HomeMy WebLinkAboutBldg Permit 05-1139
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND lJ IILITY CONNECTION PERMIT
(Please me or print and si~ at bottom)
ADDRESS
3300
9etcqqs
Date Rec' d
It . z. . ~5
I. White File I PERM T 1'20
; ~~~I~w ~::Iicant I NO. 06. / /..;7/
:57 SW.
LEGAL DESCRIPTION (office use only)
LOT Z. BLOCK (p ADDITION ~...'f'>>l..~ ~L&1w
ZONING (office use)
I? I
PIDJ2S. 432.02.7.0
~=R IL..o.w\., \ Co-~L\:. T~c.. . (Phone) <7SZ... "SB'"l.\O~
(Address) IS. 30 ~ ~ ~,... W. ~~~ ~-\.",,""c. \:Ie;. ~~, ~Coo71
t ,
BUILDER iL I \ C -
(Company Name) ~~.. \,)..J\~ O"~~~..l-~ Co.. (Phone) 7SZ.-7Shr"'2.\O~
(Contact Name) J c.. oS 0 \ol W, \ \ }11#<< '1%. ziftJ. 51%/! (Phone) CJ s'Z. -., ~~ -'Z\O b
(Address) I{So 2boT~ f)r. W ~~?~t0.4uu.. ~~ S~01( ~('2. .. ~"'- 33<;'2- c..~v.
, -
TYPE OF WORK DtNew Construction DDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration DUtility Connection
CODE: ~.R.C. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
1
ill IV V
HIM
234
o Misc.
A
R
5
B
S U
PROJECT COST IV ALUE $"2 {, CZ . 000
(excluding land)
. I hereby certifY that I have filmished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authoTlzed 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
:ci7rrev~--=::r~u:erm~ I ;e~ee that the City official or a deSig&a~en~ ~~t;:operty to perform nec~:l:?:n~
, Signature t,/...A.\.I.).."~ c....'1'".rvC_ Contractor's License No. · . Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
2.."9. iJOO .00
$aJll,7, S1)
$ t3~ * Y8'
$ I ~ L/, 5"0
$ -
$/OO,OtJ
$/00,00
$ 3S. '5"'0
$ '-fa, 00
This Application Becomes Your Building Permit When Approved
~~~
Buildillll Otlicial
//~~jt;s
, Date
I Park Support Fee
I SAC
I Water Meter ~
I Pressure Reducer r-
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE tA~ 11.I6:tJS"
/J r _I ..2. (?/
I Paid (4:; "11' -~b
I Date j I-l~-~
.. .
$
$ / l./ 50 . t:J 0
$ 2.-S"a. ~ 0
$ 50." 0
I $ 150~, i!)0
1$/()O(),tJo
I $ /S'(){), 4J a
1 $
1$9.57/.38
;'---:.:1(/1
Receipt No~V:.;(j I
By ~'
CT'-
#
#
#
#
certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
ed by the City Planner conslllutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
4nk r,?~ ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director
(ls tL!M:al C- di . ~f
peel on tions, I any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~
Building Permit #
Address: 3300
Legal: L ~ . B
PID:
G fl.1 C:, <:z S" JI;
(P Subdivision:
Existing Structure? YES @
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA I FAILS/(C'OMPLIESj
. Front Yard (can be 20' if avq. 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 'fa' deck or sign
statement indicatinq no deck wilf be ouift in the future
. From 100 year flood elevation ofWet\and/NURP
pond:?".),;,.,.....,';
-From OHW (Prior or Spring Lake)c .
, Floor Area Ratio: NA I FAILS I~M~L1~S)
Yard Eneroachments~ NA r FAILS (C.e1APLlES.)': ...
'pvesi:1tt,c;.Guttersocimare thall,2:feer in widtft aridno:
i cfosertflari5feeftaa rot:line(Easementsr.'-':..ct(~T;"\/): '.
:; AlC.an.C;9tb:er~eq!:lrpmeflt c~nnot. empra~:,~fJ: ~.eci9[.. .
. ; sfdeyards;;. . .. "Yc, ".1:;'-, ".; ':.i .
J Ti'ee..~r~~a~atfoll~~FAIt.S. k COMP~ES;:~.....
. I; '" Ibtafcaliper.:rrrches. .. . .. d,
I '" P'ermit25P/cic Removal:
I .,.. Calrper:.I.,..J.cs: Removed.
I;. . CalipeEJhches: P:reserved
I. ReplacetiTent
L;\TEMPLA TE\BLDGLIST.DOC
Date:./ / /r/a s
Zoning:
S'.w .
__,.._.......,t_...._...,._...
. ." "~",) ~.tg" ' 'lii
~
,tj~
Existing Nonconforming Structure? YES @_.~._.-:.-.._
~
YES
NO
Standard
25'
10'/
25' if abutting a street
'-""".-',,--,,-~,,,,-,,,-
::-'.'::'-",;';':. ~'~":'~:;~~~~,~"~-'~
Prop. .osed' .. . c...~. .."~.f...' .
:" ' j" ...-:..:~:..:-. .
"2.. S; f .
. :'< '~.ir:~:~_" ;.,~ r
""'l1~",.w,~'~',-_ ;0..
.: t. ...f
. 0..
:.. .
. -..;,-:.
10' setback +
2"11' over 50' ..
25'
10' sider
25' rear
30'
.. - . -~"'--.~'I'-_ -,.." ".C" '-.."
";iZ5.~~&.1r:~iI-.'- :
.....~~,.:'..~."C~.;;-7-..J-
. ~''''-'-"'''l-. .~,~~~ii,..,."._-. )..,
-,~ .-..".' '-". ";-:',~~'~r:.~~':f~~~::.~ ::.
75' or setback average of
adjacent structures, but no
less than 50'
... I Lt... ..
," '~'-""'''~~~~'':ii.-:::'~:'
.30 Maximum
,
/ fj ~. .'c"..-'. ,
. .',. ~.- ";'';'':'. .'~' "-. : .
. ""'..c,..,.........,c..". ..'
. . y ..-I,."'..!',......'.':~,...'..-......:
. <f~:.r~ft~~~~Jf;~:;:~.~:,:.~ .
Stand'arct
~:
.I?ropose(f~~~ f'
"..:.:
.-*.,.... ,.
".. .~.-
.-
7t.1 c
,
T.,'
, ---
, Driveway: NA I FAILS (tOMPLJE~
I. Maximum width at property line
· Required setback
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
I. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the QaraQe
I. Location to match subdivision grading plan
h.- - ....
I Building Height:(C?MPLlE~ FAILS
.,.
~ Shoreland District: (fj;I1 FAILS I COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shoreland:t(A') FAILS I COMPLIES
· Setback from top~ bluff
I. Bluff impact zone
I. EnQineerinQ certification submitted/approved
,. GradinQ in bluff or bluff impact zone
i Floodplain(l4Al) FAILS / COMPLIES
· 100 yeailiood elevation
Standard.
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' SprinQ Lake
Must be l' above flood
elevation for new and existing
structures. If existing,
structure wa~S~ln~guc:t~d
- 9119/9ff-HJ'221SZtbep;r-:::"- . '_ ..
'. addiffciriattOO'f1S-iiOlrec;liired": ~_:::.,~." '
Must be floodelevatiOrl:OFi' ,
.q --"-":1'IigJ"~~:~~~=~;(l,::~~")~.
907.91 for I?"rfOIi lake-
9 13: 4~ fOr S-nr'" .:~[aRe;
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From TOil of Bluff I
By City Enoiheer I
No imoortinp/expoctinll, I .
-'
· Lowest floor elevation
· Proposed lowest floor elevation
-,
· Elevations 15 feet from structure
· Road access must be no more than. 2 feet trelow
ReQuIatorv Flood Protection Elevation
..--... ..-
Accessory Structure: ~ FAILS r COMPLIES
.0 Size-. .
I. Not located in front yard (Materials)
I.: Side yard and rear yard setbacks
I. Maximum height
I. Materials compatible with principle structure
L 'TE NIP LA TE'BLDGLlST.DOC
...-
Staitcrarc$: .':.....
