HomeMy WebLinkAboutBldg Permit 05-1200
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
- r:::-'
1/ ;; ;;J. -() J
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. /200
(Please type or print and si.,. at bottom)
ADDRESS
~3~\l, G,r'11s ~4. ~ LV,
ZONING (office use)
1\1
LEGAL DESCRIPTION (office use only)
m~(>l~ CLe.NN.
OWNER(' (;). / ,
(Name) t)/y C€.f DCt II c/o'S
(Address) / </-'f& f/ Irl!"../ [I,~~ &/t j
-'
BUILDER r\ f'"2. I' J
(Company Name)~jY Ce p 1..JL.c.{ cJer...s (Phone)lP' .l..-2.-)../-~,,,
(Contact Name) ::Z;;/'h ()Joe+hLG~ J~ (Phone~-=u10-~J/7
. . -
(Address)J9oo5"' 2-4-tv. S-l, H.~. E:.'-K€t Vp- rf) N. SS-~O
LOT I
BLOCK to
ADDITION
PID a5~ 1/31- 0] ~- - (~.
Ch~~
(Phone) (Old.. -2:L/ - ?,1t:/...
MN SS-318
TYPE OF WORK .New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: '!)(!l.R.C. DI.B.c.
Type of~~nstruction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
$)')_4- soo~
· l
I hereby certifY that I have nlrOlshed mformation on this applicatllln which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent fllr the
above-menu 'd property and.t all construction will conform to all eXisting state and local laws and will proceed 10 accordance with submitted plans. I am aware that the buildmg
official ca VOk: per t r ~#.Xcn~I.herebY agree that the c~alo~ a 2;;~ ma;;n1;!/2~peI1Y to perform ne;,d rn;7~n~
Signature I Contractor's License No. I, Date
Permit Valuation dd 5' OQC, -I Park Support Fee # $
Permit Fee $ 1 cgt/:3 /50 I SAC # $ J t./5' (). -
Plan Check Fee $ J' 1J.. ag I Water Meter Size 5/8"; I"; $ ;15D.
State Surcharge $ IIJ,SO I Pressure Reducer $ t:)O, -
Penalty $ I Sewer/Water Connection Fee # $ . - - ../
I .'J DO,.
Plumbing Permit Fee $ 100, - Water Tower Fee # $ / (JOOi -
Mechanical Permit Fee $ //7(J.- Builder's Deposit $ /500, --
Sewer & Water Permit Fee $ , - Other $
3.5./) ()
Gas Fireplace Permit Fee $ Lfo.- TOTAL DUE ~l u."6D 12.12- .05' $9. //3. 7B
This Application Becomes Your Building Permit When Approved Paid ~ //5. 7,r Rec~o. 508/9'
~ ~ /~/or Date /2 J2, CiS- By. .
(/
Buildll1g Official , [3ate
certifY that the request 10 the above application and aecompanyrng documents IS 10 accordance with thc City Zoning Ordinance anei may proceed as requested Tim dllcu ment
d:: "'~'m''''''' C""""" o,,;;;;'~ ;'"=' w"""zm'"~ "'~ m.,,",
Planning Director , lDate Specral Cc4fditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~~
Building Permit #
Address: 331 C,
Legal: L , ,B
PID:
~ ..Jr, .r; w.
&:, Subdivision:
Existing Structure? YES.@)
CONFORMS TO ZONING
ORDINANCE
-
I Yard Setbacks: NAI FAIL~
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation ofwet!and/NURP
~~ .'
· From OHW (Prior or Spring Lake}c
J Floor Area Ratio: NA 1 FAilS (COMPLlEg)
Yard Encroachments~ NA I FAILSqtOMPLI~:
:_Eaves amfGutters no more than. 2. feetm- width ariCf:no
- . ,'" -
. cfoserthani5feetto a lotlfne.(Easementsr.
