HomeMy WebLinkAboutBuilding Permit 00-0303
5~~
4~;7~o
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.1JD ~0303
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
:SOSI
3. LEGAL DESCRIPTION
LOT 4 BLOCK
I\J (JYn " X'd"'Id
U \ €1Al~", ~ C\rr LL.
ADDITION
14. OWNER . .::::::;..!~m.) .,
5. ARCHITECT (Name)
d..
o c..1\u.
1. DATE
4-1~-oo
ej~\)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
P'D a~ - 3(.0 -(X)l-Q
t 2-, h t<:.1, ~.l>t- A I\O"J
13. TYPE OF CONSTRUCTION
(Address)
(Address)
~ER INamlll"':"::> \'
""&-\......\....... ~..:>
~ D'\- \... .......,\._\'<.- "~l")
7. TYPE OF WORK ~ePlace 0
New constructio~ Alterations 0
Chimney 0 Misc.
8. PROPERTY A~ ACRES
Sq. Ft. I/,/
I hereby rt~'fy that a e fU. mish info
the abt~ff;; operty al
:~d';~ 7~"
V' V
(Address)
~, .,~
Deck 0 ~OOfing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
Septic 0
Addition 0
(T.1. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(T.1. No.)
e€e 46 lPj,.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
19. PROPERTY DIMENSIONS 10. CULVERT SIZE
Width Depth Yes No
on this ap,8lication which is to the t'f!~~ of my knowledge true and correct. I also certify that I am the owner or authorized agent for
all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
o , here agree that the c:ity official or a designee may enter upon the property to pe~/o/~s~~ns.
License No. Dele <I
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~!D
~T
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ........ ..................... $
State Surcharge ............................. $
Penalty ............................... ........ $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fir
Th'S'
By II.
17. COMPLETION DATE
FOR ADMIMSTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION I5"RlX)':) .00 PLOT PLAN 0
R S U
City:
Water Tap ................................... !l:
BuildersD.poslt ............................ LL. C)t) 0.06
Other ......................................... $
,fTotal Due .............................. $ '1. e I ,,_ ~
Pa'd 7. 511/-' q, R.C.'PtNo~'13q3
Issued Date ~::j 1141~ By (~ )
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning brdina~ce and may proceed a . req ested. This document when
sig lanner constitutes a temporary Certificate of Zoning complianc:e and allow construction to commen . Before oc:c:upancy, a Ce . icate upancy must be issued.
,~. J ..eo _ y.o _ .' < .
ityPlanner Date
1,177.'2.S
., fsfi". 2 r
?'i60
/60.00
100.00
-:-'S.S-6
40.GO
~d
uilding perm~3AP~ A.""\
Date .. c.......J
Certificate of Occupancy
Amount Brought Forward .................. $
Park Support Fee ........................... $ t!I!1:J..~
SAC ......................................... $-----L1-W"J ~
Collective Street Fee ....................... $
Sewer Tap ................................... ~
i" $
Pressure Reducer .......................... $
Meter Hom ................................... $
Wale,Met., ................................. $ / 2~. 00
Sewer & Water Connection Fee ........... $_/. "')('JC .Ore
WaterTowerFee ........................... $ , r,~..o-o
45'.::!:>
24 hour notice for all inspections 447.9850
.ii~l;
00 -0303
The ('enl... or .he I..k.. ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
! ,,' / .
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// !--
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"/"r-
--./........-' .
':::-I/!/ f/- It' C
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
',J,t ,'- --7
~, ..' '-, -,--'"
,
\' i
'1.'>-/
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: ~~
Comments:
2-'--1 A-JJv~!MJ.iAM iv~V?"\ WfAflt a.t-F~
J}~~ I ~ d-- <J1v;) V:} ,C) . t,) fD ~~.,
Ale "..r ~ I~CMA.;-ZA D E41J~A ~
~lNt.U. UK 6ALv~r lA<th~PV~ ~~J
Se.-~e.0< ~ 10 FrO'
Date:
.L)/Z/~
"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."
L
5~'J;
an .D30 3
I"hr("rnl.., nf lhr L.kr ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
D/1 Ilt., r5 l3 ~0.5 .
4/1 4-;/() Q
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.::3057
V / r::;w c'IGGSr
Accepted
Accepted With Corrections
L
Denied /]1j} J
Reviewed By: (;::J/f!))~
Comments:
~~ a~N-J~44r
Date: S:$-~(:.I
"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 Gancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
on ~ 303
Tht ("rnluaflhr 1.lkr C"unt!'}
White - Building
Canary - Engineerihg
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
E-'/--) ) /~[ t:- L;;2' C'6 .
4/1,~/oo
APPLICATION RECEIVED
The Building, Engineering, and Planning Departmonts have IOviewed Iho bllildinu pOllnil
application for construction activity which is proposed at:
3087 VI /-: -~V' L7/~ES-r
Accepted
Denied
,/
Accepted With Corrections
Reviewed By: Lt/~LTEIl EHtlH.....",J
Date: s/1./oo
Comments: 1'..r<r1l1krLl.' 1IF->lICL~~ '<">{o"d, o<krES"S rl-I,c Lor Flto'" v/EuJCtlES,
c,t\.'l..E.. O..,LY
/JoT No/l.THWOO!,\ .-<040.
SfE: I...Foll.l'(llT,"'" ^.1 n/€. J{EJr;n.SE.
S,"1' Z</' ",lIo!. DIlIIIE~4'" ,lf04~I""" ~ F~ PltoPfhT'l' t..,NtC
SI'E. 4-rrACHMI"''''', '.-&.,,,,... (.'tlAll" lAO<PCrro... 1"lF'e/l.,<{04rto-.J z. Ca.40'N(, PLAN
~. EaD.>,,,,,, (oJrt1.oL Mf'Aswf€-'>
'I. &0 {"'N CONTtl.> l.. F:... ,J
"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."
12:40 651633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
REA TING/AJR CONDITIONlNGIFIREPLACE PERMIT
#4268 P.001/001
vale ~ ...
I.PlnIt
.~
,. .,..11_
s- \ J..ol........nTNO.O-303 !
,~~c: or Drim and ';RB arborrOm)
ADDRESS
~O~? V;"&.>&u..Q'" ~
ZONING I.offla use)
R (5lJ
LEGAL DESCRJPTlON (olll"" - Mly)
LOT l/ BLOCK ~ ADDITION LjJ rn ti!fU.Nl (fu)/J F~+- 1st- PID d S - ~ioO ~- 0
OWNER. H1, . /) ~
(Na_)~ ~
(Phone)
(Addr<ss)
.~
APPLICANT
(Na_) ALLIED FIIlESIDE OBA FIllESIOE CORNER
. (PhODC) 651_633-2561
(Address) 2700 N. F1I.IMfiEW A'lTElltlE
.(-"<1-)
BRENOA HUSTON
(Con.tact Person) U7-
APPLICANT SIGNATURE ~fl~ ;--
PDS'F.:VTT.r.~ MN
(CiIY)
(Phone) 651-633-2561
'.\5.1' J
(ZIp Code)
D'TJ!.
S2f/Q
.
APPLICANT PLEASE COMPLETE BELOW
~w CONS'J1l.UcnON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
Ft.UE SIZE REntRN OPENINGS INPl./T OUTPUT
TYl'E Of' S 1 'HI:.t4 HEATING OR POWER PLANT
DWarm Air PlonlB
DOravIlY
J MecbaniceJ
JAlr Condillon;ng
:lV",l. Sy.....,
FIREPLACE MAKE AND MODEL l:J.~ AJ C~ ..Ji.. ~~
o St.earn
o Hot Wa..r
o Rodilllion
o Specinl Deylces
o Other Devices
..CiJnI ~l
PLEASE NOTE:
Air Conditioner Units
Cannal Encraech inw
Required Side Y W'd
Setb""ks
FEE SCHEDULE
Industrial. Commercial &. Mulli-Family l~ofjob toot Rosidonli.t. 0.. Firepl~
"9-'0 minimum
Residential.. Healing &. AlC (New C_......;1on) 599.50 ~e.idGltlal. Adoll~on'& AI..,.,;....
Residential, H.minl! Only (New Constru~licm) $64.50 a..idontial. AC Only
$39.50
S39.50
539.50
EstimatEd Cost S
Building PCtTlIit Ii_
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PDMlT FEE
s
s
s
.50
PAID WITH
BUILDING PEmv'aT
(om.. v.. Only)
This AppllcollolllkeomCll Your Dulldlll' Parmlt When Approved
8oMI.. otJIdor
Dolo
raid
I Dote.7 -g -0/
Recei::>t No.
~. hour M-.e ror ollln.pecli.... (95Z) 847-91150. rox (951) 447-4Z&!l
~
HEATING APPUCAlION I PERMrT
Da" '-1C. -oa P1D' 'alS- 3<;,0 -007-6
Sio Mhos :5 OS" 1 U. L~ r -'.._!. "" G.' ~.. Fe. Sc:hodule
llll ~ IlIack a . Adt8i1n I\l'~~ On.k ~ IndusIriaI, 0 .-.I UUi-Famly
-.n B. T"' I"'\- ~ Residenlial. Heaing & AC
Ownl" Nam. ..\.. LA ~.o~ ........... Residenlial, Heeling 0Illv
Addrla...5]o L L.... ^J-.l~ ~.. S ResidanliaI.GasAreplac.
, ResidenIiaI AdditiOM & AIlenIianI
Heafllll ConIoaclDf U...ll "-, M~ "t...... Residenlial: AC Only
Addllos '111 \ LJ I ., r..\." ~ '"
Telejllloll8' ~ - ~o-4-~ \
Fw_ Malle l Model ~ G=D
MDdII Sill In..'). d,... \
CITY OF PRIOR LAKE MC
16200 &gle Creek Avo S.E. p_ No. on -030 3
Prior Lake, MN 553n
'\.r, Jv61)\Q ~~'7g
- ~ 0
TYPE OF sYSTEM
Wa... Ail P......
GraviIy
Mechanical \r-
Ail Cond'lIiDnq "
y- s,st... ...
HEA1ING OR POWER PlANT
51_
Hal Wal8f
Rad"laIian
Special Devices
~-.
Conn. load
Fuol~r
SIIpp1y OpeIlings
AI. Sin
~I
1'2
r'J
Re1ulll Op..qs
kIpuI iOb.~ 0U1pUl:....lQ...!.l,),,}
- .
Edr.
OlIIer Devices
Clm.. 1'1QL>
lYPE OF WQRK
AIen*m
RepIIr
Aep/a:enl.n1
Est. Camp. Del.
New Consllvcllan ')(""
Est. CollI
HEATING PERMIT FEE I
STATESURCHNlGE .
~
TOTAL PERMIT FEES .
. IIuIdlnv P.rm" (in - 0 A('') ~
./
~
f\oceIpI'
(
TYPE OF STRUCTURE
1.1:'rn VI,
1YcJ1_ ~
...
c:
Z
I
III
(J\
I
IS)
IS)
,IS)
'm
Single Family
)(
Two-Family
MulI~FamiIy
Oller
C. 0"
Incllslrial
P\Ibic
t% oljobCOSI(S39.5O~
$99.50
:::~. JUN Z.iJlim
$39.50 _
139.50
..
III
III
D
:3
._~-~.-
<
D
r
r
111
-<
D
....
7J
111
R........... 10 Idd .. Sial. Surch-ve on Ill. balIom oIlhis appl'lCBlion.
The price 01 yaur IHI8liIII per"'''''' on. IlIIJllIH' IIIlI _ final Npec:1ion.
Additional' .,. . 0 ,-, . ... be biled II S35.-00 Bad\.
How. Healing Tesl Recood musl be submiI1ed with IIIihIinIIWlllilIIIIIIkIl beIo.. build-
ing c.r1iicaI8 01 oc........" wi! be isaued. .
HEM: CALCUlATIONS REQUIRED wlIh , '., 01 suppIJ IIId ........ ,.,' " .' isled pili'
roam wiIh CFM~ pet """,*,g. N_ ~ or addiIo.. send loar plan wiIh supply
and retum Ioc.... shtMft. HEAT lOSS CALCUlATIONS. PAYMENT AND
APPUCA11DNS MAY BEMAlLEDTOmECITYOFPRIOR-lAKE.ll12OO EAGlE
CREEK AVE 5.E. PRIOR lAKE. MN 55312.
City Hall....... h_ ... 8 am. 0 4:30 p.Jft.
AU WORK MUST IE INSPECTED IIIOUGH-1N AND FINAl) . CALl CITY HALL
447-4230
(J\
..
III
m
>/l
IS)
III
III
UI
..
I her.by apply 10. a mechanical sysl.ms permll and I acknowl.dge lhallh.
Inl.._lion abOYB is camplet. .nd acc..al.; Ih.llh. wolk will be In co.....m.nc.
with th. .......ncH and cod.. ..llh. dly .nd wilh Ill. Ila" buIldIngInwchenh:a1
codes; that Ihi.lorm d...s nol b_. a permil unlil signed Ily the BUIlDING
OFFICIAl; \hal \h. work wiD b. In .ccordanc. with \h. approved plan In \h.
~WOfk which rftflu::ii'- and approv.' 01 pi;. 2b-OJ
'3 - - ~
~~SIpIurw
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.
IS)
..
0.1.
CITY OF PRIOR LAKE Me
162ooEegleCreekAv.S.E. PermnNo. 00- 0303
Prior Lalle, MN 55372 .
HEATING APPLICATION I PERMIT
Dale f(J.J/OO . PID * c9S -.~~ - (""1")'1-C)
S~. Mdre~s . "saS'7 i J/~t'AHI- t3ud., -
Lol dL Bk>ck-.fL~ftion~"\~~ flr\ k~ t~~
Owner's Name .(JIUJ.. .tr~ \ ~ MW -
Addr..s
~l9aling Conlraclor ALLIED FIRESIDE dba FIR.ESIDE CORNER.
^~e~ l700 N. FAIRVIEW. ROSEVILLB, MN 55113
TolephGne# 651-633-2561
FIREPLACE I).
1MrJll. Make & Model ~;J C {"
Model SIze --ft." - ~G
Com. Load
Fuel ~\
Supply Openings
ReMn Openings
TYPE OF SYSTEM
Warm Air Plan\!
Gravny
Mecharic:ai
Air CondMioniog .
Vent. Sysllm
HEATING OR POWER PLANT
Sleam
Hot Waler
Aadialjon
Spldal Device.
,Flue SiLl
lopul
Edr.
.OUlput~
Othsr Device.
Clm.
TYPE OF WORK
Aft....lions
_ Replacement
New Conslruclion
0Y
Repair _ Esl. Comp. Dale l'/J.jQ J
Est. Cool $ 1~/OiJ.O' BU71n perm~" crt -~\'l\\ \
HEATING PERMIT FEE $ ~\~\~
STATE SURCHARGE $ / .50
TOTAL PERMIT FEES $ / Receipl #
/
TYPE OF STRUCTURE
I. Pihk
1 ,....
lYdIvw
'"
"
:J
....
Fl~
C\Iy
COllhetDr.lJ1
'<
Single Family
. Two-Family
Induslrlal
. MuIIH'amlly
,.,
H
:II
m
'"
H
o
m
o
o
:II
z_
CommerciAl
Publie Other
F.a Schedula
I n<!oJslrial, Commen:ial & Mum-Family
Residenlial. Healing & AC
ResidenUal. Healing Only
ResfdenUal, Gu Fireplace
ResKlenlial. AddHlons & Allerations
Re.idenllal, AC Only
1% 01'
$99-1;(
564.51
S39.5~ \ ~
539.50\
$39_50,-
.-
Remember to add Ihe Slala Sureharga on lhe boIIom of this applicetion.
'"
<11
~
The price 01 YOllr healing perm~ Includes one rough-In and OOB 11n.1 in.peclion_
'"
'"
'"
Addilional inspecUons will be billed 0.1 $35.00 each. <J>
<J>
House Healing Test Reccrd musi be submilied wilh ilIIlb IWllllIlIlIDIliI befoilllJulli ~
ing certificate 01 occupancy wig ba issued.
IiEAI CALCULATIONS REOUIRED wilh IUTlbBr 01 s<wlY .nd ",tum openlngs Iisled I
room wilh CFM'. per opening_ Nuw structures or additio... -.d noor plan will IUpply
and relurn localions olIown_ HEAT lOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. S.E- PRIOR lAKE, MN 5!;3 72-
Cily HaD businn. hounl are B a.m. - 4:30 p.m.
ALL WOAK MUST BE INSPECTED (ROUGH-IN AND F1NA4 - CALL CITY HAlL
441-4230
~
"
<0
'"
o
o
""
~
~
-u
I hereby apply lor a mechanleal system. permil ond I ocknowladge lhollhB '"
Informalion abo.e Is complele aoo .ceurale; Ih.' Ihe work will be in conlormanc
wilh tha ordinances and eodes ollhe cUy and wilh lho slale buKdin9lmecl>aolc
codes; li,allhi. lorm does not become a permit unlil signed by Ihe BUILDIN'
OFFICIAL: Ihal the work will be in accordance wHh Ihe approvad plan In lh.
case at all work which require. review and approval 01 pllns.
&WJ ~~.
/. Amlic"nr. SI
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OJ
<0
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~~17 ~
:~:!.,:.
"':t\,(
, ~ '1'" ,.
..,....".~....._,~. .
.~ / \1
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~ ......
.... - PILI
'I"OW . ~.1fJ
INILD . ctTY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.W.No. rm -O:~03
Sewer and Water
contractorfJ must
be registered
with the city.
APPLICANT: ~~/1 j~
ADDRESS: /OIg'II<<.~~:_" ~,_
SIGNATURE: ~.~t7
SITE ADDREP.Jt'J-S"7 V&!'" tfuuj!. ~
DATE:
PHONE:~- Y/c;P
6-/3'-00
BLDG. PERMIT * (JO-@3
PID#d.5-SbO- 007-0
2 .
Size of water service
ot water service
/11
FILL IN THE BLANKS
-.)0
feet.
JU\~ I 3 2000
1.
Estimated len9th
inch(es) .
3 .
Location of any coup1in9s
4.
Type of sewer pipe.
ABS
from structure
PVC ~ Cast Iron
5()
feet.
5_
Estimated len9th of se~er line
feet.
6. Clean out (if required), located at
structure.
feet
from
=~:===____===_____====_____=====_..__~~=====_____E======~________z=
ThiS('Prl:cation.~~mes y~rmit when appro~e~/ ~
BY /~NA':-! lAd~Ji~n, ~ DATE: ty/LJ/ (IV
::~==~__o::~::__====:::::=:::=:::::=::::~::::::::::=::::::~===
$ .50 Surcharge
$ 35.50 TOTAL
*
Fee for either sewer or water individually is $1fJ'.1Sfg plu$
$ .50 surcharge.
Sewer and water permits issued for new construction must be
recorded on the buildin'] permit card at the time of issuance
~o insure that70 du 1cate sewer and water permits are
1ssued.
DATE PAID AMOUNT PAID ~
RECEIPT # / REC'D BY ./
/' ,/
16200 Eagle Creek Av. S.E_, Prior Lake, Minnesota 5'5372/ Ph. (612) 447-4230 I FAX (6]2) 447-4245
An Equal Opportunity Employel
*
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: g~/r~"",/",h/ A
Address: V..,-o /tA'17/{ 4?ft"" .0,-0'-:-
Signature: /h'--L_ ~.__k..~
Legal Description: Lot 1..{ Block Q SUb,hl rw:nfwooD nlJ&.
Site Address: ?/)~~< ///,f?kt/'"/<"j/ ?;~/-.-- ~~TJ\"i"E'" 1M APt\N
BulldingPerm~# ()('\- ()~~ PID#.c<;lc;--~f>O-ro7-(J
NOTE: This permit will not be processed without complete Information.
~
TN CflUIIf of lilt LIllie Coll"l".
JUL 2 I 2000
FIXTURE UNITS
Quantity Type of Fixture Quantity
Z Bath Tub w~h or without shower 3
/ Dishwasher /
/ Floor Drain
y Lavatory (bathroom sink) /
/ Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
/ Sinks
Bar Sink
3 Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
PAID WITH
BUILDING PERMIT
GRAND TOTAL
t. Blws
2. Gold
3. YtJlow
Rio
ClIy
AppliClll'
PPNo. ()()- D~~
Phon,,' C;;'':;/ - C-P ~ - 66'''//
t-y?'~ ':5'>/::>""
Type of Fixture
Rough-ins
Water Heater
Water Seltner
Stand Pipe (washing machine)
Sewage Ejector
Backllow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
/
k
lr;iJ
/ r?tJ/J-
~'/
tions 24 hours in advance.
16200 Eagle Creek Av. "_ . Prior Lake, MN 55372/ Ph (612) 447-9850 / FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS~C:;'7 \lit'u'c1'e_~~ Cr-.
NATURE OF WORK tJe4.)
USE OF BUILDING C:;~i)
PERMIT NO. ao - 0303 DATE ISSUED r=)~S' G~
CONTRACTOR Da.hl...~. C~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
I b, .5/!5/~ I
, FOUNDATION (Prior to Backfill) !pIt, I /t4r, 6.b5~ I
PLACE NO CONCRETE UNTIL. ABOVE HAS BEEN SIGNED
ROUGH - INS
t, !;jg!/(fb N 111t7[)
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
!'if- /1. 17 <V
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
tol -;1q)l91 /~,V
l
-"b.~/L.tADf
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OCCUpy UNTIL ABOVE \HAS
NOTICE
11~7,I~1
/01 'Jli 1m
, ,
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 al'ld 9:0'0 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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~,- :; i QLtrtiftrau of GDrmpanty
:t~1 CITY OF PRIOR LAKE
:~~, .,(. Ilepatlmtnt of .ullbil1\l JnllPtttion
(~r ;: Final Permitted D Conditional C.O. Expires
;.::'( This CeniJicate issued pursuant to the requirements of Section 307 of the Uniform Building Code
JI:'" certifying that at the time ofissumu:e this structure was in compliance with the various ordinances of the
i,,;;' City of Prior Lake regulating building construction or use. For the following:
I~,~ SINGLE FAMILY 00 0303
yo; Use C1...ificali"" Bldg, Permit N" -
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Occupu><y Type
R3
Fire Zone
N/A
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Zoning District
Rl~n_
_ Type Construction
Legal Deocriptiol' L4, B2, NORTHloIOOD OAKS ESTATES FIRST ADDN
<ite Address 3057 VIEWCREST CIRCLE
LYNDALE AVE. S., BLOOMINGTON, MN
Owner of Building _
DAHLE BROS., 9304
Contractor's Name lit Address
ROBERT y. HUT<2-HINS.4fft"y City PI....., _
_ /"Buildi, Offic)J'
.//&;'0/6<</
'--7 " /
DON RYE
Date:
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDUl.ED
DATE TIME
/(4d-~
ADDRESS
JCJs7 ~'e<--,C~~S"/ Cr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 -saS
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOO~;UP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/ih/
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~ ------.
/ ~ /~~
/.---Y r ')
(L/(OJ-e r~/e-- ~
"'--- ----
. ~ORK SATISFACTORY. PROCEED
~. ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~-
Inspector:
ONnerlContr.
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
0ICfJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ill'/FINAL
b" SITE INSPECTION
<:t) I
~rro-~\
-
(cr:: ~-CiMI
DATE TIME
SCHEDULED ta/;;-'1!{)( 11:/5
tl,iu0 ~
- ,
CONTR.
PERMIT NO.
o PLUMBING RI
o MEC I
o W OOKUP
o S HOOKUP
o BING FINAL
CH FINAL.
O~-3Q'3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
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/
Ol}OI
l
Qft'rouetl1t G~
-HAP-^^-
<-c:x-l r2V\[ Tre;s e-r deuJoplttAtMi-
1-ew.p C,O c
/WORK SATISFACTORY, PROCEED ~u. e
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEClI'lON BEFORE COVERING
Inspector: ~_\)~ Owner/Conlr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNorl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3057
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~
o SITE INSPECTION
COMMENTS:
ff--/1
DATE TIlle
SCHEDULED 11-17-03
V, '{ if (;1' {.<, +- a. :;G...~'
CONTR. Dc.,J:/ L t!- ErOs.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CllI4x.~LUNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
tJl<-
t1)(WORK SATISFACTORY, PROCEED
""0 ~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
",(
Inspec1oryl//~- _
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR' PERSONAL HEALTH 4 SAFETY/
uwron
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1~Z.3'0 I
3:00
ADDRESS
305/ VISIJ'J~ST
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-030~
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 2\
'ff PLUMBING FlNAL(tl::l
tfi' MECH FINAl.
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: _ nf/
MQA^f)lAA~ 'ef(, C 1
jAAf}e.I'- 6eotP(Y
~RK SATISFACTORY, PROCEED
o CORRECT ACTION 'NO PROCEED
o CORRECT WORK, C "'LL FOR REINSPECTION BEFORE COVERING
Inspector: ~- \ fJ.1JPI- Owner/Contr:
CALL 447.9850 FOR TH1NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl