HomeMy WebLinkAboutBuilding Permit 99-0264
CITY OF 'PRIOR LAKE
INSPECTION NOTICE
ADDRESS \~3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED 7~~ IJ:~
?J1ll .b~J Ii,
CONTR.
PERMIT NO.
Q1-u' 4
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~OMMENTS: .
\.1) ~ u.r D:e ~
fill ,~ ~
U r - ~)-'
~jJ{~i.. ~ O'K
./
/
/
/
/
----/
CEED
CEED
REINSPECTlON BEFORE COVERING
Inspector: \ Owner/Contr:
CALL 447-9~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQrnYARE FOR YOUR PERSONAL HEALm & SAFETYI
INSNOTI
__-..-_~ _______'.__ _n.'_
"Permit"
.JobAddr_ J 'i{)~~ .e lCAe b,.,d
.Heating Contractor Me I n:O AIR
~
"Testers/Signature ~./
Q!!!
!!!!!!
Pounds
Pressure
.Gas Une
Pressurized
Inspected
pERFORMANCE TEST
. Percent C02 ~ 'D~ . Percent CO OO{O
"Percent 02 i lot q() .Stack Temp. ,;)DLt a
Final Inspection ~" ~4- Date
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
s: - 114-C; ~ ~3c
\ ~O (0 ~ \S \ v..<..- \.; <'1 \'-r.
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq - ~lf
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
~CHANICAL
\ ~~TER HOOKUP
~ PCSEWER 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:
I
Lf6
s."kL~
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pVL.
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)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL ~OR REINSPECTION BEFORE COVERING
r\. .,.
Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.-:_'.'T' ~~:-_~"':"':-_~:-,"I~-...",::-'""co< l' -~-"";l'l ~'7' _ ....,. - ""':~;~~,.-~ ;"~lr.~'r~?"'<y(,;,:~,,.I'<
1o<~.'t~'''i'''' (\-~"
''l~..,.,.-- ~, ''''T; T -~'"'7~;.~~~~r--'"
~~.----- ~-~~------- -----~_.-_~-
~.\i...\lIIOOi~~.~.~..~..'~.""..wj~. .....~~.......~~.~)~ .~"",!I!~,
,~r.. ~'~. ,., . ,:~" .;~,: .:9';. .",_,..''1;~.. ~,r.;;:.~. ."".;~. '''.. 't..""... ._.-:.~' ..... ,~.~.~t~.""'.......",., t~..-. a '_'
_...... . ........ -........ - ';" '.......... -.- _- ........'...'~ - -....iA:&. - -...... l......~-___,.~"'''''......~''....,..~.:."I ,...a.:au.:'i:...,l':;.--..' '.~.-, ..r..-:__. .~,. :....oa.::aiI...'- ,1";:..Oa::.A...'i. ,.F.'.-.-.. '-,.:A~ .....~
~~":r' 0 Final Pennitted 0 Conditional C.O. Expires --
'\.1 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 afthe
City of Prior Lake regulating building construction or use. For the following:
UseClassificatioll SINGLE FAMILY Bldg. Permit No 99-264
Occupancy Type R3 Type Construction VN Fire Zone N / A Zoning District R I
Le aI De .. L6, BI MAPLE HILLS 2ND ADDN
g scnptlon
Owner of Building C\iteAddress 14063 BT,TT"RBTRD TRAIL NE
Contractor'sName&Addrf":'~ ALLEN HOMES CORP. 12433 PRINCETON AVE. SAVAGE MN
ROBERT D. HUTCHINS ~ City Planner JENNI TOVAR
Building Official
Date:
'\
.....
L
,..."-':;iiii:'.'.ijh..;......'~~!.:;fr. ';i~;; "fo"';"<:,' ;~'iiI.. .:,1.:iu.;;;. .o..id;,~""~I.;i;;;r'i. ",0" '.~I;,,;:,~l'',;,:~;,.;:~~.;l.'':..-:..~...< ~<.:..i:'.A~~,.' '''' .~,.i.:i..:J~-~'ot,L~ ~;~}~~.:~.J~'.:".,.id~,.ct..<~~ 'iiII,J..., ;..
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1fR21S9
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
I 4Q( f)~ P'Lu.ili1 feU -r; /'S6
3. LEGAL DESCRIPTION
LOT
to
A\cwto. WilL s
I
Zn.Cf
BLOCK
ADDITION
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq - 2 r;, 4
4~2~qq
~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ::J. c., . 34~ . (XY" - 0
4. OWNER (Name)
_A/Ion Clornu G,.......P
5. ARCHITECT (Name)'
, .
(Address)
/}>f4-~?/)/'I;'LfJI~'" Ar ~O,?l .
(Address) ,
6. BUILDER
(Name)
(Address)
L'
Fireplace 0
Alterations 0
Deck 0
Finish Attic 0
Septic 0
Addition 0
7. TYPE OF WORK
New Construction ~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft. 12.1l2.J
9. PROPERTY DIMENSIONS
Width Depth
13. TYPE OF CONSTRUCTION
(Tel. No.)
~'i4~lffi~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
q 2r 06CJ
17. COMPLETION DATE
,/30119
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes No
I hereby certify that I have fumished 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 ~i~r just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ ~S IO#:' cy1/{q
\.. J Signature \ License No. ~te .
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
,~Fb
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV (0.
Occupancy Group A B E F HIM ---0- S U
Division 1 2 G 4
Permit Fee ................................... $ Ii ol] .? ~
7cD ' '2..'L
~cr . (')1)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $ 100,00
Mechanical Permit Fee ..................... $ t DO .00
Sewer & Water Permit ...................... $ ">5 ' ~(::)
GaS~ir la Fl. ~...... ............... $ 40. C9 0
This come o. Building Permit WJ\e~ ftp~~~
By ~ Date 'to 'f7 !
Certificate of Occup ncy
Side
SOIL TESTS
Cl
Cl ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
~
138,000. CXJ
City:
~~
tx\ If
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
~st'J .00
I c ~9'\ ,()o
Collective Street Fee ....................... $
Sewer Tap ................................... $
I. $
Pressure Reducer ..1'e.................... $
Meter Horn... ..r::'-'1'........................ $
Water Meter ...7fl,.:........................ $ I 2CJ .f") ()
Sewer & Water Connection Fee ........... $-.:1 - ')co .00
. 1M
Water Tower Fee ........................... $ '1jj.I"'J .~
Water Tap ................................... $
Builder's Deposit ............................ $ I, Sno . ~
Other ......................................... $
Total Due .............................. $ 75~{'. Lf7
Paid 791 (. q 1 Receipt No. ) \I /4
~ f
Date 4-/,4-'/tiq By 'J(~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinante and may p. w.;...J as uested. This document when
sign~'iE' City P'fher co~stitutes a-,emporary Certificate of Z~i~ compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~~ &.{-7~
U City Planner Date Special Conditions n any
t/5.on
24 hour notice for all inspections 447-9850
.'
White, . - Building
Canary - Engineering
Pink. - Planning
lie c..wr .f .11. Lall. c..-."
aU1LD1NG PERMIVPPl~TION OF.
NAME OF APPLICANT -
APPUCATION RECEIVED
t .. I . I
,1-IjJtl" Hnl i1(/, trr y.
. U -l-{{l
The Building. Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at;
14Clo3J1Lic U; r(1 l K. fJt2 - ---'
Accepted
Denied
./
Accepted With Corrections
Reviewed By: .wAL.rE.tt.'. &,,~",rM rANAl -
.... . . J J-c;;
_ uate: .-fI-!-"Lf't I
Comments; j?..,FF ~ U {!...<4:I'" 1"- A"'. 11<."'/' va_.~"6E A~b
ur'L/1''r'' e:~tME.~ &i"""~"JoI ,~<. J~rAc..T~,A.'
D.14N1A{'~. C..$J:"V~"Lrl!
.J6.""I..K J4JoJ6Y 1...)1(..'- 3"---'- REeYtLE1l. 'E'I
f,.uA.... ~ o FE.... -
Sf:E. 'N~a1.MAr"~ eM Rc-,JEftSE_ :5'1 i:)e~
.:Jii E, a...1t UI f!",(. P((I" A.. "-0
-
~ A-.:rllCJl,,^E~: I. f1.,>"L a..oF !..>...a..... J.J~..':<.,,-r.o.1 <: alJ.-t>t'" ~
.h.- E""~ """ c.-,f"I' 0,. ?..w 3. fjs...."" c.~.. t':1--..~~ ,
"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.'
(.1 _. / {(
t -! . ~ / -
" (y....
Th~ Crnfrr of the L.kt Country
White - Building
Canary - Engineering
Pink - Planning
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:
J t
~ ".. ~
Accepted
v
Accepted With Corrections
Denied
~~^I)~~
Date:
<-{ - ~ -Clq
Reviewed By:
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."
T
qq~20L(
Tht' Ct'nler or Ihr L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~4( levl ~VJ1e::S f/Jrt0.
APPLICATION RECEIVED Y - Z -C((
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4Dfo3 Blueb;'rd 11<. IJ~
Accepted
Accepted With Corrections Y-
Denied n
Reviewed By: vifJ 6l..,_ ~
'- !/
Date:
~~ cz-~ 9
Comments:
I.~ ~-t~ ~d&v-J~~
7\ ~~ t( OO__a~~ 4-~, ~~ -
IThe 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
GREEN - FILE
YELLOW - APPLICANT
GOLD . ClH
CITY OF PRIOR LAKE NO. qq- Zb4-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~ [;~ "l-J~ PHONE: !./?7-SY/'I
ADDRESS: /'f~ ~~ A.Ne, S, e; fJJJ,-- DATE: s-fl-
SIGNATURE: /!Wv2-~ BLDG. PERMIT #$-264-
SITE ADDRESS: /'-J.()'L~ f3Jd~J~f 0' PID# 25-3'-1-3- O(J~-O
FILL IN THE BLANKS
1. Estimated length of water service
lI-r
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
itS-
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
BY
your permit when apprcfAla>.WITH
~h, /CJ1 DATE: ..BUILDING PERMIT,
This
,
------------------------------------------------------------------
------------------------------------------------------------------
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
RECEIPT #
AMOUNT PAID
REC'O BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
"!"
CITY OF PRIOR LAKE l- i{pU
16200 Eagle Creek Av. S.E. Permit ~'1 .-<. J
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date '--'-\ S-~ q PID# 25-34-3.... OO~- 0
\\\CJ\l)~ 6 \\A~'b~r-- ~ \~\ \,
\ Addition n lo y? ~ \-V. \ \ ~
Owner"s Name. !~ \ \.Q .., \\\0 \~ ~ .
Address \ d '-\ 3 ~ P (' " "'\. '- ~ "\ ~ -1\... <; u. V 4 " ~
Heating Contractor \\\ <<:\ r('J .{\ ~ r -l. () ( .
Address _ \ \0 ~ ~ ~ \N \. \' (.~ N. 1\ V t.. ~('l Ur- L~ \ \Q. i
Telephone # . ~ ~ 1- <& \ d. \.\
Furnace Make & Model f f\ t ~ <=\ "J tc..rr; \- TYPE OF SYSTEM
< 113." . h Warm Air Plants X
Model Size 1\ '1~ () -, \) Gravity
( \ ~ -, ( Mechanical
Conn. Load ~ . I K\ . Co d" . _ .v
I Air n itlOmny/"
Fuel ~IJ... \- Flue Size S Vent. System
Site Address .
Lot '-.0 Block .
Supply Openings
Return Openings
Input~~ .COO
\~
I
Output 1\ \ (J \)\)
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Edr.
Cfm.
\t'-\\)
Other Devices
Alterations
TYPE OF WORK
Replacement. New Construction X
Repair
Est. Comp. Date _ - _
~c..)\:J~ ~ Building per~ __ qq - 2&;4- _ _~
PAID WITH
BUILDING PERMIT
...
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
.50
TOTAL PERMIT FEES $
Receipt #
APR28~
1. l'iDk
2. Green
3. Yellow
File
City
ConlrllCtor
TYPE OF STRUCTURE
Single Family _ X
Commercial
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.
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 buildinCl oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS. 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 retum 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 9nd 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
~~:h r:2:res review and approval of plans.
~Plic Sign Date
Building 0 icaJ's s' 4- / z. ~,q~
01/01/1996 13:08
/'rFI~j"O~r'~~
~~
~, "
--.--'"
612-89479...72
LAKESIDE PLBG
PAGE 02
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:~{J~
Address: /2 l./ (, 'I ~ ~r(_ ./J o;,r<...
Signature: ~~ . ~
Legal Description: Lot ,0 Block / Sub /'1J4 PGC rt/u Z IJ.V At:WAJ.
Site Address: j '10(, 3 .&4" ~h<,.,.4-I ?;;A':kJiI A.J, .
Building Permit # 9t:?- 2 ~ ~ PIO # ~-.3~ _ 0 O~ - CJ
NOTE: This permit will not be processed without complete information.
I. BIUQ Fil"
.. Golu L'il)'
l \'elhlW ^fll'li~,u'l
qq..- 26 Lf
#
Phone: 11/'). -,f-jY' , 7'- 00
$~'2%)iI' d7 A:/
I"hl' C.......I..' III lhl\' I,.k.. C:oun.,,'
6.u.J.1.J", J~ A-..J I.pAI IItPYtb
Quantity Type of Fixture
.;}..
I
,
.;l
I
I
I
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
~. wot U
I
Rough-ins
Water Heater
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
r~
Water Softner ,~!1
-
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
J...
Sinks
Bar Sink
Water Closet (toilet)
~
Other ~~
OwP~
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
$
$ 975'<:.J
$
$ .50
O(.}
$ 100 .-
GRAND TOTAL
This permit is granted upon the cllpres; condition thill said
contractor. shall comply in all respects with the:; ordinances
of the State Plumbing Code and the: lImel}dme9ts thereof'.
,RECEIPT NO. ~4;//~/qq DATE
. ~ '.ArrEST
/
Call for all inspectfons 24 hours in advance.
PAID WITH
BUILDING PERMIT
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4145
An Equal Opportunity Employer
0Yf-2&-({
The Ceonlrr of thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.~i /Itl I U>'/llt"'-, ('('r-~.
t I --; (/(
i t... t' j
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILJtfo3 E:lcrc Ij! f ({ -, k. IJ2
Accepted
./
Accepted With Corrections
~ <
Denied
Reviewed By: tJlfL.T€/t ~'" aNAl
Date: "/11-/99
Comments: J<u/UoFF Musr- $f.. C"....~b 70 AND Ac..o..Jb Dfil'9/AJI"tGE ",.vb
un 1../ T'r' E,q~II'1.E~A5 o'1.wUol 14<" PlC.r'lc..TIC'A~
DI4MI'96c,,", G<{'!'Y..MrE
_lA.Hi t...1< -?14 AJE: L...<
w,c...(.. i.3 E: R E Pl..Ac.E..b
z."
T;./ E:. i!.u/l..iJE')t. p~/".... /0
F,N.qc.... S'IC,N oFF.
~f:E. INFofl.MArttl.-J 01\1 REvERSE S', i:)~.
SfE.. ATT'~C.HrI'\EAlT~: /. M.uAL.. f),flAo,E. LUSPEt'..T.o-u J~Fo(l""'I4~IO,.J ? t:!11.1t/:)/AJ6 ftA.u
'3, tlto.s ,ail. I r"'AJr/QoL 11.. A.v
'-I, EI<.DSfO.v CfJAJ'TROL /!16fSullf:,S..
"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 I <-l 0 ~:3 5l ue.. b t r-cf2 (r-.
NATURE OF WORK l\}.el.J 0~
USE OF BUILDING SFD
PERMIT NO. qq -2(,,\..( DATE ISSUED t.j-?-icr
CONTRACTOR AII~t< /~"€c;, GYo
NOTE: THIS IS NOT A PERMIT FOR ANf OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I '-{~l8 ~
, FOUNDATION (Prior to Backfill) I -:),{t. I 5 -5 ~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
J. P~.
J FOOTING
INSPECTOR
DATE
~.t\ .
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
s--- ) 7-C( "
()/ ~ /'/~/q<;
J/ '
(J~ V7!~~1
~~/7 I
(/ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
i -~ - L rAg I I
FINALS
GRADING (Prior to Sodding)
BUILDING 4'. (,;-1). iD \~ \lqq
ELECTRICAL
PLUMBING
HEATING
DO NOT
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HAS 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
- . .
::V PREPARED FOR:
EN HOMES
~ PRINCETON AVENUE
iE , MN. 55378
Valley Surveying Co., F? A.
SUITE 120-C, /6670 FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
PRIOR LAKE, MINNESOTA 55372
TELEPHONE (6/2) 447-2570
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