HomeMy WebLinkAboutBuilding Permit 99-651
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I ~~ CITY OF p~~~ LA~ .~
.~ 1Department of ~utlbmlJ 3Jn~pedton \~I
~ : 0 Final Permitted Ii Conditional C.O. Expire- 7. Ie;,./ c6 ~ t..,
! 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:
L Useaassificati~ SINGLE FAl>1ILY :>.- llldg. PennitNo 99-651
r.
Occupancy Type R3
~ LIZ
Legal Descripttbn '
Type Construction
B3 THE WILDS
VN
Fire Zone
N/A
Zoning District PUSD
;;
14508 WILDS PARKWAY NW
Owner of Building_ ~ite Address
cootractor'sNf&AddreS' TRUE QUALITy/'f:;~NSTRUCTION. CHANHASSEN MN
I ROBERT D. HUTCHINS; r r' PI JENNI TOVAR
fty anner
I / . I ' Buildiog Official ()
Date: L /& (iYJ
! r
Date:
POST IN A CONSPICUOUS PLACE
............
-"~
'~'","' ..-- ",,.,'
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
/.<./56 f?'"
01LD .5'
OWNER
PHONE NO.
CONTR.
PERMIT NO. 99 - {P 5 (
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP(ci? 0 FIREPLACE FINAL
o PLUMBING FINA 0 GASLINE AIR TST
o MECH FINAL )11 S': r.
~ TIl.E:E:S
COMMENTS: SOo
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)iJWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ( Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \L\-t:;n9> W: lA", ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
~MECHRI
ATER HOOKUP
R HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMEtJlT~:
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DATE TIME
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o W~~SFA TORY. PROCEED
~~~~~ ACT A D PROCEED
o CORRE T 7 :l, C LL FOR REINSPECTION BEFORE COVERING
Inspector: I , Owner/Contr:
CALL +7.9150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE RfdIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
PHONE NO.
bM
t;Jd:is. P.bA...l~
CONTR.
PERMIT NO. _3_9 - (') 6:SJ
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3 :(11
ADDRESS }!JS[) ~
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
1\!SEWER HOOKUP
f1 PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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OfA,
oVi/
CTORY. PROCEED
ON ND PROCEED
LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 147-985' FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~nUIR":MENTS ARE FOR YOUR PEl/SONAL HEALTH & SAFETY!
-V INSNOTl
DATE
~by
I~S,{) X' W; ld~ P(e.wy
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!!(FINAL
, 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
'3 : {]()
9q -/:.,,,-,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY. PROCEED
. ~7RRECT ACT AN ;:;
~RRECTWO CA FOR REINSPECTI~~COVERIN~
Inspector Owner/Contr: ~ LY ~_
CALL ~7-~ FOR THE NEXT INSPECTION 24 H&~S IN ADVA~CE. -=0
CODE u:J'IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
7'-'- INSNOTI
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OCCJPAN, __._ -___O*NER .__--'_____
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DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED c,~
ADDRESS I"'~oe w; l.is 'Pc.-..Ju.l.&t
OWNER CONTR.
PHONE NO. PERMIT NO. 9'j- c..SI
o FOOTING o I1LUMBING Rl o EX/GRAD/FilliNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATI7J. ft o SEWER HOOKUP o FIREPLACE FINAL
NAl ~lUMBING FIN16 o GASLlNE AIR TST
o SITE INSP CTION MECH FINAL 0
!:(OMMENTS:
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o WORK SATI ACTORY, PROCEED
o CORRECT C ION AND PRO "'\
~RECT K, CA ~SPEC~E COVERING
/ Inspector: Owner/Contr:
. \
CAll 7.9150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE kEQUtREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V lNSNOTl
DATE TIME
CITY OF PRIOR LAKE '7 h. /&_
INSPECTION NOTICE SCHEDULED ~
ADDRESS NS08 I/i..J.Js /1Jt.A!;ll/
,.
OWNER CONTR. '_ ,,, <:""\ ~ ,,0.. ..........
PHONE NO. PERMIT NO. 99 - ~5/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
('/,//"J},OX /<,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
" //
-.nf EXI~RAD/FILLlNG
k-COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
c:>k
.....
V WORK SATISFACTORY, PROCEED
/0 eORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~a~wner/r.nn~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
TNSNOTJ
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
MAY 2 8 :999
Permit No.
