HomeMy WebLinkAboutBuilding Permit 99-0591
~~
]lAT. R.".JYEJl CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY 2. i 1999 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
_ J /" fo ,,?, Q L M j'.l L 1.4.11'..-- .J.. {/'
3. LEGAL DESCRIPTION
<-
ADDITION UJ/ (d p''''',.DC. <:
(Name)
LOT
I
i>OvJd
BLOCK
? #JA
4. OWNER
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
1. While
2. Pink
3 Yellow
File
City
Applicant
PermilNo. QQ-51.L
1. DATE
5 - Z/ Cjq
12. / S..D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
Z<'-~~S1-"-'~J 0
~ r
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
L._'\ !:1uIJtJ4'{1 ((O<l-<-f- d-w)(I !Jr1rJ1--J..ii1,., 447 00)7
7. TYPE OF WORK Fireplace CI Septic LI Deck 0 Ae-roofing 0 Porch LI
Newconstruction)( Alterations 0 Addition 0 Finish Attic 0 Re.sidingO Finish Basement 0 16.~JECTCOSTNALUE (JO
ChimneyO Misc. 1!'f? C2 ~ !n6()':::::---
:qP:,OPERTY AREA OR ACRES I :i::OPERTY DI~:p~:'ONS I ~:~CULVER::'ZE 17. C09~TIO/N ;T~ 9' '1
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 officiajfan ~ke 'his pediust cause. Furthermore, I hereby agree that the city ollicial or a design.ee m~nter upon the property to pertorm needed inspections.
X -y.:., ~ '2-<}<('4" q~~ <.,q 7 y ""'-21 99
'-"""" . , 0' S na ure . lIcense'No. ...- Dale
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION ;)0-;). .{jCJCj. (~ PLOT PLAN 0
Water Tap ................................... $
BUilder~it.:..^.~..:.:.:::.:cr=$~/.~ao .c9i:J
Other :::......~.~.... $ (.<')~JDO
Total Due .............................. $1>f{;S I. '-17
Paid 'i'~..,. 97 Receip' No. 3!>(,!1..-
Date ,I rJr1 By )!,J(;l
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonind OrdfnancJ and may proceed alrequested. This document when
sign~ C~ Ff'l'lner constitutes a temporary Certifi'1lt:OI ZoJli!lQ compliance and a~s con~menf'l Before 'fcu. .~Q...CY.' ,,~rtificate of Occupancy must be issued.
~~~ _'i?>--"V1. S, " (I('.~~-,\
- City Planner Date Special Condltll5ns if any
SETBACKS: Required
Actual
Front
BUilDING DEPARTMENT VALUATION
USE OF BUILDING
.5rD
TYPE OF CONSlRUCTlON: I II III IV /tv\
Occupancy Group A B E F H I M-""S'S U
Permit Fee ..........~i~~~~~...1...~.~.~... $ I. ~ cr7. 6
q I'5R . '22-
(ol.()l)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .......................... ............. $
Plumbing Permit Fee ....................... $
l DC) .tJe
lOf) .06
~<;;. ~-O
(f 0 J)15
Mechanical Permit Fee ......... ............ J';:
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
~~iS~it9/l:tourBuilding ;;r:lt~~~~
Certificate of Occu ancy
Issued
SEATS
City:
Amount Brought Forward .................. <t
Park Support Fee ........................... $-.-B~ ~
SAC ......................................... $ / iJ ~ . CO
Collective Street Fee ....................... <t
Sewer Tap ................................... <t
Sit/' $
Pressure Reducer .......................... ~
gs.oo
~
Meter Horn .....ti:J...,......................... It:
Water Meter ....ft';........................... 12~ C)O
Sewer & Water Connection Fee ........... $_// ::?I'JI?~
Water Tower Fee ........................... $ 7()tJ ~ O()
24 hour notice for all inspections 447.9850
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
0/'1/9' 3:00
I ,
ADDRESS I~I.(. (
OWNER
BUNl::J 1_14".....e:- 7'AA-If
CONTR. I -:-r- l-lEA,,-,6."-.'
PHONE NO.
PERMIT NO.
9't- 59/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1'( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
t:ilIl~ IS A<'t:lJlmR.E:.
~1"""'RO'j( L'f-. (}o~ATt'''''l\rIl4J_,
4 ~A~F"l\ r!ONO"O:-r'!: LJAiX
'l<rP.PrF"r:, Pll,oll 10 SICi'J <'lF1=
rmu:cs. 1'1,^-r ~ F.
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
)\ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ 1. ~ "wner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
~ ---.-----...-.-- . --_.~-_. _._-_.~.. .-------.---- .-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/itt3
&;,/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o ieOUND TION
OF G
o ULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
f51//t?
TIME
L4Rt'. h,/
LJ I-I""'-"Prl
7'1- 5JL--
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
A// ~"/I(J'-k ~{k PMl/$ /r4V.e ~U./t
rt>1) / 0 ~ -'? rf
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~
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"",,ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ':J!'K. C;';1PR REINSPECTlON BEFORE COVERING
Inspector:.$~~~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
[;>__7?J ,on A:-r.
ADDRESS
j (g(P &;3 t3u;v 0 Lfi"t:;e;.~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
qq - 59/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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.'; WORK SATISFACTORY. PROCEED
;: CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspeclor: ~ I Owner/Conlr: .
J
!<.ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
W-e ~~;,(- fn ;.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~/u.llf1 /6 ~
l/
ADDRESS \ L.~(' 3 ~& Lc....1>u- 1"'10--
OWNER CONTR.
PHONE NO.
PERMIT NO. ~- Sir
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
... 0 PLUMBING RI
~D CHRI
A TER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENifS:11
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o ~ATISF
~~~E~T A ION AN ~OCEED
o CORRECT W K. CALL ~ REI~PECTION BEFORE COVERING
Inspector: / ~ner/conlr:
CALL ~850 FORJHE NEXT INSPECTION 24 HOURS IN ADVANC~
CODE
:NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTJ
~~~~1 TIME
CITY OF PRIOR LAKE q~lo
INSPECTION NOTICE SCHEDULED
ADDRESS \(,.~c.3 Bl.l-Id Lc..k. ~
OWNER CONTR.
PHONE NO. PERMIT NO. 't'J, SCII
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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/
/
/
~ORK
o CORREd:T
Inspector:
o PLUMBING RI
o MECH RI
IH WATER HOOKUP
EWER HOOKUP
~lUMBING FINAL
o MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.
1,,)1 J.W.n
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R REINSPECTION BEFORE COVERING
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANC~
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~h.f~ ?~JIlO
8t.J/I/ 0 Lk 77<-
ADDRESS
/4>(Pb3
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING F~ 0 GASLINE AIR TST
J'rrCH FINAL 0
.y t:\-rl,o ~ ,'7 O/tL.-.
J..~,~O ()(A ~""d.r~ M
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()~,.._ l^t ~~iJy. dJ/...v-.5:-
0,,-:
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT1J4
FINAL
.{f~ITE INS ON
COMMENTS:
<::,0.
-
M.c61,L..-/
CONTR.
PERMIT NO.
99~5q /
~
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-
-
o WORK SATISFACTORY. PROCEED
~ D,#RRE&;\.cTIONANQ.PROCEED
~ CORRE~~ CALt10R REINSPECTION BEFORE COVERING
Inspector:.I ~ Owner/Contr:
CAL~ 447-9~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
..
.Permit#
- - - - - - - -. -~ ~ -_.~- ~._,---
"Job Add,... l~tp(,~'7 g/'-nd ~~
"Heoti"ll Cont!ocIof J!Wl'RO AIR
"Testers/Signature ~..e
..
"Gas Uno
Pressurized
Inspected
"Percent C02
.Percenl O2
Final Inspection
Q!!!
Time
Pounds
~
PERFORMANCE TEST
q ~ I .Percent CO
"?:ofL
o
2'9'~
"Slack Temp.
Date
F.
GREEN - FN..E
YELLOW - APPLICANT
GOLD. CITY
CITY OF PRIOR LAKE No._99-5 9/
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City,
~
APPLICANT: ,j e c...~ c c.. XC
ADDRESS: 'J. "l/L.\l f\o if-~rl \ lit 1\ i)
SIGNATURE: ~~'- ",-L
SITE ADDRESS: I GUY! R\; 111 [I L(l \<;Tl'u
PHONE: '(J 6 (; t{sC,
I. " I f 1. l DATE: Lf -;~ '9 r
BLDG, PERMIT # 99 - !; q /
( ):.'/50 PID# 25 -330 - 003- ()
1.
Estimated length of water service
FILL IN THE BLANKS
Y )~
feet.
2, Size of water service
inch(es) .
3, Location of any couplings from structure
r)
feet.
4. Type of sewer pipe. ABS
PVC ,./
Cast Iron
5. Estimated length of sewer line
"'/5- feet.
6. Clean out (if required), located at
structure.
feet
from
----~~A-~-------------------------------------------------------
Thi, l:~titn bZ?'~.e~).#turfA.(~:!.~~.~.....when apprf:;et _
BY 11MA,-:f1AVJSvJVi/v K) ,,-t'~-!lATE: CYJ fll eb..5799
UL /' . I.
==========G=======================================================
$) 't' .t.
FEES: 35.00 Sewer and water llne connec lon perml .
$ .50 Surcharge
$ 35.50 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
AMOUNT PAID .~~~~~~
. ~V'~\::.t'
REC' 0 BY / ~~\~c;.
\ ~\)\....-
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
Th..("..nlf'rurlhorLII..C_nlr)'
\()~~ ~
\..>'-' ,y.....Q;
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: 'Sc.'\t(l.(&, ?\Ul'\OOO
Addresl;l: '-l~~ria" r,~ S'<'.
Signature: 4....;: "1 9..9.>J~-...
Legal Descri{;ii1P. Lot 3 Block I Sub NIt..06JeN6SS PONDS ZNO
Site Address: I&t,!" ~ fjJ,ilc-l 11l.kD .1In,' /} ,Ie 16D
BUilding Permit # qq - 5'9 I 'pID # 2.5 - 338 - 003 - 0
NOTE: This permit will not be processed without complete information,
FIXTURE UNITS
I. .I~
1. GQld
). 'YcI\tJ1fi
Ale
City
",up\ir;ql
# '11 ~ .5CI1
.Phone: \.1Ll i.J,o 7 ~L{
PI' 't'" ~ c.. \(0
This permit is granted upon the exptcss concUtion that said
contr~lor. shllll comply in all respects with the Qrdinanus
ofth. s..... Plum~thc lIII1e. ~ lhereof.
. B q 99 DATE
_e-...._ ' A'ITEST
Call for all.~...:J', _ .lions 24 hou" in advance.
16200 Eagle CreekAv. S.B., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 1 FAX (612) 447-4245
An Equal Opportunily Employer
CITY. OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq ~ 5'1 (
Prior Lake, MN 55372 .
HEATlNG APPLlCATlON I PERMIT
~- S' -~~
Site Address \ ~ \n \0 ~
IS)
~ Lot L Block / Add~fon jy/u)61eNE.5s PiWDS 2'fR ;QDON.
o - L\
z: Owne~. Nama \ ~\ TI t'''''' t... (/l'l.l.t..
Address S \ \ ~ ,1\ \ \; '>\b (t. f rt ~v- LU IClt
Healing CollliaClor ,"\ {~ \\,,... -:S:::Y'\ \..
Address \ \0 ~ ~ (,\ ~ \.. \ L (){l.v. ~ y \ 1J ('; IT' \. 4 Kc
Telephone' 1..\ v.1- '1. \:l~
f\J
0: Data
PIC' 25- 338- 00:3-0
6 \; f\~ \_c.\it~..:\
/lISO
Fumaoe Malle & Model c....,.. r: \ ~
Model Size (fW - ~ '\ \)- \\0
Conn. Load S-~ <1 \-\~
Fuel t.J ~~ ;Iue Siza S "
Supply Openings J \.,
Re\um Openings _ 'g
g; InpuI ~~ ~~ Ompul' \ . [, {\\.)
a:
o Edr.
e>: .
~ elm, Yl'-\O
TYPE OF SYSlEM
Wann Air Planls )('
Gravily
Mechanical
Air Condlllonfn" ..x
Vent. System
HEATING OR POWER PLANT
Sleam
Hot Wur
Radialion
Special Devices
OIherDev~""l.Q .
E:
fll Allerallons
Lf).
_ Repllllllm.nt
TYPE OF WORK
New CanSlruclion
.~
.... Repair
en Est. CllsI1
en
~ HEATING PERMIT FEE $
Ell Camp, Date.
S S (\ (\ 0/ Bulklin" PermU . <D;; ~ - ~ 5<:;/
., .~~~G~MIT~
Lf)
STAlE SURCHARGE $
$
<.!J
ij! TOTAlPERM1TFEES
,
. i ~:
. ~ ....",
,50
Receipt .
rYPE OF STFUJCTURE
J.1'ioIl
2. Gnooa
3. ~UCIW
Filo
Oly
00""",,",
Single FarnllyX
Commen:ial
. Two-Family.
Induslrlal
Multi.Family
Public Other.
Fee Schedule
Induslrial. Commercial &. Mull~Family
Resldential, Healing &. AC
Rll$idential. Healing Only
Resldential. Gas Fireplece
Residential, Addllions &. Atierations
Resldential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remembello add the Stale Surcharge on the botlom of Ihis application.
The price 01 your healing permit includes one rough.in end one final inspec\iOll.
Additional insp.cUons will be billed el $35.00 each.
House Heating Test RllCOnI must be submilted with ""ilrfo''''IU',mft "'1mb#!, before build.
fng cerlilicate 01 occupency will be issued.
IolI'JO" f:AI r:U1 ATIO"'l; "'''''' IIR"'') with numbel 0' supply and relurn openings ~sled per
room wilt! CFM'a per opening. New struclures or addHions send floor plan wiltt supply
and relum locaIions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLlCATIONS MAY BE MAlLEO TO THE CITY OF PRIOR LAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372-
City Hall business houlS are e a.m. .4:30 p.m.
't;
ALL WORK MUST BE INSPECTED (RDUGH~N AND FINAL) . CALL CITY HALL.
447-4230
.'
r hereby apply lor a mechanical systems permil and I acknowledge that Iha
inlormalion above I. complele and accurate; Ihallhe work will b. in conformance
with Ihe ordinances end codee 01 the city and with the slele bulldlng/mec'hanlca"
codes; Ihal this Iorm doee nol become. permit u~llI signed by the.BUIL.DING
OFFICIAL; Ihallhe work will be In .e<:ordance with the approved plan ,in Ihe
CUB 01 all work which requires rev1ew and approval 01 plana,
v1\~l ~ }?-S-'1 ~
. Usle
a/ 5 jqCj
DBIiI
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qQ,51/
Thr ('rnlrr of thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L- ::r H6NNEN
5/21/qq
.
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/hto(P3
L3 L. / N 0 LJ::;::. 77Z-.
Accepted X-
Denied
Accepted With Corrections
Reviewed By:
(2f~~
J!Q ulI~ ~ cL.
Date:
<)-?B -cur
Comments:
I. Lc..oR
"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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~~
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The Cenler of the L.kr Count!'}'
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CIifCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
i--
I' I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:<>
.' ,)
I
-.-
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~lkL0'~
Date:
~r ;).-C-Jq
Comments:
Pc r-::. 410
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cr~o 0 l-1 ~'IA~ u~ Ye-e<; ~t~~ ~
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vlt~~v~ if/{ 72- ~ 1 ~,t,~
\~J.. ff-"i>~'r-v~ L/~L1()~ud~~~
MOJ<J ~ ,dv{WJA}ZAA/I tAJt~ J-L{ Fr ~
f3'1~~_1 I
"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."
.....
-
Thr Crnltr or Iht' Laar Country
'1Q- 51 I
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J.- -J HENNEN
5/2 / / Cfc;
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0003
DL//\/Q LJ:;::... 772-
Accepted
./
~...".>
Acc~pted''fVith Corrections
I
Denied
)
.....-
Reviewed By: MA'~d CHd€~M."'/lJA.J
Date: /D Iii, 9
Comments: t?m.l<!JFF (Ylvsr Be
C()NVE.'1'~.LJ % 14"'0 ",,-,,,.J6, DMllUlla~
1
~ V1iu7V lS4~c""~
As
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s. ERoSI~'" f'....rm.Zl. IIfCAo;..J"E:~
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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
SITE ADDRESS I L,Lou ~ '1L'w:t f~ "t.cx.,\
NATURE OF WORK f-Ja.j Cm.s.~k.Jc....k-\flV\..
USE OF BUILDING 3r= D
PERMIT NO. Cf'7-54 1
CONTRACTOR U ~.lA.\A~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING tyOR 1-1-/-1~
, FOUNDATION (Prior to Backfill) ,@)7;11\111 I
PLACE NO CONCRETE UrtflL ABd'VE HAS BEEN SIGNED
ROUGH - INS
// 1]8/21-//1 !\...
(/. '(IA
~, ~
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
.'<)-~e- ~c:
SEWER I WATER I SEPTIC
FRAMING
INSULATION r{j)
ELECTRICAL
PLUMBING ?lJr)n / ~ "
HEATING (if required) fM ~\, {X;j/~~ ~f,& .
FIREPLACE' - f/
. GAS LINE AIR TEST ~ A1. 4- ~, (h "I/:=/'1j I 9- It'- 9 'J
COVER NO WORK UNTIL ABO~ HAS BEEN SIGNED
,. __ I I
FINALS
~, e..
b:r II ~Io\
1{11.f ),~
11..;2-4 ~9 J
?-/:i'.91
GRADING (Prior to Sodding)
BUILDING1.t..O' -td '11 doe ('p. 10/7.,/,/'1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOV
NOTICE
.J>h~/N
,
,
IOJ)7ft7' ~ 11, ~7
HAS BEEN SIGtJED
I
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 inspectiohs
FOR ALL INSPECTIONS (612) 447-9850