HomeMy WebLinkAboutBuilding 99-0198 & 99-0919
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f
Job Address
Heating Cbntractor
Name of Tester
Date
Percent 02
Percent CO2
Percent CO
Stack Temp.
/4///d1r~
Controlled Air
,L)::..
7- /~- j?'
YI
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CITY OF PRIQR LAKE
INSPECTION NOTICE
ADDRESS W. I
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
DATE TIME
SCHEDULED 7~cf!:.-i A. T
cg(()~ \O~ Tr-
CONTR.
PERMIT NO.
qi -li?-"")
;::) 0 PLUMBING RI
C.19 &MECHANICAL F"..'^....,
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
n
~~O..n- .~ t'J
I~ tr1v-
'm ~ -t~ ~ ~ ~
.~ ~1l-.~~ ~ ~ ~
- ~ o.J f.. A, r(- j
COMMENTS:
o ~ORK SATISFACTORY, PROCEED
1Sl"C:0RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f;f:) ~ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ -zs -CjCJ
I \~. 3u
ADDRESS l4 II \
&~bl~c.l
11-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'14- ~q,8"
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV,
o PLUMBING RI
~ECHANICAL
WATER HOOKUP
EWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS: C)() I k ~ AL.....,l. ,0", 40
~'I" I'~"A_ -1:V' ~r c-..Il -f/~JJ
~ ~. -? "r-IJ 1m _ ~2..z..
'" I ( . /1. _ A (1 .A'..:::r
_~ ..J ~^ i....- ~/ ~ r-'~'
~;-1: r ./ Pn"M. ~
~ ~ 0 ,A..... ~
fd .'~ "-
~
~ ~.r~..r
f'V d1.... A-lAR..
~~
J
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~L~OR REINSPECT ION BEFORE COVERING
Inspector: ~~r: j Owner/Contr:
I}
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE :Lk~~ I: 30
INSPECTION NOTICE SCHEDULED
ADDRESS \4\\\ gLue~Ip...D 1'(2-
OWNER CONTR.
PHONE NO. PERMIT NO. r!.. /18
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION A- 0 SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o ECH FINAL 0
cro~s: ~ .~
(i) ~r .'(~
G f(.L10 4 ,~
( ___ r h
~Iv~~, '-./rtnAn~
OrwY\
kce$;C.
11L--
v
OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 4<.17-9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REkIREJNTS ARE FOR YOUR PERSONAL HEALTH & SAFE~!
- \J INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
&/3/91
,
Ai>DRESS '''II I &.vdJJltf\ 1i.
PHONE NO.
CONTR. ~ 8-( I'~F"
PERMIT No.3' -I 'J 8
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
X FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(;'It"b~ JL1kt:~~tL
Cv<<StJoJ'
J<'
OP€M:noNAL
Jf'/AI AJT"1, tV
51'..:, ~f.
JAlTr L-
S()(ji}E,/'\
)Ii WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~'" \/Aer/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE; AIR TST
~ SO/;)I 7:1!!.6e;-
~ -2 -~ ~
~~,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4/// 8L,UEl5IRL:)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS: -U
~~~
DATE TIME
~ ~ ~ /', / /.':3P)
99-/98
~'-- .
/" d.fts ~ ~
,x:. r-I'~~ ~~ r/?h~J.
~.~ , "j!
/
L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT w;}f'f' CALL FOR REINSPECTION BEFORE COVERING
Inspector: f)1...., Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
MAR { 3 CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3, Yellow
File
City
Applicant
Permit No.
1q' ~/Cf X'
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
1'-1\\1
l,DATE
3, LEGAL DESCRIPTION
~
~
ADDITION
LOT
.....
!jLv~A/PPd /K
BLOCK /
~~t?/~ N/~L--
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width)
(Depth)
~~5~.Y7
(Tel, No,)
12, NO, OF STORIES
'2---
l~N
14, FLOOR AREA APPORTIONMENT USE
6, BUILDER
FOR ADMINISTRATIVE USE
Front
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
Side
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY a COPIES
, Y'3 . oOC> _ 0 0 PLOT PLAN a
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING ~ F\\
Permit Fee ................................... $
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
\ PERMIT VALUATION
-\
\
1,102.'2s
7 I W. <.l '~
7/" . $6
(05 . 06
I()() .06
')$' . c;- 0
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ 9350. 07'5
SAC ......................................... $ I DSV .rYJ
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee .r:;.... ................. $
ore"
Pressure Reducer .......................... $
4&'" l 0-6
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A BEl H R M
Division 1 2 3 4
Plan Checking Fee ......................... $
~~~\
~~
Meter Hom ................................... $
.(L ..
Water Meter .:Ja........................... $
a Sewer & Water Connection Fee ........... $
a WaterTowerFee ........................... $
/2S.00
,( 7 (""\("') .06
1 0 I'J .(") ()
State Surcharge ............................. $
Penalty ..1t.itJ.............................. $
""f'Uv ':',~,~"", .P.\~.................... $
Other .......S.~~..................... $
Check if
Deferred
uilding Permit When Approved,
Date 7. ?(),..-~C:;
Water Tap ................................... $
Builder's Deposit ............................ $ II c.:;{JO . 0 d
Other ......................................... $
Paid .~7'!!J;,5:~T....~:~;~;~0~ 3t{~!.Z:;
Date 3/3/ /11 By ~uJ
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZoninQ Ordinance' and may proceed as requYsted, This document when
signe~1 ~Ia~~porary Ce~~mPliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued,
CitYPta/mer . Date Special Conditions ~ any
24 Hour notice for all inspections 447-42309:00 a,m, '10:00 a,m,
Issued
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq - /q8
Prior Lake, MN 55372
, IHEATlNG APPLICATION I PERMIT
Date S- 1 '1 ~q PID' 2S~343 - 003-0
Site Address t 4 II \ ~we f3 I~ T r'La.fl Ie /
Lot :3 Block , Addition VlAP/...6 H'/u... -Z~ ADDtJ.
OWner's Name 1-+ (YANG. V" f\J
Address \4 \ \ \ gLueB(wTrvaliL
Heating Contractor . ~~U p J.L A \ III (L
Address. ;;L/ ~I 0 ~cvko,.J ~
Telephone # , C,Sl 4{,0 WJ;l-?--
Furnace Make & MOdel~ TYPE OF SYSTEM",/,
TVD · /\/"\ a '3/" Warm Air Plants /"'--.....
Model Size r. uu c: { \..P Gravity
Conn. Load 74 Co 0 Mechanical ,
_ ...A-- ~ l Air Conditioning
Fuel \-JQ../{ Flue Size <...J"t' Vent. System
Supply Openings _ IS
2
Return Openings
Input/~~ oa:::b~ut
Edr.. A-/fA
Cfm.
/:20 0 c.P71-1
Alterations
Repair
Est. Cost $
WfA
.
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
~o oaJ
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Replacement
TYPE OF WORK
New Construction
Clq - /C?e
TYPE OF STRUCTURE
L Pink
2, Green
3. Yellow
File
City
Contractor
Est. Comp. Date
Building Permit #
c,4- SO
+ .50
~5.tDO
Single Family
Commercial
x
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$9f:1'lO
C$64.~
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina Dermi~ number before build-
ing certificate of occupancy will be issued.
HEAT ~CULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
Yv\tCJ~~fL M~fWe- sl/1/91
~J3J Sign g;f' ' :s Iz~tiqq
.. -- Building OtTicars....S, n ure ' Dafe .
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: V" \ l_/ 'I ~ C lJ -r-
Address: q Lt <I.) Qv.... lv\ vt}" t
Signature: r .J,^ f\... .----'
Legal Description: Lot 3 Block
Site Address: \4\\\ ~\"'i~.'cl \1'1
Building Permit # q q - f 0 B PID # 2'5 - 34- 3-
NOTE: This permit will not be processed without complete information.
Th. C.nl.r of lh. Lob Counlry
FIXTURE UNITS
Quantity Type of Fixture Quantity
~ Bath Tub with or without shower 3
\ Dishwasher \
\ Floor Drain
'-4 Lavatory (bathroom sink) \
\ Laundry Tray (1 or 2 compartment sink)
, Shower Stall
\ Sinks
Bar Sink
::> Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
1. Blue
2. Gold
3, YelIow
File
City
Applicant
PPNo. qq- (qs
Phone: '-1 '1 ) - ) rJ \
- I\;ot'-/; 10"--. S.5.31~
Sub MA.PL.6 t\1u.,..S z..t-lD ADON.
603 - 0
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
$
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
~~W)rJ>JO' 4-1t3/qq DATE
/ u.::r~ - ATTEST
Call for a inspections 24 hours in advance.
PAID WITH "
BUILDING pERMIT j
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
GREEN - PILE
YElLOW . APPlICANT
GOLD - ell '(
CITY OF PRIOR LAKE NO. ~ - Ii g
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
\IJ 't - / @ j J tv --0--- '-itl)-) 1 J'
APPLICANT: J- PHONE:
- Y{'1/~,
ADDRESS: <(Lu rJ",,- L AH ),; / c.l..- DATE:
SIGNATURE: {\A^- .- BLDG. PERMIT #
~
SITE ADDRESS: \~\\, ~L{ S--d , (\ PID#
FILL IN THE BLANKS
1. Estimated length of water service
40
feet.
2. Size of water service
\
inch(es) .
3. Location of any couplings from structure -- feet.
4. Type of sewer pipe. ABS PVC \f Cast Iron
5. Estimated length of sewer line vlv
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
r AA ------'
BY
DATE:
------------------------------------------------------------------
------------------------------------------------------------------
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.
DATE PAID
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 duplicate sewer and water permits are
issued. PAll) WITH
4-//3/CJD .1 BUILDING PERMIT
w AMOUNT PAID
. I ,uff~L ../
REC'D BY ~--.-
*
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
,. ...,..~,
qtt-(ft
White - Building
Canary - Engineering
Pink - Planning
T. Ct.'<< .,.. Lakt C."'rJ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT +lcYvU S th I C {.l{l ~ e...
~-..... /"'t/'".
:5 -l3 -<-1- {
APPLICATION RECEIVED
The Building,. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 4 ( ( ( BflU b1.AOL 0\.a~
Accepted ./
Denied
Accepted With, Corrections
Reviewed By: JJ.A '- -re:tt.. ~HAgsMANA1 Date: 3/2.6/"
.
Comments: ~oF~ r"111 sr "Re- C oAJvE '('IN:::. 70 A~ ALCI'IUt. f>IU', "'./14 ~E.
tWb Jor'L , TV EA.5E.....E....rT'r A~ ,tot tJ c..H Its (R,4(:.7"/U4L . thl:
CAllTlotJ "''''' E AI c..oN$-rft,1J c:r,o N A(:TI ""To( e>>cc..... itS AJ ENl. ~ e>>AJ
1""...~ CO^, t.Il.ETE... ~c.." As 7"0 Nor J)"'~A(,f: rr: !)AMMSO
?A~e:L- :s \AlILL. '& ~ PLAC f:O a", ."..~ &a&..o~ R. 1'1( .0& ""0
oS It;:,.,) oFF:
~ 1"'f'oA..""~o^, ~ R~\JEIt.SiE. ~.
~E A~cKMEATTS ~ J. hl'lAt... ~().A6 lAJ:.P€c:r/olV IAJF-1lJ!1!!l..:J19J 7_~,..uG. BrAN
~. E~Oj'ON t!OAJT/UL- ME"ASJIlEC
4. ~1l0src:aAJ' eO.AJrltJO(.. +tAAJ
"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."
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq - q /?
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date L -lJ -q C1 PID# 2.5- 343- t;)o;3-0
\ 4. 1\ \ cb\u~e'l r~ I (a:'
Lot .3 Block I Addition I'1/1Pt.J?: H/L-L- 2 ND
Owner's Name ~ ,\ € ~e-V'~o.. \o.:r\ hoo...V')Ci
Address \ t.\- U l' L h~lAJ../ c Ki Y'd I fa ~ct\
Heating Contractor--rc;-t (>-.....A-J -A ~ - I Y\ L. ;
Address Igl.~ W.c-bu."~ ~-k\)J\.
Site Address
!e../
Telephone # _
Ale U..,_~
F= 'Make&Model ~VV
Model Size S~ l CJ)( Me)
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning .2. t:) -+ 0 n
Vent. System
HEATING OR POWER PLANT
Steam .
Hot Water
Radiation
Special Devices
Conn. Load
Fuel ~ ,,J Flue Size
Supply Openings
Return Openings
Input,
Edr.
Output,
Other Devices
Cfm.
TYPE OF WORK
Alterations
y
, Replacement
, New Construction
8- .2-qq
qq-9/q
,
r -
Repair , Est. Comp. Date
Est. Cost $ I (.oCKJ .00 Building Permit #
HEATINGPERMITFEE$ 3Q. 50
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ 40 .() 0 Receipt #
35'809
I
TYPE OF STRUCTURE
1. Pink
2, Green
3, Yellow
File
City
Contractor
Single Family .
Commercial
x
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
I
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOUIREQ with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
~Af;e of all work which requires review and approval of plans.
- . ,~~ J- 2t-qq
p ~pli~i Si~~""<>, '1.-;/ . Date '
~ /N;),}y:~ 7/Ze/QQ
. Building Offical's Sl'gnature' / Date -
CfC( - (CfY
~
White - Building
Canary - Engineering
Pink - Planning
Thr erntl'r of thr L.kr Countl')'
BUILDING PERMIT APPLICATION DEPARTMENT CHf;CKLlSI
NAME OF APPLICANT llivvvs bLf C. t 1CtS~
I
APPLICATION RECEIVED .3 -23 --qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1lJ-1 (( ISklttltVJL 0~L.t
Accepted
Accepted With Corrections
Denied
Reviewed By:
~rA
Date:
?-2?-7{
Comments:
j. g~l J +n.PtU> //~ ~C7JfA(1-4.J-~
() /~ " v
2. ;L1,~;.,.,Jq,; LA On~ I'm "_ ~-e-J
3. (G~JJ ctl+a r~~ ff,., . eL~
"The issuance or granting of a permit or c;\pproval 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."
. 1'1',."
'- . I /
I ~ (
Thr ('eon.eor of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ; ~ I'
i / I ( "
I " ,
({
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.. r
,r! '((\'(( ft.(
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
~\'c-V-e. rJp/~
Date:
6 '"' ~-"Cf1
Comments:
"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 ILJ \ \ \ l3\ue\nil(~ \to, \
NATURE OF WORK NewC'nnc;h\,k:11~
USE OF BUILDING S FD
PERMIT NO. 9'9 -118 DATE ISSUED 3- 50,- 99
CONTRACTOR ~@~ ~'i 0(~ " /
NOTE: THIS IS NOT A Pe-AMIT FOR ANY OF HE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU ENT
FOOTING
/l DATE
I 'j./V/ 't't
I FOUNDATION (Prior to BaCkfill)Y7fft. I 'Li.$ . I ~-;J.J-q9
PLACE NO CONCRETE UNTIL ABOV~HAS BEEN SIGNED
ROUGH - INS
~ ~{)4;
~~ ~
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~~, ~
ELECTRICAL
-
PLUMBING ( iJ) ~jti/f'1
HEATING (if required) T ) ~ 6t (f..l. J.$, '-7-9-,
FIREPLACE _ - . J
GAS LINE AIR TEST I dJ ~/'11q1
COVER NO WO~ UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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7- 20. 11
GRADING (Prior to Sodding)
BUILDING 7- L.O /lJ /,,;; h~ ~/J-
ELECTRICAL
PLUMBING
HEATING
DO NOT
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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 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
FOR ALL INSPECTIONS (612) 447-9850
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