HomeMy WebLinkAboutBuilding 02-0158
Qrtrfificau of ~cmpanry
CITY OF PRIOR LAKE
Jltpartmtnt of }8uilbing 3Jn~ptttion
~ Final Pennitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior lAJce regulating building construction or use. For the following:
Occupancy Type
Fire Zone
Bldg. Pennit No.
N/A
02-0158
RISD
Use Classification
SINGLE FA"lILY
R3
VN
Type Construction
Zoning District
Legal Description
LIS, Bl, NORTHWOOD OAKS ESTATES SECOND ADDITION
Owner of Building
Site Address
3185 SHADY COVE POINT
KINGSBOROUGH HOKES, 8750 90TH ST. S., SUITE 201,
Contractor's Name & Address
CU'llAG~~ Gl<un 5501
ROBERT 0.. HUTCHINS City Planner DON RYE
1t ~Jliing Official
) IJ ().NI f '1 ., J,.. Date:
\ POST IN A CONSPICUOUS PLACE
Date:
5' 0 D~ 0 000000 " 0 > -0
(f) 0 J: == C z_
"0 0 o == CIl"TlZ"Tl"Tl"Tl 0 C ~~
ell 3: z
8 0 0 0 o 0 =izen~OO z m :;0 mo
> 0 ::0 ::0 ::0 3: m>c: c:o m :;0 m 0"Tl
t::l r ~ ::0 ::0 " -r~3:z-i z CIl :j"
t'l'l m m CIl m Z -0- CIl
r en -i~>~ 9
::.. 0 o > Z 0::0
t ~~ -i -i -C - -i z-
t1'] -f m 0 - zo
to ..... > - en o Z 0
S cD o en -i Z 0:;0
" 0 -i "Tl
(Xl c:.; - > 0 ::!>
::.. en o 0 ~
~ 0 Z -i Z 0"
"Tl 0 > 0 mm
~ 0 > Z ::0 -.
:;0 r C .-< ~
r
~ -f -C 'tJ DD~D
::t "Tl
~ 0 ::0 ::0 vl
~ m ::0 0 0
Z ::0 0 0
~ m m m m 3:'tJen~3:'tJ
>< z m m mr~)limr
-f 0 0 oC: -iOC:
i:Iil en
~ ~ z 0 'tJ ::t3: m::t3: " 0 CIl
~ en ~ m "Tl~::O::O::o~ m 0 0
" :J 0 ZZ:J::J:-Z :;0 Z ::t
c ~ (l)
::l m ~ -i >G)OO G) 3: -f m
~ 0 () 0 r:!!~~ 2 =i ~ 0
-f 0 Z c:
0 ~ zc:c: Z r
~ [D ~'tJ'tJ 9 m
z m C
~ "Tl
N 0
"..
~ ::t ::0 ~ ~
m
~ 0 0
c 0 t
:;0 < 000000 I
en
m ..........
~ Z ::0 G)"Tl"Tlom 0
Z Vl )>
> >;ij;ijO~ -i
1lo G) ~mm3:G) m
0 Do
~ < _'tJ'tJ'tJ~
~ > ~>>>c
z >ooz:;; ~
""l 0 _mm-i_
~ !'" ::O"Tl::O r -i
-iz- C i:
en> Z m
-i, G)
:J 0 ~':\ 0 D~ 0 0 0 0 " 0 > -0
(f) 0 J: == C z_
"'C 0 CIl"TlZ"Tl"Tl"Tl 0 0 ~~
(l) 0 3: z
8 0 u o 0 =iZCll~OO z m :;0 me
> ~ ::0 ::0 ::0 3: m>c c:o m :;0 m ~"Tl
t::l r ::0 ::0 " _r>3:Z-i z CJ)
t'l'l m m CIl m Z -0- CIl -'tJ
r ~ 0 CIl -i~>5 9 0::0
::.. o > Z
t -i -i -i -c - -i z-
t'l'l ~ -f m 0 - zO
to ..... > - en o Z 0
cD o CIl 0::0
S -i "Tl -i Z v)
(Xl - > 0 ::!>
::.. en o 0
~ 0 Z -i Z r-- 0"
"'T1 0 > 0 ~ mm
~ 0 > Z ::0
:;0 r 0 .-<
r
~ -f "'T1 'tJ 'tJ
~ :J: 0 ::0 ::0
::.. m ::0 0 0 000000
t'l'l Z ::0 0 0 U\
~ m m m m 3:'tJCIl:E3:'tJ
>< m m mr~>m'
-f Z 0 0 oC: -iOC: ~
::.. CIl
~ z 0 'tJ :J:3: m::t3: " CIl
~ ~ CIl ~ m "'T1~::O::O::o~ m 0
c ~ " :J 0 ZZ:J:::t-Z :;0 ::t
::l m (l) -i >G)OO G) 3: m
0 ~ 0 r"'T100 ::0 =i 0
~ ()
-f 0 Z -"" - c:
0 a Zc:c: Z r
~ [D ~'tJ'tJ 9 m
z ~ m 0
C "'T1
~ N 0
"..
::t ::0 ~
m
~ 0 0
c: 0
::0 < 000000 \
CIl m
~ Z ::0 G) "'T1"'T1 om .........
> z >;ij;ijO~ ~
1lo C G) ~mm3:G)
~ < _'tJ'tJ'tJ~
> ~>>>o
~ z >ooz:;;
0
""l !'" _mm-i_ -i
~ ::O"'T1::O r
-i-- r i:
CIlZ Z m
-i~ G)
:J 0 0-0 ~~ooo " 0 > -0
(f) J: == C z_
"0 0 0 :E en"'T1z"'T1"'T1"'T1 0 0 ~~
g (l) 0 0 0 =iZCll~OO z z :;0
!l m mO
0 ::0 ::0 ::0 m>c: c:o m :;0 m
~ ::0 ::0 " -r~3:Z-i en O"TI
t'l'l m m z ZOZ z CJ) :j"
0 0 en ~ ::!G'l~G'l 9 0::0
::.. -i -i >
t'l'l -i m 0 - z-
to ~ > 1ii o z 0 zO
S 0 "'T1 -i Z 0:;0
~~ -i > 0 :j>
::.. 0 0
~ Z -i Z 0"
0 > 0 mm
~ > Z ::0
r 0 .-<
~ r
"'T1 'tJ 'tJ
~ 0 ::0 ::0
~ ::0 0 0
Z ::0 0 0
m m m
~ >< m m m
~ -f Z 0 0
~ en
~ ~ Z 'tJ 'tJ 0 en
~ en m m 0 0
~ 'tJ :J 0 :;0 Z :J:
::l m (l) -i 3: -f m
~ 0
~ 0 () =i ~ C
-i 0 Z c:
~ 0 a [D Z r
Z :-! m 9 m
N "'T1 C
~ ".. 0
::t ::0
m
~ 0 0 ~
c 0
:;0
CJ) < 000000 .&jo
m
~ Z ;u G)"TI"TIom ru
> z >;ij;ijo~ ..c, ~
1lo 0 G) ~mm3:G) I \ m
~ < _'tJ'tJ'tJ~ G\ :r %
~ > ~>>>o
z
0 >ooz"
""l !'" _mm-i_ ~ "'-
~ ::O"'T1;U r -i
-i-- r . ~ i:
enZ z m
-i~ G'l ..........,
~
5' 0 0 ~ i10 DO 0 " 0 > -0
(f) J: == C z_
"'C 0 0 en z"'T1"'T1"Tl 0 0 ~~
(l) Z
g 0 0 0 0 =i CIl~OO z m :;0 mO
> 0 ::0 ;U ::0 m>c: c:o m :;0 m 0"Tl
t::l ;U ;U " -r>3:z-i en
t1'] r m m Z -cz Z en ::!'tJ
r 0 0 en en -i~>G'l 9 O;u
::.. t -i -i > 'tJ - -i z-
t1'] :E > -i m 0 - zO
to ..... 1ii o Z 0
S cD 0 0 "'T1 -i Z O;U
-i
(Xl ;u 0 > 0 :j>
::.. en ?' 0
~ 0 Z -i Z OA
"'T1 0 > 0 mm
~ 0 > Z ;u
:;0 r 0 .-<
r
~ -f ." 'tJ 'tJ
;:.. ::t 0 ;u ;u
~ m ;u 0 0 000000
z ;u 0 0
~ m m m m 3:'tJCIl~3:'tJ
>< m m
-f Z 0 0 mr~)limr
~ en OC: -i0C:
~ ~ Z 'tJ :J:3: m:J:3: " en
~ CJ) ~ m "Tl~;U;U;U~ m 0
c ~ 'tJ :J 0 ZZ:J::J:-Z :;0 ::t
::l m (l) -i >G')OO G') 3: m
~
~ 0 () 0 r"TlOO ::0 =i c
-i 0 Z -"" - z c
0 a Zc:c: r
~ [D ~'tJ'tJ 9 m
Z :-! m C
"'T1
~ N 0
"..
J: ;u
m
~ 0 0
c
:;0 0 DDDDD~ ~
en <
m
~ Z ;u ~
> z llHh -i
R0- C G') CIlmm m
~ r'tJ'tJ
< z>>
>
;;; z moo-
0 ~mm~
""l !T' ~ -i
~ ;U"Tl::O r
-i-- r i:
enz z ...- m
-i~ G'l \\'
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
?rlO r L-AK e...
31
LEGAL DESCRIPTION (office use only)
Date Rec' d
. -'() ",--;
/- :,) ",I - \) iC~
I. White File
2. Pink City
J. Yellow Applicaot
LOT 15 BLOCK
ADDITION rfhWcxx\ OAKS - h~e~ 5e eond
PID '7 - -7- 01-- /.,
,'::,,'- A' n- I~-L/
OWNER . .
(Name) ~~ 'N~~\xJr--ou~h. 80M e.)
(Address)
BUILD~.. i ,~
(Name) Iklg<)~rO~h. NOrne~
(Contact Name) ~+eV MOrse
(Address)B
-I-e 20 I
(Phone) {oSl- 49Jo-IB8/
(Phone) l.c,S1- t../-6o -/00 I
(., rOUt' J..) .5"$-01 b
DLower Level Finish
ORe-Roofing ORe-Siding
~ Fireplace DAddition DAlteration OUtility Connection
PROJECT COST /V ALUE (excluding land) $~61 l4S'.OO
TYPE OF WORK
New Construction
DMisc.
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 upon the property to perform needed inspections.
X ~./ ~-;? ~rtY -."-.
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I CJ(J t CJ t:J
/00 .() 0
S;T t 0
4-0..tJl)
s Your Building Permit When Approved
2~5'-0L
Date
Park Support Fee
SAC
#
#
$
$
$ /30 _ od
$ ,/5_60
$J200.~
$ 700,00
$ ,l)c)
$
$
_ c:x:;
Water Meter Siz / ; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
. 1'1-02-
3
I ~:~ ~~{; ~Z-
I ~~cert
#
#
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
:~;/g~et4d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows 7ction to cOA~ence. Be~re ocrpanrcy, a Certi~c~te of Occupancy must be
-if . 4./~4 2--/b2-k'2/ ~(2 ~ W\C UIl2l.\ ~~ ev\ ~ -
m g Director Date Specilll Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
, "
DLO EXC.&POURED WALL,
. ~.. ',.' .:.~ -~-i..... . ; "". ... I .
PAGE 1211
1213/1211/21211212 14:53
551481218348
CITY OF:PRIOR LAKE
SEWER AND: WATER PERMIT
:I)ate Rec'd
..
~ ;... ~~, rPERMIT :ffil'), -') _ I c- c?l
J, Gold ..toppllllllll L.: __ ----. ...:12' J ~
J eN[~O(-~]
~r1 A-l! ~lDd5..:~O/-~5-ol
_ (Phone) 6.sf-4g0:.(if.~ '
~IlG J.ryr,J'L M iY SST2i/n
(QltyJ ~ ~ CO( e)
LEGAL DESClUPTION (QlftQ8 WIll ollly)
LOT S- BLOCK I ADOInON
, 'CJatL,~
;APPU~ . '.'
(Name) . LV' 7q(J~~'~3 ~ ~o.('eJ IJ\bU;:)\ J:(-r. '
(Ad.d.ress) QAI- \~,VV\ ,C)1v-l..Oe+. ~~~
(Adclress)
(ContaCt Person)
(l'hon~) Cl's ~~f(tf/5f}_
\-'Cl~~S . MN ~33
(CIty) , (2p CQlI.r)
(Phone) CtJ S; '=Y-~g:i5:1.
'DATE' ~:l.-o~~ ~=
APPLICANT PLEAS:E COMPLETE BELOW
Size of water service ---1- i.n~he~
Location of any couplings from 1i11JUCture' teet.
Type of sewer pipe, 0 ABC ~ 0 Cast Iron
Estimated length of scwer'liD.e ~_ feet
Cl_ out (it required) located at ,~om j"ture.
FEE SCHEDULE I " .
R.esidential sewer arid .....ater line cOm1~ticm $35.50 Industiial, Com'l &; MUlti.f'~ilY 1% of JOb coat witt as 19.$(1 minimum
Sewer connoction only $17.50 Water connection oaly '. _ ....., '. S 1"J .50 _
--
Estimated Cost $
· , Building Permit #
SEWER A.NO WATER PERMIT FEE
STAtE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50 r--
PArD V-I""" 1
EU'~ D"'r' .'..,
l J.....i~! \",) F:. ~ ._.
"_I ~. \, ~.' J
(omt~ U.. Only)
This Application Bc:comes Ylnlr Building f'lrmlt When Approved
Paid
BUlldill1 ~tlnl
Dlq
-0-~
R.oet! pt ~=~
By
~
14 hour norit:. for allln.piIlcrloal (9512) 44'1-9850, fn; (9S1) 447-4245
FROM : BINDER HERTING
PHONE NO. :
Mar. 18 2002 11:35RM Pi
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Dale Rec'd
I.P;,.t
1.~
J. yel.....
S-l PERMITNO.tJd-()'.~ J
] rZONINO-~ I
f-W~'~.:~
AD~i85 ~ :Olle- n
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
lYM4mt- t:-r"~ ret LCD"'" r~ c;..( I7r
(.Name) 1~/IlJ.s :oryJ.
(Address)
(Phone) 6<;/. 'f80-/88j
APPUC~; .
{Narne)~1 "de/'"' ~ eo-if:'J
(Address) ~J, Ho./J.;nar- Ave VV
(Addre$S)
(Phone) 'SJ-I.(S1-97gj
f,.. 5/- Po.ul 5t;o7S
(Cil)') (Zip Code)
(Contact Penon)
3"'18~
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION . 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL TrOJl ~ tux 1;),,0 FUEL
FLUE SIZE RETURN OPENINGS - INPUT } JO... ()OO OUTPUT
TYPE OP SYSTEM HEATING OR POWER PLANT
., ~ann Air Plants 0 Steam
o Oraviry 0 Hot Water
[J Mc:dlanical . 0 Radiation
~ Conditioning 0 Spc:c:ial Devices
~t. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Unirs
Cannot E:neraaeh into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODBL
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gas Fireplace
539.50 minimum
$99.50 Residential, Additions &; Alterations
$64.50 RosidGlltial, AC Only
539.50
Residential, Heating &; Ale (New Construction)
Residential, HAting Only (Nc:w ConstrUGtion)
$39.50
$39.50
Estimated Cost $ Building Permit #
fAy- . f 13u,r
1< ZvLJ\- . ~ )
? . el3U .-/
.......-fjt t;~, ~
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Applicarion Becomes Your BUildlDg Permit When Approved p~
BIlIftI;. omcial Da.e
O.'e "3- 0-02__
\\ \\\\ \\\\\\ \\\ \\.\ \V~\o'" (?S1.) 447-9850. In (9g~ _'7....2...
--
RPR-01-2002 09:56
P.01
~ D.r~d
, {PL:ur.l)p:ar~.w..~.,
I AOD~6 ~~ Cove ~/,J-
, ' LEGAL DltSCJt!IJ'T10N (glllcc \lie ofti)')
" ,LOT /5;LOdK ,ADDITION
1.-
1. 0._
~ T_
San. [PERMIT NO. 07-(5"8 I
I
ZONING (lIffil:ntc)
15f)
,.;cL
PtD -. - 7/- 0/5
APPUC~T :: C' i _~
(Name) l'-~' ~t:l1t...., ~ Ie...
(AddreU).-8agq.,. ~LV ~---e.eJ
I : .. (A~'"
(CODraa Pcnoa), , Ml II
I
APPLICANT StdNATUtd..
(phcne) '7fo3 - '] f</n .a34 I
~pi~U~ ~o~: {Ja.vIL r:fLfA-
(Pbone) 1fc3 - ~glD - a:J# I
DATE 4-1- D:J-,
ASE COMPLETE BELOW
o REPLACEMENT
~cxnre - OOK
o At..TERATIONS ~ A
FUEL Ul 'Jd (/
OUll'UT
F,~Pt.ACe. . ONEW CONSTJlUCnON
RJR1JA~E MAKE AND MODEL J1eo..f:..j{ 6/0
a"
FLUE SIZE · a . RETIJ1ilN OPENINGS
'TYPE OF SYSTEM
TNPUT
HEATING OK pOWER PLANT
o Steam
o Hell Watr:r
o bdiati_
o Speci.t Dc"jca
CJ OU\I:t Devices
PLEASE NOTE:
Air Conditicmer Units
C8IIIlOt EncroKh into
'R." Side Yard
se6ICts
: ,~w.nn Air Plllntl
" Qrpity
.Modw1ic1il
. . DAir Candlllalllng
: . OVcnL Sy!II:m
! J
~
F'lREPLACE. MAKE AND MODEL
~
I '
FEI SCIROUU:
1 % of job ~ Residential, Gas Fin!plas:c
139.50 minimum
, S99.~
164,50
$39.50
Jndustri... CamlMteial" Multi-Family
R.esidential. H-mc IA AIC (N~* COl'ISCructian)
R.esldCDtiaJ, H~OQI,. (New Co"~tian)
139.50 . ,.~
S]9.S~L-~~
*~ -:~a:J
.50 ~(~ \ ~.Yn)
PAfD',' ~J--~
BU1L01NG Pa='''Ii..l'
\ ~. I i~
· """ t( - t -O'?- .. By C/
R~idcmi41. AddJdaM It. Alta1II:ians
lWidmriaJ. /lC Orlly
E$timaIed Cost S
Buildin& PeM1lil II
HEATrNOPERMITFEE
STATESUR.CHAROE
TOTAl. PERMrr RJ:
$
$
S
, (0IIIft u. Oll~J
nil Appik:a~_ Becomes Yoar BaUdlnc Ptrntlt WileD Approved
,
, ,
'''41.~1
Dale
i '
I
1. h811r 1Icme. fer .lIll1lpeaio.. 19SZ) "".'150, ":1. (95%) C4,"'245
TOTRL P.01
F~..o 11 02 11:08a
Pioneer
Enc:;ineerinc:;
11/0(/9~ TBU 1J:29 FAX 61Z4474l~5
CITY OF PRIOR [.AlE
7637831883
p.2
liCozo
CITY OF PRIOR LAKE
Imperviou~ Surface CalculatioDS
(To 'be Subm..d wicl Building hmlit Applicziaa)
Fot' All Properties Located in the Shorr:land District (SD).
The Maximum. Impc:viOWi Surface Coverage Pemlitted. in 30 Percent.
Property Ad.d4ess 318 "'> 5\.-.c..{)~ (0""""'- ?o"",..j...
Lot Area. 2 0 c cD Sq. Fl!et X 30% = _h.........._ l.., 000
.................................................................**.....
L'ENG'IB
wmTII
HOUSE
I:
X
~
AITACHED OARAGE
TOTAL PlUNC1PLE STRUCTIJRE..---.._._..-
DETACHED BLDGS
(O....clShed)
x
x
TOTAL DETACHED BUILDINGS.....-----...
DfUVEW'A YIPA VED AREAS
(PIn_..,.-payc;d or l1Qt)
(SidC'MlklParlcin:; Ar1:l!Sl
~
X
X
TO'T AI. P A. VED ~_.._--..._...__...-._._.-..
PAnOSJPORCHESIDECKS
(Op::n. ~ ~- II1I1t.. opc:nin15 tlQwa::n
baatds.. ....i1ll. ~ sw'eli;z: b::.\uw.
... nGI l:lDll:liMralao tld i",pcrwiac)
x
X
x
=
TOTAL DECKS-
OniER.
x
X
TOTAL V & 1:i1d~---._..-
TOTAL IMPERVIOUS SURFACE
~VER An
Prepared By -:::r.;~", S~&f (fJ'- ~
SQ. FEET
eo
-
-
'2..303
N/A
=
-
q 0-.:)
,..
-
=
119
....
Date
N\A
I 3~S,.D
I 2... (p ( :3-
1_ IL./-Oz....
Company ?~\:)~( r; "'7';"'tLLr;'j
Pbone # \' \.P3') 780 - (8S0
lI'P!ll:M sq lOU 1I134s UO!P!pspnf s4llo ssou13u!pJo
JS4l0 .10 spoo S!4l lO SUO!s!^oJd s4l Isou13o .10 Sl13lo!^ Ol AlP04ln13 s^!6 Ol 6u!wnssJd
SllW.lSd 'UO!PlPspn! s4llo s:JUBUlP.lO .Is4l0 AUB lO .10 spo:J sl4llo SUO!s!^o.ld s4llo AUB
!O UO!l13IO!^ AUB '!O IB^OJdd13 UB .10 'JO! l!WJsd B sq Ol panJlSuOo aq lOU IIBLls SUO!lBlndwoo
pu13 SUO!l130!lPsds 'su13ld lO 113^o.ldd13 .10 l!W.lsd 13 lO 6u!lU13J6 .10 SOU13nSS! S4J...
U81d IOJlUOJ UO!SOJ3 (~
saJnseall\lloJluOJ UO!SOJ3 (Z 'ueld 6u!peJ8 (~ :sluawLloenvaas
'/?;~nll,t;c.3 J<f1 r'J~/f' rq Of. ~rn')U }'5,1/'V;Y-fO! h vl1'1-f h't0H
0(,,1 )/lVI-() 5fWYW}~"3 ~ryVf.I".,I(] +0 f.r)() 5J/1:7./'-) ~1A/~,I'1f()'J
jUOll8WJoJulleUOll!PPV JOJ ap!s aSJa^aH aas :sluaww08
rJW
:A8 PSMS!^Stl
-z. o-tt - Z
:Sl130
PS!USO
PSldaoo'v'
SUO!paJJ08 4l!M paldaoo'v'
fv~ N -L (\J (I) <1 '3 i~ iJ;) Ao \-1 H::~ .9 S I ~
:l13 pasodoJd S! 40!4M Al!^!p13 UO!pnJlSUOO JOl UO!lBO!ldd13
l!WJad 6u!pl!nq a4l paMa!^aJ a^B4 SlUaWlJBdao 6U!UUBld pu13 '6upaau!6u3 '6u!pl!n8 a4.l
-z. 0 - O~~' -(
791ArJH Hl;)() O~or;' Sl:J ~II ::~
lSI1>103HO IN3W1I::IVd30 NOIIVOl1ddV llWI::I3d ~NI01In8
03^1383t1 NOI.l'v'8Ildd'v'
.IN'v'8Ildd'v' :::JO 3V11'v'N
6U!UUBld - >jU!d
6u!JaaU!6u3 - ~JBUB::>
6u!PI!"a - al!L1M
85'/- -cO
,\.Iluno.) ~".'J ,}'II JO J.J,U.J.) .Jill.
II'P!Il:M 8q IOU IIE4S UO!IO!pspnf 841lo S8:>UEU!pJO
.I84l0 .10 8pO:> S!4l 10 SUO!s!^o.ld 84l 18:::>UE:::> .10 8lEI0!^ Ol AlPOl.jlnE 8^!6 Ol 6U!WnS8.1d
Sl!W.l8d 'uO!P!pspnf 84110 8:::>UBU!P.lO .I84l0 AUB 10 .10 8pO:> S!41l0 SUO!s!^o.ld 841lo AUB
!O UO!IEIO!^ AUE '!O IE^OJddE UE .10 'JO! I!WJ8d E aq 01 p8nJlSuo:> aq IOU IIE4s SUO!IElndwo:>
pUB SUO!lB:>!lP8dS 'SUBld 10 IB^O.lddB .10 l!W.l8d B lO 6u!lUBJ6 .10 8:>uEnSS! 84.1.,
~~ 7~0~~~~~~~
~1r~~~~~~
:SIU8 WOO
G C?/>l.Jl/-U :81EO
~~~~ 'i~~:!.8 PBMB!^Bl:l
P8!U80
SUO!108JJOO 41!M P81d8:>:>V'
./ 1 p81da:>:>V'
f\ '! 1\!
! \ \ I \r
I
_. L- " I ! 71
~.~..
\
/
I""~-'.I \ /. '
. ,. I \ -
..'-J ~
I , ..'
I
I
:IE p8sodoJd S! 4:>!4M Al!^!I:>E UO!lOnJlSuo:> JO! UO!IE:>!IddE
I!W.l8d 6u!PI!nq 841 P8M8!^8J 8^E4 SlU8WlJEd80 6U!UUEld pUE '6UP88U!6U3 '6u!PI!ns 84.1
-:7 .'") -'Y , -/
~-- I
,'-- <J il~lj-f H l__),' ! /-i; /' I / I., I I >-/
.- ,< _ I '. .. I ~../ ! ,,' .' i .,/ . _ f /",. __/ I 1 ~".. ~
03^1303tf NOI.1V'OllddV'
.1NV'OllddV' ~O 3v.JV'N
lSI1>1:l3H:l lN3Wll:lVd3C NOI1V:ll1dd'd llWl:I3d ~NIC1In8
6U!UUeld - lIU!d
6u!JaaU!6u3 - ~Jeue::>
6U!PI!"a - al!4M
.Uluno.) ~".'1 ,)'11 JO J.JIU.J.) .lIU.
White - Building
Canary - Engineering
Pink - Planning
Tht' ("rn1t'1'" of Ih(' take' Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
KINg:; B()e.O~6S
J- 30-02_
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 J 55 SHAOY C-OV(5 PO} t0T N V\1
Accepted
Accepted With Corrections --<
Denied
Reviewed By: Q~A--
Date: ;:Z-.rs::.-6~
Comments:
~uJ) ajJ~ {//f{qJ-eJ U cn::ts
"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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ..Jj8s.- 3~~ k \i4--:
NATURE OF WORK N-e.v U
USE OF BUILDING SFD
PERMIT NO. -OISCO DATE ISSUED ;;2.- 5 -CJL
CONTRACTOR (.0 PHONE &,57-tfOO-Il3a (
NOTE: THIS IS NOT A PERM FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) - -~s'" V
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f'
COVER NO WORK UNTIL ABOVE HAS B
I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
l\
L'\
OCCUpy UNTIL ABOVE HAS B EN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections hav~ Leell.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