HomeMy WebLinkAboutBuilding Permit 99-0590
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Qtertifirau nt (@rmpanry,
CITY OF PRIOR LAKE
Department of Jluilbing 3Jn~pettion
~ Final 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 Classificatiofl
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No
NI A ... RISD
Zorung DIStrict
99-590
Legal Descrip';' .
L4, Bl KNOB HILL
Owner of Building
O;'-Address 14514 BLUEBIRD TRAIL NE
MW JOHNSON CONST. 17645 JUNIPER PATH #100, LAKEVILLE,
MNS
conJ;;r's 'fI,~"'-. P. ,'I "'..-.......
. /
lUYR ttQ'T' n
,
lnl'T'rHT1\T~
rity Planner
TENNT TOV AJ<
Date:
Dale:
DATE TIME
//I"?();c; 2 (.) 0
/,,/L-)/ Vf?L {j 68/KLJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS: I, ~O J Tt?i:(("S
2. l-1N4c- -:p~ ~. ~-r:
"3. -pL<.JM....'..:Jl~ ~ 1:r.. I
A-.. T C. 0:- Tc:> 8/r (00
,
(lv- 59(;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
!€1-coRRECT ACTION AND PROCEED
o CORRECT w;m'f' (~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
,
QALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
----,...,_.."--,._----_.~---
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
9-7-0/ A.T7
/45/4- gt.-v68/ R..O -,;e.
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION ~
FINAL
ITE INSPECTIO
COMMENTS:
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH F AL
o
l\t." \ I
99-590
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
bl1 WORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-;0 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
.'RJOR LAKE
_';TION NOTICE , / , (
I,) ('-(
///r ~ ,
ADDRESS L>l-o.- _ r
DATE TIME
e/~f / /::u;
~LUGl3leD /'f5OD+o Sf2.
~~'fr.~~
- ~ Fjf ;.,....:..~ L. .v /p~
-~. ;;
h>- ~~ :1~.
SCHEDULED
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~MECH RI
WATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: uJ.."..,.y..e ~, . .' /&,
R~~.~
I'~~~
~ A~'4' ,,~.~/..I
4/' -1-il'- ,-~_.
ak (I./>>tJ,,, 'lM '
41' ,4/'~' I{J)
. ~..4d- Hr...-
/
. I
I ~ ~J
L~~'I"'1
1"7
~'i\J~\,1Q
LRK SATISFACTORY, PROCEED
fJ/('~
QQ-S90
o EXlGRADrFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
If" .-"
..u... ~ - er_
ze~.'~~~
- ;
.tvidl 1 J..R .AL.C7...-t-.adl .
,
o CORRECT ACTION AND PROCEED
o CORRECT W~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: kI11 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNDT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J 4 !"j~/4
Dc... G' C 13/ ,eo
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A 0 SEWER HOOKUP
r '\g" PLUMBING FINAL
/0 MECH FINAL
~OM.MENTS:
~) \JJr\Y\~of o.~
l?J 2. ~n.J. P
Pv..Q.Q ~ r.J dun
o
Wu"~
n~
\,j~
LcL~
O~
/
/'
D~KS
~RE
o CORRE
DATE TIME
1i/?4/i'J
Z'cO
Cjtj-590
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
AA_~~_
..4rr .e.< <:. (: c;,
SFACTORY, PROCEED
A NO PROCEED
K, CA L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 17-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
l~h~ TIME
CITY OF PRIOR LAKE IO:lf)
INSPECTION NOTICE SCHEOUlEO
fIJMJ"J-rJ ~
ADDRESS ILl GiLl
OWNER CONTR.
PHONE NO. PERMIT NO. rI- 5'0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIl)'l P
E7 FINAL f'I
v1SITE INSPECTION
COMMENTS:
~} Gn)5~ 0Y1 c... ~ - 'fVvrt:t ..\- uev-..-
(31' \="W ~ Gnc...;I-,u..v(\.o-~ ~
.~)od eu..:d -fveiS F -b..w<!ur rv.~
0~~ ~"rk wJ.J.... .
.,~ '::'\r~ ~ ''''~'"'.te
(A ;Jj (j!.; ~. V'f ~~.. ~ rc;., rLn,..,
~,~ ~P(..J~ . ^ /1 I:;
1Y~ ~......" .fu kc...x ~. &. .:Y 'A<'. ~
_~ v~A t
"\(~)~ ~. ~ts
~-
/\(/)r.LM"A OV~J
( II ffillflk ~J ~,
o WORK SATISFACTORY, PROCEED
'.~ D~~ R~R~ECT ACT AND PROCEED
~CT RK, REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAll
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
/MECH FINAL A
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ILf5/'1
SCHEDULED }-.~/ -Of II h1
131v~~,rJ T,.
OWNER
CONTRo. (V) \,J ::\~''''
PERMIT NO. '19 -5 70
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
"eJ..~ ;,/> ,'",,,, W"c, 1/ . 6/(
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~...r ,-~ Owner/Contr:
CALL 447-PR~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I'SrnIQQ
fGtsD
'':'S--~IO -004-0
Z5-3ID-~_--:- --
~
I_I/^ ITel. NO()P/:J- Y?JW1..-
u.u-t:U lJe- 77:K-
(Tel. No.)
&~~
Vi5jLj
DATE RECEIVED
!"i/JY 2 0 1999
BERED 1 THRU 17 MUST BE FILLED IN
IT IS ISSUED (Please Print or Type and sign at bottom)
(2;;;;:;~(' 13( LlPhi rcL
'~RIPTION
4-
Knob H,. I (
14^~WNERJ' h (Name) G .J.
m.W. 0 n<:on OI'\SI,
5. ARCHITECT I (Namel
I (Name)
LOT
BLOCK
1(-0 i J
(
A1~
ADDITION
6. BUILDER
(Address). 11'1 ~ I
J7U15Jul1'(PJ~
(Address)' ;
I
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-cpo
PID
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(H~"'1 (WldthlfdJ (D'Plh1j!.;i-51
12. NO, OF STORIES 9-
A'leatChome
'~ FLO~~~~rTUSE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 As-roofing 0 Porch 0
New ConstructiO~ Alterations 0 Addition 0 Finish Attic 0 As-siding 0 Finish Basement 0 16. PJlO(J~~. TX,O~N(~UE
Chimney 0 Misc. If ~ TU I) """"]
:qP~IOPERTY AREA OR ACRES l:i::OqV.~51~:p~l)h?~ I ~:sCULVE~E , 1'~(/d;I~N;AT1rtJm d/w
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 th~owner or authorized agent ff{}
the above mentioned property and at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:UMic~1 ~ r~ ~iS p~ 'lor just hennore. I hereby agree that the city official o~O~r enler upon the property to pertoe:;~
~ Signature License No, Dale
I
SETBACKS: Required
Actual
--zront
BUILDING DEPARTMENT VALUATION
Baol<
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
Side
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
,)r~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ll./(()n'"). t90
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV lY..)
Occupancy Group A B E F H I ~ S U
, Division 1 GJ ' ? 2 c.;-
Pennll Fee ................................... $ I 09 .
10'l. ..crz.
""7.6 .~
Plan Check Fee ............. ................ $
State Surcharge ............................. 4:
Penalty....................................... $
106 ..(90
/ CJ." .. f5'r> CoS', CJ CJ
:s 5'.515
Gas Fireplace Permit ....................... $ Cfo . C) 0
ThiS~J5-' J 71"/' ,s Yo.duuding Pennll When ~pr.ll.ved.
By V#r.... r- Dele '=;--'] /~l 7
~. P /
Certificate of Occupancy
Plumbing Permit Fee ....................... $_
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
City: ~ Amount Brought Forward .................. $
Park Support Fee ........................... $
~ . L\ SAC ......................................... $
~ Collective Street Fee ....................... $
~. -1 Sew"Tap ..................;.,...............:
\8 Pressure Reducer ...Va................... $
MeIer Horn ................ .... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
~..@
/ (j sLJ .. c98
%,&j
/~.LJ CJ
J.0.nrJ <""'"
. 7f1t"1..~
WaterTowerFee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
/.. 1")00 . (5)CJ
- i ')'1;'/., . L..1---
3,"O-V
Total Due .............................. $
Paid 7583. l-Z- Receipt No,
I~ued 'J
Dale 7/1 /'1"/ By 11~
'l']is is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a requested, This document when
'ne~' ~I"n~~constilutes a temporary Certificate.oLZo~nQ. compliance and allows construction to commence. Before occ,upanc, y, a Certificate of Occupancy must be issued.
_ ~)L<./v'-\ J',,~ (J;-lfL
Planner Date Special Condrtions if any
24 hour notice for all inspections 447.9850
/~1? 1'I~/lI /JI~j",
Heating Contractor Controlled Air
~
I {_ )<I-'iq
f
-,
V
~
~ullr
..
.
Job AddresS
Name 01 Tester
Date
Percent 02
Percent CO2
Percent CO
Stack Temp.
t
"
IS)
e.
CITY OF PRIOR LAKE
16200 EllIle Creek Av. S.E. "-rm~ No. 99- 5QO
PrlDr 1II1ce, MN 55372 / .
U1
\D
m
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z
HEATING APPLICATION I PERMIT
Dale IS .-c9~ qq PIO. 2.5-3/0- 004--0
Sile Add.ess /~51 4- f3!,J/' hif'f.J 7/, II!. I
lot ~ Block / Addil.ion /CNOB fllc...L-
Owne's t4ame MlAJ ~A :I.('l\A J
Addr_ d /
HeallngContlactor ,0;.. ~/rl1JkO Q/,..
AddreS8 ';;;/6)/(') ~I-OIJ Aile,
Telep/lond C,:s1- .J/~o - c.o9~
Fur,*- Malte "11M." ^""P_r_.It. t'
Model SlzeGlf;E"/rv.r /"'-/ //oo.ero
r
U1
~
f\J
~
['-
~
~
f\J
....
\D
t
U
I
([
Q
Z
([
(!J
z
-
f-
([
UJ
I
'"
([
Q
UJ
-'
-'
o
'"
f-
Z
o
u
Conn. lo8d
Fuel"" fA/-.
Flue Size ~I
TYPE OF SYSTEM
W8Im Air Planls
Gravity
Mechanical
Air Condil.ionin9
Vent. Syalem
HEATING OR POWER PLANT
51elm
Hot Waler
Radlalion
Special Devices
Supply OpenillllS ~
g
Input 1rY'> IW'I Output ~ C'YY"'I
, ,
Retum Openings
Ed,.
Olher Devices
elm,
TYPE OF WORK
v
1'1
1'1
iJ\
IS)
Afterallons
Replaeemen1 New Construction
Est. Comp. Dete
Repair
Est, Coal S
HEATING PERMIT FEE $
STATE SURCHARGE $
.50 ~- p~IO WI1'H
_ Receipt.~ BUILDING PERMIT j
Buadlng Penn~ .
qq-5q()
iJ\
iJ\
...
IS)
1'1
...
m
IS)
TOTAl PERMIT FEES $
I. Pi....
,.c;,...,
l. Yelklw
File
CO,
""""-'
Single Flmily
JY.PE OF STRUCTURE
V Two-Family Muil.i.Family
Indullrlal P~lic Olher.
Commercial
Fee Schedule
IndU81ria~ Commereial " Mu1li.Famlly
Resldenlial, Healing" AC
Residential, Healing Only
Residential, Gas Fireplace
R8$ldential, Add~klns & AUerations
Residential, AC Only
1% of job oosl (S39.50 mlnlmuml
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 10 add \he Stale Surell'lge on Ihe bottom of thil application.
The price 01 your heating permil include one rough-in and one final inspection.
Add1lionaJ inspedions wK! be billed al $35,00 each.
House Healing Tes1 Record musl be Illlbmined wiIh IlI!I!llIml R!lIIIlI """"....' belore build-
Ing certilicale 01 occupancy will be issued.
J-IFAT rol.1 ~111 ,"'n"I'~ q"l'lllq"'l wilh number 01 supply and return openings listed per
room with CFM's per opening. Ntw struclul8s or additions send IIoor pllUl with supply'
end r1IIUm localIons shown. HEAT lOSS CALCULATIONS, I'Jf\YMENT AND
APPUCAnDNS MAY BE MAILl;D TO THE CITY OF PRIOR LAKE, 16200 EAGlE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Hall busill8SS houl1l I'" 8 a.m. - 4:30 p,m.
ALl. WORK MUST BE INSPECTED (ROUGH-IN AND fiNAL) . CALL CITY HALL
447-4290
I hereby apply lor a mechanical sysltlms permit and I acknowledge that Ihe
Information above Is camplele ~nd accurate; Ihal the wort< will be in conformance
with Ihe ordinances and codes of the city and wllh the 1IIIe bullding/mlchenical
codes; Ihalthis lorm does nol become a permit unlil signed by the BUILDING
OFFICIAL; lhat the work will be in eccordance wilh the approved plan in the
case of all work which requires review and approval of plans.
d~ _2 ~ //J g -~-9o,
~~. Date
s/3olqq
Dafe
"
BuBding OIIIcafs ~e.
FROM WENZEL MECHANICAL 612-452-0367
(THU) 08. 05' 99 14: 41/8T. 14: 40/NO. 3561851151 P 1/1
",
, '
~:~
YELLOW... ..~.
pout ~ CIT'
, '.
" .' ,,!..:Ii ~(,' ,"' t.
APPLICANT: /A/"1Z~ :~~fiAltJ
ADDRESS:/f~9 _____,17f ___
SI:GNATl1RE: ~Lh1 ~ (;U~A?iJ
SITE ADDfl,ESS: .2 / < Ci.;L SA.a... 1ir./1;t; W
/~5/~ FILL UI THE BLANKS
CI';['Y OF PRIOR LAKE,
SEWER AND WATER PERMIT
NOTE': Sewer and 'Wat.er
contractors must
be ,registered
with the ,city.
bG"1
PHONE: L/S~ -/S~
DATE;' .'7]-5-9":;1
. ,
BLDG. PERMIT IfQQ-S90
At/SP ,
PID# 2.5-3/0-037-:-0.
, NO.~-51-0
1. Estimated;length of w~ter service
feet.
2. ~ize of ~ater ser.vice
inch(es) .
3. Location of any ~oupiinqs from ~tructure
feet.
4. Type of sewer ~ipe. ABS
PVC
Cast Iron
5. Estimated "lengtn of sewer line
feet.
6, Clean out (if required), located at
structure.
feet
frOIll
~=~~===~=========~-== ========----================================
This ap~b o\ir permit wnen apprpved. /
B~ . __._ DATE: Z!E /5'/ qCj
=~==~~~~~~~~===================================~=~===~~=F==~=====
FEES:
s
$
$
35.00
.50,
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
. fee for e~ther sewer or water individu~lly is '$t'.~ plus
$ .50 surcharge. --
* Sewer and :water permits issued for new construction must pe
recorded on the building permit card at the time of issuance
~o,insure that no duplicate sewer and water permits are
l.ssj1ed.
DATE PAID
f<MOl1NT PAID .,./~~~
REC'D BY A~~G~e
. ~~u(.;.r
RECEIPT #
,. 4629 Dakota 51. S.E., Prior Lake; Minne$OlB 55372 I Ph. (6121 4474230 I Fa.w: (612l 447-4241> '
AN ,EQUI\~ O)'l'OImlr<m' F'><PUlY!lJ\ '
qq - 5c;O
Tht' ('pnlnor lht' Lib Counlry
White - Building
Canary . Engineering
Pink - Planning
mID-OING PERMIT APPLICATION OePARTMl=NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'1 w ::JOHNSON
6/Z0/Qq
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/hZ/
BLU68/RD 77< f\!E
Accepted
Denied
Accepted With Corrections ~
Reviewed By:
(;21/ /J~
Date: tJ-2>-99
Comments:
~oQj) ~~ h._~o..~
"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."
-~."-...._----_..__._--~.__.-._-----.,_...~_._, -_._._,-_.._-----_.__._,._.__._-~- ...."...----......-....--...,---.. .....,.--..------..
~ ~--..............-
____.--~,~..,_--~._._ ~_. _d. ,.._.,
'-.:.:'-
.~.",
White . Building
Canary . Engineering
Pink - Planning
Tht' ('t'nlt'r of lht' Lib Counlry
6UILDING 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:
"
I
._" /./ t...... j_..-'
/4'5 ,'-/
Accepted V
Accepted With Corrections
Denied
Reviewed By:
~/~
Date:
{, - {<:'-'1 c;
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,"
TIM C~"I~r 0' 11M La"~ Cou,ury
00 _ rC}/\
-/'/ ...) ILJ
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DE;EARTMENT CHECKLI~
!' . i/ ...,-r, L't I --/,,' !
v I I v J U r IV 0Ul \j
5!zo!Q9
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)<-f5i y. / //:- Z / 8LuE:.e,II<D 7/< ;J [;
Accepted
./
Accepted With Corrections
Denied
Reviewed By: tJlh-rcr< ~"Il~""/"1NAJ
Date: "/8/,,
Comments: L.'." Musr Be. t:.AJV'U,,-^
10 ANt') A<...ve. DflJ4JNM~
/
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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."
_,._~_'."__,~_""",_,c
PRIOR LAKE
INSPECTION RECORD
I 'l'5I~
SITE ADDRESS -t'II,;'J.J Klu-pln.'r-& 1;:'-11'[
NATURE OF WORK (1('<.1 ~4-""rt-,'t-JL/'...
USE OF BUILDING SF D
PERMIT NO. 99 - '79.0
CONTRACTOR . M W -:c;\ ~ "'-"'-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
. . <
DATE ISSUED
S-27-Y7'
INSPECTOR
DATE
lFOOTING(<A\j 1M I ~-~-99 I
, FOUNDATION (Prior to Backfill~) I ~. I g -;),- 0~ J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
f't;K ~ 1Jo.\Mas:..LJ. cJ~ UGH - INS
~"SEWER/WATER/~EPTIC . y;, ,()~CI.~~~
FRAMING J:') , '1-z."t~'t7
INSULATION U)\t:lfe.., ~ I tD ~ tZ' q~
,~
ELECTRICAL
PLUMBING VP '7 ~s-A ; I
HEATING (if required) t\, ~~, I Cf-r3-'.1'
FIREPLACE . I
GAS LINE AIR TEST ~~I) &.-, I q - /.5 - '71
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1-.." I
FINALS
GRADING (Prior to Sodding) IV./> 7-;>/- 0/
BUILDING\.c..o,~ Sf\/OD~' h!.c/'iq I!?;.. ~/7/t7/
ELECTRICAL I. - /
PLUMBING L]) J I Jd4ri
HEATING l/ (Yl 1\' 'L~ ~ qq
DO NOT OCCUPY UNTIL ABOVE HA~ 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.
Call between 8:00 and 9:00 A.M. for all inspections
I=OR ALL INSPECTIONS (612) 447-9850