HomeMy WebLinkAboutBuilding Permit 00-0880
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QAIf ~U=r.I=IVI=Q
9./4'00
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12.SITEltrl~OCS Wltrl~ e.\Dloe-
3. lEGAL DESCRIPTION
LOT ~
~DITION ~
I:t~
~~;~~~;~Pb
-rAIL
(0
PID
2F:-23J-05!3-0
BLOCK
\,(,1/ U"'Y7
f-hJ O~~DlJ (i~ei~ PfilHtr(Yhnre)~r-Jta
:fA J f!,~ W.E" Gf~~O)(R,111
(Add'eSS) l53aJ W ~ Nf~"~
.~ DU~\1lllA frln 'fSzArJl1~)
7. TYPE OF WORK Fireplace", Septic 0 Deck~ Re-roofing 0 Porch D
NewconstructioK Alterations 0 Addition 0 Finish Attic 0 Aa-siding D Finish Basemen~ 16. PROJECT COSTNAlUE
Chimney LJ Misc. \ I ()()() J O(;()
8. PROPERlY AREA OR ACRESl.~ ) 19. PROPERlY DIMENSIONS 1'0. CUlVE~ 17' COMPlE hON DATE
~lo . '1/ /J Z Width 1m Depth \ COS Yes ( No ) Spg II\l (., ZOO I
I hereb cert' that I have furnished infonnation on this application which is to the best of my knowleagEj true and correct. I also certify that I am the owner or authorized agent for
the a v m tio d property and at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware thallhe
:Uildi i. a e t i f r ustcause. Furthermore, I hereby agree that the city official ora dei,n;;C;4erup onthepropertytop~~Ws.
/-&..k-- Ucense No. Date
FOR ADMINISTRATIVE USE
(Name)
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
1. DATE
1.
2.
3.
q-I-;-oo
PU.D
11. SIZE OF S UCTURE
IZ'I~~) 1~1P
12. NO. 9F STORIES _ _ ...:\
_'7- (l- tin i~f\ \"lJ~
13. TYPE OF CONSTRUCTION
C4~TOMt+c?M t;
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICA nON
Side
SOIL TESTS
o
LJ ENERGY DATA
PILING LOGS 1""'1 PERCOLATION TESTS 1""'1
USE OF BUILDING
SFD
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION II~J~. ~^
SETS
COPIES
WalerMeler ................................. $ a SO. 00
Sewer & Water Connection Fee ........... $41"lf'1) ,(9"
WaterTowerFee ........................... $ '1 ~l!> .Od
Water Tap ...................................4:
Builders Daposit ............................ $ ~,,?OO . c9r'1
Other ......................................... 'I'.
Paid l~u~.?q>i(j~~~~i~;~O~~}~ '14-
- . a~
This is to cartily that the <aquest in Ihe above applk:a'o~ .aod accompanying d?cumeots Is 10 accordao,"with Ihe c~:;on~g o::'o~;:y pr~ a ~ue"ed~:::::;;'
sl90 tel nner coo",tutes a lempomry Ce~Z9 compl,ao.<d allows con"lf\o,: to^~eo,". elo. re ~""cale o~upancy mu" be ,.sued.
~A..4._ Ci!YPlanner a~~ ~oe..j~",\v" pecJaI Conditions if-any ~~~~
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 234 _ _
Permit Fee ................................... $.2, (,,08. '1s
Plan Check Fee ............................. $ =) ~q '5" .("q
500.
City:
State Surcharge ............................. $
Penalty. ...................................... $
~
fV
/00.00
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $~I"U? .. DO
Sewer & Water Permit ...................... $
'rS-. '5"0
&./O.CX)
Gas Fireplace Permit ....................... $:
This ~a4iaOsecomes ~. ilding Permit )C{hen Approved.
BY~. __11'I Date~
Certificate of OCCUPe,cy
PLANS & SPECS 1""'1
SURVEY 1""'1
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... ~
,t 'I:
Pressure Reducer .....1................... $
Meter Horn ... .... .... ........................ $
asb.05"
1./00.00
.
