HomeMy WebLinkAboutBldg Permit 01-1267
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I()- 0-tJ/
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. () / -/2ft; '7
(Please type or Drint and si2ll at bottom)
ADDRESS ~1. ~
4-070 /~~- S7.
ZONING (office use)
PU50
LEGAL DESCRJ..I:'uON (office use only)
LOT ~LOCK 2:ADDITION Mn ~mt; ~ dt' Lllk
./'
~=e~R $t#//#/lh7f / gf~
(Address) /~7t' h,H/tt!d1} ',4v{ ~327
PIDZS-Z3fo- 01/-0
(phone) 1.r?,.-fj ~-~66 3
Il-vf/le /~~/ //lAl SJ/2t/
'I' ~"/ ,
BUILDER /YJ/) /. / / .J. d
(Name) //II/////~f / /75-Jt:?C-- (Phone) ~>7-22/-"ZF7/
(Contact Name) __ W (Phone)
(Address) /~?t1 ?7hMdd 4wd3;?J tPP~utI+41t/P/.?"-r
TYPE OF WORK
~ew Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
)@'Fireplace OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (excluding land) S C?..5'"'" ~
/
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter~~~-. ~ ~-7?_ /t:?-~-o/
/ Signature Contractor's License No. Date
~ermit Valuation "2 '~0X).c::rJ I Park Support Fee # $ B:;;O.c:>O
Permit Fee $ "'\ .....- I SAC . # $ I r~ 0
~,O~~. ,'"'"\ @ f ~..O
$ I :..~ss-. 7c1- Water Meter Siz 5/8 ; I"; $, as_oa
$ I Cf']. SO Pressure Reducer $ l/SJ:1O
$ Sewer/Water Connection Fee # $ (, ~.c;J{j
$ /00..i:;0 Water Tower Fee # $ 7na..Ci:)
$ /00."0 I Builder's Deposit $ I J ~
$ 35, Sl:> lather $
$ l{O .~ I TOTALDUE $ fl434_ 4'1
I Paid ql ~J.,-.4-; R.efLei .. . '~~I
I Date" 1/-7~.r By
l-f. ,
OLower Level Finish
o Misc.
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
, Gas Fireplace Permit Fee
-/-1) ... r?::t2(
Date
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
~ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ J\~e <~.C~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The etnl.. or the t.ake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
M~ WI LGI Afv'l ~ ~ AS5 of!." .
10-6....01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-070 /54-rJi ~/.
Accepted
Accepted With Corrections
:;t--
Denied
l~rK~
;/
Date: If) -II) -0 I
Reviewed By:
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."
If
Thr ('rnlrr or Ihr l.ake Counlry
Q~ -.Ia~dr
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fJlc., ~V J Ltl A (VJ ~ : AS5 Oe,. .
10-6-01
<-
The Building, Engineering, and Planning Departments have reviewed the building permit
applicaponfor,fcons~ru@:tion activity which is proposed at:
4-070 154 -v1 5> ~
i
/'
Accepted
Accepted With Corrections.
Denied
Reviewed By:
LLL
Date:
/ / -10 -() I
Comments: . See Reverse Side for Additionallnformationf
,/
,x
LJ.-r
-IN) Reirufllbj t.Ju.I/ ~ be-budt //'1 ~d) 4 ~t
lli~ Yr)1l<JQ'"nJ'-1/YJ', ,lnlt-55 eL:1/A/'ne~r~
J .. I ~.
.J'
.. ,", ,
tI/lz..~~ ,":;' "5uJnlN 10 dsa...,., water ~ sL>l~ flafer'7 ~),e5.
-
\)ee f\uacnments: 1) GradIng Plan, 2) Erosion Control Measures
3) Erosion Control Plan
'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."
",,:",,;--., - "~-_.'~~""'7'~-""'"
.~--._-------~--~-----_._--~-~._-,._.-.
~>
Thf Cfntf. of Ihf Lakf Counu)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHI;.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
fvlt lVJ ~LI f\{Vl.5 ~ ASC; O~.
JC-6-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-07D /04 fJJ 5 /.
AccJ~pted I/"
Accepted With Corrections
Denied !
Reviewed BY~~ '.l -- z../~
C-/ .~
Date:
II / tJ/C>1
.'
Comments:
AC-- 0A.du~ . 'S~J.4 ~
J~. CA/lY..r~ ~.ey1or-~tJle~l ~
t{)~
~V\A{1JM_ )-Lf f;, (,(h~ ut-
~en\ . \W~tL4 ~ +\1 KvJ It2.-LOtU)
~~ ~~.
'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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
//-/1-0/
I Green File
2. Yellow City
3. Gold Applicant
PERMIT NO. 0/- /2/,7
(Please type or Drint and si2ll at bottom)
ADDRESS
4-'d 7 0
ZONING (office use)
/.5~7fI
ST.
LEGAL DESCRu' uON (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
.."A,APPLICAJ'i:f \ 1 . E } . C ~ U 0
l/-(N-ame) ti \ e..d X~ \Ie:. ,\ ~ (Phone) jSd- 7Su- ." -, L)
(Address) 3S<C ~\\\~U VV\e2d6~~~ LN. V(J2WP14C\V~ ~lJ
(Addressr-) (City) \j (Zip Code)
(Contact Person) .\.\~..ff' ~ C' L.A) 'j ~ (Phone) L,) ~ -q ") B - 33la 7
APPLICANTSIG;A{URE "dvlJUQJt.~ -~ DATE IJ- J9-d I
'- ~ J
APPLICANT PLEASE COMPLETE BELOW
Size of water service \ inches.
Location of any couplings from stru~/ feet.
Type of sewer pipe. 0 AaG.. ..fSI PVC 0 Cast Iron
Estimated length of sewer line eo feet.
Clean out (if required) located at feet from structure.
-'-
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE
(Office Use Only)
Date
~~
Date
L1-11-0 I
ng Permit When Approved
11/( q -c) I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
rJ
- -
AMERICAN
ENGINEERING
TESTING, INC.
CONSULTANTS
. GEOTECHNICAL
. MATERIALS
. ENVIRONMENTAL
October 8, 2001
Heitzman Construction
PO Box 385525
Bloomington, Minnesota 55436
Attn: Tom Heitzman
RE: Proposed Residence
4050 West 154lh Street
Prior Lake, Minnesota
AET #20-01733
Dear Mr. Heitzman:
On September 21,2001, we visited the referenced site as you requested to observe the basement
area excavation. The constmction in progress will be a single family residence with a full
basement. We understand that the basement walls will be damproofed, and the construction will
include a perimeter drain tile system. The site topography generally slopes down from the north
to the south. A large hill slopes upwards to the north at the rear of the planned construction. To
our knowledge no preliminary soil test borings have been performed in conjunction with the
construction in progress, therefore, our comments and opinions are based only upon the surface
conditions observed at the time of our site visit.
At the time of our visit, most of the excavation for the planned basement had been completed.
You informed us that the excavation bottom at the rear of the structure was still about I' above
planned footing grade. We observed that the soils in the bottom and sides of the excavation
consisted primarily of sandy lean clay and clayey sand glacial till. However, layers of coarse
alluvial sands and sands with silt were interlayered in the till at various depths, both above the
basement grade in the sides of the excavation and in the bottom of the excavation. Some of these
sands were waterbearing and some water had entered the excavation.
The water likely represents a perched condition, with the water present in the sands interlayered
in the slower draining clays. Some of the sands exposed in the sides of the excavation, at
elevations above the presently waterbearing sands, were mottled brown. Mottling often indicates
that water has previously been present. The total recent precipitation has been relatively low. It
is likely that greater quantities of water may at times be present within the sands. It is not feasible
at this time to estimate the quantities of water which may be present.
"AN AFFIRMATIVE ACTION EMPLOYER"
550 Cleveland Avenue North.. St. Paul, MN 55114. 651-659-9001. Fax 651-659-1379
Duluth. Mankato. Marshall. Rochester. Wausau. Rapid City. Pierre
...
.
Heitzman Construction
AET #20-01733
October 8, 2001
page 2
In our opinion, a normal basement perimeter drain-tile system may not be sufficient to handle the
perched subsurface water and maintain a dry basement condition. Even if the normal system did
maintain a dry basement, it is likely the sump pump may have to operate on a very frequent basis.
In order to intercept some of the perched water and to aid in maintaining a dry basement, we
recommend that an additional cut-off draintile line be installed at least along the rear part of the
structure. The draintile should be installed as far north of the actual basement foundations as
possible, and be placed below the foundation grades. This tile should also extend into the
basement areas where waterbearing sands are present. Positive discharge of the tile to the storm
sewer system should be provided, if allowed by City ordinances. The tile should be placed within
a coarse filter aggregate which is encased in geotextile fabric. In addition to the cut-off tile, a
separate normal draintile system should be installed around the basement perimeter and be
discharged into a sump basket. The wall backfill above the aggregate should consist of a free
draining sand or fine filter aggregate. The top of the backfill should consist of a more impervious
clay layer about 11h ' to 2'. thick to reduce infiltration of surface runoff water. The surface should
be sloped to provide positive surface drainage away from the building foundation walls. A typical
installation, as well as typical specified materials, is indicated in the attached sketch.
We recommend that a structural engineer be consulted to determine if the rear basement wall
should be structurally designed for potentially higher lateral pressures because of the proximity
of the hillside to the north of the planned residence.
If we can be of further service or you have additional questions, please contact us.
Sincerely,
. Larson
$;;;;~~
Michael P. McCarthy, PE /
Principal Engineer
GAL/MPM/gI
3'
cloy........
WE."~.~~. ./.~..Y.- '~:
.//:. .~.t';/'l:~.t~r- .r
. .,~ /. .h . /- .~.t .Y.- L,
--
'. . . .
" . . I .
. ~ . I ,.
be substi tuded for the 3149. 2J I. : I' .'. ,. . '.'
. I'II"I! flll:nm . I
But, a layer of fabric must sepa P.t~(jOlll!OMf!.
sand from the coarse filter .aggr gat.e.., '.,..:
'.' .1' / Sleeve Un-olluh fooling
." . ". " (L ow e 5 t
o 00 6 /
D 0 Q -.J. 0-;-;- 4', ". fINO 1'I!.'fUIl MlOkU{JA111
o __L_.,,~. _____
- . =-=-=-=- t (lo.,.. I'RI., ^1llI'<S"c OIounJ ,,11'0
:: .;. . '.:
Note: Sand (MNDot 3149k)
can
- fll tllr fob.'Ie: ~
r - -- . 0 '" l!l q c>
( 0" d 0 00 g P c) j). IS 0 b 6 f"I
O d cJ 6 0. (> 0 0 I) 0 0
o Ou c!) 0
\\ D ()" c. oG 0 A 0 '0.., r,
~ ~ (J 11 () 0 <:l 0 0 0 ' CO^1l91! l'II....1I1t J
in /) U (} Q C; 6 ,......, A(Il/llI!C1^TU ./
~ () 0 Q Q (1 () 0 0 c) '" .O-:;;I>~
~ () 0 Cl D (' () Q .....-:::::J1 I
().r.>oc)~O d-~ 1
\.. ) ,'I 0 0 () (} 6 C) 0 . 1 Filler Fabric
~.) ~,._()..... ~ -:: . .
~. ( 3 feel below floor sloh Iypicol)
. .._f . ;.IICII IUlrfo,'o lo,' I've
"""cho,'o" lo sial'" s.".r
flOat' ele v.)
.. Inch pllrforQ IlId I've
dlscllu..ge .\0 SlI"P bQslle t
F~lter.fabric; Mirafi 140N or equivalent.
Flne Fllter Aggregate; MNDot 3149.2J.
Coarse Filter Aggregate; MNDot 3149.2H.
PROJECT
RESIDENCE, 4050 154TH STREET
Prior Lakes, Minnesota
SUBJECT
Typical Drainage System
SCALE
DRAWN BY
GL
CHECKED BY
I,
PAGE
Figure 1
None
,
AET JOB NO.
20-01733
DATE
10/5/01
FIRESIDE CORNER
#4644 P.001/OOl
Pate Rec'd
CLJ. i OF PRIOR LAKE
HEA L J..l iGI AIR CONDIIIONINGIFIREPLACE PERl\tu. J.
~C70f)l~
f~
I. Pi"
:&. 0.-
J. Y,",IP
z:~~ I PERMIT NO.o/-/u7
J -
ZONING (ofIiI::Il u..'llI:) ,
(Plea8f: J:Yl)e or "riJlJ: lIlI4 ,i;n at boa;r;rm.)
ADDRESS
~lDD
)S4~
~+
LEGAL DESCRJx 1 LON (amce UIc only)
J~OT
BLOCK
ADDITION
PID
OWNER
(Name) _
(AIUI.ress)
m~ Lu ~ ~\ t~iY'& ~ A-b~~.. ,
14~'lD G~ ?PH. .~'1
(Phone).9,~. ~Cl)( - '-I t4b3
~-~
APPUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE COMER
,(Phone) 651-633 -;? 56].
(Address) 2700 N. FA~VIEW ~~
(AddftSti)
BRENDA Ht7~
(Contact Person) . (pbtm.e)
APPUCANTSIGNATuRE ~ (~B5"'" ~ATB_~~3" Q::::J...
/ APPLICANT PLEASE COMPLETE BELOW
Q1NEw CONSTRUCTId~ U REPLACEMENT 0 AT.. TERA TIONS
FURNACE MAKE AND MODEL FUEL
Fr"UB SIZE . RETURN OPENINGS INPUT OUTPUT
TYPE OF S).:> l.c.M HEATING OR POWER PLANT
OWflI'm Air PIMf.$ :J Stclm
DGraviry :J Ho~ Water
:J Mec:hanical J Radiation
:JAtr CDndltian;ng J Special Devices
DYent. System ] Other Devices
BQSEVTTT.1l' ~
(City)
651-.933 -2 561
1;1:,' , ..
(Zip Code)
PLEASE NOTE:
Afr ConditiDner Units
Cannot En.croach into
Required Side Yard.
Setbacks
FIREPLACE MAKE AND MODET..
FEE SCHEDULE
1% cfjPb CQst Residential, Gu Fin:-pleCl!l
$39.50 minimum
Residential. Heating It. Ale (New Con~~dDn) $99.50
Residential, Heating On.ly (New ConstrUction) S64.SQ
Estimflted Cost $ -3.9:9\
539.50
IndustriaJ. CommcrcieJ & Multi-family
HEi"lNG PERMIT J:' c,r;
STA TB SURCHARGE
TOTALPERMJT FEE
Residential. Additions 8L Alterations
Resldentiaf, AC Only
Building Perm.if !IF pi L;).tWn '^." \-' '. .
pU\~O\t:iG Pi;;.I.\~J,~-r ~
.50 ~.
~'LOO
$39.50
$39.S0
$
$
5
(omte Oil/: Oil/)')
Blllld".", omell.,
Datc
I Date
APR , 3 2007
Receipt No.
.~ /t/"'t/~y,/l~
By~~
Tllill Appfj'::llltton Bl!cometl Your Bu.iJdtlll permit When Approved Paid
2.4 hour notice ror all In. pactio.." (952) 447-9850. fA:It (952) 441....145
~OM : ANGELL AIRE FAX NO
1)7/:1U/U1 liON (10: ~d F.U 8lZ44H:!:U .
-".'
9527465202
CITY OF PRIOR LAKE
Feb. 20 2002 01:50PM Pi
14; 001
nat.1lec'd
II
i
. ~ '8 III'lIJiat '/, !.!F IIIlD8D111)
ADDUSS ~
7/07(;7' /s-rl-A/ ~f-/~
~=. S...I'PDMlTNO'dl-/ZtF11
ZONING 1-'11SII)
t.BQA1, DESCR;. ?TJON (G&l!-.)
LOT BLOC" :
ADD,u...N
PID
OWND
(Nae) m~Jv~/IJ'A~< ~A~/ -
\ .
(Adall /~~70 t:;~q/l~ At::' -' ~k.vA/~C"'-
'APlL1C1M~ i .
(N1mC\ ~~-t!!// -X}iJiU~ (Phoua) 9.('"""..;'.. ?/.II'-(-;;1.t?#
(Address) /~~C-/~~W, <!? 1?VI"",~~/h _~~r-:7
I ' ~) (Cl!Y) .', . ca. Ced&)
(c::=aaPm=) IJ~/tt. ~6e/! ,C!'h=c) _ ~-7~~'i9-5?t!?
Al'PUeANTSI~NATUU.... ~ 1~~' PATB'..;_-G-~-'.
~LICANT 'LEASE COMrLITE BELOW
~I.WCONSn.~ u~ OAi./iiiAu~u~i8
f'URNAC'E 'MAl, Ii: ANJ).MODIL 3.~mJ(J vO<r"~rra.L4,v...1'" . FUlL /l/,!q T '
FLUE SlZS ~ " ~ ~ob ~iU1Uh..~ ~mJOS /~'. DIPUT Bt:! ~ OU'r1'UT ::7"f: t1?t?~
. TYPBOf'S\lhJ HSATING01lPOW!I.:Pt.A.NT
, . ~W~ AJrP1I* 0 SIIuII
i ~~~~l . ~==~
; AlrCl:nlldOllillI S,.IalDcvtCCl$8-8-1'tJ ~/l'~..J,~
! IIIL"'" ClbrOlwi-. BeJ.J--./
.. (rhODe). 9s;.;; ~ .rr~~ ..."7/~~ ~
JILIAII "DT&~ ..
Aa- Calldltiaur Uw
C1DIlCIt.... '- .
IIqldrIclSiclllYIld
~.
FlUPu.cs 1.10' g AND MODEL
t_
r.~a11 Comm. c:iaL" WuItl-Plau'\y
l1ai4cn1Ial. HCildiI I. AJC 0'4.... ~)
'R.csidmtill, R.t1 t only (New~)
nr. SCDDCU
1'K _Job.. J.IIIdaa1lal. Gu rnp..
$3ua mlai_ .. '
",..so ~iaI. Additien.. AltMdHl
$6UG JesM-~. AC Ollly
. DUO
SS,.so
P9.:)O , .
!AmP'" Cast S .
BWWnaPemmI 0/-/2&7
HlATlNO lEIMIT PEl $,
STA'IB sur.cHA1lOE S
TOT.AL PDMD' ~..... s
r PAtO WIT!l .
.sd\ BUlLDING PER~/I~T
(alli~ tJle CJaIY) :
I T~ Ap,lk:silloallecDa. Y~.r."iId'" P..... WUa Apprcmd I.~ '- I Mrt .
_.,.._. . ~~-._.....-.-......-_ _'...._ ____ _____ ___ _!-_-:;:-.-=_ .0. . ....- . -...-
11-/
11-06-2001 06:18AM
;'5:' r ...,o~
~Vf\~
- .....
"""'atasO'\'"
MATTHEW DANIELS,INC.
423 3017
P.01
......~lI:: ~"c::'a
CITY OF PRIOR LAKE PLUMBING PERMIT .
(Please type Qr p i.at and s~ a.t bcttolnl
ADDRESS
~1() - ISIfWJ ~
LEGA+- DE: ;CRir uON (olfia use onJ.y)
LOT fl BtOCK 2. APOmON *~
.
OWNER. . 1_' . .............& /1 '--"
(Name) ~ VIJ~/4HJV , '/~~/lLA-hJILI
(Address) I~tt#"() . b. ... .lidA'" 11 ,.~ /) J V i~ '-LJ ~
,. ", ~~ ___...!1. ,h.I. -J r~I.." 1 LQ'11V"I TI....
APPLIC'" ,.,l.
(Name)~ ~t1rliel6. j",!!-.
(Address) 1~A30 (JAI"rtHJSe./ )ja"
(Add-ress) ,
(Contact Per;on) -:::nn.nie../ E.
APPLICANr SIGNATURE j,
Quantity
,!J-
I
.2-
S
J
dl-
I
.3
//---7-01
~ ~~ ~~~ I PERJ."UT NO. 0 1- /? I_-r I
I V"'low AppliCOftt ~ I
ZONING (offi"" \lilt)
PID
(Phone) 9Q .1lqt. ..;~
(Phone) ~. ..J.a3. ~'1.B(';)
R~c.i!..IYJO'.Jnf. 1V1r1
(City)
.s~f
(Zip Code)
(Phone) ~. ~. >d1!KJ
DATE~. .6,,~ol
n.
APPLICANT PLEASE COMPLETE BELOW
_ 1":rp~of Fixture
Bath Tub with or without shower
Dishwasher
Floor Draij'\ .
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toiler)
Quantity
~
I
1M-
I
Type of Fi~ture
Rough-ins
Water Heater
Water Softnc:r
Stand Pipe (Washing Mac:hine)
Sewage Ejector
Bac;ktlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEES\...n.l!.DULE
Industrial. . :ommercial &. Multi-family I % of job c;ost with a $39.50 minimum Residential, New One &. Two-Fomily $99.S0
Residential,. Ac:iditions &. Alterations $39.50
I 4i.,
E"timated Cost S
Building Permit #
PLUMBING PERMIT FEE $
I STATE SURCHARGE $
TOTAL PERMIT FEE S
(Office Use OIly)
Tbis Application Becomes Your Building Permit When Approved
Paid
Date
B. lid... omci.1
DIlle
~~PA'DW\1'H ,1'
9Q.,sC) eU\\.D\NG p~~-~
.50 .
~Ad.lJtJ~ ~AJc...; . .
Receipt No.
By
14 hour aociClC (or all in.pections (!JS2) 441-9150, ras (!lS2) 44'7....245
. ~
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Jrtl() 1.~ ~ <:::;-/-
NATURE OF WORK - A).e.c..). - -
USE OF BUILDING SFb .
PERMIT NO. 01-7;;;..(, '7 DATE ISSUED / t) -I ? -01
CONTRACTOR .tk.ITll7""Crl-~ I ~ l.JS)cr. PHONE~- S~ -~" ':s"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
;m.
... - I _
FOUNDATION (Prior to Backfill)~M~1 f>:r 11//3/1)/ 7tz;~ 11-19-0/
PLACE NO CONCRETE UNTIL ABOVE HAS BEE~ SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ___ ~U t..u , (' ~ o. o(
FRAMING ? ~. ~~~,- I
INSULATION -' . A-. ~I ~'J /O;J-J
ELECTRICAL
PLUMBING _ tfr, 2,,/ 1'1 /~ ~
HEATING (if required) f~ ~ ;;-bd/dr-~. ~~r-
FIREPLACE I, I ~" ~/~~J2.-.J
GAS LINE AIR TESTV;::P I~) ~~ ~ I d1711J~ I f~t~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ 6Y-. 3/~~/~~ I I
FINALS
fl/ fJ .
~ '" r;;r~! o?- !'Yl P
/k
. . f:;;y
INSPECTOR
FOOTING
GRADING (Prior to Sodding)
BUILDING ~c..,~. tiJ.1 rrlr /01-
ELECTRICAL I I
PLUMBING
HEATING
DO NOT
. DATE
1111JY'f
1/' ;}1::,-?-
11- J.1-0iY
I{/I (/lJ'L
4 !;)."!fbt..
j .
OCCupy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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 shan b~ placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE /f-){
INSPECTION NOTICE SCHEDULED
ADDRESS '1070 I ~4 P"- 51'
OWNER CONTR.
PHONE NO. PERMIT NO. I-J2G~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~6d /r/Vc'5/A
l l.fr)
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/" I
( jc~
C7.~
I
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: y1.f 11-17-(fL Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/IOTl
Job Address 4cl.;:> l54~.J-
:.~c;.::~.r ~~~
Date 4/1 (' /O"'l.-
Percent 0 1" :1
Percent CO2 '7 ,\-
Percent CO C>
Stack Te"1). ~-
COMMENTS: ~ _ ~,
~ ~ t'k-nS' ~ ~ ~~(}tIt.L
~. ~
~~~~~.
(3)-~ ~ ~Jw.:..u.- 6'-'( ~
1(J'" · I
f~. --:f-~ ~ ~.
~ · -1L-~ ~ -rT14 m- ~
~f~ J/U.-1d-~~-~-v:#-
I
7r C. Q.
. .
f;JLf J7'11 /0 L
f (
o WORK SATISFACTORY, PROCEED
J1I CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspeeto" ~ OwnerlCo""
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE Jl"-~'02.-
INSPECTION NOTICE SCHEDULED
ADDRESS 'IOlo 16'( 11-- Sf,
OWNER CONTR. I11c.-w, 'j I, ~V
PHONE NO. PERMIT NO. rr;> l-l.2t 7
o FOOTING o PLUMBING RI ~X1~L1NG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
C. 11/ h J3~ '- (J1(.
&~ 4(
6-J-T
)( WORK SATISFACTORY, PROCEED
" 0 ~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL OR REINSPECTION BEFORE COVERING
Inspecto .
--
Owner/Contr:
<------
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~..~~'
/SLf f1...J~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~:~ 7 tJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING IJJ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~PLUMBING FINAL
o SITE INSPECTION. 0 MECH FINAL
COMMENTS~ ~
, -
~~
tel ~ r'A.-
~.
~
DATE TIME
.."u:
~/-/;~7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~I
o WORK SATISFACTORY, PROCEED
'Jl4 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ( Owner/Contr:
CALL 447-9:JFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
Job Address ~7~ lS4-~.J-
Heating Contractor . ~- ~
Name of Tester ~.a--J~
Date 4)\ ( /~.~
Percent 0 '1/1
Percent CO2 7 ,~
Percent co 6
Stack Temp. ~....
DATE TIME
CITY OF PRIOR LAKE ~ 9:'tJ
INSPECTION NOTICE SCHEDULED
ADDRESS 'Id 7 t) IStl~ -'f.
OWNER CONTR.
PHONE NO. PERMIT NO. ot -/:J-(g '7
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNOATION @ o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~ FINAL ~LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS: t2...." - ~, _
(!;) ~ J...-n~ ~ ~ ~~~
~.
~ ~~~,
(3) ~:!:~ ~J w.:.u s'.4I -t-.,
~ 10u. ., ~
(1:)~f~ "~~ ~~.
~.1 ~...-<<---- ~ -rr1! 0>-- ~
({;?) ~ f ~ /Il-CA d- ~~.'~..!i-
I
7; C. Q.
.
h.fLf Y/, /0 L
f r
o WORK SATISFACTORY, PROCEED
", CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclo" ~ QwnerlCo""
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
I/'iSNOTl
DATE TIME
CITY OF PRIOR LAKE Jl-'Jt;~
INSPECTION NOTICE SCHEDULED
ADDRESS L.jo /L) l51( 11- So/,
OWNER CONTR. !1Lw, 'j II ~IJU
PHONE NO. pERMIT NO. 6(-lJt7
o FOOTING o PLUMBING RI ~X1~L1NG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
G If} h 13~ '-~
b~ t9(
bd-T
)( WORK SATISFACTORY, PROCEED
.. 0 ~RRECT ACTION AND PROCEED
OR REINSPECTION BEFORE COVERING
Inspecto .
----
Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI
~~~-
ISLf~ J-fr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
':i.t(tJ 7 tJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING (g) 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~PLUMBING FINAL
o SITE INSPECTION. 0 MECH FINAL
COMMENTS~ ~
, -
~~
tee ~ (!A.--
~.
~
DATE TIME
...."'-g-
~/-1;~7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~I
o WORK SATISFACTORY, PROCEED
)lI CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ( Owner/Contr:
CALL 44709:JFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
/NSlVOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!