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()c!- () LOT 7- BLOCI( ADDIllON N~T4 &t!A 1l'J l...Uo &) ~ AN"';) 'J'e:1JUtF61L ~# (AddteIs) \S'lo 0 ~, (Phone) '1)'"). -'IC/O - ~3o o fi. Ttf BlJIUJER (c-p.ay-> ~~~ ;r~N(r (('.-art Name) i5 (Addaas) {OZ (0 L.A SVILLS'i3l...VD LAKe-clIL ~) ?S~-~~9-~1r9 (Phone) ~5"]'-z,..? 1--1'I}'0{ JtI,a.} TYPEOFWOn &..~~~ ~"'e"~~Ifi.lc. 0bSidiai OLowerl.eYelFimsb 0 P"Hq)Iace CODE: rU.C. [JuLC. ~2 ~ow1 ~)R,1..oJECTCOSTIVALUE S dS;O()() Type_~..a-. I D m IV v A B (-'-""1aM) D-L.. nocraa.r- A B E FBI M .. 5 U ~ 1%345 1"'" CIMil'y .. I haw funIiIIIed ;.&......... _.. 00 .. --........ isllllllr lint ~.., ImowklIIr _ _ carrect. J also c:enify" I _ lbr 0WDa' UI' autIIoruIrd .. lilr dIr . _ I -.01 JIIIlIIl!IlY .... .... d ....... ~..'" ... mdIna III. ~ _ .... lacallaws .... wiI1 pnIClllIlll in _~ widllII1ImiIII!d pIMs. I _ ___ dIat lbr buiIdiDc dIiciaI . penDil fUr jail _. , ll1ad1y .-....1IIr city dIiciaI or a dr3ipr.r may __ 1IplIII1br pnIpI!Ity to pafOrm needed 1IIIpI!l:lDa. ~ 31~J2IaaleNo. 'f Icrf.1-1 Pamit Valution ,1!)..t:J~ ". ' Pamit Fee S (q f. 50 Plan Cbeck Fee S /4 .4 S ~S~ S .:.,- . .... Penalty S S~ .- SA- 5ewa' &t WatleI' Permit Fee S Gas FirepJace Pennir Fee S s s s s s s s s s 3 '1..0 . 9 S Park Support Fee SAC WatI!r Meeer Size S/8"; 1"; ~Reducer SewerlWatI!r Conncction Fee Water Tower Fee ## ## ## ## 1~-7'7/;]:;-1 -15';B~ ~9 - IS"S n.. to cmiI'y 1IIIIt IIIr ftlIUlSl ia 1br ___ ~... '" 0 _4 ___ is ia ~ wilIIlIIr CiIy Zoaia& Clrdiaaacr .... may pnIClllIlll as reqa'IIed. This dt~ .... .... '" IIIr CiIy I'IanIB ---.a . 1I:lIIpIDIY ~ ~ Zoaia& .........- and allows COIIIlr1ICIiaIl to CIIIIIIIICIlCC. IIefi:ft llllClIJIUIrY. a Ccrtific:Mc ~ Olxupucy _ be iaued PIIaIiIw DiIKa . C'----. ifay 0- 14 .....1IIIIIiar.... . r I&.. (9!l2t M--9I!II. fall; (9!l2)",-Gel 1621DO &lie QeS Aveuue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: (l2-dJ (A Date: 4 4. (c 1 Building Permit # Site Address , \')(001 Legal: L B PID: "l..)..-e>5 ') - G:>' _ 0 C A '- f'I\ rJ r A v' E;- Subdivision: Zoning: Existing Structure: YES or NO I~ I I CONFORMS TO ZONING ORDINANCE NO -0 YES NO Is this an expansion of the existing footprint or Refer to Planning building height? Y-' Is the property located within the flood plain? Refer :j:lanning 4~ 107 0../(.-. I2A -"". ,,,._\A.; l? --/(\ -> , -~ Does the alteration include any additional kitchens? Refer to Planning 'I' e. /UL. Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? y Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single i family home (office, group home, day care, etc.)? n~ '1 THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLA TE\AL TCHCK.DOC PRIOR LAKE INSPECTION RECORD {\J DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS {c;~o 1 CAL iY\c..J, A~ NATURE OF WORK F6 1-\ 0 PC<- /i>.y: USE OF BUILDING f2t~ fr./{L I PERMIT NO. Of - /4-.$ DATE ISSUED 4-1cIf.. /0 1 CONTRACTOR ~'-c..~6C'1 t2eMt!)IJ6-(/~ PHONE q5i--- 4~1- ~S!j NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR ! ! -~ I :::'ION (Prior to Backfill) i i PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE GI!lVEfY,tWATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING 4IY.t.. .~..e~(if required) E "flAS iJNE AIR TEST COVER NO WORK UNTil ',SOVE HAS BEEN SIGNED ~~ ~ 1 FINALS Lt - J-')~1 0/~UJ '- .D.. .. .11f JG (Prior to Sodding) . BUllQING .-/1 A Z7 G - ')--~ - vVlr ElEC1"RICAl PLUMBtNG 1/tY/ ~/ >--tJ ,.- 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. FOR ALL INSPECTIONS (952) 447-9850 _.~...;...!.i "'.J W. Brown Land SUI'\Teying, Inc. , 8030 Cedar Ave. S. Suite 22B Bloom1nvton,Mn.55425 WOODROW A, BROWN, R.l.S Ii' Presldenl NOlS'r/JI J .5'""kl": 50' Survey For: Bob Thielen. of kl'r"{lI'~ __ /'1 b lilt!, __ r\ yll,ltf I (.,-,,8 J", \. ' tr'~/ht(;l,.,,~ ~ ,.tr'{lII~Df \ ~ \~ti \ ~ \-a ~ ~\ ~ ~ \ \ 5~t \ '-----T """",,",7" EI'I~".I'f"" t)/' - ,M,IA",,;.. ~,"" t"11,, <1~d~ 6'1"",,:~,...~.1 /;'l!/~Ak .6'~"'''~_I"A.' "..,.. ." A"...?....,; ~.I',t ,,....~ ,/' C'_~ ~-"I d'~ Jt)t) /.-,,1 "6,.,1,4 II/' 6--,""" c~""'''',''' : M!1.01. IYck,' ,.y" .5'~DI"t'A ~.M~ /fJ,. A~y Em1/"_""I.r, ~ ~ ~ 8 ,'ll~' \. - Jt" , elT ,.". .9,t ~tllll'" .,., o ()t!W<I1/,., 11"'" ,A'''''''''''''' ..: Idl ~"'''~.I't!j''r~1j[?-.''''' I '. ,.y"k I c."r/''''.1 (;'''M!1'' . /hOI" Ek,'"/?",,, '9().~ 0;1 j, ... ~R.,QJ>_E.BTYJ~_ES..c.BJPT-'QN PARCEL A 11111t pllrt of Lot I, NOR rH GRAINWOOO, Scott County, Minnesotn Iyiug southerly of the north 42.87 feet of slIid Lot I, IIccording to the plllt Ihereof Oil file or of record in the office of the COUllty Recorder, in IInd for Scott COV'lty, Minnesotn. PARCEL B 11lat part of Lot 2, NORTII GRAINWOOO, Scott County, Minuesota lying northerly of the south 37.13 feet ofsnid Lot 2, according to the pllll thereof on file or ofrecold III the office of the County !lcco(der, in and for Scott Ctlunty, Minnesota. PARCEL C 11mt part of the westerly hlllfofthe abandoned Chicago, Milwaukee, St. Paul nnd Pacific Railroad Company right of WilY liS shown in Oocument No. 17R66Q, on file in the Office oftJle County RecOIder, Scotl Counly, Minnesotll, which lies easterly oftJle ellsterly line of Registered Land Survey No. 143, northerly of the easterly elttension of the northerly line of tot I, Block 3, Grainwood Heights and southerly of tile westerly elttension ofthe northerly line of Lot 2, North Grainwood, IIccording to the plat on file in tJle Office oftJle County Recorder, Scott County, Minnesota. PARCEL 0 11le north 42.87 feet of Lot I, "NORTH GRAINWOOO," and tile soutlt 37.13 feet of Lot 2, "NORTH GRAINWOOO", Scott County, Minnesota I hereby certify tlllll tI,is survey, plan or report wns prepnred by lIIe or under lilY direct sllpervision and that I alii a duly registered land surveyor under tJle laws of tile State of Minnesota. W. BROWN LANO SURVEYING, INC. ~~_oated:~~s/ /f:at~S- Woodrow A. Brown, RLS, LS NO.15230 ReviAed: Au~us t 21. 1995. Added Additioonl Elevntions, <, ~~'5. 84-95 53/31