HomeMy WebLinkAboutBuilding Permit 99-0660
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33'75
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
A.P INSULATION
n YFINAL
tJ SITE INSPECTION
DATE TIME
SCHEDULED i/1.7/o/ ~ :3d
JjI'1~~ TILl
CONTR.
PERMIT NO.
1i~too
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
c.~
,/
~ORK SATISFACTORY, PROCEED
o CORRECT ACT~N AND PROCEED
o CORRE"OR CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ n ./ ())J.I./ Owner/Contr:
CALL 447-9850 FOR T.k NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNS/'iOTl
, .. T'"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
ADDRESS.317~ b'LY.JuJATU. ~AAll
OWNER ,CONTR. ./61€..1s~ANAl ~~"
PHONE NO. PERMIT NO. 1't - Uko
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
X FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)If... EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
dulU3RelC OK
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~
?wnerlcontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
T"-.--r-..--....--
ADDRESS
TIME
t,- (I-vi /:,{{J
,
,~373 ~~
UTR.U
DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
9 -C,. CoO
PERMIT NO.
PHONE NO.
o EXfGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ 0 SEWER HOOKUP
p~MBING FINAL
o MECH FINAL
COMMENTS:
vV\t./,ME) I~r-I:J'R,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: % ~\l~' ownerlContr:
CALL 447-9850 FOR T~ NEXT IhjlPECTION ~4liOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
T
.. T
_..----~......-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7'"2$-'/"'1
)I:~b
ADDRESS
3573>
iaL'1r-...tJJ~
J
CONTR.
PERMIT NO. q, CJ - C:, (p 0
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o INSULATION ~WATER HOOKUP
o FINAL ~SEWER HOOKUP
O' FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION ~
COMMENTIiJI" f''7'r' ('>~ J/.(J J
A'"~-,-,,4, ~ '1-'7' r l-;i :...~" .
tJj..Li...~ ~f)~")(
1P-A~ ~.~ tJ-....~J)~ ~
0) /1'r1n . '
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!F:J t:h ~ J..... ,jJ,.J ft __ .~/Lo.fl . to.-o+ "'- s.A;i. }tt:
~ - ""'~ --f,--;f--- ,~
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
/
o ~KSATlSFACTORy,PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WU; CALL FOR REINSPECTION BEFORE COVERING
Inspector: p}( Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1
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Job Address :3~7J t~
Heating contracto,c,.,,.. ,Xp--'
I.e.
t-tl-oJ
7
Name of Tester
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
o
f>
/t?~
Combustion air is adequately supplied per
UMC Sec. 606
Input
.-l~._'-r-"
&~~
DATE RECEIVED
(,II/Clq
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
3373 G/Y/VI...Nl1'U
3. LEGAL DESCRIPTION
LOT.y BLOCK
ADDITION C; /r.N WA.7-"r
4. OWNER (Name)
1. DATE
6-/-7'1
Trlt./J
NW
R..2.S.()
.3
J.n
PIC :zs - 35,;;J - 01,/ - "
/lel/: T:o>v
(Address)
(Tel. No.)
5. ARCHITECT
(Address)
(Tel. No.)
(Name)
6. BUILDER (Name)
(,JI'NJmQNN
;.Jom n
7. TYPE OF WORK
New construction~
(Address)
181,5 IkzA /),.. s...; fr .;2ou
C'a '1,Q# RlN..55J.z:l-
sePt~ Deck 0
Addition 0 Finish Attic 0
(Tel. No,) .5 I
'1D '-1'.,... "
Fireplace 0
Alterations 0
Ae-roofing D Porch [j
Ae-siding 0 Finish Basement 0
.,
1. While File
2. Pink City
3. ~ellow AP~
fv'i cui\.,11
Permit No. '4C-I- (p (PO
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 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby cutify that I have furnished infonnation 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 a~d that II construction will conionn to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building o~1 can revoke thi~ermit r just cause. Furthennore, I hereby agree that the city official or a designee m~ enter upon the property to perform needed inspections.
X /-1t207 q,. . ..:.. 3t,9-?~0- I"'~Y 1._(-?9
1/ Signature License No_ Dale
v
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
.""
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
sPA
PERMIT VALUATION
'l."!,.~.orJ
.
TYPE OF CONSTllUCTION: I II III IVC:sl>
Occupancy Group A B E F H I ~ S U
Division 1 264
Permit Fee ................................... $
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS (J PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Plan Check Fee ............................. $
JI~O"2 .'"2.~
t-'z8/ .47_
~ /. q'J
Amount Brought Forward .................. $
Park Support Fee ....no.................... $---8~(). ('J('")
SAC ......................................... $ I {"J<::rl_ CYY
Collective Street Fee ....................... $
City:
State Surcharge ............................. $
Penalty ....................................... $
<",
Plumbing Permi! Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permil No. .,??-t:;;~ 0
Prior Lake, MN 55372 .
HEATING APPLICATION I PERMIT
Dale /.:J./;u/qq PIO' 25-352.- O/{I-O
. ,
SileAddress 337.3 W!c1Aw4,.., ~a...~ RZSO
(/
Lot L Block .3 Addilion. Gt,Y.lVh',4-n:;;e SOP~
Own9r's Name. / A)PAJ6'1.... A.....- 1!u""'~....J
<t
(()
(()
(()
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Address,
Heating Contraclor ALLIED FIRESIDE dba FIRESIDE CORNER
55113
Address,2700 N._FAIRVU:W, ROSEVILLE, MN
Telephone'. 651- 633-2561
FI REPLACE
1IImt", Mak. & Model ~ A.J tDf~_
Model Size A'iA 1/( c-
I-
QI
t:
I-
o
U
QI
'0
''-
III
QI
I-
Conn. Load
Fuel (9U.[
Flue Size
Supply Openings
Relurn Openings
Input OUlpul..J')=
Edr.
Clm.
''-
LL
<(
\0
<t
..
I"-
o
0\
0\
I
o
....
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QI
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TYPE OF SYSTEM
Warm Air Planls
Gravily
Mechanical
Air Condilioning
Ven!. Syslem
HEATING OR POWER PLANT
Sleam
Hol Waler
Radialion
Special Devices
OIhe, Devices
Aileralions
Replacement _
TYPE OF WORK
New Conslruclion
)c
Repair Es!. Comp. Dalo / ~/IY/ 95'
Es!. Cost $ _ IlOu.CD BuildingPermil' 9t?-(P{g 0
r-P[>.\?t~~tA\1' j
\ \:1\3\\..0""
,
HEATING PERMIT FEE $
STATE SURCHARGE $
.50
TOTAL PERMITFEES $
Reco ipl .
TYPE OF STRUCTURE
I Pink
I. G",",
1 YelllJW
Fo"
a.'
c",*,<",
Single Family
Two-Family
Induslrial
Mu/ti-FlIIT1i1y
Other
Commercial
Public
Fee Schedule
Indusl,ial, Commercial & Mulli-Family
Residential, Healing & AC
Residential, Healing Only
Residenlial, Gas Fireplace
Residenlial, Addilions & Alleralions
Residential, AC Only
1~
$9..
$61
$~."
"
$39
$39.
L
Remember 10 add Ihe Slale Surcharge on the bo"om ollhis application.
,9.5tl minlmum)
, (,. ,-
S \S~ r
r.. .
I 0fC I 0 1999
_L.__..
The price of your healing permit includes one rough-in and one 1inal inspection.
Addilionallnspeclions will be billed al $35.00 each.
House Heating Tesl Record musl be submilled with buildinn I1eUDiI ~'''''~'!T belOle build-
ing certificate 01 occupancy will be issued.
HEAT .l<AbkUlATIO/!S FlFOIIIRI'Q wilh number 01 supply and relurn openings Iisled p.
room with CFM's per opening. New structures or additions send 110m plan wilh supply
and relurn loealions 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 8 a.m. - 4:30 p.m.
,
ALL WDRK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and I acknowledge Ihalthe
inlormalion above is complete and accurale; thai the work will be in conformance
with the ordinances and codes of the cily and wilh the stale building/mfJctlanical
codes; Ihat this lorm does nol become a permit unlil signed by the BUilDING
OrFICIAL; Ihalthe work will be in accordance wilh the approved plan in the
case of all work which requires review and approval 01 plans.
f.J//O/1'1
. Dal.
/2-.-1019 r
Dale
r.
JUN. 1.1999 10:04RM
GENZ-RYRN
NO. 925
P.4/11
Thlf ern." oltl. Lajm COIlItI",
CITY OF PRIOR LAKE
, PLUMBING PERMIT
APplicantJ:'\ I ,VI '"'\ - R~-(,n_"
Address: IL..\1 ~ S_, 'Rt:\_~ 4:-.
Slgnaturs: rlu-r-.n ~
LeaaIDescripij~n: Lot L4 Bloek '<. SUb~\~ll)Qb_r~.
Site Address: 2.~"""'2... ..NI ~ I 1"1 c.i I f\..- ~'" l.lLt,) 12..2.:50
BuildlngF'ermilit qq- f.,ft, PID# 2.5-.352.-0/4--6
NOTE: This permit w,ill net be processed without complete information,
FIXTURE UNITS
I, B....
:L ""14
1. yol....
file
0."
AppUGIII~
# 9t:7-&{,O
, Phone: l-\~~-\\1...\\.I
~_'\ ~...
Quantity Type of Fixture Quantity Type of Fixture
~~ Bath Tub with Dr without shower 3 Rough-ins
I Dishwasher 1 Water Heater
I Aoor Drain 1<.1 Water 50ftner
84 Lavatory (bathroom sink) I Stand Pipe (washing machinll)
I Laundry Tray <1 or 2 compartment sink) Sewage Ejector
I Shower SIBil Sackflow Assembly (RPZ. Double Checll, PVB)
I I Sinks Back1low Assembly Test I
I Sar Sink Lawn Sprinkler I
3A.. Watllr Closet (toilet) Othllr I
FEE SCHEDULE
Industrial. Commercial & Multi-Family
C1 % of job cost, 539,50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
$99.50
S39.50
S
$ qq. 50
S
$ .50
$ /CJeJ . 06
, GRANDTOTAL
,
',j
This permit is gra/lIed qpon lhe espn:ss condition thai s~id
eontractor. shall complY in all ~spcets with the ordinonces
of the Slale PI~mbing Cade lII\d the amendmenlS lhe~f.
R.E~NO. 7/o/qt:l DAn:
j&:::t _ A'ITBST
Call for :111 ins~eclions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 4-+74230 I FA.,"( (612) ~7-4245
An Equ:a( Op~o"unity Employer
JUN. 1.1999 10:04AM
GENZ-RYAN
NO. 925
P.5/11
--. ....
~ - lU'PUCalll'
.....D-AT'
CITY OF PRIOR LAKE NO. qCl .t'#(l,()
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be reqistered
with the city.
APPLICANT: J!\ Lf1A - ~ fl..fL..,
ADDRESS: J474:~S_ ~hoJLt. ~ DATE: ~r:sJQg, 193.-
SIGNATURE: ~ ~ BLDG. PE~IT # W~~
SITE ADDRESS: ~?-,I=:l., ~.!.I.n.u.:~te..r\r\ ~b{;ID#ZS-.352- 0/4--6
FILL IN THE BLANKS
1. Estimated lenqth of water service L\c:{
"
I inch(esl.
PHONE:
l-J ~3-11 L.J Lj
feet.
2 .
Size of water service
J . Location of any couplinqs from s1;ructure feet.
4. Type of sewer pipe. ABS PVC '\L Cast Iron
5 . Estimated lenqth of sewer line L.lD~ feet.
6 . Clean out (if required) , located at feet from
structure.
==============================~~--===========~~_~_~_B~~~~mc~~_;_==
::'. ,p~~,~r p.~'t ::::,.pprov,:;;,,/,<?<?
, .
=============----=================~=~==~~==~==~==================
FEES:
$
$
$
35.00
.50
J5.50
Sewer and water line connection permit_
S1.lrcharqe
TOTAL
* Fee for either sewer or water individually is $20.DO plus
$ .5D surcharge.
* Sewer and water pe~its issued for new construction must be
recorded on the buildin~ permit card at the time Qf issuance
to insure that no dup11cate sewer and water permits are
issued.
DATE PAID AMOUNT PAIO?~\O~~
D\~ y
RECEIPT # REe'D BY flu\\l
\
. 4629 Dakota 51. 5.E. Prior Lake, MInnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
!IN EQUAL OPPOImJl'/ITY eloIPlOVER
CITY OF PRIOR LAKE
, 16200 &gIe CreekAv. 5.E. Perm" No. qq -10 100
Prior Lake, UN 55372
HEATING APPUCA110N , PERUrT
5\ 001 C\o. PIO' -;z.5-.352- 0/4--0
s!I.Add_q~13 ~ \l.\n.vJ~ ~ \J\rJ
~al ..!:L Black ~ Mdllbn ~ \\_m\.U~ f::o~
~lWne"aN.me W~ ~~)
Addrass, I '$V~t; rp Io....a..o..... ~..
HealIng Conlrector ~ - ~
Address 14iLt6 S ~b.aJVt ~
J.-\'d-?,-f 14~
Telephond .
Furn_ Make & Madel h n n n ()-L
ModelSllI :-';j':'ll .I:l,2,lw- Ion
Cann. Load
Fuel NA-t.f-:'l~lueSlze 5"
Supply OplInln~s !.l..1
RelumOpenlnga /0
;tnput1rnrnsDutpul q \ ,C'a')
IT J r
>-
Cf:dr.
N
Gi:rm.
l!l '
l-IIU
1.600
J. Yelk
fDo
Car
~" ,. ~ .
Singte Filmlty
Cammerci81
TYPE OF STRUCTURE
../ lWo-Famllv Multi-Family
Induslrfal
Public
, Olber
Jt!2$p Fee Schedule
lYPEOFSYSTEM
Warm Nr PI&nIs
Gravity
Mechanical ...........
Air Condillonlng
Venl. S,stem
HEA11NG OR POWER PLANT
Sleam
Hot Waler
Radiation
Special Dllfices
Other Devices
lYPEOFWOflK
if \IIerellons
'"
IS>
ii>lepalr
""
Replacemem
EaL Comp. Date
Naw ConsllUCllon
~
q9~6~O
PA'Dwmt~
BUILDING PERMIT !
EsI. CosI $
[J)
[J)
;':l~EAT1NG PERMIT FEE $
""rrA'IESUACHARGE f
z:
~rOTAl PERMIT FEES r
Bu1ldllllJ Perm" .
qq ,60
.50
I Lt) .. 00 Recelplll
Induslrlal, Com"""cial & Mulll-Family
Resldttfllial, Healing & AI;
RuidenUal. Healing Only
Residential, Gill Fireplace
Residenllal, AdltUonl & Alterations
RBSldeniial, AC Onl,
t%. 01(011 cost 1$39.50 rinlmwn}
$99.60
$64.50
$39.50
$39.50
$39_50
Remember 10 edd Ihe 51ale 5un:harge on Ihe boI1om 01 Ihis Bwlfcalion.
The.price 01 youl heating permlllncludas ona rough-In and one linallnspecllon_
AddlUonal inapectlons wgl be billed al $35.00 e&<:h.
House Healing Test Record must be submUted willi ':Y"''''''',,: PIIIIIil"~l...\1~' belant IIuIld-
Ing ce rlificale 01 --"',' ncy wig be issued.
uW r,e' r.1" ,.Tln",!'; <! "PIl"p,,'l wilb number ohupply end relum openings listed per
loom wllh CFM'.. per opening. New llIruclures or additions send noar plan w~h &UJIIlly
and relum locations shown_ HEAT LOSS CALCULATIONS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 ""AI'I ""
CREEK AVE. S.E PRIOR LAKE, MN 55372.
City Hallbuslnes. haUlS are 8 a.m.' 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAl)- CALL CITY HALL
441-4230
I heleby apply lor a mechanical syslems permit end I acknowledge Ihallhe
lnlormalion above Is complele and IIllcurale; lhellhe Walk will be In conformance
with Ihe ordinances and codes of Ihe clly end wilh Ihe IlBle bulldlnglmechanlcal
codas; Ihallhll 101m does nol became e permit until sIgned by Ihe BUILDING
OFFICIAL; Ihatllle work will be in accordance with Ihe approved plan in Ihe
case 0' ell work which .r~uirea ,eview and approval 01 plans_
I
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1/;jqq
Dale'
Building Ottical's Signature
~~
Q9-(P(PO
Th~ ('rnlrr of lhr L...... Counln
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION QfeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JVENSH/lNN fflr1E:S
(p II /qq
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3373 6LV/\/tVA-fblC. 77<.. NvV
.
Accepted
:>L
Accepted With Corrections
Denied
Reviewed By: () jJ ()~
Comments:
~J. rul{ t2j-k:,c~c.J ~
Date: & -/ r- 7/
"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."
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White . Building
Canary - Engineering
Pink - Planning
Thr Crnlrr or Ihr L.kr Counll'l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
,... !
.I
r,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
V"
Accepted With Corrections
Denied
~/4-r~
Date:
(r L ~-C6
"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,"
~
"'-~
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>.,)
,1J"IlI!'
~
.
9'7.frrco
Tht Ctnttf of tht lib Country
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
\
NAME OF APPLICANT. ) V f: IV< IL/!-} ^ IV I-+{) rl t S
APPLICATION RECEIVED {c /1 /1 q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-~ -;>~, ~'-)
"-.-5~) I"::;
{3 L y/v ill-ricK 77c..
/\/vV
Accepted
./
Accepted With Corrections
Denied
Reviewed By: /JAL-TFiI. E"'flE.:;"'~NN
Date: 6/23./'"
-. .
Comments: Ru-.kJFF' (>1u~1' 8~ C!.o,uoJe'r'EO 1""0 ,ql\l0 AU'N(" Dt!Il,Al04Cot: 4 llT"'~/ro(
,E'.."".....oJTS As Muc.H 14~
PI<:Ac.71C"-L _ No ~AJ!!.TJLUeT'fON ltfc..nulT'< sf4out.l).
occ.ut't. WI1"''''I.u
30 F'E FT"
01" me:.. WET'Wl^,C>.
SEIE
(j\Jf="OIl.~A'TIGN ON
i~E.velt~ S~OF-'.
SEl!: ATT'Ac.l-I"'~.JT'S: ). F. NAL.- a"'A~ 'AJ"PIEt:.noN 1"'..0".....1"0'" z. 1t.1~~G B_A^,
3, E' ,,"os, ON CON,,. Dt.. MEA'>oJflf;$
'I. E'12 o~,o<\J COAJrltOL ?~Al
"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."
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .,;<;zt17.. c'1.J'A" .,~. l-- 'T"~~\
NATURE OF WORK /V"'W (\ ~A"~l'<'J..,.,.1V\
USE OF BUILDING S FA
PERMIT NO. "19 - (.( DO DATE ISSUED (p -1'/-19
,
CONTRACTOR 1')"',^~\M"""'^-~_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING (RJ M<U:.r;IJqlz.7!t'i I Ifl~ I 9-1~-~'
I FOUNDATION (Prior to Backfill) I Ul/;t/Xft1 I
PLACE NO CONCRETE UNTIVABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ a'
FRAMING J..L.. A;\~~O\\,e:,~ fjJ- /.7-/.;<..-;/.,.-"
INSULATION II Iz/')A/~'"
ELECTRICAL (/
PLUMBING" II qlz.oh'l
HEATING (if required)' II ''i9'' /~ ?)c G' I
FIREPLACE" CLf2o,b".I4~ 1<.o'l4l'~~ I
GAS LINE AIR TEST V' ' I...... ~ /))17/'1 I
COVER NO WORK UNTIL A OVE HAS BEEN SIGNED
I I
FINALS
I GRADING (Prior to Sodding) /)~.I lAIr? 11/;'1/?!l
BUILDING VV ~~
ELECTRICAL (I
I PLUMBING 1\ .~' r~
I HEATING /If:; \ rW.I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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I Wtrlii- ___loT
Ilb[~fCh
I
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
FOR ALL INSPECTIONS (612) 447-9850
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