" ALCancf other:. equipment cannot. encroacf:t:onintenm .
r; side(yards~~: '~.~'~ !.~
t l'reePreser.vatiorT{~~h FAilS f COMPUES
I. Iotatcalipednches.
[. Pennit25:n/iiRemoval
I., CaliperJnches< Removed. ..
I.. CaliperJnches Preserved
I -- Replacement
L\TENfPLA TE\BLDGLlST.DOC
Date: / ~/(, 10 .>
Zoning:
~ A f6t.... );t1J... ~
f
Existing Nonconforming Structure? YES ~_____
YES
NO
Standard
25'
10'1
25' if abutting a street
r-_. ~ :
,
';>7
10' setback +
2"/1' over 50'
25' .
1 0' side/
25' rear
30'
Ijjr-;5T11;I~~~'..'
... ~,zsr~4F- .1;...
~ I -"""-"'~"~
f'J ONe,;.,i)_"
/'lA'
75' or setback average of
adjacent structures, but no
less than 50'
NA
.30 Maximum
/(, ~<
t
Standard;
"
Proposecff:{p~!~;~'~
Standard'
f:
lt1
, Driveway: NA I FAILS (COMPLrES)
I. Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the garage
I. Location to match subdivision grading plan
I Building Height: \oMP11~/ FAILS
-
Shoreland District: ~AILS I COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
Bluff in Shoreland{NPU FAILS / COMPLIES
· Setback from topof bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
Floodplai~A~ FAILS / COMPLIES
. 1 00 y~~ood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
., Road access must be no more than 2 feet below
Regulatory Flood Protection Elevation
Accessory Structure(N~ FAILS f COMPLIES,
., Size
I. Not located in front yard (Materials)
· Side yard and rear yard setbacks
· Maximum height
I. Materials compatible with principle structure
L: 'TErvIP LA TE' B LDGLIST .DOC
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff I
By City Engineer I
No importing/exporting L
Proposed l'
2-'-1 I k
II
'1 . .:; ?o" i
crIc-
;rl.
'26 'i
Proposed
I
. .. r
Proposed
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was_ c9nstmcted
. 9/19/9a-1JI22l9itfien~"'.
additionaf f60Usnbt'requ'ireCf:'. ''':''-,.
Must be flood ere:v.ati.~ort:o.l", _
--- ]li~H'effi:;:~:.::'~~~ ..
907.9! fbrPrior lake
913.4' for S'i:iifrigTaRe
Stand"ardC '.
832 sq.ft. or 25%, rear yard
10' j:' ....
15'
White - Building
Canary - Engineering
(t"I~~ - I""ll:IllIIilIVo-'
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
/ I
/-, I ,r
,____ , ) fV L-
nf-
r,
I
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I /
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;../
; l
I tc..
-=1
;
/ ( )
l /
1--
~/
'~.
Accepted
Denied
Accepted With Corrections /'
Reviewed By:
~ ~ Date: 1d-/tb/oS
't(~ aLP ,_~~ A
,
Comments:
4ir COl1ditloner ~nd Other Mp~h!H';"-'L
Units Cannot Encroach into Requirc(,
~~. ~:~ Y.~l:'~1 ':',-~ ~:-1f.:~ J~c;
"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."
Cihite - BuildiiiS:>
Canary - Englnel!ring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHj:CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
C G) A.JC~p.r
__ I
''J L~ - D:,
13#r5
ll/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'3 3/{.,' G r/'tl{}~ S'r
, I I
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~ ~ Date: I~/u,/t?s-
Comments:~ ~~_~.~~-
- ,
~ ~7:~ ~ ~~.
"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
~anarv - t:nomeemfD"")
I5rnk - Planning
BUlL-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C (j)Jcep-r fJ Idr.5
i
I I" d-d.-OS'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'33/b G ~/qOt1 ,S-I-
, I ,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
. Date:
J2-~-OS-
Comments: See Reverse Side for Additional Information I :
See Attacmnents: ~) Grading'PJan, 2) Erosion rontrol MenSllfPQ
"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."
MAY-17-2005 12:26 CITY OF PRIOR LAKE
W"'"\ 0 ~ ~ \ \ t ~ CITY OF PRIOR LAKE
S 7r\ '\ -= ttJ!J.A J li~GI AIR CONDITIONlNG/~ u<EPLACE PERMIT
.~ J \\UD',t/
~
Ql:\?44?4:d4S
P.1:31/1:31
Date R~c'd
(I'1cue twe or vrint IDd sim at bottom)
ADDRESS
.1~ \ ~ 6\'\0\ ~S S~ ~* S\N
I, PIIIII Pilll
1, 0fMt\ CllY
s. v.n_ AWlkanl
PERMIT NO.05 120 oj
. ZONING (olllce D~) .
LEGAL DESCRIPTION (offtc:e use only)
LOT BLOCK
ADDITJON
PIP
I OWNER P \ \ 1\ . .
(Nil me) (f1"V\teft JAM [\.,\/;\1) I )/11\1<,-.
(Address) \ ~ ~\) S A;lM^{' (}r;yq x.A'. \~ v-J _ 7 \ V- \1/\ \J tv I
(Phone)
\,\f\N ~ ~'; 1ti
b \ d / ;)..C1 D -X \ 11-
=~(VI~. Vx.~(lA~ ~ ~ C
(Address) CA(:-A) ") ~ VA \['1\. /\j V\j~ ~ Y . , N
- - \ (Address)
(Contact Person) \~ ~ W~ _
APPLICANT SIGNATURE ~~ M .--X A (/(NA
- \
. (Phone) 1D) /' C;v{ ~. 1\ b b
(1~ ~\ \ (/~ \/~ \ \ v /\.1 C; ~ ~ d-1
City) . I ' '(Zip Code)
, (Phone) .2\77-: / C; ~ d-' (ill
DATE \ J \ () i t) b
, J
- -1
APPLICANT PLEASE COMPLETE BELO""
-EfINEW CONSTRUCTION 0 ~PLACEMENT 0 AL TERA TIONS .
FURNACE MAKE AND MODEL C (,\Nh Q"V' ~~l\\f'~~~ 0 'iV' \ ' \).- , FUEl. \'\lM--vvv aY. J M
I . "
FLUE SIZE ~ \ . RETURN OPENINGS ~ ~ ~ ~AJ If"- ~ INPUT ~C [)-O , OUTPUT ~ (,I D
TYPB OF SYSTBM HEATING OR POWER PLANT
tmvann Air Plants 0 Steam
o Gravity 0 Hor Water
~ Mechanical J Radiation
~~ir COnditioning J Special Devices
94vent. System .'tl Other Devices ~ilJ ~I S\.f.
fIREPLACE MAKE AND MODEL ~~ Y\.Q... '&.
,.'1'
l'LEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1% of job cost Rcsidential, Gas Fireplaoe
$39.50 minimum
Residential, Hcatins & Ale (New Construction) $99.50
Residential, Heating Only (New Constl'\lction) $64.50
Estimated Cost $ 111 01 0 \) ,":::'" Building Penn}t #
. ( I
HEATING PERMIT PEE
STA TB SURCHARGE
TOTAL PERMIT FEE
Industrial. Commercial &. Multi-FAmily
Residential, Additions & Alteralions
Residential, AC Only
$39.50
$39.50
$]9.50
ml!1! lIn O.dy)
Thf. Appli~tion Becomes Your JJuUding Permit When Approved
$
S
$
99 ~
.50
\no'~ --
-PAtO WITH ..
p~ ~eRM'T
, Paid
'Receipt No. I
(#1/I_~'
By '7P /
I 'I..~ ~<-_
I-~'",- -TOTAL. P. 01--
BuiJdlng OfficiJal
Date
Date ,--....JAtj 1 8 2006
~Ahftn""A6I_',,__''''____.d_,,_'''~IA>'' .............A . ..___. ..~ .
Da
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
/. 9
(Please type or print and sign at bottom)
ADDRESS
~ ~~;::'w ~ii~~, I PERMIT NO. K' /Z.
3, Gold Applicant .-/ . '
33/0
6te1qCjJ SI
ZONING (office us
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
_ (Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) C.t./ ct-" ~'2.- C>u-:..,.i/p'!c(.j~~/t,.,.
(Address) 9Y5~)- (%~';'.d'.. ( /')
(Address)
~
(Contact Person) .----c-./7 ///J-~/ /J t:~:: /-.,.T,e/.LJ c>
..->- "7/ ././ - !'
APPLICANT SIGNATURE ~'-7 ';/ .?~r-t:'(-c..->e'-t".::.
;A'..,I c
(Phone)
y~,;) - ..9.:r/ /
'-.'.-/
.... ..::><..>-,.,..
./1-7 /?
,0 /:~,,,}r2 - ../'::'~/'~-A/"
(City)
(Phone)
.5~-:J..:;, >,Y
(Zip Code)
6/;1 - ,.<>,:;/- /tf~s 6
~. /1/>>
DATE
/...9,- c; 0'
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. D ABC D PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
D Cast Iron
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
I % of job cost with a $39.50 minimum
$17.50
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
61-1
pi1/ ON) ~
8L1U
Estimated Cost $
Building Permit #
(Office Use Only)
Building Official
Date
""
~
Da79. ,I &:1
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
Z, 24--0t~
I. Blue File PERMIT NO
2. Gold City . 6-: I Z 00
3. Yellow Applicant
(Please type or print and sism at bottom)
ADDRESS ZONING (office use)
33/6 Gr,"oos
-..J-..J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) (~/lCe.P f-
,
(Address)
/3v,' / kr-..s
APPLICANT I /
(Name) .4Le- A
(Address) 3 ~ J 0
(Contact Person)
<i-- 5011 ....s
K,' II'Yl e-r-
(Address)
f>JUM~/ r'l0
J
),... 11 e.
r:- YYl
<~ 1;-:; /VI
~~~
APPLICANT SIGNATURE
Quantity
-- '? ..
J
I
J/
J
/
/-
J
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I
Dishwasher I
Floor Drain I
I Lavatory (Bathroom Sink) I
I Laundry Tray (lor 2 compartment sink I
I Shower Stall I
I Sinks I
Bar Sink I
Water Closet (Toilet) I
PID
(Phone)
(Phone) 76'3- ~7..s~-c;270
/U f> /y twou If, , ~-f:.-'/ L/ /
(City) / (Zip Code)
(Phone) 763 -- Y 7S-CJ2-~6
DATE ;Z -:2- '3 --0 6
Type of Fixture
/
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other lXs,p"s.~/, ,'ce..Mo-K.e..r-
I
2-
FEE SCHEDULE ~ _ --.....
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum (Residential, New One & Two-Family $99.50->
KC~IUCIlLIaJ, Auditions ~ '$3y,jO _.,~
$ 99..sc. 1 . (,tJ e ~r)~~
$ .50 g I{I (\e eo~'
$ /&C), eJO er r~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~.
Date A.} /
2,2...,- c~
Re~
By ,.tlll/Ct~-_ .
/- .-......-'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File PERMI OAT ~ "'-^
; ~~~"W ;;~icant T N U J -I ......,U
(Please type or print and siltll at bottom)
ADDRESS
3316 GRIGGS AVENUE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name CONCEPT BUILDERS
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/22/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK
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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
This Application Becomes Your Building Permit When Approved
Paid
.50 \ A )
,P1 \CY'-"
"JY\ l/ Receipt No.
~ /J0" b Bil'
I
(Office Use Only)
Date
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTM'ENT OF
BUlLriNG AND INSPECTION
SITE ADDRESS 3~' (,- G (tl ($(!S ~\ (C..c:,e: r s-.W. I
NATURE OF WORK ~ CDN.J.,t.U.e.rliN CW/J~..(tnAI.. L.t.. J:'it-JI'.r H'
USE OF BUILDING S".~ D 1 '-~ Del.tt- t1~'c..uDh~
PERMIT NO. 05./200 DATE ISSUED 1z,!toft)C .