832 sq.ft..or 25% rear yarer
I
10'
t5'
'_ Proposed
, ~'
/0 I
7. SOJo
1
&
. . ;..... .". ~
~
~
~': '-. -~:;;,.. ~
;
;,..:-,.~
:.. I'"
Zz'
:(
Proposed: ,
".:~' ;'ft!l.'~i':::':-':~: '€
... l'
-.o:'i~
...........-'..".;.,.
Proposed;. '.,
.
"
~, :
Iio. :
(.
'- . .(t,;" :~~t:~1<~~.~~~t~::~~."
I
.' ~-'~' . ", .
. :. PtoposeCf~)j;4"--. ~q
':-'.~' "-."'1"', 't.,~..~:t
';../~;.
...;:.;..., ~,"".,
~;;
~, .
~~.
~"l.
~..
I
r,
..",,,,,",
~. .:::::=~.
.~:7~~~~~~:~{i~:f1'
~ ,-.'-~-- ~~'-"~~'-''''.-.-~"'''''I''-'''\'' ...', .
I ,....'"~:.' ..'; :~,:;:;"':}'~~<~~'~~.~i~~{" ~
,'. .;-,.,........"".. """':-'~~""<;'<''''~_'....._w_.... ~'
(. . . ,,-; ::.':.,~:i;;'i~'~\. . ,
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r-o
,'. .-...... ....... '~'..- ""...--:"::'""!~--~ - - .-
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~
White - Building
Canary - Enqineering
CPink_ - Plannlncj)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/:/-1. /1/1/ / CLJNS I~.
/ I 2. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~5C)() C7/aqG;S S //G6.;l;.,-/S [,J.
, ,
..
,..,.
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~
Comments: _~
Date:
a1..f ~.
~
~
II Is I os-
I
e:J~ ~
~
~~
I
.
.A.A.or. '" ~~ .
J
(~
Conditioner and Other IM[e,.h~nic&
Units Cannot Encroacb into R~ed
S t"" ..
'_ ~~ dJtlCKS
liThe 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."
rWhIte - BUI~
Canary - l:ng near'ng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/l /1/1/1 ~1lI~ //C-.
.
/ I 2; 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~500 G,etqG;S ~ I/L&C I S W.
I ,
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ ~ Date: / / /tYh s-
/ '
Comments: ~a---A o-Lf k.. .J~. ~, ~ ~-
~~..J au ~~
"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
Canary - EngineerIng
Pink - Planning
BUILDlNG PERMIT APP~TION QEfARTMENT CHECKLISt
NAME OF APPLICANT
APPLICATION RECEIVED
,/:':/1. fVlll'(!L)N~ f~.
/ I 2. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~~OO Q/2.-(CiG;S ~ //L{f,t;,-/
SlU.
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
~
. Date:
11-1'1"-0 S-
,
Comments: See Reverse Side for Additional Informationl ;.
See A~tachments: 1 )'Gn~~ding Plan, 2) Erosion Control Measures
"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."
CITY OF PRIOR LAKE PLUMBING PERMIt
Date Rec'd
I APPLICJ\Nl/ ' I LJ/ / ,.
(Name)-L/~/~ "/~.b/~j ~ C-, (Phone) qS:~-L.79c9 ',;;;2/o?/
(Address) 5?tocf @t1A~ ~ , . -....JOrdC4.--.. UtA. <bS-.ss:-~
r '
(Address) (City) (Zip Code)
(Contact pe"onr?.h /'.5, ~~ C _ ~ho"e)
APPLICANTSIGNAT~ _ '"' _ ~ - DATE /,;;J-iO -OJ:::'.
/ --
AP~ANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and si~ at bottom)
ADDRESS
3:s0'0 r::'r"~3 S
LEGAL DESCR1t" lION (office use only)
~/
LOT
BLOCK
ADDITION
&~e~R ~ . A, fA; I '--If ~> sl/(,( ;;/ ~
(Address)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
71!!J.t;"~B";ld;;~~Z?" App,ov<d
BUildi~ Official t ,. Date
I Date
I. Blue File
2. Gold City
3. Yellow Applicanl
PERMITN05113! I
ZONING (office use)
PIn
(Phone)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
.50
Paid
Receipt No.
By
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
/Z. ZI.05
1. Pink File
2. Green City
3. Ye!low Applicant
PERMIT NO. 06, 11.3~
(Please type or print and sign at bottom)
ADDRESS
33DO
6Uq~)
-
ZONING (office use)
~I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z5"+sZ ~ z..-?_t~
OWNER
(Name)
(Phone)
(Address)
~';'./.;'
H ~ + t'-t1 J J.../-'C
t b06/ ~'16fV' <G+Y&7'1
(Address)
~~ G ,);,.
~
(Phorte)
~- ~a-'1,#q
56" J /
(Address)
~ t:Jrtivt~
(City) v (Zip Code)
(Phone) Cj S;}.. - ~ - 73~~
___~ DATE JJ'~)-~
(~~tPerson)
AP'Pf;tCANT .~lVl~A TURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
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
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $ ./"
~h~ / ~
This Application Becomes Your Building Permit When Approved , p~ Re~
B.n.... 0ftIdaI 2. hoor notk. (0. :;:'''''''''M ('52) "7_":~: ;~ ~~4::: By /j;1.ffi..
16200 Eagle Creek Avenue, Prior Lake, MN 55372 I
~
1-11\10 ~~-
r e vOl'-' '
Estimated Cost $
Building Permit #
--
-
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
3300 GRIGGS STREET
1. Pink File
2. Green City
3 . Yellow Applicant
PERMIT NO!f.1l3'I-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name K.A. Vv Hi CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESID...f: HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
_ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRfNDA HUSTON
DATE
12/15/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o 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 AND SL750
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
?AID WITH
.5SUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Duildin!!: Official
Date
D~t:C 2 0 2005
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
01/03/2006 14:45
JAN-03-~ 14: 39
9527585159 KA WITT
CITY [F PRIOR L~ MAINT
PAGE 01
P. 03~3
Date Rec:' d
CITY OF PRIOR LAKE
SEWER AND WAl~K PE~ll.
. APPtTCANT
<Name) IL . c.,.. I ..:,~, \ r~-r. ~
(Address) tt:;~ '7.Pn~ ~..,-: {~I.
(hddta1) .
(Contactf'~rson) ~ -V ~Lf. itA _ _ (Phone) I
APPLICANT SIGNATURE ('O~ ~:~_ DATE ll~
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches. .
Location of any couplings from structure ..,....,. feet.
Type of sewer pipe. 0 ABC @.PVC 0 Cast Iron
Estimated length of sewer line t/() feet.
Clean out (if required) located at ........-feet from structure.
--
Cf!!ue !YDCI or orinc au4 JlID ill bottom)
ADDRESS
-3~OO ~ ~
LEGAl. DESCRIPTION (omc:euw 01111)
LOT BLOCK
ADDITION
OWNER
(Name) ~. A.. ~ C~'L..T:
(Address) /5?D ,?~"P" ~T:
~Add~!)
~.
~~-r
:. :: I PERMIT N.gq
). 001. A"'~" c;e::; -II
ZONING (allia: \IlC) .
pm
(phone) ~ 758:: 7J~
~":) -p~
(C~)
L7-c::>i I
(1.ip Code)
(Phone) C;;7--7~~
~~.~~-U
(CI~) (Zip ~)
RESCHEDULE
Residential sewer Uld water lille connection $35.50 Industrial. Com" &. Multi-family ,% of job 'cost wltb I $39.50 minimum
Sewflr connection only $17.50 Water connection only $17.50
Estimated Cust $
Building Permit.
SEWER AND WATER PBRMl'I' FEE
STATESURCHAROB
TOTAL PERMIT FEE
(Omff Vat Ollly)
This Application Becomes Your Boildlng Pennlt When Approved Paid
Iltlldine Ollieial
bate
24 lIour notice for lilt InSlJftfions ('SZ) 447~9S50. ru (95;1) ....7-4245
s
s
s
.SO PAID WITH
BUILDING PERMIT
O~N 0 9 2006
TOTR. P. a3
P R I 0 R LA KE DEPARTMl:NT OF
BUILDfNG AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~3oo GIt'6GS ST:S.W.
NATURE OF WORK Neu ~p.(r;.,) (W!PtJtr. c...L. F'i....'.r fit /tJIJ 'Dc''')
USE OF BUILDING S.~ O.
PERMIT NO. 05. / /39 DATE ISSUED 11/8 j(J's
CONTRACTOR f(.A.. ~;Tr Co~ I tJc. . PHONE9sz -7S"- '2.101
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
J FOOTING INSj;VJ. //J~/()5-
FOUNDATION (Prior to Backfill) I ~. I /t/jf 1tJ'-r-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN~SIGNED
ROUGH - INS A
~I. . /
:::~I~~ WATER I SEPTIC . ~ /:f!:}:;-
INSULATION l.l4t% J~/27/o5-
ELECTRICAL - / .J../~ ~ [C>S
PLUMBING (/tr:~ ~. I}'/r;, ~r /ttV/- /..2/I'i/yJ
HEATING (if required) ___ ) I ~. /'2/2/1'?J
FIREPLACE ()L. I ~ ./J2./..l!~~
GAS LINE AIR TEST
CC?VER NO WORK UNTIL AB/OVE HAS .B~EN SIGNE~ . I
1t,4JT~~ / HOUSE ".pp,.,..~ . IHftv /I4./>~Rrjt.,1t { jJtI} 1#14'
111,4 avy/f/SIo~~<!.. FINALS
GRADING (Prior to Sodding) I L N.P.s, z,%. (J ~ ~ /
BUILDING1"~/.J. t;tJ, 7~,I,6 ~ /Id ~/$"'/~
ELEc:rRICAL I. , _ ,;l /7 /dC,
PLUMi)ING jIt'f- / / ,%,/06
HEATING ~ - ~~h
DO NOT 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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
@erfifitafe of @ttupantl!
CITY OF PRIOR LAKE
~epatfmtnf nf ~uilbing Jf nspttfinn
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 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:
_"'C/NGL e.. I-HN/L'./ ~5. 113t7
Use Classification - "7 _ Bldg. Permit No. /
Occupancy Type _
1<23
Type Construction_
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I'-/r'lPt.-E ChEAl
_ Zoning District
"el
Legal Description _
Owner of Building
L2,
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Site Address 330C> GfVqq5 $T/i!!Cc:T .tYIV
Contractor's Name & Address K. ,1/.IV/IT. 1530 _2;R.6'H ...-:T 1'.1.,
I~tft/,---T O. HvrCf1/ljS 'p:CityPlanner
, / Buil~g Official ,
Date: 7' /'" /t:2..6 Date:
r ' POST IN CONSPICUOUS PLACE
New /'kV'I(<juG
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CITY OF PRIOR LAKE ~oz:~
INSPECTION NOTICE SCHEDULED ~
ADDRESS -X? (> 0 G::jys <..J';I
OWNER CONTR.
TIME
PHONE NO.
PERMIT NO.
'--~ - //:/9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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rf'WORK SATISFA... ",';/, I"RQCIiIiI"\
/0 'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL E EINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOrl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS :? .3 OtJ ~'j!/~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
DATE
~~/a;
S/-
nilE
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~CT ACTION AND PROCEED .
o CORRECT WORK, CALL R REINSPECTION BEFORE COVERING
Inspector:
Qwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIIOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ ~OO 6r!<<;..{ 5/.
~
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIllE
S"'-zz.a
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Os.. 1131
~EX~L1NG
o COMPLAINT .
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectO~ ____ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
33<'0
g.~ ,9S
//
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
[J FRAMING
o INSULATION
o FINAL
[J SITE INSPECTION
o PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
~MBING FINAL
o MECH FINAL
DATE nME
/A~~
/s/L
s--/LJ'7
o EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED . _ /,.......
~RECT ACTION AND PROCEED ~ <--,
o CORRECT ~~;, ~ REINSPECTION BEFORE COVERING
Inspector: /~ ~er/Contr:
,..,.,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI