HomeMy WebLinkAboutBuilding Permit #99-0225
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L{~~8
SCHEDULED 8" 'S. 0 I
2o~r'~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Cf9,,'2L- ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
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:
~ORK SATISFACTORY, PROCEED
o CORRJC ACTION AND PROCEED
o CORR T ~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ 1'1 Owner/Contr:
.Y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
_""'._'~'-""'-"
i
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4-~7--4" .J"'1-:io
ADDRESS Nt, f
(<Jo.,,- l2J
CONTR.
PERMIT NO. ~ t:t~ s
OWNER
o RAMING
o INSULATION
DF~
.-p'OlJ~D~~~ON A
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
~'WATER HOOKUP
EWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS: \ t\ .' . -
4f' ~.~ Au
~v(,~ ~
~~ A1Y~
'{Jilt...-
\V -
-~~
. .
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~ ~ ewJr ho~ t. ~~
OA- 'tv ~J . ~+I.A
MD fflN Wtr~
M~~~
o W~SATISFACTORY, PROCEED V
~ORRECT~DPROCEED
o CORRECT :(-~J L FOR REINSPECTION BEFORE COVERING
Inspector: .' . J . Owner/Contr:
CALL L.4~230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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IPY~~
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
._-,..
,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ -30 -'19 q; ~o
ADDRESS ly-z..18
RJ"n
f<J
OWNER
CONTR.
..,-
......<:-.
PHONE NO.
PERMIT NO.
qq.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
A- 0 SEWER HOOKUP
~EPTIC INSTALL
PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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Inspector:
Owner/Contr:
CALL \447-4 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
COMMENTS:
<0 ~ p~ GnIYl~I"Y-~ ~
(~Soc.R ~d +Vel''' 1XA ~p~
(~ 5..v~ S\:v<....<.. 1- f
@ ~O v'L l..rr-- <; \-vu..c::h On
(S) tv os.~ t'- ~ -h ~ I'"
<!~1""L.6~)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /42.7 B
Rob,h Rd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
o FRAMING
mD INSULATION
FINAL
o UNDATION
o DEMOLITION
D FIRE PREVo
A ~UMBING RI
f:3 ~~.~CHANICAL
D WATER HOOKUP
D SEWER HOOKUP
o SEPTIC INSTALL
D PLUMBING FINAL
D SITE INSPECTION
~j~
~awe d
0aw ~,
CVY1../t-
TION BEFORE COVERING
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
DATE TIME
1-1-C,Q
/0 ';7Jo
'1 q - 'Z.:z. f6
D EXC/GRAD/FILLING
o LKSHOREnNETLAND
D COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
d~ b~,~
VC:G../L
~~
--
It-
d CLs~~
+e<;t
CODE REQ 'REM TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Ci'tY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /i../Z7(i
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l! FINAL
o SITE INSPECTION
COMMENTS:
r.::n fU\ E. 1'5 0 <.
SCHEDULED
K?i3fN
DATE
TIME
12/1.9191
.
--?
.-(040
CONTR. PrVr.rCH (O,v.sr:
INSNOTl
91- 21..5
X EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(\)'1..KL~r:. ,l,.Jr:Ic<., "D DC Rt:1lsO) ~L.v5H' WITi-1
I~C f",dAL Gf<Ai>C
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: JJi1ti::::-),JY. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH cl SAFETY!
~~.....~
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicanl
:' i: "I, L 0 1999
Permit No.
qq - [c s
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 ,/
14 c,iS Ro~ I~ Ro"(} tJe
1.;7~lD/99
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(HeiQ!!t) (Width)
L~' (,( SQ.'
12. NO. OF STORIES
z..
(~~'
~\
:D::ECT ~me)
- T.'CH LA~~
6.~ILDER
..1)El ) r<:..f'"
7. TYPE OF WORK
New construction~
Chimney (J Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. , C, 'jO(o
I hereby certify &tat I
the above mentione
building official can r
X
3. LEGAL DESCRIPTION
LOT B BLOCK S
ADDITION \( tl~ U ''-L 2. NtO A 00...;.
4. OWNER (Name).,- S (Address) (Tel. No.) '103
MItr"1'.,..tK'R.,Si: Ie ~~lc::- l03S5&t.~_L..J. t:.hC'kPR41~'" lJ'CQ.2e
D (Addres1\ ~ (Tel. No.)
~~ I ~., N..~.~ r~*<,~u~ ,,?~-;?$'tO c:p
(~e) (Address) 'i'\ (Tel. No.)
LolV.1"7. 8/,,"'-.1.,)) && ""~Au v,S: 7s'O....~9<Q9
Fireplacej(C.1\J Septic (J Deck (J Re-roofing (J Porch (J
Alterations (J Addition (J Finish Attic (J Re-siding (J Finish Basement (J
PID
cS - 331- f'l "300
lr~ TYPE OF CONSTRUCTIO~
~...... ~t' ('.t( RS..,.~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS (
SEATS
16. PROJECT COSTNALUE
1'1O,~
9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COM~1ETldN DATE
Width S9' Depth I~S' Yes c;:) 7/3'Ol5'CJ
tion on t is application which is to the best of my knowledge true and correct. I also certify that I am the oWner or authorized agent for
tru n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a~re that the
s urthermore, I hereby agree that the city official or a1designee may enter upon the properly to perforlJ~"u~Qed i actions.
I O~- ;) I ;)'C'c 99
License No. , Dati ",
Signature
FOR ADMINISTRATIVE USE
SETBACKS: Req~il:ed
,Actual
/ Front
BUILDING fEPARTMENT VALUATION
USE OF BUI~DING 5n~
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS (J ENERGY DATA (J
PILING LOGS (J PERCOLATION TESTS (J
PLANS & SPECS (J SETS
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
17010~O. 00
SURVEY
PLOT PLAN
(J COPIES
(J
State Surcharge ............................. $
~.Ef':::F...................... $
~m ............................... $
~..~~~........................ $
S~
~lIhtnt!:ll1 _............................. $
TYPE OF CONSTRUCTION: I II III IV XJ
Occupancy Group A B E ~\~ S U
Division 1 c:.>>
Permit Fee ................................... $ , I ~ 3't-[. ~S--
~ct{ . (,-:i-
?-;C;. " 0
4.0 ,00
loo .00
ItJo .~
5b .5()
This ~mes YsZrJMding Permit "ftpn Approved.
BY(.,l::~~~ Date V-2-C;r
Cert~icate of Occupancy
City:
\
,
v
'!
Amount Brought Forward .................. $
Park Support Fee ........................... $ es:o . t!:l1
SAC ......................................... $~e:;-{) .~e
Collective Street Fee ....................... $
Sewer Tap ...................................~.
License Check Fee ......{.................. !t:
Pressure Reducer ..q~ ./.................. $
Meter Hom .......r.......................... $
Water Meter .~.:......................... $
Sewer & Water Connection Fee ........... $
'/b" CJCJ
Plan Checking Fee ......................... $
. \.
, i
/;;M:, CJO
J. "2~Cl .6{J
, ?/l n .Ot1
Issued
Water Tower Fee ........................... $
Water Tap ................................... $
Builder'~sit .....^.~.i\::..:..:~.. $ /J 5C)O ,00
Other ..,;-:\v.~~~..... $ - ~ ~
Total Due .............................. $!6-'S 7TqJ
Paid '83./ I. G!, Receipt No. 34i3'14--
Date 4Jl-J qCj By 1j.f@
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning O~dinande and may proceed as rtltuested. This document when
signed ~ t~~ity Ria er constRutes a temporary Certifi,c'lte of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
'-'< 'i.-L~
r..J City anner Dale Special Condijions n any
24 hour notice for all inspections 447-4230
). PiD1 - F\Je
2. Gleal - Qty
1. Ydkrir - Co~
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq....?? z:;
Prior LaD, MN 55372
TYPE OF STRUCTURE
x
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Public Other
"; '---"'" HEAllNG APPUCAll0N I PERMIT
CL Dale '--\. \ S' - q ~ PID, 25- ;3Qt::;-O 30 - ()
fSi Site Address \ '" d" ~ f\ 0 'o~ "\ tf> 6\ d
ci -lot..~.. - Block.S- Additlon- ~~\.to W~.\\ __ _ :1nt.
z -
own8(SNam8_~ \.~~ {~ LQ",~ ~- .
Address \ tl \)1 N \. "'" ~ r- '^ \V\t. "'" tv S tn~"1 \
Heating ConlraclDr ~ q:\ r-(', -p< -~ r- ~ () ( ,
Address \\0 '-\ ~~ \N ",- ~.ON. 1\v L f('\ O~tJ4\\o..l
Telephone' '-'\ ~ ,- C6 'd. \,\
FurnlC8 Make & Model l~,..\' \.-
Fee Schedule
JodUJU""', Qqmrn~tc;[,"I8J MMlli-:F~ily
Resldentia', Healing & AC
Residential, Heating Only
Aesldenffal, Gas Fireplace
Residential, Additions & Alterations
RtlIIidenlial. AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39_50
$39.50
$39.50
Remember to add the Slate Surcharge on Ule bottom of this application.
TYPE OF S~STErt\ .
Warm Air Plants. )(
Gravity
Mecbanlcal
Air Condilionlna ^
VenL System , -I"
HEATING OR POWER PLANT
-- StBam- -- .-
Hot Water
Ra.lt1i'."n
Special Davlees .
The price of your healing permlllncludes one rough-In and one flna[ Inspection.
Adcfltionallnspections will be ~llled at $35.00 each.
House Heating Test Record must be submitted with 1-" !1!ri!I!'C" F1fIIrmit numher before build-
jng certlfieal8 01 occupancy will be issued.
HFAT CALCUI.ATIONS RI=C"IIIIAFO witt'! number of supply and return openings listed per
room with CFM's per opening, New structures or additions send 'Ioor pCIIn with supply
--anil reluiifloclliODs.snown-: 'HEAT"LOSS CALCUlATIONS, PAYMENT AND
APPLlCMIONS MAY BE MAILED 1'0 THE CITY OF PRIOR L.A)(E, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372-
CIly Hal business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTEO (ROUGH"" AND FINAl.) . CALL em HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete 4nd accurate; that the work will be In conformance
with the ordinances and codes of the city and with the alate building/mechanical
codel; that this form doel!! not become a permit unlil signed by the BUILDING
__..9f.f!CJ~"'; Jhat !h~.~~!lL "!~t~~J~__!l~~~~~l?e _ wJlh tt!e _~pp-JOVBd pla!1_I.n_~~ _,__ _._
~~Of ollwork - r:51" revlew ond .pproval or ~.~:S _, ~.
IS, . Date
. . 4-/f(~ /qq
8uilding Offical's Sfgrialure Dtte -
Model Size .\ 'i\ J- ~ "'-\)
Conn. Load. sa"'" '\
Fuel ~ ~ ~ Flue S1Z8 'b II
. Supply.Openings _ \ S"
R81~m Openings 'i>
~ Input~i ,b\~ ,Output I \ . Cco
o ~
a:::
I-
w
E
Edr.
Other Dwlces
\\\;\ ~
Cfm.
TYPE Of WORK
x
E
CL
CD
:':' Aherations
.......
Replacement New Construction
f\epalr Est. Comp. Date
~ . ---E~. ~sl $-"S G;-~ a~ 8~ikling 'P;;k'~'-' -D\~ ~:l-:i -S-
.......
Ifi HEATING PERMIT FEE ,
.......
g:: .sTATE SURCHARGE .
a:
TOTAL PERMIT FEES $
PAID WITH .
I BUILDING PERMIT
.50
Receipt .
~ ~~ :~~ .:, ,-
_.r
Apr-20-99 11:22 DC MECHANICAL INC.
612-890-4650
P.Ol
I. Blue File
2. Gold Gry
J. YellDw Applicul
PP No. qq.. zz5
Applicant: 1>~D mlf.;,c.HA-A) ,'c...Al C; Phone:J96 -8".;).;.W
Address: -211LW. l.,J '- -.:M. ~"'..' SR-lh"7~ 55 ~7 r
Signature: - p~ ~ -<;J"'~ ~... .. . .
Legal Description: Lot J Block -5 Sub /(,t,. ~ II , II - 2. "d .
Site Address: 1~~7V 1l.t>8iN !eeJ}JJ/J
Building Permit" q q ,. ~ ;Z 5 PIO" .25 ~ 3~ - 030 - 0
NOTE: This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
Tl\r c~.uu ., .... "'11. C.un,ry
FIXTURE UNITS
Quantity Type of Fixture
Z. Bath Tub with or without shower
, Dishwasher
J Floor Qr:\in
l( lavatory (bathroom sink)
I laundry Tray (' or 2 compartment sink)
2 Shower Stall
Z Sinks
Bar Sink
3 Waler Closel (toilel)
Quantity
Type ot Fixture
~
I
Rough-ins
Water Heater
Wnlor ~,'lll\ur
, Stand Pipe (washing machine)
Sewage Eje.ctor
Backllow Assembly (RPZ, Double Check, P'IB)
Backflow Assembly Tesl
I
Lawn Sprinkler
Other
5'-'lhf p~
.. ~
FEE SCHEDULE
Industrial, Commerciat & Multi-Family
(1 % ot job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
$99.50
$39.50
s
S 'IJ.$D
$
$ .50
f~tJiL .
131
GRAND TOTAL
$ ItJ6.6~
This pennit is granted upon the express condition that said
conlr3Clor, shall comply in aU respects with the ordinances
or the ~1i1le Plumbing Code and thc i1mcnJlmcn}S ~hereor.
R~. 0.. ~~...w DATE
~. --/ ATrEST
Call for all inspections 24 hours in advance.
PAID WITH
BUILDING PERMIT
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / F.'\.-X (612) 447-4245
An Equal Opponunity Employer
&~
~NE~
GREE. - FLE
YELLOW . APPLICA.T
GOLD - CITy
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. qq-LLrS-
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: P -4 ~ M~<"'i A ~ (( A c...
ADDRESS: 7/1 ,_ UJ. (~~11+ ~-r.-
SIGNATURE: /v()~ 4:.l/
"-.....::.. -
SITE ADDRESS: . 14. 2? ~ ~C~ III.) Ro"o
1- i1Vl~ .c;':
;))~~
8<Jo- ~8~
BArl: ;
BLDG. PERMIT #
PID# ZS. 33q A 0300
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
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.
* 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.
DATE PAID
PA'OWrr':"~
BUILDING PERMIT
AMOUNT PAID I
REC'D BY ~
RECEIPT #
4629 Dakota S1. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 4474245
AN EQUAL OPPORTUNITY EMPLDYER
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'M-Z1.~
1H C'.'ft' .f ,... La" C....".
White - Building
Canary - Engineering
Pink - Planning
BUIL..DING PERMIT APPLICATION Dt;E,ARTMENT CHECKLIST
N~ME OF APPLICANT
APPLICATION RECEIVED
.,
I,_)U.A JS( Ll t lh-1S T
](2( (q~
The. Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. 1<--/2/9 F(o LW-L r?C~rI ~
Accepted
Denied
./.
Accepted With Corrections
Reviewed By: i...J~ TEl< E HrtC:S~AN.0
Date:
~ '-/,,-
1;)/ n
I
Comments: . RUAJ4F1= f\lW.sr BE CtM.JVEYE6 "TO I-Wfj ALAINI'.. PttA,A.Jf16E
AN~ c.JT1 LlTV fai.f:.l"&t EJT< AS !f-tuc" Fls, 8tAr~t
..5E-=- '4.o~.....,."Ot'Al O..u Rt;:uEItSE ~,aF
~ A.. .'~",e.vf'S : I. h.-Jr'fc.... attAOf: }.AJ!;P~ INrallb\CAltoN z. altAb.1IJ1. R,.AAJ
3. E'n~ (l..LJAJ7"A..OL ~uflE ll\
'" .6:zo<;~"" (30iIJT1f..o L ?L.AiJ
"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."
cr7 - 22~
The ernlrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lli 1st L'1 L DYI S T
J(~~ (qo;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IlfL i9' {{() ~ ({md ~
Accepted
Accepted With Corrections ~
Denied
Reviewed By: wJJI-/
Date:
C(-2~q 7'
Comments:
), ~~-l~ ~~ p~_
'2. M~~~ O~,~ ~~~
)-U~~~ ;;~2J
.
"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."
, ~,'/'/
)
The Cenler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
" J.. i /' ,.. "... 'T
( l ( - )( l I : ( J 1.:;
APPLICATION RECEIVED
. j) ( / (7 '1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, (_,n._: /' ,.:. l - , . \ r
i ' ! <:' ,I. ( \ -{ ( j."",' / I 1..... h/ /" ('.t [,\ t..':-.
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~J) -1. ~
Date:
4- 2-"t:7CZ
Comments:
~~eD"" V-be- ..fJ.re.-~~ ~ Vf'1}cJ:,-redJ"
"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."
- - -"_. ... .." '.. ~.- .-'"--..........-. -...........~._.._..-;::-_ ...~. :..t_. _ ,_
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ILl-a~8 Ro\oiV\ Roc.cl
NATURE OF WORK npw C1ruSl:od,(1TYl
USE OF BUILDING SFf)
PERMIT NO. cr1- ~~ DATE ISSUED t.;-2-9'7
CONTRACTOR .DB\)t$cL (t/l/lc;::.!,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.1 DATE
I 'f- 1..'0,
J FOUNDATION (Prior to Backfill) I SS, ...... 1>-, I Co.( -.< ?_ ~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC S '"IS. ~- -17 - ~ ~
FRAMING I ~ ~ -'2.,.) ~
INSULATION (iY 5(;;-r II
ELECTRICAL (/ I I
PLUMBING I
HEATING (if required) /,.H-. l.s~
FIREPLACE r.r. (f ,Is:n-,q
GAS LINE AIR TEST j:~ r-fJ-'fJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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J FOOTING
I~~~R
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
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/<1/ ~/30/f'f
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I l"{ -'i~
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S 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
FOR ALL INSPECTIONS (612) 447-9850
/