlI
gj Tellpllonl' -7(.. ~ l.:A u o.l ''*''''
~ .
t; Furn_MIkI&ModII~~~,.....e...
'"
ModllSlze "D\/ ~r ~ ..,.....
M,,-.
tlI
TYPE OF SYSTEM
WlIfm A'" Plants.
Gr avlly
Mechanical
Air Condi1ioning
VenL Sy&t1ll1
.
..
~
"
CoM. Lou
Fuel .ll1A- 'I
Supply Oplnlllge
Rlturn Openings
Inpul3'it9<</O
Edr,
Clm.
r;<'
Flu. Sill
0IJ1plJ1
HEATING OR POWER PUUIT
Sleam
HotWaler
Radialion
Special Devices
t-
oO
oO
o
'"
..
..
'"
...
....
~
ro;
~I
...
other Devices
TYPE OF WORK
"",,aUonl
New Conslrudion
~ } rl-~ 10--1
x
Roplacamenl
Repall Esl, Comp. Date
~ .
Ell. eosl, (?oe>
...
~
,
Building porml1' _
...
0'
"
~I
'"
o
I
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAlPEflMlTFEES $
Receipl .
.50
p/,:'
BUILOli\j", I ~
TYPE OF STRUCTURE
1.-
,. .....
J. Vchw
File
CI"
~...
Single Family
Commen:ial
k
Two-Family
Indust,ial
Pu!Jljc
Mull.Famlly
Olher
Fee Schedule
Indu&llial. Commercial & ~h~Famlly
Residential, Heating & AC
Residenlial, Healing Onl~
<::Btsidenllal. Gas Flr\lIllaCif:::;:'
Resldenlia( Addlllona & A11elBlions
RGSldenlia~ M; Only
1 % 01 job cosl ($39.50 minimum}
$99.50
'64.50
$39.50
$39.50
$39.50
Ailmember 10 add thl Slate Sun:llargl on Ihe lroltom of Ihis applicallcn.
T~e price .of your healing pelml!.!.~!udlS one rough.in and one final inspeclion.
Addltlonallnspecliono wil b I billed el $35.00 lach.
House Healing Tesl Record lI\llol be submll1Bd wilh llIIiIIIiIw QIIIIlilIllUlllllll bBlore build-
Inll cGrtIfi:B1a oJ occupanc~ wlJ b. Iesued.
I:1m CALCULATIONS REQUIRED willi number 01 supply .nd retUln openlngollSled pe
,oom wllh CFM'. per opening, New slr~ or -.ldltlons send Iloor plan wilh OlIpply
and ",turn Iocetlons shown. HEAT lOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAilED m THE CITY OF PRIOR LAKE, 162.00 EAGLE
CREEK AVE. S,E. PRIOR lAKE. MN 55372.-
Cily Hall business houI. are B a.m.' 4;30 p.m.
Al.l WORK MUST BE INSPECTED (ROUGH.IN AND FINAl.). CALl. crn HALL
417 'jail r ,J,Jh J .J",
- rl'fX q~? 7<f ( lZv:J
I nereby apply lor a mechanical systems permit and I acknowledge 1I1allhe
Inlormation above I. complete 4nd accurale; thalllle work will be In conformance
with Ihe ordinance. and code. of the city and wilh tne stale building/mechanical
codas; Ihat this lorm doe. nol become a permit unUl signed by the BUilDING
OFFICIAL; Ihat the work witl be in accordance wilh the app,oved plan in Ihe
case of all work which requir.s review and approval 0' plans.
7J~e~ 3b3~
- Applicant's Si~.lure ,r Ollie
~ Ij-d.--{)f
Buj~g 0 IIicah Signalu.. Date
CITY OF PRIOR LAKE MC
16200 EBgle Creek Av. S.E. Permit No. ()() -D6roe;
Prior LBke, MN 55372 -
Date
HEATING APPLICATION I PERMIT
z- 6 ~o J PID# Z5-z.c?7-tJ5~-O
1~53 h/((.-,oS V/r;;u.J
7JIF.., J1/ I LD5
S~e Address
Lot ~ Block ~ Add~ion
Owner's Name
Address
~eatingContractor Lllt'~pf h.4. J11 h/ (IJ!t
Address!JD9r ((P7./IJ(J /..tJ- N-W, flrJdtlve~ (l4A1.~JJo'-l
7'TelePhone# . 76J ~ '-/}.) - 7{/tO
Furnace Make & Model AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
Model Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input . Output
Edr.
Cfm.
TYPE OF WORK
A~erations
New Construction
Replacement
Repair
Est Comp. Date
Building Perm~ #
()(j -08~9)
O\f'l\~"':'l
~ fiT>-' ."". .....
eu\\.O\~G ' ....
Est Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family.
. Two-Family
Industrial
Public
Multi-Family
Other
Commercial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildino ~ nllmher before build-
ing certificate of occupancy will be issued.
HEAT Q41 r.11I 4TIONS REOLJIRFn wrth 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
Phone: (952) 447-9850
Fax: (952) 447-4245
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 review and approval of plans.
~
'I
'2.-8-0 I
Date
2-~-OI
Date
7~9-OffiCal's Signature
02/05/01 MaN 10:44 FAX 61244i4245
CITY OF PRIOR LAKE
I4J 001
I. Blue
2. Ootd
3. Yellow
File
City
AW1il;Mt
CITY OF PRIOR LAKE
~Plicant: ,~~U~~~~: ::~~~~ Phonl~~ _ ~~) _o::~
, Address: 3~.9r 11;..,vO hN. /V.W. f}fIIJfJvtJ) rS-J<! 'I
~nature: ~ ~
Legal Description: Lot ::> Block fo
Site Address: /#.53 W/L-OS view
l3uildlng Permit #' ()I) :.-() f3fo6 'PID #
NOTE: This permit will not be ptocessed without complete information.
FIXTURE UNITS
Thr ttttlu (If Uk 1.Ikl!,' ,,\U1Uy
Quantity
3
I
I
'~
I
4
I
I
L(
Sub
71ft;; W ICtJ5
,Type of Fixture
Bath Tub with at without shower
Dishwasher
Floor Drain
Lavatorj(bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
WBter,Closet (toilet)
" Quantity
Type of Fixture.
L
I
I
Rough-Ins
Water Heater
Water Softner
Stand f>lpe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PVB)
Backflow, Assembly Test .'
Lawn Sptinkler
Other
I
. ,':.
:1= SCHEDULE
I ~ustrlal, Cominetc:ial & Multi-Family
(I: % of job cost, $39.50 minimum)
r:, ISldential, New One & Two Family
. JIISidenti~I.Ad~~ti.ons & Allef~tlons
)'.,1, ate sur()hatge '
'.1 "
$99,50
$39.50 '
$
$
$
$
.50 "',"
GRAND TOTAL
. 'OWITH'
$ PAl, ~_. ...,.
. tst)n.o~lG ~,;.. U""
" ,",. ' ,,\ "",,' ,.' '
" This r>trmit I,s gratIted upon the express condition that said
conlractor. shall comply in all respects with the ordinan<:cs
of the State Plumbing Code IlI1d the amendments thereof.
, RECEIPT NO. VA TE
:ATrEST
;"1 ,.
Call for all inspections 24 hours in advance. .
".,,'
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16200 .agle Creek Av. S.E. Prior Lake, MN 55372/ Ph (611.) 447~98501 FAX (612)447-4245
:', .' . . .1.., ,... '.... t, ;'.,' ,,', ., , ,'"
An Equal Opportunity Employer " .. , . ',' .,.'
Nov 28 00 09:578 We5tonka Mechanic81 Contr 612-472-4961
_--.::/~/~-2l1E ~46 FAX 61244H24-L- CITY OF PRIOR LAKE
p. I
III 001
CIIIEI.. ~ ....
.,.u,.ow . ~~UCAlll'
.OLD.OI'"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
s.w. No. IJIJ ~OBto~
Sewer and water
contractors must
be registered
with the City.
"'Pt'LJ :"'NT: I/j,)e-> hM~ M fJc..h4llQlc....l
ADORI' ;5: b?5Vf.r<~1,J J.';- _
SIGNi' rURE: ~ ~
SITE 'DDRESS:' L,'-I h5 -7 c0 O/~
FILL IN THE BLANKS
DATE:
tJ'~,;J . LlJ~:II?/6
/ / ~K--'-C<J"
PERMIT , ()(').. e3(p~
PHONE:
OJ..lOG.
PIO'
,
1.
I stimated length
of water service
/,'
50
feet.
2.
! ize of water service
inch(es) .
o
feet.
3.
. ocation of any couplings from structure
. ype of sewer pipe. ABS____ PVC~ Cast Iron
/j.lJ '
stimated length of sewer line
feet.
4.
S.
6.
:lean out (if required). located at
.tructure.
feet
from
:: " ::::;:::::~iifEm'.....~=~:.~..._.~~-~~.-~~',.
==="' ,~~~""======+======~------------- ..-.
I." Lor...-: .
~
-,"".01'"
- _.~ ,.................... ,.; ~c.
~nnnp~~inn Derrni.t.
,...._~\.................
....c:: l:f"I
."t"\'T'b T
~c;;: "ither sewer 2.!: water individually is ~.~ plus
~ .50 surchar-':r<e',
";'0:::'.0..;... ...........
i.-""-'''- =",0 nO.
,-.,,1 "':_ ....:1':,__
i~5ued for new construction
must
be
Asued,
..1\1\-\ '-i
" ~O ...,~~~W\\
AMOUNT PAID,~\NG
REC'D BY ..
O"'T' PAID
REC 1PT ij
16200 l' 'gle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity E,,~r';"_."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 11./ L"5 <. l,J ;\A" \/;~
NATURE OF WORK JJD. \ r-:J:::w.."h
USE OF BUILDING Sf' \~
PERMIT NO. OO.06&e, DATE ISSUED q-7-~"
CONTRACTOR ~~ S+c.~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I ~. I '!/;-cgJh
I FOUNDATION (Prior to Backfill) I IS \j /VlA111 )) kn'
PLACE NO CONCRETE UNTIL ABOV~ HAS BEEN SIGNED
ROUGH - INS
" 'b1-V J~ ap;)Ob
\ WI c, -sl-l! ../ t4(}1
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(~~\et 3),Jo\}ZSV
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1(if ~"Il3lo (
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HAS BEEN SIGNED
I
I FOOTING
I SEWER I WATER I SEPTIC
FRAMING
INSULATION
I ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
I GAS LINE AIR TEST
I
COVER NO WORK UNTIL ABOV
~D I
FINALS
NJf
~-~-~
~J~
't. ~~
OCCUpy UNTIL ABOVE HAS
NOTICE
,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
DATE
-.
. I
C{'r 1"1. .
'~.ol
{.;.It~b, .
fo' hi, '101
, .
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.
~ . . ~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
_.~._._.__.._._._-------~--_.._~.__.~-_.._-'---_.._-_.-----...---." .--- '. -."-
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ell'Y OF PRIOR LAKE I:':'~
. ~tPartmtnt .~f .uilbin~ 3Jnsptdion , 1\:,-.',,' ~
~F1Dal Penrutted 0 ConditIonal C.O. Expires. ., .
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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:
C._-r-..J Type
R3
Type Construction . VN
Fire Zone
Bldg. Permit No
N 1 A Zoniog District PUD
00-0868
Use Classificatit'"'
SINGLE FAMILY
Legal Descriptio.
L5, B6, THE WILDS
Owner of Building
_Site Address 14653 WILDS VIEW
KNOLLWAY DR., MINNETONKA
Contractor',Name&Addres. WE STAR DEVELOPMENT, 13716 N.
ROBERT D, HUTCHINS
\\ Building Official
Date: ~,JnUA
\
City Planner
DON RYE
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SC~EDULED 6 - IO~J.
~/t&I& I J '
/L./u 0-3 {j)/leiS V/~LU
CONTR.
PERMIT NO.
{Y}-- f?b?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(u'.4 &~ - ,,?K-
SI-T
~RK 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 & SAFETYI
lNSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~ ~ 53
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
^- 0 INSULATION
n 1SJ FINAL
b SITE INSPECTION
DATE TIME
SCHEDULED ~~/~ IO!OC
/D/L/)S J:~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CQ - ~b,?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,./
/1"-
f)'oJ
.' I
i;rcJ d rJ. b u
V l
.fiecJ\
~.,
S,J:A' +'ee--s fer ~eJorrNLV\.+-
COMMENTS:
-is,
~1'~[
G~ brA?,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK,~ALL FOR REINSPECTION BEFORE COVERING
Inspector:~ Jh.i\ 1.;1-- Owner/Contr:
CALL 447-9850 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
12!l~~1 TIME 1
CITY OF PRIOR LAKE t
INSPECTION NOTICE SCHEDULED ,. I po.. .T I
ADDRESS /41, C? W/GUS V/ F7/J
tJ-..-J.. J
OWNER CONTR.
PHONE NO. PERMIT NO. 00 -" Oe,t.,~
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
C-;6V / -n;8C
H~+e.r ~rJ_;~1 /"lrf/OdPA
(" ,(),
t"e
o EXlGRADfFlLLlNG
o CON\PLAINT
o FIREp1,ACE RI
o F~E FINAL
o GASLlNE "fR TST
o i
/
COMMENTS:
I ~SU. f'
close
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
" coP .CORRECT WORf' CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ \Ja ).)'/)/l Owner/Contr:
CALL 447-9850 FOR1THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
-; J
J'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED i' 'iI-O / d." 00
/ ufl C)3 (~/e.f6!J /) ~r
CONTR.
PERMIT NO.
()- ?0Y'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Pr 0 PLUMBING FINAL
-...Q...IIECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIUE
SCHEDULED c; - I'}-O/ L/:.oU
/l/t?3 //~ ()~
CONTR.
PERMIT NO.
() -[1' b!'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~D SEWER HOOKUP
a-PCUMBING FINAL
"iT1iECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
lA4t1A,U') tJA~k- V~
~ter ~ea.)~cl
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT"K1 ctLL FOR REINSPECTION BEFORE COVERING
Inspector: ":tJ..... VDA.A1I Owner/Contr:
CALL 447-98S0 FOR THJ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl