HomeMy WebLinkAboutBuilding Permit #99-0313
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_ _ _ =.::s:-- 1. .1....... .1.1.. ill . ~C,...i;,",:.-~.
ertifirste of OOrcupanry
~_:;_~ CITY OF PRIOR LAKE
'1~1~ J)epartment of liuilbing 3Jn~pection
~~'~~ ~ Final Permitted 0 Conditional C.O. Expires
(j ..~. t..l:..;~ This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
~ ~....:;;" ce.rtifying ~hat at the time ofissua?c~ this structu~e was in compliance with t~e various ordinances of the
.;.:~ CIty of Pnor lAke regulatmg bUlldmg constructIOn or use. For the followmg:
)~.
fffl Use Classification Single Family Bldg. PennitNo 99-313
~;~(
~. Occupancy Type R3 Type Construction VN Fire Zone N / A Zoning District P 1 SD
Legal Description L26. B? r.lynw::Itpr FirRt Aililn
Owner of Building
. Site Address 3411 SorinQ: Glen Circle
Contractor's Name & Address Wensmann Homes, 1895 Plaza Dr.. Suite 200, Ea~an, 55122
Date:
R.oh"'. yo t n.......Jh.1.r I" 1-0 i..v co ;n.,.,. City Planner
Building Official
11-;;3- ~9 Date:
.
POST IN A CONSPICUOUS PLACE
T~n'\i To"n...
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
i/ :23,14
ADDRESS
:3'1// ~ (~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
9 ?- 3/ 3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
~ FINAL l(f)
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 GASLlNE AIR TST
o
COMMENTS:
~LJp
v
~c.o.
*l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/f-t'A
Owner!Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPEQ.TION NOTICE
SCHEDULED
/Olz..1/rt
,
ADDRESS 3c411 SP(l..It>.J(.. Gl.~A.J L.lA..CI..E.
OWNER
CONTR. /61~AlSMAA1AJ J..L.,ME5
PHONE NO.
PERMIT NO.
9't- 3/3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)( 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:
GRf\/:)E. IS fh:.~pjArlL.~
C.Vn~Oll .... ()P€.t ATio/lllil1 -
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
--=
Inspector: ~ a f1wner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
QATE R~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
R
9.
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
3 ~II S' ~r;/V'iI t' /1'/V C / rr/'
3, LEGAL DESCRIPTioN ,
lOT :2 (, BlOCK.J.
ADDITION --.G lyN4JII~"'" J S, Qd#/1/1J/V
4, OWNER (Name) (Address)
1, DATE
i- ?- 9 9
PID
.2S- 351- ();1(, - 0
(Tel. No,)
5, ARCHITECT
(Address)
(Tel. No,)
(Name)
(Address)
I S'7 5 f/~ z~ I) r .J1.f.,tt";J. u~
C c.../" N /7l /v
Fireplace 0 (/ Septic 0 Deck 0
Alterations 0 Addition 0 Finish Attic 0
(Tel. No,)
t5"l- .y(),~.y~()o
6, BUilDER (Name)
Wt'IV'; "''INIV
j.J t)'/TI ~.J
7, TYPE OF WORK
New Construction~
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc,
8, PROPERTY AREA OR ACRES
Sq, Ft.
9, PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
\, While File
2, Pink City
('v1cW~ ~ Yr~W q?{C~3 t7-
Permit No. en ';,3 L3
BUilDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO, OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNAlUE
J' IJ, ODD ,ro
17, COMPLETION DATE
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 o!!!1ial can revo~is I3frmit f~ust cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
X ....cJ~".7 (/~ .J,e;-?/,/;). /'1'51' ~- 7-j9
V' - 1/ Signature License No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
'iA " $
Pressure Reducer .....fL................. $
Meter Hom .... ."C/........................... $
Water Meter ...::1.e.~....................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT VALUATION cra.tOCr>. 00
USE OF BUilDING
.YH-
TYPE OF CONSTRUCTION: I II III IV 6b...
Occupancy Group A B E F ~I:\. I M <..,( S U
Division 1 2 (j.) 4
Permit Fee ................................... $ B'37. '::lS-
S'lq . ~'2.
qiD . 00
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~~
\
~v;y
loeJ.oo
~?)
36 .60
Gas ~ace Permit ....................... $ 40 .00
;is~fr.:m~i1ding ;:t:itYft~ j5o:.e~1
Certificate of Occuplcy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
MATERIAL FilED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING lOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
850.'fY'J
I DSD.O)
If 5. 00
I :2.5: 00
I :~CCl .OD
'1OCJ .OD
Builder's Deposit ............................ $
Other ......................................... $ - -
Total Due .............................. $ ,)lo-J~}f I
~aid /fl, 7J _ 97 Receipt No~ ~5D 7'
Date If -d~ 49 By tj 14./ /
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 requested, This document when
sign~ityfltnner constitutes a temporary Certificate of Zoning cO')lpliance and allows construction to commence, Before occupancy, a Certiticate of Occupancy must be issued,
~~. U-l~
City Planner Date Special Conditions n any
Issued
24 hour notice for all inspections 447-9850
TH'
0'0-313
The ('enter of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l.UUlsnlavt~L -i-b:+WS
L.11{1]1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
?J I J I ~ IlLl it] G ( f/ v\ l( .
Accepted
.,/
Accepted With Corrections
Denied
Reviewed By: ~~ -Eo-Ia~St'K""'N Date: Lj In)'?
I I
Comments: .!SEE;. &'&.nl~.~....rr #" tjq- 312- ( $ctOf .sPa.IA.!("l a,~~ ~ Foil..
J.,lfJrtt 1M. E^/T'S
I
I^,Fotl.c.t"'T'ID~ ~ ATTftC.HME:..vTS.
t;
,.
"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."
-_. ~,~ , -,." ......,....
ifPA'~ CITY OF PRIOR LAKE
~ 16200 E..'. C_ Av. 9.E. P_No. qq - 3/3
~ Prior ute., MN 55372
(S) HEAnNG APPLlCAll0N I PERMIT
~ Yl~l/qq PID., 2.5-.35/-02."'-0
~Addrill ~-f( I Sa 1\. A.v\.n C; \ a n ~ t\JW
~:l~ Bbck a.. ~d~hfoB ~-l un LA) crl..lJL wes-t-
I.D - " .'
ci.faNam., lA)tn~Qnn \-\() meS
I~.SS ) 11 q I) r-p J ll/J...Q ~ R . E... u.a <l1I
atlng ContrsclDr A.... D ~- Q u n.n \J
J474~- 5-~w+'Tr{
lephone', 4 Q '?1- 1/ LJ 4
mace Make & Mod.1 ~ Ol\f)(")'l,
Idal SII. O./;J.':2[) ~J ~ - -16
. .-
drag,
nn.load
BINlVI .~n~Iu'Slle
pplV Opellln~s , 1
TYPE OF SYQEM
Warm Air Plants
G.avttv '
MlICbanlcal ~
Air CandiUonlng
Venl, SYs1em
HEAnNG OR POWER PUNT
Steam ,
Hal Waler
Radiation
Sped at Devices
4-11
turn OpalllllOs 4-
ut 1 S.Cf:r) Oufpul ( r(). ('Y"'(')
z: . ...'
IT
>-
a:::
I
N
z:
W
l!)
OlherD.vIces
TYPE OF WORK
1~llon.
n..
~Ir
N
.-i:alll
New Con&tlUc1lan v---
Replacement
Esl. Camp. Dale .
. Building Permh' ,
qq. SO
qq-3/3
~'ING PERMIT FEE S,
0'\
-';E SURCHARGE $
.-i '
N
a::,L PERMIT FEES $,
n..
IT
PAID WITH
BUILDING PERM1T
.50
jOO.DO
Recelpl.
TYPE OF sTRucrunE
L ..... Ala
'1. Ore Cilr
1. YdlL Coraxur
Single FamJlv
Commercial,
V"
Mulli-Famllv
. DOl..
Two-Famlly
tndustrial
PutJllc
Fee Scheduta
Industrial. ComRlerclal & Multi-family
ResfdenliiIJ, Healing" AC
Residential, HealIng OnlV
ReaklentlaJ. Ga. Areplace
AesidenUal. Adliilions & AlleraliGns
Resfdenlial. AC Only
1 % 01 JOb cost ($39.50 minT mum)'
S99.50
164.50
139.50
139.50
"39.50
Remembe/lo add Ihe Slate Surcharge on Ihe bolt om 0' Ihls epplicalloll.
The price 01 your heatfng parmit Includq one rO\Jgh-ln 8Ild one Ilnallnspecllon.
Additional inapeclions will be billed at $35.00 each.
House Healing Tasl Record musl be submi"ed wfth ...1.....",. "II' "I II ~'~"'l:'l~r before build.
ing certi!icale a' occupanq will be iSlued.
~t=4T r: 41 r.... 4TI"M~ RI=(\I U.R1=1'l with number of supply ud retwn openings lisled per
.oorn wllh CFU'I pit openIng. New atructures or addillons send 'Ioor pfan wfth &UPply
IU\d fetUln locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall buslne5S 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 'or a mechanical svslems permit and I acknowledge that 1he
infa.malion above is complst. and 8ccuIBlej Ihallhe Walk will be fn conformance
wilh Ihe ordinances and codes of Ihe city end wHh Ihe lilale buIldIng/mechanloal
codes; Ihat this form does nol become e permit unlil atgned by Ihe BUILDING
OFFICIAL; that the work will be in accordance wllh the approved plan in the
a=~:.n: ~P'OV.lol:na~ II qq
V Applicanfs Sfgnalure - C Dale -
Building Oltical's Signature
Dale
RPR.21.1999 12:47PM
GENZ-RYRN
NO. 66121
P.6/1121
_..... '
YI!U.DW' . ~....
GOLD . ern
CITY OF PR.IOR LAKE NO. qq oJ..w
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: ~- ~0Jl.. PHONE:L4'd.~-IIYLf
ADDRESS: \ 4 i L4? S.' +<Q.be..R:-t Tr 1 DATE: 4 t Q.' J q 9
SIGNATURE~'-fTVJ ~ BLDG. PE;RMIT * QQ-.313
SITE ADDRESS:Erlll ~~('\~~\en Q;R ~vJPID# .;J!S<J>I.-oU-~
FILL IN THE BLANKS
J I^J
1. Estimated length of water service ~~ feet.
2. Size of water service
1'/
inch(es) .
J. Location of any couplin;s from structure
feet..
4.
Type of sewer pipe. ^Ss PVC ~ Cast IrQn
1\0'
Estimated length of sewer line ~ feet.
5.
6. Clean out eif required), located at
structure.
feet
from
===========:~==========~==~=================~================~====
This application becomes ycur permit when approved.
8V
DJ\'1'E:
======_:=======~======~~-_._=--~=~=====_=~~=====c:======~z=======
FEES:
$
$
$
:5$.00
.50
35.50
Sewe~ 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
reccrded on the buildin~ permit card at the time of issuance
to insure that no dupllcate sewer and water permits are
issued. PAID WITH
, BUILDING PERMIT
AMOUNT PAID
DATE PAID
RECEIPT ;
REC/D BY
.1629 Dakct~ Sf. S.E.. Pr.cr l.3kll. Minnesota 553i2 I Ph. 16121 44i-4230 I Fax 16121 4474245
APR.21.1999 12:47PM
GENZ-RYAN
NO. 660
P.5/10--' --
CITY OF PRIOR LAKE
PLUMBING PERMIT # qq-3/3
Applicant: rS~- R"-1 G..n Phone: 14~'?-.-11~4
Address; /11/'46' 50 ~bU'+ -rrl -
Signature:;=-;\.f"-" ~0-t\...J
l.egal Description: Lot ~ Block ~ Sub e lu n lJ..)o.ter weST
SiteAddress:..::t::LlJ ~~ ~ (' -\J? NW _
Building Permit II C;Q.,,3 a pro #-Z.$...3:>/.. a ,,"- C)
,
NOTE: This permit ,^:i11 not be processed without complete information.
FIXTURE UNITS
I. ...
2. Gelid
3. YcD_
....
Cily
AppII-
n... r.",,,, '" .1. ....k. CDIn'IJ
Quantity TYJ:le of Fixture Quantity Type gf Fixture
\ Bath Tub witl'l or without sl'lower 3 Rough.ins
I Dishwasher I I Water Heater
I Flocr Drain FC.I I Water Softner
~ I Lavalory (bathroom sink) I I Stand PilJe (washing machine)
I I Laundry Tray (1 or 2 compartment sink) I Sewage Ejector
I I Shower Stall I Bacldlow Assembly (~PZ. OCLlble ChQ, PVB)
I I 5in!(s I 8ackflow Assemblv Test
I Bar Sink I Lawn Sprinkler
d- I Water Closet (toilel) I Other
FEE SCHEDULE
Industrial, Commercial & MulU.Family
<1 % of job cast, $39.50 minimum) S
Residenrial. New One & T.....o Family $99.50 S c,q. sO
Residential. Addilians & Alterations $39.50 S
State Surcharge S. .50
GRAND TOTAL S ItXJ ..00
This permit is Sr.Ulled upan !he: e~prcss CO"cJilian Ih:lI SQid
canlr:aclor. sh:lll cClmply In ~I respetES wilh !he ordin3l'lces
Df the SI;1Ie: Plumbing Cpde :2nd the amendments lhereof.
RECEJPTNO. DATE PAID WITH
AIIUIlBUILDING PER~mT
C:1l1 for :U I inspections 2~ hours in .1dVOlnce.
l6:!OO E~gle Cre=k Av. S.E.. Prier Lake, ~Iinnese[:1553i:! I Ph. (611) ~i-r:!30 I FA.X (6t~) 44i4145
A:t ECU:11 C"eonun;t... E!Tl.Dlcve=-
~
o
,
II
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permil No.
Prior Lake, MN 55372
qq-313
HEATING APPLICATION I PERMIT
'1JVC'(l
Dais lU-1 (j- I 1 PID. 25-35/- 0210-0
Site Address -=J.--\ l \ ~ n tiC ~n () (,) rc.JLL
Lot 2" Block 2. Additi:n Glt4tJWA (bR W6~{
Owner's Name \ t) Q j'lS::,f{l(Lnn i-h:, ~
q
00
00
00
M
M
\D
N
~
\D
Address
Heating Contractor ALLIED FIRES IDE d ba FIRES IDE CORNER
55113
Address. 2700 N, FAIRVIEW. ROSEVILLE, MN
Telephone # 651-633-2561
FIREPLACE II
0IJme~ Make & Model ~ (d-- ~ 6...t..c
Model Siz~ . S L.-:( SD -rrL--.
TYPE OF WORK
Replacement New Construclion V
let-- .:) ~- C1 Y '"
qq-3/3
~ PAID WITH
, BUILDING PERMIT
S-
Ol
C
S-
O
U
01
'U
Conn. Load
Fuel N ,'0 c..~ Jlue Size
Supply Openings
Relurn Openings
'I'"
Inpul
Oulput ,~~ \ r'ex.-;
, J -
III
01
S-
'I'"
U.
<t
q
o
..
00
o
m
m
I
~
N
I
!:
:J
IJ
Edr.
Cfm.
Alteralions
Repair
Esl. Cost $
Esl. Comp. Date
\ \ (~) . cC: Building Permit #I
HEATING PERMIT FEE $
STATE SURCHARGE $
.50
TOTAL PERMIT FEES $
TYPE OF SYSTEM
Warm Air Plants
Gravily
Mechanical
Air Condilioning
Venl. Syslem
HEA TlNG OR POWER PLANT
Stearn
Hol Waler
Radialion
Sp9dal Devices
Olher Devic99
Receipl II-
R..2-
TYPE OF STRUCTURE
I. ""k
1. {mn
], Yellow
file
CiI,
COlllrlClor
Single Family
Two-Family
Industrial
Multi-Family
Olher
Commercial
Public
Fee Schedule
Induslrial, Commercial & MuW-Family
Residenlial, Healing & AC
Residenlial, Healing Only
Residential, Gas Fireplace
Residenlial, Addilions & Alleralions
Residenlial, AC Only
1% 01 job cosl ($39.50 minimum)
$99,50
$64.50
$39.50
$39.50
$39.50
Remember 10 add Ihe Slale Surcharge on the bollom 01 this application.
The price 01 your healing per mil includes one rough-in and one IInal inspeclion.
Addilional insp9clions will be billed al $35.00 each.
House ~'ealing Tesl Rccord must be submilled with buildina I1prmil number belore build.
ing certificate 01 occupancy will be issued.
HE~I CALCULATIONS REOVLIlED with number 01 supplV and return openings listed pf
room with CFM's per opening. New structures or addilions send floor plan with supplv
Bnd relurn localions 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.
Cily Hall business hours are B 8.m. . 4;30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and I acknowledge thallhe
information above is complete and accurale; Ihallhe work will be in conlormanc8
wilh thfl ordinances and codes ollhe cily and wilh the slale building/mechanical
codes; Ihalthis form does nol become a permit unlit signed by lhe BUILDING
Or-FICIAL; lhal Ihe work will be in accordance wilh the approved plan in the
cah'a 01 all work wh ch requires review and approval 01 plans.
~ '
J)-I~ - (1 (1
Dllte
&/LI/qq
Dale
Building Onical'SSiQi'fature-
qq -3 13
Th~ ('rnlrr or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT It'JeUSn1tf1.,U;L ~S
APPLICATION RECEIVED LI'~ Lf1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3l{II ~Vt.j G;lev~ U .
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
Cj'q -313
TIw ('Rln 01 IIw Lall, Coaalry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
IWILDING PERMIT APPLICATION DEPARTMENT CHe.cKLtSI
I !0{ USn/lavtJ'L -i-hVktS
- ,
C/1fLf'j
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction, activity which is proposed at:
3l/ J I ~tJ.Lll/tj (C) { f v"\ l.t .
Accepted
./
Accepted' With Corrections
Denied
Reviewed By: ~a. tHRt::S""""",t\1 Date: i /lfi,'
Comments: 5EE- &"&.Jh\l{:2_.J1:-A..trT ~ ~~- 31z. C-3-'IOf SPa.IAJ(~ aLl~:JJfI,~ FoR..
t'..~~ ,"I='NrS
,
I ^' FO~""I4"'lR.fJ ~ A,.,..~U( M E.AJTS .
"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."
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Tho C.nfor of tho 18ko Country
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By: ~~
Comments:
Date:
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"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 ~II '3PJt'~_ C(~ (r.
NATURE OF WORK VIp.!,", ~5~~ }c.--t-,Ch/\
USE OF BUILDING ~r=-t\-
PERMIT NO. 97,-sL-<;- DATE ISSUED '1-/5-9/
CONTRACTOR I-p )..QAA-cS 1U~t.A- l~ c:.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ::r) .. I y-ll "'7 -, ~
FOUNDATION (Prior to Backfill) I -r~ I !;~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING (J:? ,7,.4(11
INSULATION v-(f;~~ ~. ~.,.Ar.,~ If/):/
ELECTRICAL
PLUMBING i)'; (//.;)1/1' t'
HEATING (if required) " V ffs 7/./1'1
FIREPLACE ~<'J- Rf "l;'ii~'~ V W lA-/f ~
GAS LINE AIR TEST~6Lf "....V.o?\
FS 1'1 r-
GO ylta!Cf1
1/ 7- 7- i 9
B~rn y/'d!riJ
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JI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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10 127/1'1
GRADING <Jiior to SC?~ding)
BUILDING ~(17. )t>-~ ~'"l'\
ELECTRICAL
PLUMBING ~.~ ~ 1~!fl''f7
HEATING
DO NOT 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.
rf\.fA 11-;;1. 99
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850