HomeMy WebLinkAboutBuilding Permit 99-0110
QLertifirQu of (JDrmpanry
CITY OF PRIOR LA}{F.
iBtpartmtnt of ~uilbing Jn~ptction
o Final Permitted 0 Conditional c. O. Expires
f-
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" nl,,, regulating building construction or use. For the following;
Single Family
Bldg. Permit No
99-0110
Use C1assificatiofl
Occupancy Type
R3
Type Construction
VN
~ireZQJ!e..
N/A
Zoning District
Rl
Legal Description L7, Bl Winds~~r-AdMtton------
~~ I '"
Owner of Building / Site Address 4'!fi6 Pondview Tr
( //
Contractor'sName&A~ss Wensmann Hom.e~___~~5.~ Dr 11200 Eagan MN
Robert D. Hurctd.ns---~tY!---CityPlanner Jenni Tovar
t<. Building Official / .
/ - J~ - '19 Date:
Date:
POST IN A CONSPICUOUS PLACE
COMMENTS: ; I') oJ
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
DATE TIME
4- '-/-0 (p
SCHEDULED ~~5~91
PONQVf6W
3~30
CONTR.
PERMIT NO.
qq~I/()
o PLUMBING RI
o MECHANICAL
.0 WATER HOOKUP
o SEWER HOOKUP
A.. 0 SEPTIC INSTALL
(\ ~LUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o lKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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r:-~Q Lo..>>
J/
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Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.-..,
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T
DATE TIME
CITY OF PRIOR LAKE '3.,'lJ.{ -ct9 ll~lO
INSPECTION NonCE SCHEDULED
ADDRESS 4Lj l.:,(, Pol'\.~c).~ \n...
OWNER CONTR.
PHONE NO. PERMIT NO. '1'1- II 0
o FOOTING o PLUMBING RI o EXC/GRAD/FILLING
o FRAMING ~ECHANICAL o LKSHOREANETLAND
o INSULATION WATER HOOKUP o COMPLAINT
o FINAL SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
COM36~: J, Ov-~ 4()
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ECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44/-4230 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE.,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ij4l00
SCHEDULED ~
PONOV(bW
),'30
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q 9~IIO
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREP~f
/(.$D. 71CE t5
COMMENTS: d;t~ ~ ~ t~ ,~(
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c6~M~~ )~Q-iU-~Y: /~~AJ
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L''''''CroRV''ROCEED
o CORRECT ACTION AND PROCEED
o CORRECT i7fP FOR REINSPECTION BEFORE COVERING
Inspector: ~#'l Owner/Contr:
VI
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~' " ,.. -T-.-..- .
DATE TIME
CITY OF PRIOR LAKE 11:-00.
INSPECTION NOTICE SCHEDULED 5-'2.7-Qq
ADDRESS 4L1(,Co Pond. u .'Cv.J 1L
OWNER CONTR.
PHONE NO. PERMIT NO. Clq- Ito
o FOOTING ~LUMBING RI FAIL. o EXC/GRAD/FILLING
o FRAMING MECHANICAL o LKSHOREnNETLAND
~ INSULATION o WATER HOOKUP o COMPLAINT
FINAL o SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREV. o SITE INSPECTION
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(~ cSod ~ .1:-V'~ " pt^- ~fMwd-
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RY,PROCEED
Nil PROCEED
~R REINSPECTION BEFORE COVERING
Inspector: 0 Owner/Contr:
CALL 47-423d FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
T
CITY OF PRIOR LAKE
~ lNSPECTION NOTICE
DATE TIME
SCHEDULED
",120/97
t.J: /5 ",.,
ADDRESS t.J.t//,(, R.AJOV/~ ;;.~ "-
OWNER CONTR. Wh};~1Il ~Ii!.<"
PHONE NO. PERMIT NO. 99 - 110
o FOOTING
o FRAMING
o INSULATION
)( FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
)Il EXC/GRADIFILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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If J4ca1>rJI/B1 ~
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lot;
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)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W~~
fbyner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
T --...
CITY OF PRIOR LAKE
BUILDING PERMIT,
~ TEMPORARY CERTIFICATE OF
....., ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS
4'-\.\o\Q
DAIF ~1=r,1=nlED.
~c-& ~-... "
3, LEGAL DESCRIPTION
-)
"
FEB I 9 1999
1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No. 9q -0 (/0
1, DATE
~/\,/~ ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height)~, (Widthlo~ (Depth) S'\
12. NO, OF STORIES
~
IZI
LOT
'I BLOCK \
\. ~.~~ ,,\,,c., ArldJ/\
PID ~- n\""- CJc""\-C
ADDITION
4, OWNER (Name)
W,-~-",,-c;.._ '""- ~-......c..~
5. ARCHITECT (Name)
~\fo..."""",,-\C.
6, BUILDER (Name)
~ ~ \N'-\";;
(Address) \t!i.",S ~,~ z...... ~ (Tel. No,) \pS \
~...:,\... ~U~ C'-c-..... c.._ "'-}o..) "O~ -'-'-'"'CU
(Address) "" (Tel. No.)
13, TYPE OF CONSTRUCTION
~~C~ <:...,...~
14, FLOOR AREA APPORTIONMENT USE
~~~'-\
(Address)
(Tel. No.)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7, TYPE OF WORK Fireplace" Septic CJ Deck CJ Re-roofing CJ Porch CJ
New construction,. Alterations CJ Addition CJ Finish Attic CJ Re-siding CJ Finish Basement CJ 16. PROJECT COSTNALUE
Chimney CJ Misc. ~ ~(:::1...) I ~ (,,) D
8. PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10, CULVERT SIZE 17, COMPLETION DATE
Sq,Ft. ~\, <\.~\ .Width ~'"' Depth ~&<;)\ Yes No - ~p\>..o... SI\S/~~
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 ~...-;-- ~,,-~;.--e- \'"'~~ ~/\\. ,~~
Signature
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
S~()
License No.
Date
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 'Loo:.QQO
TYPE OF CONSTRUCllON: I II III IV r Vl
Occupancy Group A B E F H I M(jt S U
Division 1 2(;;> 4
Permit Fee ................................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ " SO 0 ~ 0 ()
Other ......................................... $
Paid T~(J?q;..q7...~~~~i~;~0~J~~~pq7
Issued Date ,Q.-3 -99 By?J /U1 I
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 ~uested. This document when
sigr ~~r~~:::,rary Certifi? ~1on~~ance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be Issued,
-y City ?anner - Date Special Conditions ff any
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee q9.-:.9...UP.... $
Mechanical Permit Feert.::..C?~.~.Q...... $
Qq-O{fO
Sewer & Water Permit ...................... $
City:
....-
1,387 '2 <j
9 0 I. '12
l 00 . o()
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if
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J (J{) .00
l CO -00
.~5', 5U
s Your Builriing Permit Wh~~~.
Date 2 - L5-'7)
,
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS 0
PLANS & SPECS CJ SETS
SURVEY
PLOT PLAN
CJ COPIES
CJ
Amount Brought Forward .................. $
Park Support Fee ........................... $ J? .C:;-t"). r->~
SAC ......................................... $~I () !:- 0 . t')()
Collective Street Fee ....................... $
Sewer Tap ................................... $
II $
Pressure Reducer :1la.................... $
Meter Horn ................................... $
t;1_ ..
Water Meter ..J):;............................ $
Sewer & Water Connection Fee ........... $
I
'/5 t') n
,?.S .or-..
\ . '')..1)(') . 0..0.
. -'..., ~f"l . on
24 hour notice for all inspections 447-9850
T
Job Address if6(, Po uy) Ill' { r,J
Heating Contractor M~ / ,f(yUI'(
Name of Tester ~ ~ t ,
~-" /7 ''1'
7
d
~
~
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
CITY OF PRIOR LAKE
, PLUMBING PERMIT
APPlieant:~ - R
Address: S.
Sig ur'
Legal Description: Lot 7 610el< I sub~ ih~_"
Site Address: LJYl.ol"p "I='ond~~lL") ~ '
Building Permit # PID # rf2 t) -- 3~)k:./.- /) () :' -C).
NOTE: This permit ~III not be processed without complete information.
FIXTURE UNITS
- ~l:..tJ.ltJ.l~'jj ~;.:l'-lHI'1
GUk -k 1 Hli
n.. c.,.,., .1 1"~ I...-k.. C.un,,.,.
Quantity Type of Fixture Quantity
~ 8ath Tub with or without shower i
\ Dishwasher
I Floor Drain 12./
4- Lavatory (bathroom sink) /
, Laundry Tray (1 or 2 compartment sink)
I Shower Stall
l SInks
Bar Sink
3 Water Closet (toilet)
FEE SCHEPULE ,
Industrial, Commercial & MUlti.Farnily
(1 "/0 of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. AdditIons & Alterations
State Surcharge
$99.50
$39.50
t~u . bb5
f-' . Vb
I. BllIl: file
Z. Gold City
3. Y~l1n'" AppUr:;IIll
# (((([JI!{)
.Phone: 4/Q3-IJL)t)
Type of Fixture
l
Rough.ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Back110w Assembly (RPZ, Double Check, PV6)
-I
Backflow Assembly Test
Lawn Sprinl<ler
Other
~
$ !3!3 ~ 50
$
$ .50
GRAND TOTAL
$4/~O.oO
~ PAID WITH
; BUilDING PE:1~'lIT
This permit is grantea upon the express condition that said
contractor, shall comply in 1111 respects with the ordinllnces
of the Stilte Plumbing Code ilnd the aJ.1l~nd.!!)e2tS ;~et'eofo
RECElPTNO.~) <:") \t 1 DATE
l. ~0U ATTEST
f.-' .
Call for all inspections 24 hours in adwnce.
16200 Eagle CreekAv. S.E., Prior Lake. Minnesota 55372/ Ph, (612) 447-4230/ FAX (612) 447-4245
An E'lu:ll Opportunity Employer
s~~ PRJOli ~:\ CITY OF PRIOR LAKE
tJ t, , 16200 Eag1e creek Av. S.E. PermitNo. qq'-{)f tD
Prior Lake. UN 55372 .
~ liEATlNG APPLICATION' PERMIT
Dall, ~J1 /c,q PID.c2.j-33~ -6()7-O
SIt8 Address, 4L/ toto 'l/ondu LLu. 1 ~J
lol 7 8~ \ Addklon. u..J ~aJl..,
owne~Nam9. ~t\. ~nu.v
Mdress, \ ~ q ~ '"""? \ 0J;t0-,. ~ ) 7- ~0J>>.0..Jf\-J
Healing Cont,ac\Or ~JU1Il.. - ~ U oJ"\..., U
. ~ '
Address. \ L\ -, LI ~ S . ~() be..1t... -\- \"' 2-.l
4 g.3-llL.\W
Telephone' .
Furnace MaI<e& Modlll ~hC\"-'
ModlllSlza G~~?J ~ - '00
. .
TYPE OF SYSTEM
Wann Air Plants
Gravity ,
Mechanical
Air OonditkJnlng _'~ -ton
Vent. System.
HEAlING OR POWER PLANT
Steam .
Hol Waler
Radiation _
Special Devices
Conn. load .
Fuel f'o;:t .~ Flue Size
Supply Openings . , l.p
8
8'
Relurn Openings .
InpU\ ro:OOD Oulpu\ ~IO<:::C)
Edr.
OIhef Devices
ctm.,
TYPE OF WOAK
Alleratlons
Repla<:ement
Est. Comp. Dale ,
Nsw Cons1ruction
Repair
Est. Cost $
HEATING PERMIT FEE"
Building Permit # .
qq. sO
STAlE SURCHARGE ,. .50 r:: PAID WITH
- &. J r\ 00 ' BUILDING pr- _: "'
TOTAL PERMIT FEES S VJ I (){ .J. Recelpl",. . ~'; T
l.Grc
1. VeJl~
Ciry
~
TYPE OF STRUCTURE
I
"T]
r;
tt
,...'
;.f.'P
, Single Family
Commercial
.t/"
Two.famny
Mutti-FamUy .
Other,
~
CD
Industrial
PIblIc
Fee Schedule
~
\.D
\.D
\.D
\
\.D
W
I'Jl
D
3:
Industrtal, Commerclal & Multi-Family
ResidenUal, Heating & AC
Resldefltia', Heating Only'
Residenllal, Gas Fireplace
Residential, Adliitions & Alterations
Residenllal, AC Only
1% of Job cost ($39.50 mInimum)
$99.50
$64.50
$99.50
$39.50
$39.50
G'l
(TI
:z
N
I
;0
-< -
D
:z
Remember (0 add too Slate SurcharglJ on the bottom of this apptlcation.
The.price 01 your healing parmi' Includes one TOugh-In and ons flnal inspection.
- ~ddltiOn~ inspections wlll be billed at $as.oo each.
i House Heating Tesl Recont mljsl be .ubmitted wiln hulldfno pennll numbRr befors build-
~ ing certificate of occupancy wU\ be issued.
~F4Tr.ALr:LJ LATIONS REQUI~ED wllh number 01 supply and rmuTO opanlngs listed per
room with CFM's per opening. New structures or additions send 11001 ptan wilh supply
and return locations shDWll. HEAT LOSS CALCULMIONS. PAYMENT AND
APPUCATIONS MAY BE MA'LED TO THE CITY OF PRIOR LAKE, 162.00 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. .4:30 p.m.
AU WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
I hereby apply for a mechanical syslems lJermlt and 1 acknowledge that tha
informat[on aboV9 is Gomplete and accurate; 'hat the work will be in confoTmance
with Ihe ordinances and codes of the city end with the state buUdinglmechan\cBI
cod8.$; that this form does nol become 8 permit untn signed by the BUiLDING
OFFlCIAl; \hat \he work will be in accordance with the approved plan In the
case of all work which requl1es review and approval of plans.
:z
o
en
en
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~/J7/qt;
, Date'
B _~--qCI
Dale
tJ
W
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en
'-
~ppllcanl's Si~attJre
lY~lJ
Buitding otfical's ~na\ure
- .--- FEB. 18.1999 ' 9: 35RM .---- GENZ-RYRN
NO. 665
P.2/6
.... . I"LK
ftU.aw . ""'1CA1IT
q-.. . CITY
CITY OF PRIOR LAKE NO.qt(-OfIO
SEWER AND WATER PERMIT
NOTE: Sewer ana Water
contractors must
be reqi,stered
with the city.
APPLICANT: /J -/?,J../O-I'f-/
~ '
ADDRESS: /l.J746 S. "'RQber-l- -r;- /
SIGNATU~~
SITE ADDRESS: 1/'-I~(;J ?cr;dl/CP.Y 1 ;;tJ.,
PHONE: Llag-llc..J L/
,DATE: ~)17/qq
BLDG. PERMIT #
PID# ~~-.3~-()07-()
FILL IN THE BLANKS
1. Estimated length of vater service ill)
2. size of water service / i~Ch(eS).
3. Location of any couplings from s~ructure feet.
4. Type of sewer pipe. ASS pVC X Cast Iron
s. Estimated length of sewer line Lied feet.
feet.
6. Clean out (if required), located at
structure.
feet
from
==~==~=:=====~~=~~==~==~==~=~==~=============~~==~==~==---===~=
This application becomes your permit when approved.
BY
D~TE:
=~===;==~=~=~=:==~~=___~___~===~_-_=s=_--=~==~~=~==c==~==~~=~=~==
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plUs
$ .50 surcharge. --
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no Quplicate sewer and water permits are
issued.
DATE PAID
. RECEIPT #
,- PAIDWITH ~',
DUILOING PERMIT'"
AMOUNT PAID
REC'D BY ~_A.J
. 4629 Dakota St S.E., Pnor L.a~ Minnesota 55372 I Ph. (612) 447-4230 Fax (612) 4474245
AN EQUAL OPl'ORTUI'IITV EMPLCYErt
91' -o(Ic)
White - Building
Canary - Engineering
Pink - Planning
The' ('tnter of the Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT IA)f;;tSIU/2ulc ,~-S
APPLICATION RECEIVED cJ- 11'-Cf9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
,~ ~
ell! ~~ f/tJUd CH1LU lk.
Accepted
Accepted With Corrections
t
::::::ed By: (2 p Ul~ f/ ~
Comments:
\. Mc..\~~~"'- 7'T~C'dtA ()~
'2.. ~15f' C;...,,~ o.-....cl +\'QR.~ ~o, .
3. ~rr~ .c~J c\- s~g~ y;\~s
Date:
~ -').3-'lr
"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
Tk C..1ff of 'II. LO. C_.''7
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
/
NAME OF APPLICANT /{ ~ //.5/ Ita.l( Ie l.bI1L/':':"
., .
1
APPLICATION REd.EIVED ~; - /1 . r;i'c;
The Building, Engineering,. and Planning Departments have reviewed the building permit
application for const~ction activity which is proposed at:
.' ;'1 "'/. /'
.. ,,' c. / r.."'" l. ;~
,.', 'r- I .- / .." c. "UJ
'" ..' "','ll. .... ..
I /. ." '.' '. i;.
_.' i'
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'.
Accepted
Denied
/'
Accepted With Corrections
Reviewed By: JjrALTt:"A E,.,1l81M ANIU
Date:
3/ 'Z../"
.
Comments: ~rtA ~~
R3lJ'1oFJ1l' ,.t1~..- &' Cft,NuE..,IEb -ro ,qNA-ALO"""
OtlihAlN;E
AJ'lO U'TU...I'TY
E"~~ 4S-M"'~~ .PItAl:TT~L- Su.:z:.
f'"Uic.e:. 0Al ~f
~EAA '?04Tlc^, t:JF' 7'U/_~
/.AT S"/DlLlJ ~€ E/tEe.TE/j
Prr- .,...... Eo
~
~F' -ruE.
1)cs'ftM 'Z.~^
.so,L- _
~E ~4"'m-,q"" ~~ ~F0Ja3t!:. . ~
rt.AAJ 3- EIltI~'ON C..toITllOL Ml~
c.f. E~,olU C.",~ .f'L.A~
y
;Sa Anv:lCH"'I!~ ~ l hAolI44. (;kAO'N& IAJ~pa:.ntJlU IAJF.bf'1D'J~ 2. ~,...,r.
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..
-"T.'-------...--.' ..
. . ". .
. . " . .
. BUILDING PERMIT APPLICATION DEPARTMENT LUJ!.CKLIST (CON'T) . .
. .
,
ENGINEERING COMMENTS
. . .
. .. '. ".
. Surface. stmmwater dr3inageflowing. to the perimeter of this lot to and from adjoining properties . ...
must be conveyed to the. roadway andlorto the rear of the lotin drainageswales withiii the
draiIialZe easements. All bare soil . areas mUst be proteCted from erOding into neighboring
properties thr(>ughthe installation .of nrooerlv installed silt fence or bales. The silt fence iequired . .
. by theerosioncontr91 plan mUst: be installed prior .to anye3rthwork ~ing started . The rock .
.. constructi.on entrance mustbe installed at the time ofbackfilliDgofthe foundation.... .
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White - Building
Canary - Engineering
Pink - Planning
11/"0-
The Cenler of the L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
V'
Accepted With Corrections
Denied
Reviewed By:
~~~f'J~~
Date:
2- -2- Y. ~Cj
Comments:
~ <;:-U~tM,t~~~.
"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!,
DEPARTMENT OF
BUILDING AND INSPECTION
.,
SITE,ADDRESS LtLlI~Ii?~\ \T-"
NATURE OFWORK" .,.. f\~ 0~~\~~
USE OF BUILDING SF~
PERMIT NO. ~-c)1 \!\ DATE ISSUED "2-;;(~-S; -~'(
CONTBACTOR .. w~~~~ ~p~ . ... .{,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS' BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPE'bTOR
. . f"'1l
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!.
FOUNDATION (Prior to Backfill) I . /1)/' lJ/77'- 79
f.~i0rLACE"NO CONCRETE UNTIt' ABOVE HAS BEEN $I~),~p
....l.?->.. . ..' . . . . ROUGH - INS ,';..
- SE-;ER I W~TER I SEPTICUV .s -z-v- 'U' . -. .
FRAMING . . <--1\ tf-;)o-PfCJ
INSULATION t ::::r: \}.
ELECTRICAL
PLUMBING'.....; . ' " ():; 0/-1'7--'/1
HEATING (if required) l4~ J.f~I'1!f 1, j.r.
FIREPLACE OS 'f - ~~ 1
GAS LINE AIR TEST dJ 4_ 14/- 99 ,
v
-COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,..... I I
FINJ\LS
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DATE.
FOOTING
I 3-/2-q9 '
j
(1--->> -99
{/-3D-~
.GRADING (Prior. to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
. :"h..
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:,-.' i ,
-. .
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.,.
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UNTIL AB'O~E. HAS
NOTICEV
~.[;~- q6j
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.
Call between 8:00 and 9:00 A.M. for all inspections
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