HomeMy WebLinkAboutBuilding 02-0060
w
::E
i=
w
.....
<(
o
Ww
::s::o
:5i=
,,0
OZ
-Z
"0
a--
u..'-
o~
~g;
-Z
0_
~
-J
o
W
..J
:J
o
W
J:
o
(/)
~
~
~
~
~
"
UJ
UJ
W
"
o
o
<
0:
.-
Z
o
o
"
W
Z
~
~
C>
'\;:)
Cl ..J...
~ <UJ
..J -~.-
..J "u.."
-...ww-
!:!::~Oo<
~~~~~
Cl::EWW~
:o20!!:!!:<
WOu..u..Cl
000000
tJ
o
Z
.-
:E
"
w
a-
o.o...J
:J:J<
::S::::S::~
" 00u....J
Cl OOCl~
z_J:J:z_
iii"""iiiU.
::EJ:w~::EJ:
:JO'" :JO
..Jw~ ..JW
a-::E:>lI)a-::E
000000
o
Z
W
Z
o
J:
a-
z
o
z 1=
0_ z 0
o W
~!;(~~ g;
_0-.... z
b~~~~W
o 0 " v, ~ !:::
u.u.u.~u.lI)
000000
~
~
'=>
'-1
en
....
Z
w
:E
:E
o
o
c
W
W
o
o
a:
a-
Cl
z
it:
W
>
o
o
w
"
o
u.
w
m
z
o
i=
o
w
a-
ll)
z
iii
"
a:
o
u.
...I
...I
<
o
....
c
o
U
1:
Q)
c:
~
t5
8-
Ul
c:
ui
o
Z
<
>
o
<
~
UJ
"
::::J
o
J:
"It
N
Z
o
i=
o
w
a-
UJ
!:
...
X
W
Z
W
J:
...
"
o
u..
o
It)
CO
en
.
E
~
~
"l:I
i::
~
~
<::l
~
i:l"
~
~
Ilc:
~
~
~
~
~
~
::s
C>l
~
Ilc:
~
l::l
8
i::
~
~
o
ui ~
E--.
0 ~
Z
.\1) Cl ...I... < ~
<lI) >
!: z... 0 "l:I
w~ ...I it:u:" Cl < ~
~ ::!...WW< Z ~
::E .. C2 ~
i= :--... ....9 !:!::~(.)(.)W UJ
~:5:5:5~ W a:
>
Q n.n.o...J 0 ::::J ::r::
~:j ~ Cl::EWWlI) (.) 0 ~
XO!!:!!:< W J:
~ I ~~~D " "It
~ 0 N Cl
.J u. Z ~
W .... 0
c
~ X) m 0 i= Q.,
Z ~ 0 ~
0 W i::
H~ 1= Q; 0. ~
(.) c: (I) ~
J o.o.;i W ~ Z
c 0 :J:Jz 0. 0 ~
z ::s:::r::u:..J (I) ...
W it: z X
...I .- 00 < c c
0: W iii W ~
::::J :E Cl OOClZ ~ W Z
0 ... Z-J:J:~u: W W a: Ilc:
W Z " iii"a:"mJ: (.) (.) a: w ~
J: 0 W 0 0 0 J: ~
0 0 n. ::EJ:~~~(.) a: a: u. .-
3~~w~~ n. 0. ~
lI) ...I "
~ 0.::E: (I) ~ 0 ...I
ooooob( " Z < ~
0 < (.)
~ ~ ... Z ~ ~
(.) 0 a: ;;;j
< i= 0 C>l
~ u. (.) ~ ~
(I) < Ilc:
~~ 1= ... ... ~
'-." < (.) (.)
Ww lI) W W 0 Cl
::S::o Z Z t; :r:: oc OC \,,)
:5i= OC OC a: t5
Q 0 ~ 0 0 0 Q)
oco ~ (.) (.) 0-
Cl!;(Cl1= (I) Ul
OZ olt-o E
0 z:s Z
-z ~c_ ...l-
OCo UJ Z ...z::E:J<w
0.- (I) " w o5~lI)z!:::
...
u..o W W Z ~u.u.~U:lI)
Ow " z 0
~g; c ~ J: 0000 Q(..o
0 0 a.
-z <
0_
5" o"':g 0 000000 "tl 0 > -(")
Vl :::t :E 0 Z_
-0 0 0 :E lI)"T1Z"T1"T1"T1 0 0 ~::;!
g (1) 0 0 0 =tZ(/l~OO z z ;U
(") n. ::0 ::0 m>C cO m mO
> ~ ::0 m ::0 m ~"T1
t:::l ::0 ::0 ~ _r!;3:Z-t en
~ r m m Z -0- z en -"tl
r 0 0 en en -t~>~ 9 0::0
~ t -t -t > "tl - -t z-
~ :E > -t m 0 - zO
lCl ..... Ui o z 0 ""'"
~ 0 0 -t Z 0::0
S; -t "T1
co ::0 (5 > (5 "l ::i~
>ci en ~ 0
~ 0 Z -t Z ,., o~
"T1 0 > 0 ~ mm
~ 0 > Z ~ .......
;xl r
r 0 V,
~ -I "T1 "tl "tl
~ :::t 0 ::0 ::0
~ m ::0 0 0 00)1')(00
~ Z ::0 0 0
~ m m m m 3:"tlen:E3:"tl ~
x m m
-t Z 0 0 mrm>mr
en ~ oC~-toc
~ ;S Z 0 "tl J:3: m:x:3: "tl (") (/)
en ~ m "T1!!!::O::O::o!!! m 0 0
~ "tl ;:) 0 ZZJ:J:-Z ::0 Z :::t
::! m (1) -t >(;)00 (;) 3: -I m
~ (5
rii 0 (") r:!!~~ 2:! =t ;0 0
-I 0 Z C
6 ~ ZCC Z r
~ lD ~ ~"tl"tl 9 m
Z m 0
Cl "T1
~ ~ 0
"..
:::t ::0
m
~ 0 0
C 0 () t
~ ::0 < 000000
t-< (/l m ~
:iJ Z 2:! (;)"T1"T1om c
I )>
> z >$$O~ ....
Ro (;) ~mm3:(;) m
0 "-
52 < _"tl"tl"tl~ () ""
~ > ~!;!;!;o
Z >OOz=n
(") ~
""i [T1 _mm-t- -1
::s ::O"T1;xl r
-t-- r i
enz Z m
-t~ (;)
5" o~o (") 000000 "tl 0 > -(")
Vl 0 :x: :E 0 Z_
-0 o C1 :E en"T1Z"T1"T1"T1 0 0 ~~
(1) 3: z
g (") n. 000 =tZ(/l~OO z m ;xl mO
> ~ ::0 ::0 ::0 3: m>c cO m ::0 m ~"T1
t:::l r ::0 ::0 ~ _r!;3:Z-t z en
~ m m en m Z -0- en -"tl
r en -t~>~ 9
~ t 00> Z 0::0
-t -t -t "tl - -t z-
~ -f m 0 - zO
lCl ..... :E > - o Z 0
S; ~ o 0 en en -t Z 0::0
co ::0 ::i ~ (5 ::i!;
>ci en ~ 0 0
~ 0 - z-t z o~
~ "T1 o > 0 ~DD mm
0 > Z ::0
'<: ;xl F 0 ;<
~ :i " "T1 "tl "tl
~ 0 ::0 ::0
~ m ::0 0 0
~ Z ::0 0 0
C5 m !!! m m 3:"tlen:E3:"tl
X m m
-t Z 0 0 mrm>mr
~ (/l oC~-toc
:;: ;S Z 0 "tl :x:3: m:::t3: "tl (") en
~ en ~ m "T1!!!::O::O::o!!! m 0 0
"tl ;:) 0 ZZ:x::x:-Z ::0 Z :::t
::! ~ m (1) -t >(;)00 (;) 3: -t m
~ (5
E 0 (") r:!!~~ 2:! =t ;0 0
-t 0 Z c
6 ~ lD Zcc Z r
~"tl"tl 9 m
Z m 0
Cl "T1
~ ~ 0
"..
:::t ;xl ~ ~
m
~ 0 0 f" r
c 0 ~
~ ::0 < 000000
en m l
:iJ Z ::0 (;)"T1"T1om c
Z )>
> >$$O~ ....
Ro (;) ~mm3:(;) m
C
52 < _"tl"tl"tl~ 0
> ~!;!;!;o
~ Z
(") >OOz=n ~
""i [T1 _mm-t_ -1
::s ::O"T1;xl r
-t-- r i
enz Z m
-t~ (;)
0 0 ~: 000000 "tl 0 > -(")
J: :E 0 z_
(") (") en"T1z"T1"T1"T1 0 C ~~
0 0 z
t'J (") 0 =tzen~OO z m ::0 mo
Cl > ::0 ::0 ::0 ~>c3:i8 m ;xl m (")"T1
t:::l r ::0 ::0 ~ zr!;-o- Z en ::i"tl
~ m m en
r " " (/l en -t~>~ 9 0::0
~ t -t -t > "tl - -t z-
~ :E > -t m 0 - ,-.... zO
lCl ..... Ui " z 0
~ " -....J 0::0
S; 0 -t "T1 -t Z
>ci co ::0 (5 > (5 ::i~
en ~ "
~ 0 Z -t Z ,,~
~ "T1 (") > 0 mm
0 > z ::0
'<: ;xl r 0 ;<
r
~ -t "T1 "tl "tl
~ J: 0 ::0 ::0
~ m ::0 0 0 000000
~ Z ::0 " "
~ m !!! m m 3:"tlen:E3:"tl
X m m
-t z 0 0 mrm>mr
en "c~-t"c
~ ;S z 0 "tl :x:3: m:x:3: "tl (") en
~ en ~ m "T1!!!::O::O::o!!! m 0 (")
"tl ;:) " zz:x::x:-z ::0 z :::t
::! ~ m (1) -t >(;)00 (;) 3: -I m
" ~ (5 r:!!~~ 2:! =t ;0 0
~ (")
~ -I 0 Z c
6 a lD Zcc z r
~"tl"tl 9 m
Z :"! m 0
~ "T1 .,..
~ 0
"..
~ :::t ::0 ,
m
~ 0 "
c 0 ~
~ ::0 < ooooo~
en m
:iJ z ::0 (;)"T1"T1" C
Z )>
> >$$O~ ....
Ro (;) ~mm3:~ m
0
52 < _"tl"tl"tl
> ~!;!;~ f'I
~ z >""z
""i (") _mm-t_
::s [T1 ::O"T1::O r -1
-t-- r i
cnZ Z m
-t~ (;)
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
() elk Lo..n e.
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 3 ADDITION
I. White File
2 Pink City
3. YeHow Applicant
j- Z. -01
-00&0
RI
PID 25- 70-033-0
OWNER
(Name)
(Phone)
(Address)
BmLDER (J ~ Jl
(Name) ..') A..U' .
(Contact Name) " ~'lctSQyJ
(Address) O~00~~dae Cj-~t:1' lOO
TYPE OF WORK
DDeck
o Misc.
';8! New Construction
(Phone)
(Phone)
QS1:1bY;-790fj
QSL-2.2(p- ;33~
OPorch
ORe-Roofing
DLower Level Finish
o Fireplace DAddition o Alteration
PROJECT COST IV ALUE (excluding land) $ /?KP cr
ORe-Siding
DUtility Connection
"
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
enter upo he property t~ pe form ed inspections.
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
s Your Building Permit When Approved
I - 11 - 0:.2.....
Date
O?DDO~57
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
4-'1/7 (p
I ~;ce~
Water Meter Si 5/8; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
I ~~~ f t{~~~7
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
iSSU~<t9---~ .. A~,'
~ ' =-~ -'7 L/~L{/cf)2- ~,fHl\~- ~~
.... Planning 01 ectat Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
l'i \ ( CITY OF PRIOR LAKE . _" Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMfiB - I 2UUl
~. ~~~:\V ~1~ic.nl I PERMIT NO'62- OO~(j I
ZONING (office use)
J1~,5 B~y-y-
E
LEGAL DESCRlPTION (office use only)
LOT 3 BLOCK3 ADDITION
PID
(Phone)
(Address)
5/c26L
(Contact Person) -J ~ r r
APPLICANT SIGNATU
(Phone) Cl5/-.L./ 5' 61- &J 775
[o..o..Qn 66/ r2 ~
(~) (Zip Code)
(Phone) X 020 I
.CDATE 1-J U 102..
!XJNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL tsr'jt\t"\-t 9~%. FUEL ~OJI GqS
FLUE SIZE o? Y2- pvL RETURN OPENINGS INPUT /tKJ,oO 0 OUTPUT 8O,~
TYPE OF SYSTEM HEATING OR POWER PLANT
~ PLEASE NOTE:
OWarfQ Air Plants o Steam
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
&Air Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKEAND MODEL ,
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Muiti"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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
02 - ooroo
f"' p"ID\'...... .
\ r-.NG pE..i"~'" .
.50~-
Estimated Cost $ 1000, ()-f) Building PellIlit #
(Office Use Only)
This Application Becomes Your BlIilding PermitWhen Approved
Building Official
Date
" - , LUlU.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
APR.22'2002 07:21 651 633 8884
FIRESIDE CORNER
#4571 P.002/002
Date Rec:' d
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
l. Pink
1. G....,
J. '1'.11....
~l~. 1 PERNIIT NO./)"7_0Q/O ]
^pp"..nt ut:c to
~_~'~MU.:t-~
APDRES~ ~
I dJS . ~ ~ . .fE
ZONING (olfir.llll:le)
r...EGAL DESCRlJ?TION (Qff1ce lJse only)
LOT
BLOCK
ADDITION
PID
,J~
(Phone)
!;=R '7JR-
(Ad..dres$)
APPLICANT
(Name) AJ~r.ED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-2561
APPLICANT SIGNATURE
ROSEYlLLE ~
. (City)
651-633-256l
(Phone)
DATE
SI'j]11
(Zip Code)
(Address) 2700 1.'1. FAIRVIEW AVENUE
(Address}
C P ) B~ENDA HU STON
( anr.a.ct . erSOtl
APPLICANT PLEASE COMPLETE BEJ.JOW
EW CONSTRUCTION 0 REPLACEMENT 0 AT... TERA nONS
FURNACE MAKE AND MODEL FUEr~
FLUE STZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plllllts 0 St.eam
CJGrf.lvlt.y 0 Ho( W~ter
o Mechanics.! 0 R.adiatlon
OAir Conditioni".g 0 Special Devices
DVc:nr.. Syst.ml 0 OtJler Dei/ices
PLEASE NOTE;
Air Conditioner UniTs
Ca:n.rl.ot Encroach into
Required Side Yard
Setbacks
FIREPtACE MAKE AND MODEJ-
Estimated Cost. $
FEE SCHEDUJ.,E
J % of job COSf 'Rc:sidcnthd, GIlS Fireplrll:e
$39.50 minimum
$99.50 Residential. Additions &. Altcrllti.ons
$6<1.50 Resid~nt.lal, AC Only
B'ld' P '# O'? ~ DO&O
UI. I.ng enn.lt. v
\ "f 1.\
$ ..' . '0 \N, '. '. ....'
r ~~" ~ y';',< .,. -'
$ ~\~)G -
$ , ~~--
$39.50
fndustri:l.l, Commercial &. Multi-F13mily
Residential. Hearing &: Ale (New ConstnJction)
Residential. Hel3ti.ng Only (New ConsTruction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOT AI.. PERMIT FEE
(Office Use Only)
Thjtl Applh::Rtlon Become!! Your Building Permit Wben Approved
PIl!
Receipt No,
DlIk
Da,t'APR 2 3
BII"dlJ1~ OmclllJ
14 hour notice for uU inspectlonl (952) 447-9850, fnx (952) 447-4245
Jan.25. 2002 11 :37AM
GENZ RVAN PLUMBING AND HEATING
No, 1 8 8 0 p. 1:V 1 3
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
JAN ( J 2002
l : I. lllu. Fil.
2. Gold Cif;y
). Yellow ^,ppli<:onl
e~~:;"'-~~ fuL l~o_ ~.
I PERMIT NO.OZ --00 (p 01
I
ZONING (oflice u&e)
LEGAL DE:~CRIPTI9N (otlke use only)
~
LOT ADDYnON
Pill
OWNER
~ame) DR Horton CascoID Homes
(phone) 651-454-4663
(Address) 3459 Washingcon Dr Ste 204 Eagan. MN 55122
APPLICANT
(Name) G",.,.".-Ryan Pl\lw.b~T1g F. J.l"''''1"i.~g
(Address) 14745 So Robert Trail
(Address)
~ (phone) F; 'i 1 _.6. ? 3- 1 1 .6.4
Rosemount
MN
55068
(Zip Code)
(City)
(Contact Person) Mary Olson
(Phone)
APPLICANT SIGNATURE
DATE
ASE COMPLETE BELOW
Quantity Type of Fi:rture Quantity Type of Fixture
Q Bath Tub with or without shower ,~ R.ough-ins
. ...... f' .. .... Disbviasher. . . I Water; Heater ... ~ '..,' ..........
.... ( Floor Drain .. Water Softner
lQ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
Iv Shower Stall Bacldlow Assembly
, Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
,.., Water Closet (Toilet) Other
FEE SCHEDULE
Industrial! Commc.rCla[ & Multj-famtly 1% of job cost with a $39..50 minimum
Rcs\dentiaJ, New One & Two-Famtly .$99.50
ResidentiaJ, Additions & Alterations' $39.50
Estimated Cost $ . .~
Building Permit #
r-- PAlO Wn:.."
50 'NG F
. f2'.lJ1i""'JO~~..;J l__
I.
I.
/'
PLUMBJNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERWT FEE $
(Oftie!! Use: Only)
Tbis Application Becomes Your Building Permit When Approved
Paid
Receipt No
Building Official
Dote:
DateJAN 2 j {ii (
By
24 hour notice fOf all inspections (95'2) 447~9850,fu (952) 4474245
Jan,25, 2002 11:37AM
GENZ RVAN PLUMBING AND HEATING
No.1880 P.12/13
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERlVllT
JAN 2 5 2002
~~lmd_~
ADDRESS
. 6
~. ~~ ~;'. I PERMIT NO.02-00/0 J
3. Gold AppH..nt. W .
Oal.- lo.AL SW2- J I ZONING,_.,., I
LEGAL DESCRIPTION (office use only)
PID
OWNER
(Name) Dil Rn..-t-nn r:u"'tom 1i9m8S
(phone)
651 "-54 4663
55122
(ZitI Code)
(Address) 3459 Washington Dr Ste 204
(Ad.:b1:ss)
Eagan, MN
(City)
APPLICANT
~~~ Genz-Ryan Plumbing & HeaLing
(Phone) 651,..423-1144
Rosemount. MN 55068
(City) (Zip COtk)
(Phone)
DATE I
(Address) 14745 So Robert ']:rail
(~ss)
APPLlCANF LEASE COMPLETE BELOW
Size of water.ser.vloo ~inclies:' .'~ ...
Location of any couplings from structure feet
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
..f , '-ro'~.
Residential Sf:WCr and water hue connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & MultHamily 1 % of job cost wjth 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
$
$'
$
r pi'ir"~
.50 ~Ul'..D'\~G F i-. ".."
L---- i
f
(OffiCe Un Only)
This App.lication Becomes Y OUl" Building Permit When Approved
Paid
R=c:eipt No.
Dlrte
By
\ ..
'--
:Building omc/aJ
.o.tc
24 hour notice for all inspKtioQS (952) 447~98S0. fax (~2) 4474245
Tht" Ct"nlt"f of Iht" Lake Countf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/. r-.
,.
_ L-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! I
-::__,d_ f ,__.,,/
'-. 1_-
/--" l'~_
,..- ,
~~--!
Accepted
Accepted With Corrections
v-
Denied
iLJA~~
Date:
~/tLilb2-
Reviewed By:
&1~
"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
The ("f'ntn of 'he Lakf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I:LR~ Ho~(DtJ
(- 2-- 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
172 i5
Accepted
Eve/<?. OAK LANb
X
Accepted With Corrections
Denied W. ,/
Reviewed B : 'c:tJ{b..7~ - Date: I - e - O'L.
Comments:
M cd2&ff~dd /4J~-
"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
Thr Crnlft or lhr I.okr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DJ2 . tj 0 c"llJ ~
1- 2-- 02-
The Building, Engineering, and Planning DepartmE?!1ts." haye reviewed the building permit
application for construction activity which is proposed at:
/72(5 Bue12. OA/<.. LAf\JF
Accepted
>(
Accepted With Corrections
\.
Denied
Reviewed By:
fJ/!J13
Date: /- /0-02.
Comments: See Rever~e Side for Arfrfjtiol1::1llnformationl
See Attachments: 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."
r
PRIOR LAKE
INSPECTION RECORD
D.EPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 11f~\ ~ 1.5()\-r O~ LvI.
NATU RE OF WORK AJ 12 u J
USE OF BUILDING 0F)~
PERMIT NO. ~t-OO~DATEISSUED /-t3-?oo-'L
CONTRACTOR '. . PHONE ~2G.-/33f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~ - i )-
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V-, ~ r
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~ · ~ ~2-/"2-- I I
FINALS
.1\
~ 3/ 07.---
GRADING (Prior to Sodding)
BUILDING"-::e.t), tJj IIJ .,/.,1,-
ELECTRICAL
PLUMBING
HEATING
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 ha"~ been" approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850