CONTRACTOR eO~e2l'T 13"1 ~f)In.f PHONE(dz .. ~C'fl) - S/' ?
NOTE: THIS IS ('TOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PER-'')'~T IS BY SEPARATE DOCUMENT
DATE
I FOOTING
, "11
~,.gRADINq(Prior 10 Soddirl9) )
'.._-,_.__._--"~
BUILDING
ELECTRICAL
PLUMBING
HEATING
,
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
SEWER I WATEF .' f EPTIC
FRAMING lV/ t
INSULATION
ELECTRICAL
,
PLUMBING J/f/'f- J/;Z/"'{,'
HEATING (if requlre~;) /~. / /...2~ /tJ~
FIREPLP;CE / #7- 5'/)()J;~
GAS LINE AI R..TEST )jIq,'h. I tJ~;l . , ~ . / ./.:;6 /<>6
, CoWR~~;~ORr?uN{(e{liOv4't.H'AS BEEN SIGNED
I~r"~ / "'Ou)tr w~AfJ II/j~ ./~ .JA;1;~ I L,1t/ IJUI 6 J~O;;6
. .
FINALS
Ii If y~ I~. ~6
II@
Y4
f#/I
( -( 0 .t)(,
~ )--].. Ll:
3 hL/ lob
f /i/:b.
(/j?/~
6/so/~
7/11/0-'
BEEN SIGNED
This card must ;.'e 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
<ITttfifiraft of (tl}rrupanrl!
CITY OF PRIOR LAKE
~tparfmtnf nf I'iuil~ing Jlnspttfinn
"i'Final Permitted D Conditional C.O. Expires
,
,
This Certificate issued pursuant to the requirements of Section ii 0 of the D Residential / D international
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 Classification <"" /.j rS L e / I-i I ; I L Y _ Bldg, Pennit No_ C:C. 12 CU
Occupancy Type _
i_J7
1'- '-_
Type Construction
(//\/
_ Zoning District
Ie I
Legal Description
L/; {;'('I
l/hF'{.t:.:
,--- - /
i...:;Lt.-fj
Owner of Building.
Site Address
.::31 0 C; k:_' i 00:5 :.- T.::::-. vi.
Contractor's Name & Address 'EFT DLVIc:.::;-~1 /7(. c::;
/ ~/' /0E- ';"~'ili;~ Om;.;: 10i I AI ::;fl;f!ci'Y p""",,
l/ ;>;a ,.'
Date: 1. --' b Date:
/ ...
2rl;vE 51. 1 eLK: /( /(/{:>r!_ 55 ~3(
.]I-J /ve t..::./i AS ( EI<.....
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-406
ADDRESS
33/ ft, &r I f10 S/,
'--'J
CONTR. GII{ tp I. r~iJ ,lkJ
PERMIT NO.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.....a:E!NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EXI~FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/Y"7 A" ~
Inspector: '/' 4:~~ . Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3r/~'
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CO TR.
OWNER
PHONE NO.
PERMIT NO.
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
~H FINAL
COMMENTS:
DATE
~~
, ,
<)/
TIME
S--/,2~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o CORRECT ACTION AND PROCEED
o CORRECT W~.;1?;' FOR ~EINSPECTION BEFORE COVERING
Inspector: / ~r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IIiSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~rs/c &'Q9..f
,.4 J.
CONTR.
OWNER
PHONE NO.
PERMIT NO.
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
JOt"'IiLUMBING FINAL
.............- 0 MECH FINAL
COMMENTS;/) /' /'
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./ /
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DATE
q'4~
~
TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~ECT ACTION AND PROCEED
D"1:0RRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .k~ / Owner/Contr:
.,.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOT/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
<? ?/ k
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
z-FiNAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED IP~~~
-1 '
cSr.
TIME
~.J:'j'S
CONTR.
PERMIT NO.
<S'- / JCC)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/'
~j- /
~RUi /
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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,)(WORK SATI~Y. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, :l;~ YR REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl