HomeMy WebLinkAboutBuilding Permit #99-0304
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W- :. POST IN A CONSPICUOUS PLACE
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Qttrtifiruu of OOrrnpanry
CITY OF PRIOR LA}(l?
Jlepartment of ~uilbing 3Jn~pection
r~ Permitted 0 Conditional C.O. Expires
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 lAke regulating building construction or use. For the following:
Use rl"'ifi~' t:."
SINGLE FAMILY
AI.:;. Permit No. 99-304
Occupancy Type
R3 Type Construction VN Fire Zone N / A
L5, Bl, WINDSTAR ADDITION
Zoning District
Rl
Legal Description
Owner of Building
~h Address 4446 PONDVIEW TR A TT.
Contractor's Name & J u..... WENSMANN HOMlijS 1895 PLAZA DRIVE
ROBERT D. HUTCHINS fir. I . JENNI
tJ 1 CIty Planner
.luilding Official '
1- .gd ~ q1 Date:
SUITE 200, EAGAN MN 55122
TOVAR &.
q. 3tJ; 11 '
K"'~'~~ T',wc::r--'''-.........-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~ 3:3()
PoriD Vlbl/J
SCHEDULED
ADDRESS
ij-(/ q 0
OWNER
CONTR.
PHONE NO.
CJCj - 3CJcj.
PERMIT NO.
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
IL 0 SEPTIC INSTALL
rr 'il"PLUMBING FINAL
/0" SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
W~il _
GI,(~ll~
r 11Z-
f1~ ~AnA
--'{)
(0 (~~ ~j
'.~''41'
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Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
T ~"--
..,..-.......
an' OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ /f):/S
ADDRESS
q If'l-"
Hwbv/~<AJ 7i.IfIL
CONTR. W€,Js"1A/1.IJ rltNf'tF~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
)( 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
IS A(.CEfJntUlLE.
COMMENTS:
&t/IIIJE
f1.,'A~
l5
Ol'ehlTKJI\.Ji4I
JI14JA1rAI,j $'/~T ':~E:.
9<1- 1""
~EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
t>JT/L ~11l!iE:.h
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4~~ /1.L~
" _...owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
T'-'
, TOo
CITY OF PRIOR LAKE
INSPECTION NOTICE
.It .""
-SCHEDULED
DATE TIME
1-(~~-9~ A. r;
ADDRESS
L/L/L/~
~1J 0 1/lcu) /f<,
OWNER
PHONE NO.
CONTR.
PERMIT NO. q q - .3 0 '-I
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATION '_' 0 SEWER HOOKUP
)l'I FINAL '" 0 PLUMBING FINAL
o SITE INSPE 0 MECH FINAL
COMMENTS: SJ, 0 i T IU::-~'$
~-~ ~
-,C~ .iA ~ ~ ~
102>- d~_lt t1L I~ ~
/ '
~-
~~
A~',-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..{J~
~r-5!-'
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO'2' :ALL FOR REINSPECTION BEFORE COVERING
Inspector: VJ"-f I Owner/Contr:
- ,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'"
- -- -- - -- - --- - - --= - - - -- -
Job Address .,to/" ~)/JIIW
Heating Contractor (~~fI1#
Name of Tester ~t
Date 6o,k~
7
Percent O2
Percent CO
(7
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
8
~
,.
Percent CO2
/
QATER~
.,.-
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
~ ~ '-'- 'v ~'"" ~0-. \j', "--'---" '- <;
3. LEGAL DESCRIPTION
LOT
s
BLOCK \
ADDITION _~,,,,S ,.___c3... ~ " <-----'
4, OWNER (Name)
~~"'--'::,,~"-......... '\.:~~~
5. ARCHITECT (Name)
S. "" ""'- \::;.
6. BUILDER (Name)
(Address)
Q.. c.".",<J..___
(Address)
(Address)
1. DATE
\..-vs I "'- ~
r( I
PID ~S - ~ ~\.o- t::.\..:<-,.- 0
(Tel. No.)
~ 'S. \. - "'-<0\0. ~ '--" (:, u
(Tel. No.)
(Tel. No.)
1. White
2. Pink
3. Yellow
File
Cily
Applicant
Permit No.
C(C1 -?J)l/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth\
~O' "'\0' SS'
12. NO. OF STORIES
~
13. TYPE OF CONSTRUCTION
\.Jv<.:.<..> &... <:.:;, " c.. '^"'-'-
14. FLOOR AREA APPORTIONMENT USE
\ \. os.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~ \J'o...~\::,
7. TYPE OF WORK Firepl~ce M Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction)D Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE
ChimneyO Misc. 'i>-.\->\-"""'f ~u\ 000
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. s.S "\ ~~ Width%C) Depth ~\C) Yes No ~~~~'-'~ -11\ /o....~
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 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\. ,c.......... '" ~......."-'- "",-...e&"'" \ ,,~~ 4/$/ ~"\
Signature License No, Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
. .......
USE OF BUILDING ::5 r U
FOR ADMINISTRATIVE USE
8ack
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV c0t:'\
Occupancy Group A B E F ~ I M 18) S U
. Division 1 2(j)4 ~~ S
Permit Fee ................................... $ 1\ . ;<
q 0 I. 72-
Plan Check Fee ............................. $
State Surcharge ............................. $~ b 0 -OD
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
too .c9'O'
100.e>"t5
zs- . SO
tfo .6)6
Gas Fireplace Permit ....................... $
ThiS@lirA(leecc:.mt1 Your Building Permit ~l)en APproved.
BY~~ Date f(-/C~
Certificate of Occupancy
Issued
Side
City:
~ .r'\r'Yi . r,r)
<, )
~\i'l
~\
^ ~r IJ\
\ V -\
\ \) .'
, ,I.,
\.r \
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
5 t' $
Pressure Reducer ...:10................... $
Meter Hom ....;;r,..(l....................... $
Water Meter ..~.......................... $
Sewer & Water Connection Fee ........... $
24 hour notice for all inspections 447-9850
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ /. 5' I!)~ ~
,
Other ......................................... $. ..
Total Due .............................. $1iL34. Lfl
Paid el~.~..n Receipt No. 3so4--'&
Date 4-/,~/qC1 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 'Ordin~nce a~d may proceed as ~uested. This document when
sign~~~m:orary Ce~~tt~mPliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
City Pia ner Date Special Conditions W any
PLOT PLAN
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I, 2110 .{)7f'
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CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. CJ9- 30t!-
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date .57/ ~/c;c; PID' 25-3'3' - 00 S - d
I - -'
y(/~6, ~1w~..J rJ"ja.Y ,12./
Lot 5" Block / Addition WINDS'771e. ADD,..}.
Ij)v.~A.~ JJ.~
Site Address
Owner's Name
Address
AIled nreside
dba Fireside Comer
~;.:;.;:.;;:: ~V"nQn~11
2700 N. Fairview Ave.
~..,,;!ll'! MN 55113
651/633-2561
Healing Contractor
Address
Telephone /I
FurnacB Make & Model J.htd /J ~(t
Model Size fJ,'6A . ~ C-
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hol Water
Radialion
Special Devices.
Conn. Load
Fuel AJd ~j Flue Size
Supply Openings
Return Openings
Input ,Oulput L/f),(jJ)
Edr. .
Other Devices
Clm.
TYPE OF WORK
Alleralions
Replacement
New Construclion
)c
Repair,
Est. Compo Date
j7Y1 /t7J
, ..
QQ-30Lj
Est. Cost $
1/ DO. in
Building Perm~ "
"EATING PERMIT FEE $
STATE SURCHARGE $
r PAID WITH
.50 BUILDING PERMIT
TOTA~
~IT FEES $
Receiplll
MtI'8L
I Pink
1 (in"l""
) Yellow
iiI< 3:
Cilr III
ConlUelOf' '<
I
~
lXl
I
IC
IC
o
O'l
..
I\)
O'l
)>
TYPE OF STRUCTURE
Single Family
, Two-Family
Industrial
Multi-Family
Other
Commercial
Public
Fee Schedule
Industrial. Commercial & Multi-Family
Residenlial, Heating & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % 01 job cost ($39,50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
"1
ID
III
..I.
0-
lD
n
o
"1
~
ID
"1
"
..I.
Remember to add Ihe State Surcharge on the bollom 01 this application.
The price 01 your heating permit includes CIne rough-in and one tinal inspection.
Additional inspections will be billed at $35.00 each.
House Healing Tesl Record must be submilled with buildina permil number berOle build.
ing cerlilicate 01 occupancy will be issued.
HFAT CAl,ClJl ATIONS RFOlJlRFO with number 01 supply and retum openings listed pE
room wilh 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.
O'l
~
I\)
O'l
W
W
City Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FtNAL). CALL CITY HALL
447-4230
(Xl
I hereby apply lor a mechanical systems permi! and I acknowledge that the ~
inlormalion above is complete and accurate; that the work will be in conformance.Jlo
wilh the ordinances and codes 01 the city and with the state building/mechanica
codes; that this lorm 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 01 all work which requires review and approval 01 plans.
hflA/2 11.
_~.nl' -
.... - Building Ollica
JJ///rr
" Date
~/IB/qq
! Date
o
~
,
\J
CITY OF PRIOR LAKE ~
16200 Eagle Creek Av. S.E. Permit No. '-'{q -3{)4
Prior Lake, MN 55372.
I hereby app1v for a mechanical svslems permll and I acknowledge Ihalthe
. .".... InlormaUon abov8 [s complele snd sccural8i thai the work will be In conformance
Rep'8C8menl New ConslrudlOn "-""'" _ wl1h the ordinances and codes of the citV and with Ihe slale bulldlng/mechim{cal
E ,Co D I codes; the' this form does nol become a permit until stgned by Ihe BUILDING
s _ mp. a e q OFFICIAL; Ihot 'he work will be In accordance wllh the approvud plan in the
Est. Cost $. :ltlq~. cD Building parmll II , l q --3d-/ _ case 0' all work which requires review and approval of plens.
- d tJ)f~~~"IA ~~~~~J
pu. '1J(d.8 '{17 ~. - ~~r. .
Receipt II,' Building Ol!JCal's Signa1ure
Address
Heating Conlraclor
Conn. Load
Fuel NA t _ DraG Rue S{ze~'
Supply Openl~gs. 1 t+
Relurn Opulngs, l.JJ
z
~ Input IOO.lXn ,OUtput ~()f rY'J)
Il:: · - .
I
N
Z
W
l!)
Ed,.
Cfnt.,
,"PE OF SYSTEM
Warm A1~ Plants
Grilvlly ,
Mechanical ..,-
Air Condilloning, ;,.} j ~ ~ n
Vent System ,
HEA~NQORPOWERP~NT
Sleam,
HoIWaler
Radlallon ,
Special Devices
OIh&r Devlees
TYPE OF WOAK
E
a...
LO Alterations
(\J
..-i
Repelr
en
en
en
..-i
OJ .HEATlNG PERMiT FEE'
STATE SURCHARGE ,
Il::
a...
a:
i
TOTAL PERM1T FEES $
.50
I. Pi.U.
LOre
3. Yd"-
File
Cit,
0I"1l~
TYPE OF STRUCTURE
S rngle Fa mIIV
CommarcTal
~
Multi-Family ,
Other
lWo-Famllv
indu.8lrlal
Public
Fee Schedule
'nduslrlal, Commen:lal & Mulll-FamlSy
Residential. Healing & AC
RestdenUa~ Heatln.g Only
Residential. Gu Areplace
Resldenllal, Adr1liona & Allerallons
R8.1l1denlial, AC Only
1 % of lob cos\ ('39.60 minimum)
199.50
$64.50
$39.50
$39,60
$39.50
Remember 10 add 'he Stale Surcharge on the boltom ollhl~ appllcelion_
The.price 01 your healing permit Include' one fO\Jgh-in and onelJnallnspection.
Addltional fnllpeclions will be billed al $35.00 88ch.
House Hellling Tes' Record must be submllted with "I,'~I"... ...p..~i' .,,,,.,,"'~r before build.
ing certUicale ot occupancy will be issued
HFAT r.~Ir.' II 'mm\l~ ~J=(\' IIrJRl wltn number of supply and relurn openIngs Ilsled per
room wllh CFM'II per opening. New struclures or additions aend'loor plan wUh supply
and relum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CrN OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. S.E. PAlOR LAKE, MN 55372.
CiIy Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
441-4230
4/gJqq
. 'Dals.
L !q/q9
'Dale
APR. 8,1999 12:51PM
GENZ-RYAN
NO. 173
P.8/9
n. c..".. ., .... 1..11. C:.U~I'"
CITY OF' PRIO ~ LAKE
. PLUMBING PERMIT .
Applican~~'- ~'lT'
Address.; ,1.+"1 L(~ ~ ~e..r"4- T r I
Signature: ~~'\.~ ~~ iY\. f"J.fL,
..... ~
Legal Description: I.ot S Block'
Site Address: 4a.t!:Uo ?o0d 'D~ w ~
Building Permit # G-t'Cl-30 PIO # ~ 5"" ?-.3k, -OO~-o
NOT~ This permit w.1II not be processed without complete information.
F1XTURE UNITS
I. ilK fIk
1. Clald QIY
~. Y cIIg.. ,.\ptlllQIIC
# crt -30.l/
,PhClne: 4-~~-' \ ~ 1...\
,I "'RS m.. i'""
SUb...lo) Ln..cL~ t ~
Quantity Type of Fi;dure Quantity Type of Fixture
~ 8ath Tub with or without shower 3 Rough-ins
1 Dishwasher I Water Heater
1 Floor Drain RI Water Sonner
L+ L.avatory (bathroom sink) I Stand Pipe (washing machine)
-
I Laundry Tray (1 or 2 compartment sinl<) Sewage Ejector
.f Shower Stall Backflow Assembly (RPl, Double Check, flVB)
t Sinks Bac:kflow Assembly Test
Bar Sink Lawn Sprinkler
:3 Water Closet (toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-FamilY
(1-/0 of job cost. $39.5Q minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
539.50
$
$ QQ,,6D
$
.50. ;#J ;J
$ 100,00 01-~. ~
6ll .
$
GRANO TOTAL
11\\5 permit is granted upon th~ expr=s c:andit{Qn that said
ccntr.lccor. shil11 comply in all respC:Cls with the ordinl1nees
or the State Plumbing Code iII1d th~OI.IJl hereof.
--- RECElPTNO. DATe
ATI'EST
Call for all inspections 24 ho\!f'S in advance,
16200 E:l.gle Creek Av. S.E.. Prior Lake, Minnesou 55372/ Ph. (612) 4-+74230 / FA.X (61 Z) 447-42~5
An Equ111 Opportunity Employer
'RPR. 8.1999 12:52PM
GENZ-RYRN
NO. 173
P.9/9
.... ~....
't1UD'f . APftJc.aIIT
GGLD . ern
CITY OF PRIOR LAKE
SEWER AND WATE~ PE~T
NO.~~Y.
NOTE:
Sewer and Water
contractors must
be re9istered
with t:he city.
APPLICANT: ~~- ~
....J
ADDRESS: 1474t';,.9, ~ t)erf -rr.1
SIGNATURE: ?jt,rYtJ'l ~n1.a.rL
SITE ADORESS: Jd44lD?ond.\Ju..:uJ ~
,PHONE: 4~O-/14L/
DATE::. 4/~/qq
,BLDG, PERMIT #qq~4
,PID#CX0 -3310- bOS--O.
1-
2.
J .
4.
FILL IN THE B~NKS,
Estimated length of water service L{C)
I',
size of water service inch(es) .
Location of any couplings
feet.
Type of sewer pipe,
ABS
from structure
PV~. --i. Cast Iron
"
Y () feet.
feet.
5.
Estimated length of sewer line
6. Clean out (if required), located at
structure.
feet
from
==="":::ii==""::::;;==-::::;====::::;===:!!!!;=..:l=;::---=-===""""'=-_":'--==~--=""=-___===~_=="1iii====
This application becomes your permit when approved,
BY:
D~TE:
S:::ii==""==="":::ii=======""=========""===~===C==---====-==~=================
* Fee for either sewer or ~ater individually is ~20.00 plus
S .50 surcharqe.
* 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 ]lara
issued. f);/ f -fIlL dg
DATE PAIQ. Y /4/ t{q AMOUNT PAID I-"^ c.{)\( 1O.l,/L' ,
RECEIPT # ~ ~ REC I 0 BY ((0.),
\.
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
surcharge
TOTAL
FEES:
. 4629 Dakota Sl S.E.. Pnor Lake. MiJ'lnesota 55372 I Ph. (612) 4474230 Fax (612) 447421\5
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Th~ C~nt~r of Ih~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I f. ! i it? ! ( I L
i ; ! .'/- J .
\.. I t I ;/i)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, . ': _ .J ' ' : . I
t '" I ( j i (' ~) ,: (C~) , ,
Accepted
/'
Accepted With Corrections
Denied
~~~
Date:
U-IL(~0t1
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."
Ii"
.,fQ -30t/
Tilt' Cf'IIIt'r o' lIMo Lake Co....ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPUC,ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
LAJ"t { i Sl i lo. l ( I L
L/ jCi'ki1
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L~ L 11.1l, 'PO~'1(fU i e fAJ TJ< .
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~tt
&gSMI'4AiItl
Date: yfV/99
Comments: RvNaF'F Mu~,.. Be: Oo~vEo(€b "To AN/::) ,qL-N(., Dft~~~
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'J. EA.o~ COAlT"4"L. PLICA..'
y. E' 1l0~'DAJ ~ DAJ'PJUI, ~
"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,"
qq -30<-!
Thr {'tn.rr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1;\teC1St;tuUtfL
41q /q1
, -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L( L( L( ~ POV1du I eJAJ ~ .
Accepted
Accepted With Correction~
~ -----
Denied
Reviewed By: (2fJri1;~
Comments:
Date:
V-I Z -9 C).
.J
l. ~ ~ (c{-kc-l.cuv( ~
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.1I
--',- ~., ~'_.-. . -"'-".'" -,-'-" _..,~ ~,- .."--."
P-RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS LJLll.J (~ (J),rndv,'ew
NATURE OF WORKtUew ~.
USE OF BUILDING SfD
PERMIT NO. crt -:sO~ DATE ISSUED L(_ ,,(2-1 ~
CONTRACTOR ~\N'-.~~ Ur.,AJl.~
"- -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I \-1- {~~ '1Cf I
.
FOUNDATION (Prior to Backfill) I ~,r\. ""}'..S, I I..{- z.~ ~~
PLACE NO CONCREM UNI/I~ ABOVE HAS BEEN SIGNED
[)IZ/tIN 11(,(2; 7Jf 0 L l~ H - INS
SEWER I WATER I SEPTIC \. ~ 1,~) 1'"'2.81''7
FRAMING "liJ ~..Z,6..t!'
INSULATION (/J) '5k (; ~ lV1, S~~lt~~
ELECTRICAL f/u
PLUMBING ~-;() 6';;0' f\"
HEATING (if required) (/ fl_, If 0 1;....2.r..~~
FIREPLACE" , l:::;;r , 4/-:+1J; ~....l,S -1"
GAS LINE AIR TEST fl \], )/, ..:s- ~o 'W t(1I
COVER NO WORK UNTil ABOVE HAS BEEN SIGN~D
l~ I I
FINALS
W. ~ , 7- q- ~ 5
~ C 0 I hr. 7-r1V -'5'
INSPECTOR
FOOTING
j t-\
GRADING (Prior to Sodding)
BUILDING f:C,n. ~&l"l-o/) J.<1. '7-~..c;,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
-
W ~/SbJ~1 /1
(I 0)
UNTIL ABOVE AS
NOTICE
7-7-7C}
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
1 - I