91-~c;/
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bollom)
12. SITE r450 ~
1.CATE
LOT
1"2....
lAdd"J Pl<.wv WvJ
:, I
7;-'Jl-C\~
PUSb
d~J.Cn~O~Y-o
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
3, LEGAL DESCRIPTION
12. NO, OF STORIES
BLOCK
-rvv \"-.I~(cb
4. OW~ (Na",e) .+\. (Address) \ (Tel. No,)
\, )(\~\I\.~Ll"I\~~ lC\~<;;'\~\le\\\(h. CD.s\Cf\4~"~
15. ARCHtTECT( (N\m.:,\ \ _ _ _ _ (Addre'i) . (Tel. NO",/"\ f"'\
;)\l-, ..l\~)C\\'""'\' ~-. \N\f)\ <... 0'~ 1h."\ lfH I
6. BUILDER (Name) (Add'"l')' - (Tel. No.)
-C'VW N\Ja-\l\l G:o..~~()", . C,^C.\lJ\\M:I'-.<:"~{) <DQ l.jq~l'XHr;
1h=YPE OF WORK ireplace LJ Septic LJ \ Deck CI Re-roofing 0 Porch D
New construction)(' Alte tions [j Addition 0 Finish Attic 0 Re-siding C'J Finish Basement CJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 190 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
th~ ~ove m.entioned propel,fand t~at a." construction will conform to all existing state an~ 10~1 !a,ws and ~" proceed in accordance with submitted plans. I am aware that the
bUl~9 offiCial can'\evoke ermlt for lust cause. Furthermore, I hereby agree that the CIty offlcla{, or a deSlgn.e,'~, mmaayy ,\m ntEer upon the prop, erty to p~orm n~ded i~ections.
Xc.--\..... -,l, V-- \' ",",-"'- ~ '"'\'-1 G"",~\CV\ ~qffi .L.... - Ol.\ 1 -'--\9
, I - l \ .....- , '-" No, 00..
PID
13. TYPE OF CONSTRUCTION
ADDITION
14, FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PFlOJECT COSTNALUE
/./:'A. . ' -
~, ULJ\....l
17. COMPLETioN DATE
r
FOR ADMINISTRATIVE USE
v
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
JrD
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
~oo.oo('),('),...,
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV( ~
Occupancy Group A B E F H I M--'"D U
. Division 1 2 C)- I t'J 2.. ~
Pennlt Fee ................................... $ . <;.It;l,,
1','1~.7L
\ <-,(".) _ cJO
C;,yo
Amount Brought Forward .................. $
Park Support Fee .... ................. ...... $
SAC ......................................... ,II:
Collective Street Fee ....................... $
Sewer Tap ................................... $
~(). on
I asn, 00
Plan Check Fee ............................. $
Plumbing Permit Fee ................... .... ~
Mechanical Permit Fee ..................... $
\ (:)0 .C){J
( At') . (')0
'55"'050
40 . (')0
70.00
~lC.~.-;
Meter Horn .....i:;J::.((...../..rt....-0 $ ~ ~ . 0T1
Water Meter ..~.... ................. $ - -- - ~
Sewer & Water Connection Fee ........... $~f)() .f1Q
Water Tower Fee ........................... $ 'Il'ln .E)o
Water Tap ................................... $
Builde" Depo'it ............................ $ I. S Of) . ("Y J
.
" IIA
Pressure Reduce~...l.............. $
State Surcharge ............................. 4:
Penalty ....................................... 4:
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This 'i!~~r Building Permit When A~ved,
By e},,,lf- Date ~-'i'''''7
CertIfIcate of Occupancy
11'\"-, II"U-,
Total Due .............................. $ -I ,J -, ,-
Paid tf/s9. 9-1 Rece'1JC" S.sz.O
Issued
Date tP~ ~/qt:? By
Th" "'0 cernfy th~t~~re51 In the above applICation and accompanying documents" In accordance ..th the Clfy ZOning Ordlnlnce 'and may proceed #;-equested Th" document when
Signed 9.Y the City P, ar constItutes a temporary Cet1jficate ~olJ1g compliance and allows constructIon to commence Before occupancy. a CertIfIcate of Occupancy must be ISSUed
<''-/.n:; ~ {o-/l<.-qCI
\ cny anner Date Special Conditions W any
Other ......................................... $
24 hour notice for all inspections 447-9850
07/14/1999
09:58
472-231&
COPPIN PLUMING
PAGE 01
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, sr~rr~... \~~ O~ - W,\ J ~ Qk1.1ID'U;.~-Z'11~?'34;;'O._.t.
~ :,% 'I:::>, f'ILL IN 'X'1iE BLANKS :, ":"
t 1. +~I.._ lel'tgth of-water service -\00 _feet. ,,\ '.
I 2. ;~~;""Ij/~ter t<erVice_..t~..inc~~S)" ",',
=,.,.. 1. ::j~"'\t~"O't any CO\lplin9S from str\Jctl.lre l!~;'
i '1" r.t~~H!1ft.;.-er ....ipe, AElS PVC V' Cut Iron ~"
f, 'i. !',t~:itr,' :tl!l~t,h of S~"'H line...:JO feet. '::
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ern OF P1UOR LAKE
SEWER ANtJ W;\:'l'ER PE.RMIT
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16200 "~~Ii..'\>~:E, Prior take, Minne'otd5172! Ph. (612) 44".4230 fF~(~~447'12"
<,:, ,;' : , ( :', An F"qunl (.~.""".~.,.,.",ty Ernplover .; . >> ~
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1. Blue File
2. Gold City
3. Yellow Applicant
PPNo. ~q -C:67_
Applicant:,<:'oD~ rio r AUMb."c) j- ~-(""\-.,,^" Phone:6/J...-YtJ..5?4J.,
Address:,<.,t0,~J., .<\.'fl~r'\o/L /L) mllOun.& mn
Signature: y~ f /,.f..t...-""U
a nPti~: LOt Block -----------Sub
eAddress: I~-O$ W{<-l);<; -\~
c:;1___PID J c) - Z1p- ~ 34-0
NOTE: This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
Thr Crnler of lhr L.b Counlry
Quantity
:2
/
(
-
-5
/
/
/
/
J
/
FIXTURE UNITS
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$ .50
.....-
$
This permit is granted upon the express condition that said
contractor. shall comply in all respects with the ordinances (
of the State Plumbing Code and the amendments thereof.
~ijlP'rNO, _ DATE ,().!I, ()vt.,..I -:-"r-fl M1
VU)~ ATIEST rl'--\' (....D'~. ~
Call for all inspections 24 hours in advance.
3'
I
/
/
$99.50
$39.50
GRAND TOTAL
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 I Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. 99-&5/
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date L\-\(()-QC\ PID# 2.:5-2."l7-0*-0
SneAddress \<J..'7:DP-, \J...J',\0s ?(,t.('~
~
Lot 12... Block .3 Addnion THe.. IN I L.-D 5
Owner's Name . \ O.:::::D'i\ (~A.OJ.V\
Address
Heating Contractor ill\. '{l.n\fi'OlL P-0.", ~I'.C., .
?-fds \ ?-.{)J.;Y\ ~. ~--\ ~\rY:llr\Q02Q
Telephone # L\ L\ ~ - \i?\ 00 .
Furnace Make & Modei\ ffi(\E' ,\l\~ 100C.
Model Size \\J\J. r 1)()
Address
Conn. Load
Fuel t\.V\., \-
TYPE OF SYSTEM.-
Warm Air Plants t-u." roCL
Gravity
Mechanical
Air Condnioningl01.J\C, ~1C't~
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices,
Flue Size
'i=)1
\ 0\
Return Openings \ q
Input \r)\I.n(){Gutput '11") ,( J(')O
.- ----
Supply Openings
Edr,
Other Devices
Clm,
TYPE OF WORK
Merations
Replacement
New Construction 'I-
Repair
Est, Cost $
Est. Comp, Date
Building Permn #
qq-(,5/
HEATING PERMIT FEE $
,- / PAID WITH
BUILDING PERMIT
STATE SURCHARGE $
$
,50
-f:r
jJ~ PLj- ~
TOTAL PERMITFEES
Receipt #
IYfj: OF STRUCTURE
,Ilc178
I. Pink File
2. Green City
3. Yellow Contractor
,
Single Family
Commercial.
x
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addnions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99,50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom 01 this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with pllildinn I1mIIIit nllmhAr before build.
ing certificate of occupancy will be issued.
HFAT r.AI CIJLATIONS REOIIIRFD with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send lloor plan wnh supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are B a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and I acknowledge that the
information above is complete 3nd accurate; that the work will be in conlormance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case l>I all work which requlres review and approval 01 plans.
C/-/6,,-99
Date'
C?/30/qQ
I Date
Building Ollical's Signature
~H -(CJ0 I
White . Building
Canary .-Engineering
Pink - Planning
Thor CC'nln or lhe' Lak., Country
BUILDING PERMIT APPLICATION DEPARTMENT CH~KLlST
NAME OF APPLICANT
APPLICATION RECEIVED
J05bYI QufJ..//1/V
JPfik1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4Srlf W; Id5 t;~ AJ fA)
I
Accepted >L
Accepted With Corrections
Denied - ~ / ___
Reviewed By: ~ if.. A
/ .
. Date: b -7-1'7
Comments:
I. 1'1.:.... k.:~ '1}-d<.,'CM. f"..J;,,;
'2.. ~~ *-~~ '9,;--cQ;,~fr<A__
3. ~ o1t ct~ ~",-g~
"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,"
.------ ~~
. uem
c;rJ-(o)/
Th.. ("11'11'.., of thi!' Lakt C.llftlry
White - Building
Canary . Engineering
Pink . Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
JOSC'! 7 (;JUfl..II'v
~ !Jf/;1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IL/gff I{); Ids l1ct<Jl/ III fA /
,
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: ~TrA. flJ""".....,rN
Date: (./"2."2./'9
-. ,
Comments: ~I'"F r'I1uST ilE" (!"~"'''-v_E.r'' "Th AN" tko^,,". D''''I"".ar-F I un<.tTl::.,
fE"A5.Etv&.F...rrc, :.,q... l"o\uW ~ Fh_~Tf(.a.L.
rou~""''''\Jc..'''''DN
dU/'CL"-< S>I.....O
~EA,
Loor
Fit..... C'UL-t>e-SAC ItATrf~1L T"'lfA.f Fit.... ~lf~"S PooRC0.>>4....,
A
"'F.PEItA-r~ Pe:1t004/T v.I,,-,- NC~Q r.. 13~ ,APPL.C,O Fort
.
/?"''''<X.J'Alf. r KEI'<.4(J.J/-
TNE e..;ta .qL.N~ _ ~!~,"O.l P"'a~",,,t"
IHE.
l3,ru..,....."s rlfr" kj,u.. AJEI'"" _
1".. 13E"
R....""~Q ...JlJEll.~
-n...f........OlfhIF...s"... I.o![UcEPr<: IT",
1"j:fIS R:"".....,-r,
,
)S Df'PE"~E"I-r "k-l ""H~ IIpj:lLtellT"loN f f/I'f'RouA<.- OF A .1. '!,..,..:. Fbu."
Fait Wo,h: It..! 1IU~ ~1..Hr-<>F-kJAl"'. A t'.O~Lor_ lCl'otDN WI..... AJe:~t> ... a..
),.JSTAtLE.1'\ _ OE.n. r"1-^,P..-r ~P6Cs SEE INF'DQM","no,..,) aN R..EJ~,: ~ ~C€
~~. ._J, F,"''''L CflA6I=, .IAJS~ct.TICkI 'A{f-"...4N4Tl&1'\I ? I:..I1AOLI'U.~.AI ~. r..1rL..Q.Q,tJ. ?Bt.^rr
'/. "'}JOor PLIlTE:IF 703S"J( 5: t:"1l0$1.'" C'O...TltD~ ~'ff/II.€S (.. fit-s,..", Co^,rtt."'- p<JIoJ
"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."
~u ,. ~
II!!'IJIlI'lll!
,~- "." .~.
",.",~,' ,;.....~~.~ ;\ ........,,-"""".w.--,.___, .._~ ""'_ ,"'-.........
.@~'XPR/OIi'~
':l. k
'I-. r
- '"
U
White . Building
Canary . Engineering
Pink . Planning
Thr CUlrr of lhr I.ab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT,
APPLICATION RECEIVED,
'~(/i /~I!/!/I\...
, ' ///
/ ; /,/j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
II /., -,' c.;, i,
. '. I ,,',.." :, /('1'".,..
'/
'!. I
, 1 { \ l
Accepted
~
Accepted With Corrections
Denied
~~ Date:
(c; L t <i CJ.0
Reviewed By:
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~
SITE ADDRESS 1<J"r~Pl {~"'IAs Q,k.",c,.-(
. cJ
NATURE OF WORK New lh...Jr.,pd,~
USE OF BUILDING oS FlJ
PERMIT NO. C; c:; - ("C::/
CONTRACTOR (;) \ 'r. .~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING vei;;) fflt1/ff I INS~r I \0, ~:;~
'FOUNDATION iP'riorto Backfill) /1,/7 7/'l'>J~1 cA 7/so/"~
PLACE NO CONCRETE UNTu( ABOVE HAS'lEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC atJ, ~f ~ 1 ,r'\rl
FRAMING I~ _ _ I (~J
INSULATION I (/1) Ihl/Ju}
ELECTRICAL I 1#' \.; I
PLUMBING I ~ tv /oftc/eJ<j I
HEATING (if required)~-4~~ ,(M. @ ~/It/.,,, ! q-1-1~~ f.-,L.. OJ. r1101or~
FIREPLACE 'I V CrIJ lIo/ffl) I
GAS LINE AIR TEST I ev li'fto/ef'3 I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I 60 7/tr'/UU
I~
I -
~<.h>lnr~
OCCUpy UNTIL ABOVE H
NOTICE
DATE ISSUED
(.,- 7-'1i
, I
111.f1~
I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
7/if7(~
~ hl\ lW
BEEN S GN 0
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