HomeMy WebLinkAboutBldg Permit 03-0933
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~30.o3
/4-tz.? N/~{)J'
V/e7~
LEGAL DESCRIPTION (office use only)
LOT 4BLOCK & ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
I, White File I PERMIT NO
2 Pink City . A:5?-- 0 4.3' .~
3. Yellow Applicant V I J
ZONING (office use)
PuD
77fE.' WI VO J
PID 2/S-z97-~f-O
-
J- /Z.~_
(Phone)
~ {"= . 5
(Contact Name) /f (./ I;~ s;; H L~ V
(Address) L/ LX' A c- <' cl ( ') T 57- ~~/ < /
(Phone) ,(., /;./ ",,2.3 /) <;- c/'_I.,}
(Phone)
/-/ /L.j 5 )- /00-;-
TYPE OF WORK
o Misc.
x
/
J"
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
t
~ew Construction
OLower Level Finish
ODeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
/
~ q'lt 000 ,-I
$ d040,951
$ 13:Jb. b~
$ . /L/3~5'q
$ I
$ I (J(j.- 1
$ /1>(>). - I
$ . =<t::;,t:JD I
$ Lfl?,- I
This Application Becomes Your Building Permit When Approved
~
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 ~ial or a designee may
enter upon the property to perform needed inspections. ..-
~)~-
~_/ - ....~'"
"-~ Signature
..
~
Building Official
t/i 10(07
-Date
OPorch
ORe-Roofing
ORe-Siding
OUtility C6nnection
OAddition
o Alteration
:7 v'c.) ) f.
5/jc/ k}
~
3 .....1/
Contractor's License No.
~
I Park Support Fee .;------ # I $ g..sO. .-
I SAC # $ I d/75. -
I Size 5/8"(S) $ . .
Water Meter 30Ct -
I Pressure Reducer $ 70.-
I City SAC and WAC # $ IddC>~-
I Water Tower Fee # $ 70tJ? -
Builder's Deposit $ I~C>O, - I
Other $
l TOTAL DUE CAvtkD 7.\4 03 $ rJlo~/,6-'T
I Paid
I Date
l} tf/:5l
',. I/. 01
"
ReceipfNo. ~{, D
By A-
U
This is 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 7~~ ~/;0fo3 tf~a4 . /'
Planning Director I Dale . Special Co tions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2 Districts
,.
Reviewed by: ~ f~tLJ Date: ~1/7/03
Building Permit # PID: Zoning:
Site Address: /~C,;;>S W~ V~ .
Legal: L tf . B ~ Subdivision: TN uJ~
Existing Structure? YES t!!Jj)
Existing Nonconforming Structure? YES~
CONFORMS TO ZONING
ORDINANCE
YES'
NO
Yard Setbacks: N/A I FAILS(COMPLIES')
. Front Yard (setback average if in-fill lot)
I. Side Yard (25' if abutting a street)
I. Side Yard (Easements)
. Sidewall exceeding 50 feet required additional
side setback of2" for every foot over 50' long
I. Rear Yard (Easements)
I. From 100 year flood elevation of wetland
. From OHW (Prior or Spring Lake)
Standard
25'
10'
10'
Wall over 50'?
Proposed
ZS'
.'S3 '
zo. ~~ I
f'-lO-,J ~
~ 'LS'
(0A
25'
30'
75' or setback average of
adjacent structures no less
than 50"
tJP-
I _
, Floor Area Ratio: N/A / FAILS~CO~:PLIES::) I
1 Yard Encroachments: NA / FAILS~~PLIE~',
Eaves and Gutters no more than 2 feet in width and
no closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
.30 Ma.'<.imum
/ () /0
Standard
Proposed
No,.Je
~O rJe-
Tree Preservation~ / FAILS / COMPLIES
. Total caliper niches
. Can remove 25 % of total
. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
Proposed
vz:!
L\1EMPLA 1E\BLDGLIST.DOC
I Drivewav: NA / FAILSre0MPLI~S/
. Maximum width at property line
. Required setback
. Maximum slope
. All parking areas to be paved including R-Vor
spaces adjacent to the garage
. Location to match Subdivision grading plan
I Buildinf! Hei2ht: COMPt..~1 FAILS
Shoreland District: (~"\) FAILS / COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
Bluff in Shoreland:(N-M1 FAILS / COMPLIES
. Setback from top of bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
1 Floodplain:C~A} FAILS / COMPLIES
. 100 year flood 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
l Accessory Structure( iiiJl F ~LS / COMPLIES
1. Size
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
I. l\1a.xinm1'11 hpi~ht
I Compatible Materials
L:\TEMPLATE\BLDGLIST.DOC
Standard
24'
5' from side lot line
30' from R-O-W on comer
lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
30' setback from slope less
than 18%
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9 Prior Lake
914.4 Spring Lake
909.9 Prior Lake 1
915.4 Spring Lake
Must be 1 foot above flood
elevation for new and
existing structures. If
existing structure was
constructed 9/19/90-
11/22/97 then additional
foot is not required.
Must be flood elevation or
higher
907.9 for Prior Lake
913.4 for Spring Lake
, Standard
832 sq.ft. /25% rear yard
10'
IS'
Proposed
2.0'
r
5
""Z.. ~ 0
NO~e-
~
\
2..6' F. t>~ - 3Z
Proposed I
Proposed
Proposed
Proposed
,
I
I
~
~~
C "Yhite - Build"inV
Canary - t:.nglneering
Pink - Planning
Thr ('('nlff of Ihe ..Ikr Countr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L) J E ,S, -J- MG
APPLICATION RECEIVED "- ~ - 30--3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for i"J;Z~~ctiVW;!;r~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~~
,t/~ CLLf
r
Comments:
Date: 6// ~ ~ :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."
White - Building
Canary - En9ineering
(5nk - Plan~
The Cfn'er of IhE' L.kE' Coun.I'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1. ~
.--.~
~.,^"..,
'...., ,.../
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ j (- l' ,.~..,._
',1 ,'~ / /. .
C ,f.' ."--,-
Accepted
Accepted With Corrections /'
Denied
,..
Reviewed By: ~ ~~
Comments: /:.~~/ ~~ 4~ ~ ~
S-~ t5r- ~ 'r ~ A,e, ~ ~
~.f).. ~ ~ ~~'.~ ~
~ q-,J-6j ~J-I~'
Date:
6//(p/o.3
,
~
"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."
Tht Crnff'r of lht L.kr Counlry
White - euilding
c:-L.... .cJ{y - Enaineerino )
Pink - Plarming
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[) c,' E . (~. ..7:- IL/C,
"c.-: _ ,--;:> ,.. \ .-::>
"". ; ..,,-.... -'J/" ., -- ~
---.':!--' .../ , ./ V ",,_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constr~ction~ctivity wh}c~. i~lroPQsied,at
I /1 i ., I ! / / ii/,."y.., / / /.' ! I ~
I~'. ,~::...~ (/-_~7 //.~L'~~fL{~{.{~:<:J L<'.~/f~<~.. (.f.-I
Accepted X
Accepted With Corrections
Denied
Reviewed By: ,AP. 1) ~ Date: Co 17... L1 / 0 ~
- TVO -
Comments: See Reverse Side for Addition~llnforl11~tinnl
See Attachments: 1) Gradin1! 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. II
09/12/03 FRI 08:24 FAX
~~~-l!-~~~~ \~~.~u
l4J 00l/002
LilY U~ r~IU~ LHK~
~~~Y~r4~~~ r.~~
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I Illw. ,ae I PERMIT NO'3'- (~j)2?
1 Gald C:ily - 7 J V
J. Ytll<l'" ^~ollw\
(Please type or print and si?;ll at bottom)
ADDRESS ZONING (offlcc Ilse)
14- (0 'rl.5" ~ I ~ \~.~ \, \ ~ 4:!
LEGAL DESCR.J.r BON (office UGe only)
LOT
BLOCK
ADDITION
PID
OWNER I . I A" r l~ .
eN ame) u..J e s.1 Q'r l-...Q.. \J Q. \ fI f~e. IN T
(Address) I ~ \j l \.c K ~ l^ ~ r;J tkp l~ ' w ') .J fYL".} ~'3 ^ c:
APPLICAlfT ~. I
(Name). haY'~Ou \ L\.{~~I tV) '1:~(' (Phone) f} 10 ~
(Addre5!:)~Oq h } to ~ vJJ ..,Wf\Jk! \C\~./~OUcgv \ lY\ Vd
(Address) - (CitY) -'
(cont.ctP'''O")W(J~ l\Jp Ir.0~ (Phone) f!lo~
APPLICANTSIGNATJR~t~L.t..~)^fl.(j)~1~. .... DATE...
_, .c .....
(phone)
~ ,t'J~K'^
55"'3 (J(.j
(Zip Code) .--
Ll~~.. r;h~
g,/~,- O~
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixtur:e I Quantity
'3 Bath Tub with or without shower --<1...
, Dishwasher ~
I Floor Drain
b Lavatory (Bathroom Sink)
I LAllndl)' Tray (lor 2 compartment sink" .
t \ Shower Stall
I Sinks
, Bar ~ink i" \-:\ D. -..._ lJj lJJ'"V . I
~ '\;:l(\..... '. ..~ 6t->~
~~ 0 s.,;::~ c~::t~.(TOi~let) - UL
.:t'Ce. ~Q.y..: L.. N'"f . C:. FEE SCHED E
Industrial, Comm~~1a.1 Be. Multl.faml Y Co ordb coSt with a S39.$O minimum
Type of Fixture
Rough-ins SM.~'-t-_ ~rt" c~S L'tl; l
Water Heater ~u~.\-\w~\JI."~ u tJ
W t S fin ..., J-~ CVI ,Ll..:u.-.\., ~..~
a er 0 er
Stand Pipe (Washing Machine)
Sewago Ejector
Backflow Assembly
- . Backflow Assembly Test
Lawn Sprinkler Ie I" 1~l.:...-TI.L..r..(l 1
Other-t\(~p~<;:c.. ( '. - - \
w~s \.....:... (l CI.... l ~) 6u.1S ~ <:'.lecrk
WOl..~k fa.~
Residential, New One & Two-Fam!ly $99.50
Residential, Additions & AltCJ'1.liom; S39.50
Estimated Cost $ \5J ~Cl567
Building Permit #
tJlJJL~~D W/il-(
~'i i i .50' ". i G PERMI7"
S)../ L.:J '0 L~:, L-' L_'! ! j
'\ . i'
,! i SFP! 2 ~88') I 'I
~LPald oJ L~rlReceipt No.
By~-------l By /A~
-1"
I
PLUMBfNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(OCli cc lhc Only)
This Application Becomes YOUT Building Permit When Approved
Bulldln!: Official
DAre
24 hour notice for aU inspections (952) 447-9850, (ax (952) 447-U4S
16200 EJ,gle Creek A\le., S.E., Prior Lake, MN 55372.1714
lCTRL P.~2
08:54
C I r( UF PR lOR LAVE
9:;,2d47...2d5
~002/002
P. (11
Date Rcc'd
09/12/03 FRI 08:25 FAX
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREl'LACE PERMIT
I
<FJea.sc ~ or print md ~ at bOCfOm)
ADDRESS
14~ ~S ~.t'\\\., ~,\.~ L.,)
~'~ ~ I PERMIT NO. ~- (h7' 3$
J. y.l'- Appl;WI /
ZONING (otlllx lUC)
LEGAL DESCRlr 110N (office use only)
,LOT BLOCK
ADDITION
PID
~=~\.ue.61'a~ 1J~\~, A~Mp::f
~AddIess) \ ~ '1llo y" 'N 0 ll~1 ~r
APPLICANT k ~L
(NameL UV>~W I' U ~~ i, ~ ~ ) ']:r-,,\r_" (phone) fj h~
(Address) ~a 9 S" Ita ~ ~ l w \U..u 'A ~,.;~('\, I ~ r- ) hi V\J
~~o ~~
(Contact Person) lu q:,,~L l\J d ~~ . . (P~"",,) ') b '1.
APPLICANT SIGNAT~L~,.-il/nYk.Ia.~' "__,.,,___ DATE
(phone)
~r~'l.-J~,. h0 ~
5 5' ~ cr"t\'
LI}D-~~
..~ ~'J '!> D l/
. (ZIp Code) .
LIXi) - ~ '=' f(c
q - r~- C\.3
APPLICANT PLEASE COMPLETE BELOW
t::j1<I'.t::W CONSTRUCTION
FURNACE MAKE AND MODEL hili a I v-P
FLUE SIZE (. '<, (, rV 'C.. RETURN OPENINGS
TYPE OF SYSTEM
OWIlfll1 Ajr Plants
OGravity
o Mechanic.aJ
~ Conditioning
CiJY'ent. System
o REPLACEMENT 0 AL TERA nONS /
~\\) If't-. 1$\ u... TI + FUEL rU (PQS
, 0 i-. ~S""' INPUT \~r\ ,"'f'\" oUTPUT \ l:t
.. . .
REA TING OR POWER PLANT
o Steam
o Hot WIlIc:r
o Radiation
o Spec:ial Deviees
t:l Othef DC"Ic:es ~t<:;. k"..o.
~ '\:)",'fe'('"
f",c)(\
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side yard
Setbacks
FIREPLACE MAKE AND MODEL
- ,. -'
---
Industrial. Commc:reial & MUlti-family
Residential. Heating & Ale (New Construction)
- B-csidcntial, Heating Only (New Construction)
FEE SCHEDULE
10/. of job cost Residenti..l, Gas Fireplace
$39.50 minimum
$99.50
$64 50
$39.50
Estimated Cost.$ ~.\ l ~-o(.)
Residential, Additions & Alterations S39.S0
Residential, AC Only 8. P,q $39.S0
'lJ1I..D,;D WJ'!"jJ
Building Pemit #_ . ''''G ..o~ '7
, f:/A,frr
"
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
I
L L.J ie,
\ 'i.::'
~W'~~-
.....':J G
(oroc~ US~ Only)
This AppllcatioD Becomes Your Building Pennit When Approved
r,. I
i; SFP 1
,Paid .
I~
~ 2~CJ
l_...Jtl ceipt N~_
B:' cr.
~.
BuildIng Qrfin.]
Date.
U hQur notice tor- an Inspections (952) 441.98S/), IA.:<' (952) 447-4245
1 --2110 'Fr.s...,,, C':reelc !\V,"hue. Prior LAke. MN 55372
Sep 18 03 08:44a
5EP-18-2003 08:39
Westonka Mechanical Contr 612-472-4S61
CITY OF PRIOR LAKE 9524474245
p. 1
P.01-'01
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
C!'l~"c: lVDe or DrUlt a114 'IIID It bottolll)
ADDRESS- -
li.fbJ.c5'"
I. 01_ ~ri_l.
! YeJlMa. --C,tv
l. Clold Apvli"nl
PERMIT NO. 3- 1"'3-1
,^),'IJs .v;e..J
ZONING (olIkt IIIC)
U I \,J
I LEGAL DESCRIPTION (olfice U$e only)
LOT BLOCK
ADDITION
PID
OWNER
(N arne)
D. Z'. S . Lrlt.
(phone)
(Address)
(Addrtu)
(City)
(Zip .code)
APPLICANT I}
eN arne) ( J-c:' ~~ V't)1 " "
(Address) 6,::>7)1 co..I2) .j S-
(Address)
(Contact Person) R r;G-tj c:./c;."t(" /J
APPLICANTSIGNA;URE ~ ~ fJj!J(
slc~
.
(Phone) (C;<;;;J) L/7:l-l(lj-;;:C;
rV1tu-1 d r vYl '^ s""S-"S 6 t/
(Cliy) (Zip Code)
(Pho~) rhI ~) '7 i/I- 9 '7 7 r:;
q!t'fj/O'?
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service .1. inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABS fitPVC 0 Cast Iron
Estima.ted length of sewer line 'SI feet. .
Clean out (if required) located at feet from structure.
Estimated Cost S
FEE SCHEDULE
$35.50' Industrial, Com'I" Multi-family 1% of job cost with a $39.50 mmimum
$.17.50 Water connection only S17.S0
. ....t'l
q O{)~"- Building Permit #. ..-- .
Residential sewer and water line connection
Sewer connec:tion only
SEWER AND WATER PERMIT fEE-. S
ST^TESURCHARG~ $
TOTAL PERMff FEE S
.'50
Bulldln, Offirilll
Dill.
I Paid
I Dat~ E p 2 3 2003
St. /:J;q;;
- -'" V/l.D ro *' t
K~lpt NO.~(,' ,).,~
'",,!"-
'-...i<j"
(omtC Vat 001,)
TbJs Appliution Becomes Your Building Permit When Approved
By'
tj\
I.
24 hour notite for IIU in!pentioftl (951) 447-9850, fu (952) "'1.4"."
1-
,~, Y
t:'
TOTAL P.01
~001
9524474245 P.02
03/16/05
1~:15 FAX 7635530887 GUYERS BUILDERS SUPPLY
CLTY OF PRIOR LAKE
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDI110NINGIFlREPLACE PERMl1'
(Please tIEe or print and sign at bOlIOm)
ADDRESS
.-:/ ~;2? /A11-/J,-)0~
LEGAL DESCRIPTION (office: lISe only)
I LOT
BLOCK
ADDITION
oWNER
(Name)
wer;-~ ~
.
~: ~ ~\~ .PERMlT NOrtZ. nii2"l.
J. '(dIP "'PP~".L ~ " ~
ZONING (ot1\.awr.)
PIP
(Phone)
(Address)
APPLlCANl:;' ~ ,.,. // {?
(Name)~/t('~ );:P!/!~~ ~~.:~
(AddrEss) IHo (' 15:;1- /f-Y # R't!#?~
/J (Ad~~I)
(Contact pmon) ty e-z-, ~~ '" ~ '
APPLICANT SIGNATURE ~ l ~
(Phone) ---.2ft q ~ 9 r./ 7f~ :3
.I/U ~ ~.5# I
(City) (Lip Cone)
(phone) _':?~ ~~ ~ '7 V' 4'~ c.... '5
DATE
;1 APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 R.r:t'LACEMENTD ALTERATIONS
FURNACE MAKE AN~ MODEL f) I) /t~/~ V t.L (/) f!) . FUEL NI'f,Y
FLUE SIZE ~... . RBnJRN OPENINGS INPUT ;2 ~ ~ oUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarrn Air Plants 0 Steam
OGl1ivity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices .
. OVent. SystWl 0 Othcr Devices ....b.A!.Vl0~ . \
fIREPLACE MAKE AND MODEL c)v,RCK./f>7e- 2) ~ f9.-€J
FEE SCHEDULE
1 % of job cost RCliidcntial. Cas fireplace
$39.S0 minimum
S99.50 Residential. Additions Ill. Alterations
$64.50 Rc&iden1ial, AC Ollly
1 Paid
\ D~~R 22 2005
24 hour notice for alllRSllectlon:o: (952) 441.9850, rai (952) 447-4245
.1'
'. .
Tndustrial. Commercial &: Multi-Family
Residential, Heating &. Ale (New Consuuction)
Residential, Heating Onl}' (New ConstrUction)
Estimated Cost $
~
HEATING PERMIT FEE'
STATESURCHAROE
TOTAL PERMIT FEE
(Office L1n Onl)')
This Applicatkon Becomes \loar Building- permit When A.pproved
llulldlng Official
Dlle
PLEASE NOTE:
Air Conditioner UT1its
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Building Permit #
$
$.
S
PAID WITH
tilOlLDING PERMIT
. Receipt No.
'.1
By
C,fII14,..A Y:'"_ .. ,....__.. ........... .....J.._. _,._ "'If" t:e'11"f1
TOTAL P.02
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS --''' "'~-s t..);c..DS ~.
NATURE OF WORK ~C4J CA.t..\.~
USE OF BUILDING U~t:f-' . .
PERMIT NO. a5-0qJ~ DATE ISSUED -'11-/.03 .
CONTRACTOR ~S. fl..'c.. _ PHONE.'I.Z77.~C(;-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
J FOOTING P....,tL 4Q..'I;\~ eutU....y ~pJcJA.
, FOUNDATION (Prior to Backfill) I ~ I fB{~j/L)"'J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ ROUG~-INS
. SEWER I WATER I SEPTIC . - .- ...,~
FRAMING ,J t')
INSULATION W C v (/;;)
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I
I f'-/7
I //.L)
I II-S,
:J/;7~
. I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~/LMJIE I I/l/(/ I bj~/g'o<j
. w.tJjA~~U' FINALS
. GRADING (Prior t~Sodding) ~ ;t/ 15
BUILDING--J~ b 8 - \ -06 (I g
ELECTRICAL 0
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
INSPECTOR
c:;; if
. ..
/.Hj
IT /-.
I _ f'F~,
U~
We-
~
DATE
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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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J'-I "'?5
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~ j,,:JO:E,_
SCHEDULED CJ~
W.i.JJ~c.. V, 'r JJ.. )
TIME
CONTR.
PERMIT NO.
~-!S~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASL,INE AIR TST
;:Ji?1 S'.I-,
^ \ J(\ (\
l ~At>Ztj1f 1 / Vq-<!
~RK SATISFACTORY, PROCEED
o CORREC C ON AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S -22~
ADDRESS $5W~ (J/'.r.c./
OWNER CONTR. D~..s I"e"
PHONE NO. PERMIT NO. 6.5 -9 JJ
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
o MECH FINAL
15:- ~nr....p:ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
cui!:; & r - 0 Ie.....
61'f!~~f(
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5f;k
TIME
ADDRESS J LJ (.I 2:) tv (l~ c; v; e0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
.I:l)t'ISULA TlON
J!- ~~NAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO. g-1! 1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,. c.>>At~ {?~ Q.aA ,\~~ ~.~~
S'ecr
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.~
(If-t{- 0 to
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0-- l -Of?
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'J. CORRECT WORK, CALL FOR 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!
INSJiOTl
5;'~~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS Jq~2-lr' LJ\~
OWNER CONTR.
PHONE NO. PERMIT NO. S-"13(
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
J} INSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION )(MECH FINAL 0
COMMENTS:
t. C.eAll +~r ra.uvl Q~ t'1.,,~ ~~ SJ)
'/. '2. M4~~/~ ~lJlAtt.fJsJ,C:. ~tJ~
~,tc..u _ ob-c'lN.., Mo.X Z<-I C A '=---.p177je.J: vU
5',to ~'cL. ~p l; ~ . I
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c-
NC4.\~ foJ'r~ ~~ ~,
"141- cra~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORR~. n~~ CALL FOR REINSPECTION BEFORE COVERING
Inspecto l' ~,~ 1 Owner/Contr:
CAL ~~~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl