HomeMy WebLinkAboutBuilding Permit 99-0139
7/Z./19
/t/-/30 oe-u68/,eLJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO._
D PLUMBING RI
~MECHANICAL HAlI'1l-
D WATER HOOKUP
D SEWER HOOKUP
D SEPTIC INSTALL
~UMBING FINAL
D SITE INSPECTI~
t'tXfto
Ok. re;;
I~
D FOOTING
D FRAMING
D INSULATION
-XFINAL
,/ D -FOUNDATION
D DEMOLITION
D FIRE PREVo
COiSiS~
~ ~-~r_ e
_~ ~WA Ov-s.cJ-
t51-----
f-lS:+
DATE TIME
3~cJG
q1-13;
D EXC/GRAD/FILLING
D LKSHOREnNETLAND
D COMPLAINT
D SEPTIC FINAL
D FIREPLACE
D
~YL- ~V
ok-- J,
~
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Y, PROCEED
r"v\";cc~!:>D~
~ OR REI~EFORE COVERING
Owner/Contr:
CALL 44' '-4210 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE;yAREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
. .---- - . --~- ---0-- T
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
, SCHEDULED
11-/ r...,~ A r
ADDRESS 14 130
g~ b.'rc9
1t..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
')<1.13cJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
r% FINAL
o SITE INSPECTION
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 GASLINE AIR TST
o
COMMENTS:
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.
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,
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~ SATISFtORY, PROCEED
o CORRECT ACTI N ~D PROCEED
o CORRECT WO ~j ~ FOR REINSPECTION BEFORE COVERING
Inspector: IV Owner/Contr:
CALL 447-~5' FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQJJEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
~k~1 1:3()
)'1/.30 !3LU615/,€D It<:..
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq- /::39
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
Ad MECHANICAL
~ATER HOOKUP
l4 SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
C,OMMENTS: ~ :l " ,;
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o ~RtcIsATISF,\ TORY, PROCEED
If CORR ,CT AC1IO D PR CEED
o CORR ~ WO R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL{ 447-4fO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
COD~IREMENTS 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;:;73 n J hI J' J" .
. 0 't::2..1J J ..po ) r0l rf1 .
3. LEGAL DESCRIPTION /]
LOT ILl BLOCK ~ PIDc/lj--3Cf:5-()d?r{)
ADDITION · A111{JI.o_ rI ;/ J O?n d /lrJdH '"
4. OWNER (~ () .r"fdreSS)
.sU.h~'+- n-1 'f.f? ~r.
5. ARCHITECL' (Nam"'- _ \ (Address)
~\,^.p \V\.p,~Y1
6. BUILDER (Name) '--.J (Address) (Tel. No.)
~~~K ~ ""'~..ilij' CW ~:;,j fk,R:~",~~7#l
New constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
DATE RECEIVED
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes
1. White
20 Pink
30 YelIow
File
City
Applicant
Permit No.
qq-o 13C(
1. DATE
o? -;::Jt,-qq
f(/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
(Tel. No.)
12. NO. OF STORIE~
~1 ~-\
13. TYPE OF CONS:rCTION
t J. n0"..or,'
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
No
SEATS
16. PROJECT COSTNALUE
/tJ 7. ()9 0 f- '-rrr
17. COMPLEl'ION DATE
b If If?
I hereby certify that I have fumished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding official can revo~~t ca e. urthennore, I hereby agree that the City~~ ~ d~nee may enter upon the property to perfo;:(:eLi~ections.
V Signature . License No. Date .
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING ~ SFfI
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
I ,<;.~. CJr'
o
Water Tap ................................... $
Builder's Deposit ............................ $ / 500 . 00
. /
Other ......................................... $ - 'JU. 7;;;'
Total Due .............................. $ /6.
Paid -;:sc:n. 1J- Receipt No. ? L{ I(.c r)
Issued Date ::'3 II -CtC1 By G) ~
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 reqU~ed. This document when
sign y the City PI ner constnutes a temporaty Certifica;e of Z?Jli, compliance ~ allows cons ction to commencEJt Before Fupa~~ ' a Certificate of Occupancy must be issued.
3 ~~ ~ - . ~~.AJjl!.r_
Planner Date - Special Conditions nay
24 hour notice for all inspections 447.4230
TYPE OF CONSTRUCTION: I II III IV {5J
Occupancy Group A B E F.J1 I M ~
Division 1 2t/.3 4
Permit Fee ................................... $
S U
City:
Qr,,7.. ?~
~2C;. 47
5"1. 50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
100.00
in (').06
,
S.~. S-o
~~
"y\
Sewer & Water Pennit ...................... $
Gas Fireplace Pennn ....................... $
ThisM~. SeEm Your Building Pennn When Appro~.
BY~_- _~ Date 2.-2-9'7
Certificate of Occu ancy
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $ PI~() .t""Jr:;
SAC ......................................... $-1-1; .'5"t'l . C2....ti.
Collective Street Fee ....................... $
Sewer Tap ................................... $
cj If $
Pressure Reducer ....76................... $
Meter Hom ................................... $
Water Meter ....1s:.~....................... $ 1'2 C;-, 00
Sewer & Water Connection Fee ........... $--4.2 t:J D . 00
Water Tower Fee ........................... $ lo('). t)O
4~. tl)6-
,u_.. _
..t
'.
Job Address al.AtBl tW
Heating Contractor 1!.YMAlTll IJ~T
Name of Tester ~ S-rn/t.D
Date ..b - 3 b - q. <=1
Percent 0 l.f - L 00]0
Percent CO2 -, - g OJ&>
Percent CO C> ~
S k "2..511 - 2., ('"' 0
tac Temp. vl J C-:::J
/
Sent By: PLYMOUTH PLUMBING AND HEATING; 612 5331121;
May.17-99 2:08PM;
Page 4/4
-.. . .....
YILLOW . APP"ICA.T
GOLD. CrT,.
NO. qq- /39
C+TY OF PRIOR LAKE
SEWER AND WATER'PERMIT
NOTE: Se~er and Water
. MAV I 8 Inf'In contractors must
111 Dl':lIl:7 be registered
with the City.
APPLI CANT: _Ol ~ iMLl~ ~.p. Ie, M-Il :~~~ " IJ,PHONE 1.kf3)5 "L'1r-4 7fJ 7
ADDRESS:~lt.C'~O#aAd_ATE: Ci-(,-qq
SIGNATU~~/~ BLDG. PERMIT #!i.9-/3C[
SITE ADDRE~S(J~/~O 6{u~~iJT~( PID#2.5-:343-0z3-Q
FILL IN THE BLANKS
1. Estimated length of water serv ice ~O feet."
inch(es) .
3 _
2. Size of water service
feet.
4 .
Type of sewer pipe.
Location of any couplinqs
ABS
from structure
PVC~ Cast Iron
r::;O
Estimated length of sewer line
(if
required) ,
located
feet.
at ~feet
from
5.
6.
Clean out
structure.
~=~====~~-=~~--~==~~~==~~~~~-===-~-~=~~~===~~*-=-~~===-~~~~====~~=
This apPl~tJ..ortljJec~~ permit when approved.
BY .~ ~ _ DATE: 5h8/~9
FEES:
------~--~~~~~---~-=~=-~~=~~~~~-~=~~~~~~-----===~~=~~~~==~~~=====~
$
S
S'
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 buildin9 permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
issued. .
DATE PAID
RECEIPT #
.-
AMOUNT PAID _~~~~\
~~i\G'
REe'D BY .,\ o~
'Qv'-
.6200 Eagle Creek Av. S.E.. Prior Lake, Minne$ota 55372/ Ph, (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
- ....~~.-~. . ..:.....~~.":"-.:. ...~-:..-::-:-.:-..-...~:~;~~. ,~ ...... . ~ . , .-... . . - . " ... ....-... .
::~:.;':..' . . :':..;.....'....: .... .
. ....
C11-o131
TIM' Ceo.'ff or lite ....t' C....ry
White . Building
Canary . Engineering
Pink . Planning
BUILDING P~IT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
- I
..)((f lser
3 -1-99
. / -
I-IJlll( :::>
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cOhstruction.activity which is proposed at:
l '-I/3D i31utI2L;d.. dia_iL
~
Accepted
../
Accepted With Corrections
Denied
Reviewed By: ;J14L.TEA f5I/tESMJ4N'1LI
Date: 3/S /f1
. .
Comments; ~M ~T'U RIII\lt:Jt:t=
~"<lfIL-O II!:. t:!......ul&."Eb 7'b AIloII:)
Ac..AJ'Jt"!.
D4 AI AI ~G. E. AAlb tJon ~ EA.~ MEr-lT.s ~'lO: MCX'.H jJ<t;. PilAC17c,q, .
SEE INf='o a..""'''lTIO^, 0'"' REu~A.S~ ~.
.<E.E ;ow, 'o-C,JM6/1:S: IhNAL ~'N6 J~eTiOt\J IAlFOIfMAr"yJ,J
2. . a""'OlN' PJ,.AAJ
'l. f'~^, Ct).vnt..o~ MeASu#F~
4_ F/lt2S'ON ~O..mt..L PU4..u
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. II
. BUILDING PERMIT APPLICATION DEPARTMENT LuicKLIST (CON'TI .
. .
"
. ',ENGINEERING COMMENTS
, Surface,~rmwater dr3mage,f}owing.to the perimeter of this lo~ to and from adjoining properties. . .
must, be conveyed to the" roadway and/or. to the fear of the lotm' drainage swaleS withiri the
drairiat!e eaSements. All' bare' soil : areas 'must be' Y" vtected from eroding, mto neighboring,
properties thr(>ughtbe installation 'of nronerlv installed silt fence or bales. . The silt fence required.
. by tbeerosioncontr91 plan muSt be installed ppor.to anyeiuthwork being started. ,The rock,
" construction entrance must be installed at the time ofb~ck.fiIli.Dg of the foundation.' .
,.
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BOSlON.DOC
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White - Building
Canary - Engineering
Pink - Planning
Thr ('tntfOr of Ihr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CH1=CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
SLLt/1S ef
3 -/-q1
tb~5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L/J3D /Y-Ld~cL J?ai.L
Accepted
Accepted With Corrections
x
Denied n ()
Reviewed By: ~ Id.-O Jbe-:-.
-
)-
-./~
I
+f'U2sLD per dO)(N)~f~ (D/~
1 !O~(bv1 c&w~~
rl*lA..Gk~ ho.--~ ~
Date:
~-~-g7
Comments:
I. 3::J2 e::t-...dJ
2. Ho.~lAb~\^
1, f2e.~ c;J (
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."
-,--
TYPE OF STRUCTURE
. ,
Ln
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SIngle Famlly
Commercial
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. 9q - /2R
Prior LID, UN 55372
HEAliNG APPUCAlION , PERMIT
Date. 4-~9, -qq_ PIOI 25--34-3 -02.3-0
Sile Address Jtj l~) e,l u 'L~\rd_ ~~a.i \.
Lot 14- Block 2. Addillon MAPLE H f LL- 2}J~ ADD N .
Owner's Nam. ~f\,"4) .+- ~ ~ ~~
)(
Two-Family
Industrial
Fee Schedule
Industrial, Commen:iall Multi-Family
Resldenlial. Healing & AC
Re$ldential. Heatinll Onfy
Residential, Gas Fireplace
Residential, Additions & Alterations
Reslden1iaJ, AC Only
:::!:
a..
<'J
Ln
m
m
,
m
N
Address
1
Remember to add lhe SlaIe Surcharge on the bottom of 1his application.
L-
a. Address
oct
1.1'1.
'1. o...e.
]_ Yeb
"Ii!
ClCy
CoDlrlCtaf
Public
Mulli-Famlly
Other
t % of lob coil ('39.50 mlni'num)
'99.50
164.50
$39.50
$39.50
$39.50
Furnace Make & Model
The price of your healJng permit includes ane rough-kl and one finlllnl!lpectlon.
TYPE OF SY.:I,1I:l\t
W8fm Air Plams
Gravity Addilional inspections will be billed at $35.00 each.
Mechamcaf House Heating T esl Reeo rd must be submitled wilh
Air Conditioning 11 i\U.q- lOAth -:y) i1i ing cerlilicate of occupancy will be IsstJed.
Vent. System ~ t\1'4f \\1Af ~ ~ iSr\.
u liEAI CALCULATIONS REQUIRED with number of supplV and
HEAl1NG OR POWER PLANT room wilh CFM's per opening. New slruclures or additions send ~ pfan wIlh supply
Steam and relurn locaUons shown. HEAT LOSS CAlCULATIONS, PAYMEN
Hal Water APPUCATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAG[
Radialion CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Special Devices
......
N
......
......
<'J
<'J
Ln
N
Conn. Load
Fuel~.~ Au. Sin
Supply Openings
Return Openinos
......
co
CJ
Z
H
I-
oct
W
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o
Z
oct
CJ
Z
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!II
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Output
Inp\ll
Edf.
elm.
City Hall business hours all 81.m. - 4:30 p.m.
JlWDIHl[ before wid-
, "-...... ,
Other Device!
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL} - CALL CITY HAll
4474230
1 hereby apply tor a mechanical systems permit and laclcnowt.dgelh.I the
in1ormation above is complete and accurate: that the wol1c will be In conformance
with Ihe ordinancn and cod&s of the city and with the sla'e bul\dinglmechanical
codes; thai this lorm does not become a permll until signed by the BUllDfNG
OFFICIAL; thaI the work will be In accordance wllh Ihe approved ptan in the
case 01 all work which requires review _nd approvaf 01 plana.
- fj&~\ 4 -J...q ~q,q
, ~ OMe
4-lzQ/QQ
I1l1e
.TYJlE OF WORK.
New ConstNClion
x
All.rations
R.placem.nt
Ell CoI119. Dale
, Building Permit' q q -13 q
Repair
Ell. Cos\ S
HEATING PERMIT FEE 1
STATE SURCHARGE .
TOT AI.. PERMIT FEES $
,.. PAID WITH
.50 ..BUILDING P~IT ,
..
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Aecelpl f
Building Olticars Slgnaluft
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Sent By: PLYMOUTH PLUMBING AND HEATING; 612 5331121;
Apr-29-99 1 :53PM;
Page 5/5
.n. C..'e, Dr ,.. LaII. C...,",
I.... '..
CITY OF PRIOR LAKEq'l_13If ~=- ~
PLUMBING PERMIT PPNo.~\'J... ~~
Appllcant:J)luMOLL th..- 2 Phone:~3~-4.35""
Addres8:~"'fr-~ " ~\d~~ f\.U.1 ffi~~
Slgnatur : -2~/~ _ ~Q -q<~
Legal De ption: Lot , ~ t/ Block Z. sub...t1A PL5 t-t (u..., Z ":Qg
Site Address: \4t'OC b\L\~b\t"A -"\,.
Building Permit 1# q q -/3q PIO ## .2.S - 34-3 - 023 -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
auantity Type of Fixture Quantity Type of Fixture
\ Bath Tub with or without shower I Rough-Ins 3/Lj b~
l Dishwasher l Water Heater
, Floor Oraln Water Softner
rl.. LavatolY {bathroom sink) Stand Pipe (washing machine)
\ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
\ Shower Stall Backtlow Assembly (APZ. DoLj)le Ch8dc, PVB)
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water CloSet (toilet) I OthElr fu.w..o P u.-(T\O
, ,
FEE SCHEDULE
Industrial. Commercial & Multl.Famlly
(1 % of job cost. S39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
S
$
$
.50
GRAND TOTAL
$
This permit i. granted upnn the express condition that said
contractor. shall comply in all r~rCC:l. with the ardin_rice.
of !.he: Stal. Plumbing Code and the IImeJ'dme9Ls then:of.
, RECEJPT NO. 4/'M/tJtl DATE
A Tl~"T
Call for all inspeclions 24 hours in advance.
.-
,~ PAID WITH
BUILDING PERMIT ,
16200 Eagle Creek Av. S.E., Prior Lake, Mjnnesota 5.5372/ Ph. (612) 447-4230 I FAX (612) 447.4245
An Equal Opponunity Employer '
... :'i~~;'>~'~,.;'~'r:~,,~'~,<~1::;!~~ijt~~,::t'/Ji~~:-:;:V '0;: ;"'7.:'.;'-.,
White - Building
Canary - Engineering
Pink - Planning
Tho ('onlor or lho lIko Counlry
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED,
..
I
~,
(I'?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"'.,
'., ( (~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~.,~/A~
Date:
~- L{ '--?7~
Comments:
.~ M :5u~ l.A..-u...N....J .
tJev:Q" ~e...e- !~\~-;:-A/~ VjAiY\
('~Le.-~l9-Y1_ ~)~ 1^",.L~ev--1V~
F}t')> --4-.,e./V to.. tJ...ClV\. ~O, ~Le-.D
"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."
'-'
C!I~0I31
.
Thr ('tn'eof of 'hf' L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
<it (! IS e I
I 19
if, jl[S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /12() --'(.. j, - -/ j '/
II. U /.:;> ell A:..I.L '1[ L ~?aL~
Accepted
./
Accepted With Corrections
Denied
Reviewed By: t.JAI."'~ EwR.€SM14/11"1LI
Date: 3/5 If?
. .
Comments: S'T"o fl M I" IATU
~ 1/ I\k:JFt=
SI'tOClL..O
B~ (J.OI'JV~"E.b 70 A.YO
A LdN r..
~
nnAI^,a~E. ANI> UTl'I.I1'1' EAs;.~ME"NrS tlc:: IY!c.Jd.+ Ac; PIl..,ccrlct4L.
:SEE: Il\JFo ~Mt'tTION OAl RElJEItSE SlD~.
. <.E:E A"TT1V"..IM61"r.5: l hNAL &tAo,;Jb /,J.3PEc1/Ot\J /IIJFol'l.J,utnntJ
2. GMO/IIJ6, Pi-AN
~. f"~lljl\J C~AJTR..OL Mj;A$uH:S
4-. E""~:S'ON (1GA.l77l.ltL Pu4~
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. II
l~
~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14 \ 30 Dlu-fJ ~~~ ---r;:.~\ \
NATURE OF WORK tJ.oII' o (]Vtc..trlr -L LJ'.I
USE OF BUILDING 3F[)
PERMIT NO. <1'9' -0 l ~ DATE ISSUED S --:2 -99
CONTRACTOR SOV\C;f'. \- lidVtl\p<\ QrD.
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NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1fjS">!CTOR
I FOOTING ( ( j)
. ,
I FOUNDATION (Prior to Backfill) I v I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
--- -
SEWER I WATER I SEPTI((,4..) 6/Z,1
FRAMING (/
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE' .
GAS LINE AIR TEST ~.~
DATE
3 ~ I 5 - qq
I
a.,-l~ . 5 f (0 {q-f
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rs"'-7- '10
'5-(,- '9
(n -;).~ . 'i c;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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UNTIL ABOV~HAs! BEEN SIGNED I
NOTICE
This card must be posted near an electrical service c inet 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.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850