HomeMy WebLinkAboutBuilding Permit 99-0619
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
;2 .:;JB-o~
ADDRESS
33~ 7 G-tu~wat.e.v
l
CONTR.
OWNER
PHONE NO.
PERMIT NO.
aq-blq
o FOOTING
o FOUNDATION
o FRAMING
o jIlSULA TION
"P"FINAL
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:
"5S..().f>~ C/O f!)t
Jes;e. ~~ie
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \} ~ Owner/Contr:
CALL 447.9850 FOR TJe NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7-22-9"( '2: 00
3~(o1
ADDRESS "5~$-_ G 'r L0~ d<>=t 2....
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO. qCj -~ 7..0
o.-.-/l.
~.........~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
i-1 (1 ~ -1-:--;
.~
.----IS"#- ,4; a..
~r
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT If R1 CALL FOR REINSPECTION BEFORE COVERING
Inspector: n ~ Owner/Contr:
CALL ~7l850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
o PLUMBING RI
o MECH RI
~ ~WATER HOOKUP
)J. SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I If
COMMENTS: 5/ - I I~ C<n1,..,~
Ili\ /) n / ,-.rrJ r
lJs,!L,h.~~ ..b1~ ~ J..I..........
U.I-'IJ"\.
Gf <;;2' 4r~
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{S! &.d ~ ;t;;
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~C:. 7 GlJI'\~
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o llEWER HOOKUP
~UMBING FINAL
, 7\ MECH FINAL
CO. MMENTS:~
~\-I-- r
W~ ~
rJi
IltJo1
o
6~
flMQ
DATE TIME
~ l~:*,
qq ~(" (t:f
00-/8
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INsPECTION NOTICE
SCHEDULED
1/,2-1"", }'.'to PM
ADDRESS =<",1
c;L.",JW~-rt:R 'T!1.AI L
OWNER
CONTR. iAIE"sMA,j0 HOME'S
PHONE NO.
PERMIT NO.
qq -I. \ q
o FOOTING
o FRAMING
o INSULATION
}to FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
)f(. EXC/GRAD/FILLlNG
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
~~rl.l",<I"'lK
f-.nAc>E IS A{r..r.>rl\Bd"
LN'IjI\ld,-A,,,1 I~ILI ff...J1Y-
X WORK SATISFACTORY I PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I~ {J I ~ i fJ A
f"'l\Aln,:l!r/Contr:
CALL 447-4230 FOR. TH.': NFXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
~.
..
.~------~_.---_._-------
,.
Job Address 33(p? C;/Yh~f-</
Heating contract~# //7*"
Name ofTester " ;If. (
Date / -1'7-00
Stack Temp.
Percent CO,
7
..-9
, 11-5"
~
Percent 0,
Percent co
-,
\
5~1
,QATF RFr.FJ\!E.D.
.5 /;L5/q1
CITY OF PRIOR LAKE
BUILDING PERMIT,
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
S.? G, 7
G / ",.IV {.Jd r"'r
,
3. LEGAL DESCRIPTION
,;;.
7 rA; /
NtJ
LOT
J
/ 5"7
PID ..lS - :J,j:2
~e/'/; 7; .-IV
j::tLOCK
Ai. VA/'u6:-I'~r-
ADDITlON
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER (Name)
WPNJmlffr,A/
1-l6f7/ ('.J"
13'15
(Address)
II6:ZA J)r S,..,1' d-O'"
/77/Y
7. TYPE OF WORK
New Construction ~
("'I'd^"
Fireplace 0 \I Septic 0 Deck 0
Alterations 0 Addition 0 Finish Attic 0
Rs-roofing 0 Porch 0
Rs-siding 0 Finish Basement 0
1. DATE
5"-';5. ~ 9
RZSD
. 0/.;1- 0
(Tel. No.)
(Tel. No.)
(Tel. No.)
ft,s I-'Yo" Yl'ucl
t. White
2.Pi>>k
3. Yellow
File
City
Applicant
#.111# Fn€:
Permit No. qq -&/1
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
Chimney LJ Misc.
8. PROPERlY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 ~ial can revok7t .~ pe~. . or just cause. Furthermore, I hereby agree that the city OffiCiajr a designee may enter upon the property to perform needed inspections.
X /...j~ _ d. _ -- 3(",1-7(./1- rsr S-..;J5.9 'J
/, S9"lalure License No. Date
17. COMPLETION DATE
v
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
:5FA
I L>I. fJr)[) _ t')~
Water Tower Fee ........,.................. $
Water Tap ................................... $
Builder's Deposit ............................ $--1.,5""("",) r ~
Other ..................................,...... $
Total Due .............................. $ 11 ~-:z,.1 L
Paid 7'19'3,2--'2- ReceiotNo. 3<~q
Date (,/zdQ'1 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed ~requested. This document when
sign~IP~nner constitutes a temporary Certificate of ZJning compliance and allows construction to commence. Be~pan. cy., a Certificate of Occupancy must be issued.
~~ J.-J-",t; .....
City Planner Dale Special Conditions if any' -'',
TYPE OF CONSTRUCTION: I II III IVc...f,:.)
Occupancy Group A B E F HIM 4t7 S U
Division 1 263 4 2~
Permit Fee ................................... $~"t? .
Plan Check Fee ............................. $ 7)1./ ' 1.7
R{').$h
City:
&
VJ\\~~\
State Surcharge ............................. $
penalty........:........~. "'~r;;'''''''''': I Of) n7J
Plumbing Permit Fee ... . .......li..... -, .
. . (V-('1 I ty) o7r
Mechanical Permit Fee.. .f,".~. .f...... $-----L.! .
Sewer&WaterPermn .'i::t.:.klr....... "'?") ,t:;'D
.. ft.:. (1...... $ If () . Do
uilding Permit WJten w-ov~~ C
Date Ii!) - <'-Y 7
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ...~~................. :
Meter Hom .................,................. $
Water Meter ....,............................ $
Sewer & Water Connection Fee ........... $
Side
24 hour notice for all inspections 447-9850
----~----"~"---~.._------^-_..__.__._---_._.__.
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS LJ
SURVEY CJ
SETS
COPIES
PLOT PLAN
o
P.5D. f)r>
/n<;r).D~
4S... Or)
I 2JC:. C)D
I ,'2L:>O -dCJ
'7A(')..t)(')
".
''-'--.,
i~
~ HEA11NG_L1CA11ON/PEAMlT
Dale 5/:l9.JqQ PID...z5-3SZ-0IZ-0
SfteMdrep -33101 J:\\\AnlrJ~ ~ ~W Ie.2SD
Lot ~ Block ~ Add~1on ~\U"fuJ..)o.:b."'- ~()\.d-h
u .
Own..... N.me \ I 'k U\.b. IN\ J\.i' f'\ ~ ~ J
\-n~~ '\) \ (u.{). . 'i?lR..
H.sllng Conlrac:1or ~~- QJJ (!)JV
IL.l"lJ..\.S S. '1'<nb~ J\:L ~
LJ.~~-11L/4
CITY OF PRIOR LAKE
16200 ElI9le Creek Av. 5.E. PennllNo.
Prior Lake, MN 55372
99~(P11
Addre..
Addr.ss
Telep/lolMl' .
Furn_ Make & Model h..4..nnn If..
Mod.ISlz. ('..,r.Jlno.'2.,J4 -4m
. - .
TYPE OF SYSTEM
W.rm ASr PIenIs
Gr.1Illy
Mecbanlcal ....-
ASr Condftlonlng u.-+n.n
V.nt. Sp;lem
HEA11NG OR POWER PLANT
Sleam
Hot Wale,
RadlaUon
SpecI.l Devlces
CoM. Load
Fuell\\A-l- .~ Rue Size
;;?'-'
10
_ r;,"
Supply OpenIngs
R.lurn Opening.
Input
Edr.
Clm.
OUlpul
Olher Devices
lVPE Of WORK
AlIel81lona
Replllr
Replacemenl
Eal. Camp. Date
Now Construcllon .--
Ell. CoIl $
HEATING PERMIT FEE S
STA1"ESURctfARGE ~.
TOTALPERMITFEES ,
Bullding Pennft .
QQ.50
.50
I OJ .00 RlIC8lpUI
Q9-(p!'1
PAID WITH
BUILDING PERMIT
JYf); OF STRlJCnJRE
1.-
1.""'
3, Ydb._
.".
CIty
o-.a.r
Sin9le Family ./
CommalClal
'-<
c
:z
Muftl-Family
Oltler
Two-Fam~y
Induslrial
Pubtic
....
Faa Schedule
....
\IJ
\IJ
\IJ
IndllSlrioJ. Commorclal & Mulll.Family
RasidenUal. Hea~ng & AC
Resldendal, Healing Only
Residential. Gas Arepllu:e
Residenllat. Adrllllons & Allerallons
Residential. AC Only
1 % 01 Job cost ($39.60 minimum)
$99.60
$84.50
$39.50
$39.50
$39.50
G)
1'1
:z
N
I
;:0
-<
D
:z
....
IS}
....
....
D
'"
Remembar 10 add lI1.e Stalll SUH:hatge on lhe bollom ollhls eppllcedon.
Tbll.price 01 your hll.'i'l! parmillncludes one rough-in and one fiMl1napection.
Addltionsl inspSCllons will be billed III $35.00 &ado.
House Hesllng Tesl Recold must be aubmilled wllI1 "',.".... ""..... ....",,~. belo,e wild.
ing oeTtificale 01 . .. ~'ncy wiD be luued.
'"""fT r.e' ,.~ 4' eT'n,'.<\ "'''f\111AI'f) with number of supply IlI1.d relum openIngll Iislacl par
room with CFM's per opening. New slNcturea or .ddillons eend Iloor plan'wiIlI supply
lIfld IItum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.1:. PRIOR LAKE, MN 55372.
cay Hall busill8SS hours ara 8 e.m. - 4:30 p.m.
AU. WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CRY. HALL
447-423D
I helabv applv lor. mechani"al syslems permll and' acknowledge Ihat Ihe
Inlormallon above Ie com plate and ec"uralfl; lhellha work will be In IlOnlormencs
with Il1e ordinances and codes olll1e I:lIy snd wllh Ihe sIal. building/mechanical
codes; '"allhls lorm does not become. permU unlil signed by Il1e BUILDING
OFFICIAL; lhal Ihe work will be In accordance with Ills approved plan In lhe
case 01 all work which requlles review and approval 01 plans.
d~n . -. 6}'d-~ 1'\9
-p ~~nl'ss~atuy Da71e
~~ } . '. 6/30 99
Bullding Ollles' u Os'"
:z
o
\IJ
N
--J
-0
....
"-
....
JUN. 1.1999 10:06AM
GENZ-RYAN
NO. 925
P.11/11
_. ....
T1I\l.OW . .........IIT
..... .. 0'.
CITY OF PRIOR LAKE NO. 99- G Ie;
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~- ~OJI PHONE: 'YQ..~-\\yL\
ADDRESS: 14"1L.\~US ~(\'c\~~. DATE: ~.I.Q.'X 1..9..9
SIGNATURE: XJ1'"U"'. 11\ 0 1 rnf\.n ." Br::l' PE~IT * 9"1-(,1"1
SITE: ADDRESS:.~tI)7 ~LJ1. ~~ID* ,25-352.-0/2.-0
FILL IN THE BLANKS t<!:z.S[;>
1. Estimated length of water service 1.fD I
I,'
2. Si~e of water service inch(es).
feet.
3 . Location of any couplings from st;ructure feet.
4. Type of Sewer pipe. ABS pVC >< Cast Iron
5. Estimated length of sewer line J.f{) I feet.
6. Clean out (if required) , located at feet from
structure.
~~=~~~=~~==_~_~~~===a==~=~=~~~~=_===~=~~~B~~__~__-=~~~~~~======
This apPl~}O~C~~ pe~it when approved.
BY ~ DATE: &/30/99
. .
======~=========~===~==========----==-----=========----==~=~
FEES:
S
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~o.oo 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
RECElPT *
AMOUNT PAI.D... 'I'l~9-~~
~p.~.~ ('
REC'D B'l<:J}Q\~
\
. 4629 Dakota St. S.E., Prior Lake, Minne5cta 55372 / Ph. (612) 4474230 I Fax (612) 4474245
Al'f EQlW. OPPOII'I't.INTTY E!IIPLO~
JUN. 1.1999 10:06AM
GENZ-RYAN
NO. 925
P .10/11
CITY O"F PRIOR LAKE ~ f.!L ~:~
. PLUMBING PERMIT t qq~(P19
ApPlicant~~- ~lM'\ : Phone: \...j':).?'-\IL.\L\
Address; \1...\"14'15 S.~\;uAi::.. ~
Signature: ~lrrV'I 't1l.~
Legal Description: Lot :l. "lloek.3 !;Ub::t'lI~lUOI\.-\:oJl ~t..dch
Site Address: ::~:::l.,1 iJ ~ I I \ C.l!. -i._!l.1\. ~L l.. ~V \
BuildingPBrmit# qq~ ~/1 PID# 25-352.- CJI2.-{)
NOTE: This permit \\(ill not be processed without complete information.
FIXTURE UNITS
'""' C~l'r or "" Lalri. C."I".
Quantity Type of Fixture Quantity
I Bath Tub with or without shower .3
I Dishwasher I
J Floor Drain R-(
t-L LavatolY (batl1room sink) I
'/ Laundry Tray (1 or 2 compartment sink)
2 Shower Stall
I" Sinks
Bar Sink
~ Water Closet (toilet)
FEE SCHEDULE
I)dustrial, Commereial & Multi-Family
~;;"'. of job CCl$t, $39,50 minimum)
-------
. Aes/dential, New One & Two Family
Aesiclentlal. Additions & Alterations
Stale Surcharge
599.50
$39.50
GAAND TOTAL
TYPB of Fixture
Rough.ins
Waler Healer
Water Soflner
Stand Pipe (washing machine) I
Sewage Ejector I
Bacldlow Assembly (APZ. Double Check. PVB) I
Back/low Assembly Test I
Lawn Sprinkler
Other
(
$ JOO,DC
i
<.,/
f'1>-\?cf~1rRM\i
'...5U\\.O\l..
This pennil i. grnnlod upon rho ..p~ oondi~ion th.. sllid
conllllC'or. sholl comply in oU reapoc:/.I wilh the ordinonces
"rtho Score Plumbinl!G1he ame9cf~.l' tho",or.
RE . (oj.:3tYCJ9 DATE
" ~ A~
Call for 0111 insp dons 24 hours in advance.
16200 Eagle Creek Av, S,E., Prior Lake, Minnesot;1 55372/ Ph. (612) 4474230 / FAX (612) 44742:1-5
All Equal Opportunity Employer
CJCj.. {c (c;
While - Building
Canary . Engineering
Pink - Planning
ThO' ernl... of Ih.. uk.. c.....,r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
It-ENS /ft! rllVN f1Ol"l E5
_/ i
~ 2S'/C/9
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-7'2/7
---.) ~ lC
6LtjNI\//17E;":?_ 772.. ,
Accepted
Denied
./
Accepted With Corrections
Reviewed By: J,1A<-rr.A F"""..".''''AltV
Date:
, I
l,/1<{/99
Comments: ..8.... .",Ft=" ~.- !'If"
,
('","uE.'IE..fI TO AAJO 14.."'6 Dn",,-,tJ:.f': ~
Unu.,...,. EIkI=A~,rr,
A, ,ofuu./ AS
PAAC.Trc,I4J
~E~ I ...JF.on~04'Tln,J n....1 R€.\lEA..:SE. SJt::,t::.
. '_'h",
:SEe: ATTAO;"'''NTS: I. F,"'IIL o'ItA"F 1^,5PEcno'" IAlFD"....."ClJ:l^' Z. (!,ItA(:'j/fJ6 1'..4'"
3. f"!l.OJ...... ('DoUTtLD<.
MG"S.JItE'!.
</-. E,(Dj'DAl c"wrn."L fL".,
"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."
.,""""
iiIl!If-.jljj....~.. j'i--1\,~.~~"""~ .,.,.,......'..H;. ,.~~ ....~-."." -~ '''-"'-''-m'',~,~
.l"$.~""'''''''~1''"TIlltlr~'''_~~!.;...~,~~~..
~
,
~\
(,' /, / ( I
White . Building
Canary . Engineering
Pink - Planning
Thf ('I'nlfr of Ihl' LJb Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'I. ,
) I L /
t.
.-
_' /; 111/',1\)
/ -i(' I\.!'- - ,..--'
f f' 'I i C. "=',.'
/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"'~.....'
,,/ (,:"
I {, ,>' /'
. ..,--
/~'! (f-
, I
1 ;4:.:..
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~A, l~~
Comments:
LL./ Fq-: j,/'v~II1.{,LA,t'L ~"Me~.~ t..,J"'z:td; d5t- {'..wth .
j .
Date:
& -L/170
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,"
.1;
'.
,
'-1
~~
CJC;-(P(Oj
White . Building
Canary . Engineering
Pink . Planning
Thl' ('I'nlt'r of Ihl' l.Ikt Country
BUILDING PERMIT Ae..eL.ICATION DEPARTMENT CI:IECKUSI
NAME OF APPLICANT
flI/::/1/ 5 M /9 N tV HrJ f'16S
5/25/Ci9
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33 &, 7 6L Y /\I W 11 7E- 1'2- 7l2.-
Accepted Accepted With Corrections. V
Denied ~ ~
Re,'ewed B,{,)~ I~ Date,
Comments:
I, See d3 r it CJi- ~?_O
'2. Qea& cd l crH~ rk~ ff~J ')
c:-~ -1'''(
"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 2~(I7 CI 'J 'A, (, ~,^i_" l-.. 'J?-,
NATURE OF WORK f.J.pw ~ ~e'Nle-\-l-='\A.
USE OF BUILDING 'SF4 .
PERMIT NO. ?7- ~ 1'1
CONTRACTOR /.Je.,^,",~lA- ~ "-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO:~NT DATE
I FOOTING I (~' I 1/n~q 0;
I FOUNDATION {Prior to Backfillft0 IW t/fJ Plat/If'> 11~J..J~'7J
PLACE NO CONCRETE UNTIL. A.!to'vE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTICM'\ ~k>
FRAMING '-""" (:j) #ff,H1
INSULATION PJJ ///12/9'1'
ELECTRICAL V
PLUMBING G1I 'i',IItr ~1
HEATING (if required) if p' ///y/1''?
FIREPLACE 1,f.57+'f
GAS LINE AIR TEST (IP r/t~/r
COVER NO WORfuNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I
FINALS
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OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
DATE ISSUED &-3 -9'7
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Thh. 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
FOR ALL INSPECTIONS (612) 447-9850