?o.oo
24 hour notice for all inspections (952) 447-9850
oo'OggO
Thf CII"UU of lh~ Ukf COUnl1'J
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J/ /'-j t;f}E sTEr<:. / N 6; H O!'1 c..5
APPLICATION RECEIVED q. / t./ . 0 ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application fpr construction activity which is proposed at:
/41005 tvfllTC -mIL-- /4:!!/OlfE
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
arallf arhtJ/1
. Date:fh-YaJ
c1'c/~hn"d/ /i1,(/1'7''''l1;~
Comments:~... -/Je rPIIPr<;.p <:jJe -I2r
>p ~me";fs: (. p;;",j Cm,J",Z;;y..rli/Hf JA..c-..A:- ..v C;-1Y,P~
::J:&rnsl"n ~/Irrt)1 M~d..ua< if. hrdS/Mt- ~/1h-,,1 ,Pkn...-
.
"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."
,
'~1
00. 0 ~f6
Thf C.,nl.,r of Ih. L.kr Counlry
White -- Building
Canary -- Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
7-/1'/ '.~ / t- -- {-.':::, / !\J r:1
'-~_ , t:-.> ~.-,,- - t:-,1"""" - I
/_/I,;';;:::C
, v L-___
APPLICATION RECEIVED
. /t-I OC
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4(~t.~ ("r-/iFE/JliL- 1,./ljir':J'-L
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ .~~
Comments:
;Z L{ F\ #;;~IM.J1MA J\rtJ)'h'r:,
~I'~ ;tJ{'e{JtN10 {yW \--~
~ot
Date:
q/Zq/eo
l.Jtd0, /'~
\;Q.. ~ (.!) , &\J ([6
"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."
~~
no. ottO
Th., C.,nl..r of lh.. I..k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DI;PARTMENT CHECKLIST
NAME OF APPLICANT J'/H J:::.[)65TEte/Nq HOI1ES
APPLICATION RECEIVED q. / t./. () ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4101)5 WflI1C -mIl- }!!!./OGtE:"
Accepted Y Accepted With Corrections
::::::. iJiA.t~
Date:
q-2~-t1 . -. ~
Comments:
t. e,o.cta.OQ.~kQ tL2~_
"2. R"u;L 1<7) (!FM r.u.,'.... v-e.dP...t~. J4..r-.
"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."
HEATING APPUCAOON J PERMIT
D8I..5~1 PID,:Jf:J"'-;;91- O~-6
SleMdr.. /'1l40S (~/-k. ~l1'rkr"L
lat L BIadl c., Addlion ~ j).J
OWnat'. Nam. ..:Ji~ J(~Jkr/n9. I/t)fYlQS
(ob-C{S -kntV:IUb-U 0,... '1/1'-
HaalingConlrKlDr Alft? l..:hJ.
AddrISl 19.,Al/;O /J1116hmwn kbdd
Tllaphone' Q~- 1./1./0-'1779
, UWJDIl cD ~Vei'- -v
Furnace M~ Modal .l1WI"" B ~ ~~ SYSTEM
I~ #NJO Warm Ai. Plan1S
Modal Size , ~. Non _ Gravl\y
Com. Load ~ . r 1::; Mechanical -f'yr.ftfl a j,,-
. . Air Cond~ioning LIInn" 1if
Fue' ~ - Flu. Siz. NA Vent System
SuppIJ Openings "fA HEATlNa OR POWER PLANT
S1.....
&l .;1...... Hat Wale.
~..Q,.... Racrlltion
0uIpul~. DIIO 5paaal 08vi:os
N
o
,
II.
Address
~il:,"~
iN 5D,D<<J
fslr.
am.
II.
ot
III
..
N
...
AbtaIions
Repair
EsI. CosI J
CITY OF PRIOR LAKE MC _ g-g-O
1ll2OO Eqle Creek Av. S.E. Peri No. CJ
Prior Lotb, UN 55372
~
Othow Devices
TYPE OF WORK
Replacom...
ElL Comp. D_
. Buiding Perm~ .
...-/
New Cormruclion
!EAToNG PERMIT FEE I
STATE SURCHARGE .
lOTAlPERMITFfES I
...
o
I
N
o
1
>I
III
I:
.50
PAID It1/. ,
~/LDING P!=-.
Receipt'
.,
I. PiU:
~ ......
3. Vel"'"
nO.
Oly
c_
Single Fami,.,
Commemal
IYPE OF STRUCTURE
~ Two-Family Mulli-Family
Industrial P\Jlic Other
Fee ScIledule
Industrial, Commen:iel & Mulli-FamIy
ResideflliaJ, Heating & N;
Resldential, Healing Only
ResicIenliaI, Gas Fnplace
RIlIidenIial, Additions & Alleralions
Residential, AC Only
1% 01 job COSI ($39.50 minimum)
199.50
164.50
539.50
139.5D
$39.50
Remember 10 edd the Slate Surthatge on lhe boItom oIlhis application.
The pric. 01 your heating perml includes or.. rough.in and one final in~tion.
Addilional inspedions wi! be biIed at $35.00 each.
House ~-..:a'''l::t .u...\ rl~n.1 Ill,;:>>: t::! sct.-r..;~....J -ft>d-. b:";:,;;''ig WillI! ~ before build-
ing certificat. of occupancy wiI be issued.
l::IfM CALCULATIONS REOUIRED willi runber 01 supoly and reun openings listed per
room wilh CFM's per." . .. Now 81f\1C\uf8S or addilions send tklor plan wiIh ~y
and retum Iocaliona ~n. HEAT LOSS CALCULATIONS. fllIIVltENT AND
APPUCATIONS MAY BE MAIlED TO THE CITY OF PRIOR LAKE, '6200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Hall buain_ hours .. 8 a.m. - 4:3D p.m.
AU. WORK MUST BE INSPECTED (ROUGH. IN AND FINAL). CAll. CITY HALL
447._
I h.reby apply 'or a mechanica' systams permil encll ac1<nowledge thatlhe
informalion abov. is cC)fllplele and accurate; Ihallhe work wil be in conformance
with Ih. (I(dinance. and co1es of the city anJ with the stale bu~dmglmechanlCat
cod..; lhal this lorm doe'~ol b come a permil unli' sign.d by lh. BUILDINGiOFFICJ';~. rt!~! tne ~'ork. witl n i!~-~c~cial ":c '-':';~l': ~...~ !!.pproved plan in!he
clSe :'nO~hi~' review and approval of plan..
~~~"..Lf' -I&;-~-~!.
r; - '-(- r
Date
CITY OF PRIOR LAKE Me
16:200 Eagle Creek Av. S.E. Pennil No. () 0-
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Oat. ~..,,)fOl PID,;)fJ-,3./tl'J- 05$-Q
S~. !'.ddre.. Il/J,fl-, IJjh ,at' .
lot ~ Illock t~ Add~bn. ,\j I.~ ildL:J
,t~ rI:f~A';'" (~J,.e,.f
Ij" 0 ,-
OWn.,.. Name
Addre.s
Heatin!lCo~lraclor AL1.IED FIRESIDE dba FIRBSIllE CORNEl!.
Add,ess 2700 N. l'AIRVIEl~. ROSEVI1.1.E. MN 55113
Telephone f _ 651-633-2561
FIUPLACE K';( Ii
lMIWlIlI Make & Model 'Mt .0 fa&.
Model Si1'l Xboo 1't?_
Conn. load
Fuel---0t<
Supply OpiI~ings
Relum Openings
InpUl
Edr.
elm.
AllornUons
Flue Si19
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Cond_lonmg
Venl. Syslem
HEAllNG Oft POWER PLANT
Sleam
HoI Waler
Rad",tion
Special Devle""
Output ..3CJ Of)u
Othe, Dovices
TIPE OF WORK
'4
Replacement New Construclion .
C;. ;),()j
Repair E~I. Comp. Dale
hI. eosl $ -.J.lIld ill Building Pema .
HEATING PERMIT FEE $
.50
PAID WITH
BUILDING PERMIT
STATE SURCHARGE $
TOTAL PERMIT FEES $
Recelpl #
08PCJ
TYPE OF STRUCTURE.
'-'Pi..\:
I. -..
1. Vena,.
fit< ::<
0,> >'
CuMrml: ?='
N
<0
Singlo Family
Commercia)
N
o
o
Two.Famify
Industrial
Mullt-Family
Public
Olll..,
~
~
~
~
F. e Schedule
'"
'"
~
IndllSlrlal, COmlT1ln"laI8. MuI1i-Family
ResidenUa~ H eatlng & AC
Resid,,"Ua~ Healing Only
ResldenUal, Gas FIreplace
ResldenUal, Addilfom & Afterations
Residential, AC Only
1% 01 fob I:'JSI ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
<0
<0
<0
~
'"
w
w
Remembe, 10 add Ihe Slat. Surcharge on lit" bollam ollhis applic.o.lion.
...,
H
Tha prica 01 your heating pennil im:Iudes on. r<Jugll-in and omJ !1mIJ inspeclIon. G:
'"
H
Additional insj>eclions will 1><> billed at $35.00 each. :;l
HOlffie Healing Tesl Record musl be submilled wilh builllioo IlmniIIllIIllINr before b..18
in!l certificate 01 oocllpancy wiD be issued. ~
'"
l:lt& J;.AlCULATJOMS. REQUIRED Wllh number 01 SUJl\ltv -and return openlngs Iisled '"
room Wllh CFM's per opening. New slruclu.es or additions smd Iloo, plan wilh supply
and return localium; sltown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAI<E, 1&2.00 EAGLE
CREEK AVE.S.E. PRIOR LAKE. MN 55372.
Clly HaO business hours ....e B a.m. - 4:30 p.m.
.
All WORK MUST BE INSPECTED (ROUGH-IN AND ANAL). CAlL CITY HALL
441-4230
I hereby apply rOT" mechanical sy.lems permi! and I acknowledge thaI Ihe:3
lnlormation above is complele and eccur.le; Ih.llhe vrork will bo in conlormaJ1l~
willi lhe ordinances and codes 0' Ihe clly and wilh Ihe ..tate building1m8chanlto
codes; Ihal this fo,m do s not become a permil unlil signed by Iho BUllDn,:"
OFFtCIAL; lhellhe wo wllt be in accordance wilh Ih.. approved plan in lh.;;
~aso 0 I.work whic ,equiras review and approval 01 plans. ~
'thtA J~ J!:UiJ/ W
/f.. i>Pllcan t's Slgnalu'o ' 'O.le
rL Lr -d-- I
,",uildlng omcar~ Slgnaluro Oalo
1.
." 2 .
3 .
4 .
5 .
6 .
,
i
,/
!
GMI. - PILI!
YELLOW - APltLtCAtIT
GOLD . CI,.,
,
"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO.OO'OEeO
NOTE: Sewer and Water
contractors must
be registered
with the city.
~~
;j/~JJO~!kJ.. rzla.l.l, ~ DATE: /tJ- 9'- eri)
. ::L' &Y?J7-? . .
SIGNATURE: j;6-..L~ (/ 4 ~.M,?J1~BLOG. PERMIT # 00.0880.
SITE ADDRESS: /i/6t16" wJiti:J KiJL". PID#j?F. -2q7- 058.[)
. ,
APPLICANT:
PHONE: ~/ ~S" I <1"'9 ya
ADDRESS:
FILL I~ T.~~BLANKS
Estimated length of water service %"/ feet.
Size of water service
'/
) inch(es).
Location of any couplings
Type of sewer pipe.
,
ABS
from structure
PVC ~cast Iron
'-1.5'/ feet.
feet.
Estimated length of sewer line
Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This..apPlicatiflfFlelff!nes your permit when approved.
BY /f/ .w.J;.- DATE: /1- /4--00
============7L:====================~==============================
FEES: $ 35.00 Sewer and water line cbnnectionpermit.
". $ . 50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 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.
RECEIPT #
AMOUNT PAID
REC'O BY
~:~tt ,
o.U\\J)\~
DATE PAID
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
#3894 1'.001/003
VIUC:.lUllI,:1&
:~;. s,.,." I PERMIT NOO - 9' fj-D j
q?lcatlC ~ artlrln.t and. '"'@Ill: tlotrDml
ADDRESS
!2/tlD5 ~J 'tI4PI,,;; pd",I'
LEGAL DBSCRlP1l0N (ollice... only)
, LaTe( BLOCK to ADDmON0 h U )~
ZONING (office ...1
Pv-O
:PID cJ S - dC,'Pf -0 5"g-~
. OWNER~.. .-iL. - r) I
(Name) c.rJ"('ld..pA't! .1J!4n." r
(Address) , ,
(phone)
APPLICANT
~am~) ALLIED FIRES ICE DBA FIRESIDE CORNER
(phon~ 651-633-1561
(Addms).-U2P N. FAIlWIEW AVENIJE
(Ad_,
(Conraa Person) BRENDA llIlSTCN...
~. ~~-
,-
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPJ..ACEMENT 0 AL 113RA nONS
FURNACE MAKE AND MODEL FUEL
fLUE SIZE JtETIJRN OPENINGS INPUT OUTPUT
TYPE OF ;> t:,.",J14 HEATING OR POWER PLANT
]Wum Air PlaIllS
::JGrnvlty
] Mechanical
JAlr CondjUonhlg
.:JVent Sy_
flltEPLACE MAKE AND MODEL _ (~\'f7? - J<
~~TTli'. l~'h,~
(Clly)
651-633-2561
s~ 1"
(Zip Cede)
APPLICANT SIGNATURE
(Pholle)
DATE _,Jf~o/~,
3S...om
Hol WaIN
J Rodi_lion
J Special DevlellS
J Other Devices
PLEASE NOTE:
Air Conditioner Units
ClWlot Enl;TOsch into
Required Side Yard
Selb.oks
x,.;)
FEE SCHEDULE
Industrial, Commercial & Mulli.FDlllily I"" orJob e081 Ro,id...li81. 0.. ";topl"""
$39.50 minimum
Resldenll.I, Heating & Ale (NeIY ConSINed..) $99.50 Residential, Addlt!o"" & A1lerallons
Re.id<:l1tiaJ. H..ling Only (Now ConmuClion) $64.50 Residential, At; Only
$39,50
$39,50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PEBMlT FEE
$
$
$
.50
rJ~; ~ !ytt>/I.L
J..Uud An n II
{J f! t'A&.J ().. d'4Ll '-Y . .
PAID WITH
BUILDING PERMIT
Eatimared Cost S
Building Pennit #
(Office u.. Only)
This Application Becomes YDlIr BlIlldlaE Pcrmit WIlen Approved
D...
I Paid
IOafe&)"l(-/
Rl:oelDt No.
lIolldlnlomdol
BY~
.V
;U hODr __ for .11 In.peelion. (!lS1) 441.985/1, fu (951) 441~:z45
DEC-2B-00 04:32 AM
P.01
It!. ( r"I~, ..f I"~ I IIIh C'llllillr~
CITY OF PRIOR LAKE ~ ~~.w. ~~r....
,. PLUMBING PERMIT #...OQ-gfO.
APlllinHltl: .1') Y Me ".'t' .Il Phone: 9r:l.).- 'I'b 7~979
A~dr"li5: (... ..... .::'..fJiJ.lI..j.uJ /lJl...~..;..~,.._..._.__._._-_.-
Slgnall.lree _~#-) -- .~~- -.-.. ..
~~:a~~;:c:~~t1i~t:?~ 7~jll ~f=l~?--:);R/O:~-=.:~._~=~-~:::= .---
Building P9trnl\ II _.aQ.~ &&-c:J......... .........__ .PIO "_"~5 ~z,ql~ 05t'i=.Q
NOTE: This permit will not be procllsaed without complete Information.
FIXTURE UNITS
(6("j--"'iJ-tA
~~~\
\..~)
.....- ,....'
....,.."....--
-"'..._._~---_.. --,'-..' ~ ,--~-
Qu.lI\ily
Ty,",.. u( Fi.lull'
Qu.."UIV
Typ" I,lt FiIl\ur.
-...-. .."..-........... .--....-.......
~
r
I
,
Bath Tub with or without shower
..,/'
Rough.lns
Floor Dllli"
J
I
I
WBler l1e81er
U1snwsaner
-----.-- ---'
Waler Soltner
*'" Levalory (batl1room &ink)
"I I "',mrtry TrllY (1 nr? nOI'T\flRr1mRnI ~lnk)
)t ~ ._Shower~tBII . ..-,~.'"
I Ci"lt8
J Bar Sink
t!fs...~~~:_~~~-. (tQ~I"~)___..____.__. --"- -_.....:--~.~~.- --Olh~r--u--
Sland Pipe (wBllhlnlil machina)
___.. 1"-"'--'
StIwage EJec\nr
.._...,._.__.____... _~___r''''''''''__
Bacldlow AlHmbly (RPI, Double Check, PV8)
lIooldlo,", Aooombly Tool
Lawn Sprinl\l,r
.'-
.--...--'--'"
...._\
...--_."~'" ~_..
FEE SCH~OULE
Industrial, Commerclel & Multl-Femily
(1% 01 job 0011, $39.50 minimum)
Residential, New OnB & Two Family
Ra.lr.lantial, Ar.ldiU"M & Altorallon.
Stete Surcharge
$__.....
:599,50
$"3\1.50
$-.....-...
tt1P'\ANO TOTAL $
-rJi
"". M-~,(-
Thi. ~rm~t. Ie F.ftltd UpoI\ In.. _"pru, condition th:r.. nld
conlr"'Of. .hall comply in .11 rc.JlCl<1S willi Ilia ordinance.
~I~~_~~~~.:~~i;~ : · ~~. Imt(.4fo'; 1hc':~~'E.
I. A TI1!5T
Call for all in
\6200 Ealle Ci'cck Av. S.E.. Prior Lake, Minnesota SS372/ Ph. (612) 447-4230/ FAX (612) 447.4245
. ,.. ,.~ '. ......,.1. .--
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS JL/{"O~ LJIA,'~e la,'/
NATURE OF WORK "fI. }A.., ,
USE OF BUILDING S 1= ("")
PERMIT NO. (JI'). o8f30 DATE ISSUED 9- 2, -2Po...
CONTRACTOR Kt'"JP::.~l-,'v'<l. l-b...oc::. 89'/-33")0
NOTE: THIS IS NOT Ii. PER~IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR . \ ) D1E
I FOOTING ~- 1Z,-t<{"t5' h /(/'t#1 It\+< LJo/?r/~
'FOUNDATION(PriortoBaCkfill)~; I fb:n IO/lo/flr) dq., la//?/b'"O
PLACE NO CONCRETE UNTIL ABOV'E HAS BEEN SIGNED
ROUGH - INS
I ~(/O ~
vi 1,0 51~ [)l1..~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL I.
PLUMBING 1-.1... tA.<h. ~"'~:r, ~ I Yf:5//)[ -g VfMf,
HEATING (if required) I ~-v~ 3/6l:t
FIREPLACE I
GASLlNEAIRTESTZ f".P, ~~ .tD,J~ 31St?:.
J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~ I I
FINALS
fUfAb. /
ffl/bj
I l /
I I
I /
OCCUpy UN-':I~ ABONE HAS BEEN
NOTIC~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
\ 1-c...i \
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I 1> 1 ,s'"/o 1 c.OYoI~Je
I 1:..1.., . 3"12tl
I
I
(/-;).(-0/
q.~ '0 /
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/
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~IGNED
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
QLtrtiftcau. at OOcrnpanry
CITY OF PRIOR LAKE
~ J)tpartmtnt of Jiutlbing Jn~ptttion
.JlC\.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 ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatior
SINGLE FAMILY
Bldg. Permit No.
F. z N/ A z . Di .
_ Ire one omnll strict
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14605 WHITE TAIL RIDGE I
RD. 42, 11169, BURNSVILLE 55337
00-0880
Occupancy Type
VN
Type Construction
L8, B6, THE WILDS
Legal Description
R3
PUD
Owner of Building
<lite Address
Contractor',Namc&AddressJIM KOESTERIfG, 2500 W. CTY.
ROBERT D. HUTCHINS :R.\I ~CityPlanner
Date: cd, t, I <-~ildjng Official Date: _
POST IN A CONSPICUOUS PLACE
DON RYE
~
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
It..! to c ";"
~
OWNER
CONTR.
PHONE NO.
~OTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTiON
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
1St PLUMBING FINAL
,ti MECH FINAL
COMMENTS:
DATE TIME
1!~/ol
I~
II.' '50
o .. gEe)
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
W\ t1AA lJAAqkr- OK
-sea
'MJ-er (!),I\ ~\AG:Lr
~RK SATISFACTORY, PROCEED
o CORRECT ACTIO~ND PROCEED
o CORREC~, LL FOR REINSPECTION BEFORE COVERING
Inspector: D r etMt J Owner/Contr:
CALL 447-9850 FOR THE N~XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
g~-o(
fJP1
ADDRESS
/'Ic,o~ W/-'''+e. 10,'-/ K,"fl:;"
CONTR.
OWNER
PHONE NO.
PERMIT NO.
fIX:)-g~o
o FOOTING
o FRAMING
o INSULATION
f"'fji(FINAL
\JO~OUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING Rl
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
or( EXC/~ILLlNG
o LKS~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
C, A) Bc)-,L, rP r
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
'1-6 .p I
2:,10
ADDRESS
/4C,()5 /1/111715 -mIL- t€-loCiC
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
T ~ /0- SITE INSPECTION
COMMENTS:
Il~
CONTR.
PERMIT NO.
(JO. ()p;~O
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~., 1:L.,.U. C)( ~
. . ~ t
"SS-/J e..- < () (
l~
I
I
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'f,. \ ~J Owner/Contre
CALL 447-9850 FOR /HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl