HomeMy WebLinkAboutBuilding Permit 03-0394
@rrfifirafr of OOrrnpattrl!
CITY OF PRIOR LAKE
~rpnrftttrttf nf ~ui1bing c3Jnspufinn
;>JFinal Permitted rJ Conditional e.O. Expires .
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time (If 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 Classification
Occupancy Type
R3
Type Construction
SINGLE FAMILY
VN
Bldg. Permit No._
Fire Zone
N/A
Zoning District
03-0394
R1
Legal Description. L40 J B3, THE WILDS SOUTH
Owner of Building.
Site Address
3135 BOBCAT TRAIL N.W.
Contcactor'sName&Add"" BRENNER CE\N"TR., P.O. BOX ]314, LAKEVILLE, MN 55044
ROBERT D. HUTCHINi1' / j ( City Planner DON RYE
/~ 1 _ B.!!i.l.Ping Official I /11/
Date: j-~ /;< 1 V Date:
{/ I ~./ 'J
POST IN CONSPICUOUS PLACE
-'''''"'"'-:~'''-''_...-'':;..".::;..:
'.':-:_~--.....~..........i'~""""_':'.
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7-~-03
ADDRESS 313') &~ccJ.- 1:-
OWNER CONTR.
PHONE NO.
PERMIT NO.
..3-391
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
o EXtGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~..o., *- ~oI\.k-:... ~}.;J<""tA_
;;2, F;,- ~ c;.,.-f'< ,\.<.<:.\,.
.3 5~ .L '1 f2az.l)
0&1...)
b'...... S....tJ
r}~
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...
I
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/0 -I-o-S
/
~,{.,,,.. "" i..1M. ~\ r&,rli "f:-lo~.o
J3~ lJ VI H,^W
~"D~..... Ie:: I,,\~\~A
-- \
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
x~,~~,~"~~",,,~,~o~~,
Inspect .r: Owner/Contr:
C.U- 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RgQUlREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETYt
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE ~ - 7-63
INSPECTION NOTICE SCHEDULED
ADDRESS 3/3S Y..J" (' u.Z
OWNER CONTR.
PHONE NO. PERMIT NO. "S- ~7V
o FOOTING o PLUMBING RI o EXtGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
},tFINAL o PLUMBING FINAL o GASLINE AIR TST
> 0 SITE INSPECTION o MECH FINAL 0
COMMENTS: C. _ ,/ .i- -r/z., L 6-<
'r;/ WORK SATISFACTORY. PROCEED
/D"CORRECT ACTION AND PROCEED
o CORREC~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ij:o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UUNO"
DATE l1IIE
CITY OF PRIOR LAKE <::/ I J I./)
INSPECTION NOTICE SCHEDULED ~
ADDRESS ':l-,\,?::>S &>~ '1"'RL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O?:'- ~'1L{
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'1it'FINAL
./0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o "Y~IFILLlNG
o COii?AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(', ~Mr;.~~
(' ...uJ. 'f':-... S-rr P- () V
- \
Cbt9f\ ~ \' -{Z(f<.,
;>cf WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
"-
THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3/35
Ri.:. (' ~l t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
/[]SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
<:_,.4 -r a.u...
COMMENTS:
DATE TIME
g, - 7-tF.
3- 3iY
o EXtGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Cl~
'r/ WORK SATISFACTORY, PROCEED
/0 'cORRECT ACTION AND PROCEED
o CORR)JCT CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"",om
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
t.//J-f~3
ADDRESS
~ () ~ ~~("/I1;:-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- :5qc{
o FOOTING
J! FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~WATER HOOKUP
'-!' SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADtFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I#-
r
G-AP'v
(
f
,-
I
I
t, ,^)
/
"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
~~
t
Inspector:
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
INSPECTION NOTICE SCHEDULED 7-2H:>7
ADDRESS <,~ ~~
OWNER CONTR.
PHONE NO. PERMIT NO. ~- J7C/
o FOOTING o PLUMBING RI o EXtGRADtFILLlNG
o FOUNDATION o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL 7PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMP9fNTS: n!,
I. j~ ~at CIl.iY
? St2w~ Dl~L L.)~J
,? ])~ nK~"'=...
1),'<;(" ~'O
~RK SATISFACTORY, PROCEED
~ :~RRE T ACTION AND PROCEED
o COR~ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectc .~. { )I Owner/Cantr:
CA. U7.985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
COD E lREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
'NSNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
..3-/7-{).3
(Please tvne or vrint and sign at bottom)
ADDRESS ZONING (officem,)
3/ J J80/3L11:1#A-1 L ;t/, W. e ,
;~;~:e ~::y I PERMIT NO'A?_ /l?OA l
3. Yellow Applicant f.,,(....)' U.J 7 YI
LEGAL DESCRIPTION (office use only)
LOTfil BLOCK 3 ADDITION 77fL.- kJlUJS :5O:J11f
PID7&)-3~2.- OCJ4- - C,
OWNER
(Name)
1M.. UA1J$( 0Yt6r. L//'_
,
(Phone)
(Address)
BUILDER ~ /_ _ . -r-: ,
(Name) LJ,4:lll~Lq1/SC~C,
(Contact Name) /(},/V/ /jJ(UVJ{;~
(Address) f,(),~OX /.3/'1, LA/(z,fltta..;MN. S5lJiftj
(Phone)
(Phone)
~O"'-771lt/
Vi'-' '''i
o"'C"';? ...!!__' ._.....JI:.-.
7....,1 ~- 7~,'",,,,,, -=--
tRIZ- 7?/7-tJ 370
TYPE OF WORK
XNew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe.Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) S Z ~ J 2/ tJO
,
I hereby certify that I have furnished 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
;teru~nee inspections Z(X)1{8tf?3 .3~/tj-r13
Signature Contractor's License No. Date
o Misc,
I Permit Valuation I .J..t4.(kJO,oo 1 1 Park Support Fee # $ >?IO.oo 1
I Permit Fee 1 $ J: &'Sr. ," I I SAC # $ J). 7t". 00 I
1 Plan Check Fee 1 $ 1.20r. ,fD I I Water Meter Size 5/8"0/ 1 $ 500.00 I
I State Surcharge $ . Li7.(X) I Pressure Reducer 1 $ 70.00 I
I Penalty $ I City SAC and WAC # I $ 12.0() ,(JD 1
I Plumbing Permit Fee $ J (X) o.g I Water Tower Fee # 1 $ 7o(),oo 1
I Mechanical Permit Fee 1$ J()O,O-O I Builder's Deposit 1 $ IS-oo,oo 1
I Sewer & Water Permit Fee 1$ ].r.SV 1 Other 1 $ 1
I Gas Fireplace Permit Fee 1 $ 40.00 I TOTAL DUE ~ 4-'J -07 1 $ '1.3(, O. If/) 1
/ "
c:; 8~ul r,O --
Th117flE YourBnildmgp;~;~oA;roved I Paid I ReceivtNo. LlL/ Uft:;>':J
I Date Lf- I'-I-,~ BY~
- ,.
Building Official Date
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
:-"hen"W]i b th'{2' 'E.er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISsued. .
~ ~ ?-.2.~-03 I2.ctld cdl I1AI-r.r <:L Ha.#.,r+
.. Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
r
CITY OF PRIOR LAKE I~ {~ ag [E Onllle~l
HEATING/Am CONDITIONINGJFIREPLACE PERM~ APA:.J 3.21,
: =. ~:~ I PERMiT N05 _ j r:.: r=J I
3. Yellow Applicant < '1 0 I Y
(Please ~ or orint and sism at bottom)
ADDRESS /;/ ~
~:::::.-S- e:obt:7 ~ //,d,-'/
ZONING (office use)
A/w
, LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
-
g~~/" Cb/7S~/~r- ~c//'C
/C! a ~,< 8/-/
(phone) g~ - ~....? - A:5r'
/~...//.d~/ //?V ~--?/.)9"'9""
(Address)
~:;~~AN)9 / d ~ ~ c/(a7'Z":---'- /
(Address) , ?t:::" "57":) /~/?AJ2 b.e <" Of
~ (Address)
(Contact Person) {';?" // 47//u~
APPLICANT SIGNATURE
(Phone) _ ~ ":7/ - e;/~d - -77-7;:."
~~Fr.A .~d-<
(City) <-/ (Zip Code) .
(Phone) /c~)
. DATE
APPLICANT PLEASE COMPLETE BELOW
)Q.NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~pt I'htJr 3'~>() MIW tJc.lfI"i'\ FUEL ~M It- ~A:.(
FLUE SIZE ..ElLr./ RETURN OPENINGS '1. INPUT (fJn~ ntJrJ OUTPUT ~nd rJ
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Pl";ts D Steam
DGravity D Hot Water
D Mechanical D Radiation
,8ir Conditioning D Special Devices
~ent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ .11l,...7 '" (
$39,50
Industrial, Commercial & Multi.Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39,50
Building Permit #
REA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING PERMIT
Building Official
Date
J .50
///
-,-
'~W~~ U \!I ~~
.&~ 0 7 2003 I
'J ~
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
By
Or
24 hour notice for aU inspections (952) 147-9850, fax (952) 447-4245
By
85/13/2883 83:33
~~
..,.J'%....E~O"\...
3528347372
PAGE 82
LAKE SIDE PLUMBItjG
CITY OF PRlOR LAKE PLUMBING PERMIT
Date Rec'd
1. Bh..~ Pile I PERMIT NO --,
1. "'" e,.,. . -<.- 3 ()4, i
)Y~lIa.... "ppli.:Ull <....../ 7 ~
(Ple:l~~ t'l{!':le or priot 3l1d ~jj;'Jl at bottom)
ADDRESS
3/35 13 obeClA 1("4... c....
I ZONJNG(offi:e,,,, I
, LEGAL DESCRIPTION (olliee u,. only)
LOT
BLOCK
I
J
ADDITION
PID
OWNER
(Name) /!:,,-en 11 -er l70m~5,
(Address) f 0 13 tJ'f. I 3 J lj
", ',;-';"11..11:::. ,...Ld1.7. .t~ ,':-- i ..~ .
(Address) 12469 Zinran Ave,
(A~y~ga. MN 5537.9
(Contact Porson) G.-n-",_t.. !2:::L.tkA. -eo Is
APPLICANT SIGNATURE 6ul1h~
APPLICANT
(Name)
Quantity
~
I
(
,
)
J
.:;
(phone) r-5 J. -~j 2 -7 ;>0'1
La_k~(.)""< mil) YSD'(I.{
(Phone) 952-?i'JI.{?/;O ()
(City) (Zip Code)
(Phone) f's '2 -Sf V. 7&00
DATE
,~-I.3- D:>
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Flnnr Drain
Lavatory (Bathroom Sink)
Laundry Tray (l Dr 2 compartment sink
Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
,
Rough-ins
Water Heater
Water Sollner looD OWL'I
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly TeSI
Lawn Sprinkler
I Other -Z:(l~ ...~Jt,~r. d/~4/
H~5e b,J,b - .
FEE SCHEDULE
lndu,tri.l, Commercial &: Multi-family 1% of job cost with. $39,50 minimum Residential, New One &: Two-FamIly $99,50
Residential, Addilions &: Alterations .39,50
"-Cl r--\D I rc!!ti~.d Cost S Building Pennit #
lJ"'1 ~ I ^ (r::; .:, PLUMBING PERMIT FEE .$
1 ",\,'7 I STATE SURCHARGE $
-.,--:.. -.. TOTAL PERMlT FEE $
(omCt Use Only)
This Appiicotion Becomes Your Building Perml! When Approved
ff :S.'
,50
100"',)
PAID WITH
BUILDING PERMIT
Buildlna OfficiAl
Itl~~ L~ ~ U ill ~ I ff~etPt No, j
I!UIflt.teMAY 13 2003 I F,r ~ I
jll c..J ~{/
'Dllltl!'
24 hour notice for nil in'pection, (952) 447-91 SO, fiX (952) 447-4245
By ______
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO,5- 39'-1
/
ZONING (office nse)
(Please tvDe or urint and sim at bottom)
ADDRESS
3135 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) BRENNER CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) AT.T .TED FTRRSTDE DRA FTRR"TDR HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
<;5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/16/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTlON 0 REPLACEMENT 0 ALTERATlONS
FURNACE MAKE AND MODEL FUEL
FLUE SlZE
RETURN OPENINGS
TYPE OF SYSTEM
lNPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLACE MAKE AND MODEL
HEAT N GLO SL750TRN-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
l3ultA.ID l1I7
DING P. .,.,.,
'l:f:1A;fI"f
(Office Use Only)
Buildine Official
1!D"fUrg ~ 0 \\j LE ~1~tceiPt No,
l · e $\
~ MAY 2 1 7nnl u I
24 hour notice for all inspections (952) 447-98! 0, fax (952) 447-4245
Date
~'
This Application Becomes Your Building Permit When Approved
GREEM - fILE
YELLOW - APPLtCANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO. 0] -0 3QtV
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: hAl/h kl? fY)E .:IflJc
ADDRESS: L~JI1 J!Jf}/lfk:; S71<Ei=:i S}i/!KfYlEE
SIGNATURE: ~A??A./-//~JjkdA~
BN3cfiJ -r~flJL
SITE ADDRESS: .~i~~
ADI ro BL.oCJ< 3
THE WIL.!?S $ot/7t1
1. Estimated length
FILL IN THE BLANKS
PHONE:7.~-~~~-)b?oD
DATE: "yJA'~/O?
BLDG. IE;RM{P #
PID#
BIfEMtJa!.. CtwsT1&JcT70A/
of water service
~x
feet.
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC 'X
Cast Iron
5. Estimated length of sewer line
~~
feet.
6. Clean out (if required), located at
structure.
-
feet
from
===================~=============================================
BY
This application
==============~==================================================
FEES:
$
$
$
5.00
.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 ark
issued. B
DATE PAID AMOUNT PAID P A I 0 _ f:::j
RECEIPT # REC'D BY S:) t vU
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
~\
White . Building
\.-!:;dU.18r\1 - Cflr;uneBnna .J
~ . Planning
Th, Cfnltr of lllr I.lb ('Qunl!'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{3 12(; N N (IL Cor\J)TIG
-7 '-"1 /,?
,:;; - , - ')'-,)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3135 f,O/?:'CAI-- 112.AI L /'J \JJ'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
lJ#1fS
. "
Date:
'3-31-03
Comments: See Rever~p. ~ide for Additinn;:!1 Infnrm;:!tinnl
See Attachmeflk 1) (Trading Plan, 2) Erosion Control Measures
"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."
~~
White . Building
Canary . Engineering
Pink . Planning
Thf'("tnfunrlh,,1.8bCounfry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{3 ~b N N bf'L ('))tJ5-ne..
3- 11-0.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3135
ISOI3V\T Tl2A1 L
NvJ
Accepted
Accepted With Corrections
~.
Denied
Ii<< @-; _
62 t'c:d a I( 11/J 1-". ,
Date: 4~2-os
<L Jh..c1 tJU-T
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."
TII~ ("~nl~r of lh~ I..kf ('ounlry
White - Building
Canary - Engineering
Pink - Planning
"
BUILDING PERMIT APPIJCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t r[ f; I'~ Ci-
) (J '~ilL..
c.:-c-I7-(?
~,,_..-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-', .--'j-
. I" L-,
-"^' _........~
I. eLl!-\' I
Tlc::.t",i L
1"..",./
.' \,--'.,
Accepted Accepted With Corrections t--
Denied /fUv ~
Reviewed By: Date: L( -1--0 <
.
Comments: UL"cl cdl nd~s <:L f/-MJ ()u-l-
"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
SITE ADDRESS 31"1r ~ -r,.;j n.lA/.
NATURE OF wORl<'Ae lIiV ." ~""'"'
USE OF BUILDING ~ ~ ,
PERMIT NO. ~ - 0394-. DATE I1;U.ED 3- ~ r. ()~_
CONTRACTOR LS'~","~" ~s.,. " PHONE1;1.2 -~""'~n'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~CTOR
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I FOUNDATION (Prior to Backfill) I ~ I t.{1Pl-185
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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OCCUpy UNTIL ABOVE HAS
NOTICE
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
fli
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GRADING (Prio.l to Sodding)
BUILDING 0~ h 10-\
ELECTRICAL
PLUMBING
HEATING
DO NOT
DATE
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1
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BEEN
(5 -l:,,-Q:5
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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.
FOR ALL INSPECTIONS (952) 447-9850