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Building Permit 99-1153
DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /d-lz-'77 .4-. IT> .- ADDRESS ~~/31J /!:./J w.. ~, OWNER CONTR. PHONE NO. PERMIT NO. 99-1/53 o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL P'~~ c/~,~ o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST )ll'~ ~ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~. Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTJ '-'--~'~"'-~--'~-----~----_._.._--"_._"---_.~_.._~~----.-"-------......---- -,------._---- ;{,o" ''''U'l~ e/(J~<t;< ~~ -* ~_/ .i;;.....-i-..I::~~ .....11' .......' .- BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY S;ONNECTlON PERMIT 4hSS 1.0A.T"k. , CIRECTIONS SPACES NUMBERED 1 TH~U 17 MUST BE 'FtllEO IN BE FORI!. PERMIT IS ISSUEO ("lean p...N Of T)'pQ OiInd ~i;" =1 Mllom) Cj //7 /q'J R..7.- 2. SITE "OD~ESS ~~/3() 3. LEGAl DESCR1~N LOT' / (~-L" 'tn/ 0..J- -56 .PlO ~~-/73 - (Jot-O . BLOCK ~ 1-0 pGr;WOOO / ~ ^COITION \4. OWNER {Name) . i.-odoR~rJci -r;:;LV;-J:1orW2 5. .t..'RCHrrECT (Name) 6/.iJO (To!. No.) /-O.cJd'j /&:0"'>' $1-..sC .y4? ....:'j'J,3<) (Tel. No.) \^""",..) ~<;O('" (..r.ooTess) 6. BUllDER (Name) {Md'~S} (T.\. No.) . /p /:;1. -;;07- 1.-'i"y9 6Ui"n.)UiJ!.e, ..5.5~~31 A r-3C /a.;l.i{rJ ),),('01&<1 Nv(>...5 .. Permit No. tJ'I.-/ /53 , Yell!'"'" "r>r"a."ll BUllCING INFORI.\^ TlON 11. SIZE OF STRUCTURE t~1 tWdIt\l (Depll'>) 12. NO. OF STORIES ~") 13. TYPE OFCONSTR\..ICJ)QN . ~--,{JOr- ". FLOOR ^RE4 4PPDRTIONMENT USE '5. NUMBER OF OCCUP^NTS OR SUTS OCCUP 4NTS SEATS 7,TYPE OF WORK Fireplacen Se-pucO Oec'c.(1 Re.rotlli~ POtch~ New Col'l5\I'l.IClbn 0 ....ller;.Hons 0 AO:lllion:J FiiT.Sn Allie. CI F\e-5oiding 0 . Rl"liaJ\ t;....sprTls"' 0 16. PROJECT COSTNALUE C';"""'Y~ Ml<<. ~O/OC!::'- \8. PROPERT'1' AREA. OR ACRES JS. FROPERTY DI~ENS'ONS \ 10. .C~_VEAT SIZE" 17. COMPLETION DATE SO. FI. W,"", D.p" y" NO.. /tr' //0/99 Il'\ere.-try c.er1i'y\.'">611 'Mve llJm.,she>d 11'\bm-.;.1:'iori onlhis 2.;::I;:faron....1"\d'ltS to me t:>ti\o1my kno-...I~ tr\.I$;rrod col'7'ect 1 ~JCO certlly l1-,a\I."m l"1e D>W:'l8rOl P,UI!-.or.u-d 2~\1:>r {he '3:;'~ve me1"l~~c! ~ and \.'-.at :lD c;o."\5t!\.JCI~"'Ir c:ar'llorm ~ 511 er.sl1~ Sr;:;16 and ~,I ~wS a!'Y.l will pJ'lXE'~ in s=:::cre.aroct \oIoIl'tl'1 ,~t,~ pl!lr'lS-. l;am twO'? thel !he b1J1idiirii o::lclal . k~ermlllo;J""$1 ~VS8. ,~r:~ore.. I t-.e~e-..""y c9!f-e 1i"".a1 ~~& cry olliCl~ or:! di'5~nEle l"l'l1!y en'.ef u~ Ihl! p'oPtrty Ie perform ncped l~e-=I>o~. X -'.~ kAA",",A~ cOO/ {-:JCf...32 9//'1/99 . 57''''-! l'cr'<~ No. --~!.e r FOR ADMINISTRATIVE USE SETSAC':;S: RK;uil'e'd J..:::'.uiO.! $Ode ;-It.'s: "" ,,"" 8Ul1.0lNG DEF ;.F..TMENT YA.\.UA. TION OFF ~Ti"-.ee:T P,l..R.KING USE OF BUILDiNG JZF(AlIL .. ; -z.-.nro _ (0../ SPACES j:l,EO. SPACES ON PLAN FE..f.JJT VAlU,l..TION I M^TERIAL FllEC wm< 4"PUC^TION 1 SOJl.~ESTS ::J ENERGY C,l.,TA 0 F'IUNG LOGS ::I FERCOLATION 7ESi'S ::I PLIo,N..C) & SPECS 0 SETS COFIES SURVEY 0 PlOT ?l.L.."l n TIFE Of CONS'T'1\Uc:nort: 1 11 III W V ~:v.yc;1";l'J? A S E F H I tJ F\ S U Orf. Am-::ri.P"l\ t;fovg."ll F-o-N-~r.J --..........-..... $ Pbn.: suppon Filii .....................!..... S SIoC .......................................... Colle...-tive $I.ocl Fee ....................... S Se-~Taj:l .......___.............---.......... S S P~ssule~eodu....-er .......................... S Menef'l-Iom...................................S ~1 ,~J p~fI';"\ll FfE! ....,.......-......................... -1<!.1J p\an C",i'Ci:. fee ............................. c: I.~ SU\.s S'Jr:tlB7p9 ............................. ~ Penii!.':'i'y ..................._..............-.... S Me<Nnl::.b1 Pe:'r.'l!\ F~ .............-....... S Walt-rVoS\6/' ............_.............--n... S SeWff &. WOller Co1'\!"ie'Oio!"i fee ........... $ We\orTo~rFee ........................... S WiillG,Tap ......_............................ S Bvlld.....o.postt. ............................ $ Olhpf....................-..........--........ S To"" 00. ......................mn... . 7t.. Q 0 "1',~, R"""""~!r/'~t.7/37 C." CJ/ul/1 Ily ~ Th."" """ """ .......,_ ~ "" ._ _>>"=>""" "'" . . '''' """,men"" ~ >='"'...,,,....~ .... Clly~ Qro,o' on' ""l' procood _od. Th. ~...., '9"'" "'... COy PI.^,w "'n"""". ~ Co"""". "ZO-<", """"..,,,...d _'- "",,"-""on" _. . -- Bel"", """"''''Y.' Co<1l!lcale '" """"""'" "'-'" be 1....-1 PhJn-obi~ Pe:-mn F&e ..........._........... S_ Se"W8r & "'~'are! Form'#. ..................-.- S "" Ily lro:::e Fet'l'Tll! ........................$- au;;~ ;:,";'3ftTft r P.ld I~ued ~OIC~:l"\SJV"/ 00. c,,- ....._..,......w.,."""..~447~:c>: