HomeMy WebLinkAboutBuilding Permit 99-0663
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
8 -G, -qq
10:00
ADDRESS \42.11 BLw..b,\.--& -r~
OWNER
CONTR.
PHONE NO.
PERMIT NO. 'i'l- G. (.. 3
o FOOTING 0 PLUMBING RI
o FOUNDATION .1.\\ ~MECH RI
o FRAMING ~ ~)YATER HOOKUP
o INSULATION ~ ~~EWER HOOKUP
o FINAL \1)1 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: /" ~ l~o:liA.- a.:....... ('>.." -+ --..."d)
~A ~,~ v.P(~~
F. f_ fD~' ~
b_L..Ljl~ 44D ~ (_, ~//' _ .~
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~ ~tl~
~/~,-::1J. ~
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LK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ZRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: v.r ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNQTl
. ::IF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~7'~/;I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~F ING
o ULATION
FINAL
o SITE INSPECTION
COMMENTS:
c'rdd,;'(1 /5
J
1iJo1/5 c:T n?
?~ TIME
~~irr/ 7/:
#W -:/~~
r~6:z.
EXlGRAD/~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t!.)~
....
ok"
--
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~J CALL ~~INSPECTlON BEFORE COVERING
Inspector: ..g'~".~tr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN$JVOTl
-T" '--.'.-'--' -.--...---------
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS III 2.11 ~,i-d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~D INSU:et::~2 0 SEWER HOOKUP v.> }
FINA N"'I- ' 4.GLUMBING FINAL '<....L/
o SITE ON r ,:,ECH FINAL~
COMMENTS: I. SOD ? -r"26:~";
'2 ~i-..Jc;,. S;b"'<>f-\~'
:S. PI"L,,\t. u\~ Lo.I\,,)S,y2-.....c.,,<JrJ Dcl.i~(L\s.
'f PaNd ~ ..r """" A1\ik
11 F~igq
TIME
'1:30
CJq-""3
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-r
c 0
T(~)
i I
a, II I nn
!
o WORK SATISFACTORY, PROCEED
)lIlCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
f\tI)i\
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-~-~. . ~ ,....--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -LY d 11
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~ .A ,'G
81IlpJ;,:,nL Tra...l..J
CONTR.
PERMIT NO. 9<1- 0 (, /'3
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL~ G~SLI~IR TST
o MECH FINAL . lJ..Y~ ~ > I
~.~
L.......'O'O ,
111.-U..4 'E.
Q,/J .
~,~,..-,_o.)k':=~~ V OF
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-
l/I-'
.......'
,.".,,,.'.'.
-
If WORK 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 & SAFETYI
INSNOTI
,.
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-,-.,..".,--....'-.,----
" ...
- ,- ~~-:'"-:c--,, ~~. ~y J'....~',,!I,;,,!,,,.:~0~~"':.)1~t,1lf:';}'~?"''>!F'-... r")''''":',' ~....~ ,~
: ~ -
,
11
.. L4, B7 KNOB HILL 2ND ADDITION :i ,;'
[...",1 n....... ......~, C ~oiII
. l~
"",' Owner of Building Site Address 14211 BLUEBIRD TRAIL NE !;}/
't'.'- ! C tract!;;' .. .." MW JOHNSON 17645 JUNIPER PATH, SUITE lOa, LAKEVILLE 55044 f' x.~,
- I on 51'. """~.I\
~. - I ~
<<;~~'U I J' IU'fRl<J2'1' n UTT'l'rUTN~ r";ty Planner TF.NNT TOVAR .~
f - : 6/ Building Official
( ~: I Date: if / '711J 0 Date: I:~'
~. -: II POST IN A CONSPICUOUS PLACE : ;-
, .. r I ~ . I
~" ~~ - ..
~- ~ ........... ...,....-............... - . -............... -........ ........ -" ,...,. -........ ......
~ ~~~~l~t.~~1f l"'~~ 'A: ~ ':A."'1:~_t:1'fL~~~~ la;.t~.~'~ ~~I ~ ~~~
--~-~~~-----~--~~~ - --~-=""~-----"--"------------------------
QLtrtifiratt at ((Dcrupanry
CITY OF PRIOR LAKE
lJBepartment of .uilbing Jn~pettion
p(Final Permitted 0 Conditional C,O. Expires
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:
Use Classification
SINGLE FAMILY
Bldg. Permit No 99-663
.. z N/ A z . Di .
-Ire one omng strict
R1
Occupancy Type
R3
Type Construction
VN
","',' ,.,.""
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~// /qq
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 I 'f;;.{11
I<;~<( RI'Khi.-rl T'"..-;/ JJt<-
3. LEGAL DESCRIPTION
LOT
ADDITION
4
1(~"j..,
4. OWNER (Name)
_1'1 IAJ 3"hl1(o....
5. ARCHITECT (Name)
6. BUILDER ~e)
Fireplace LI
Alterations 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
:5FD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
7
Septic 0
Addition LI
Deck 0
Finish Attic 0
Back
1. DATE
S/.z,jq7
If?/
PID 25-;339- 049-0
Ae-roofing 0 Porch 0
Re-slding 0 Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
BLOCK
1-1. II .J nQ
SU;{.€..lCi9dreSS) La. ~Ui lit. J<) 04'fTeL No.)
1210'-/:'> J,-,-~A:;ft.... 8'9;/-,7.:l..0
(AteSS) (Tetto.) '" .1-,6J
(~ress) (TVO.) <' "j-
qf\o-
7. TYPE OF WORK
New construction)lt
Chimney 0 Misc.
8. PROPE13TY AREA OR ACRES 19. PROPERTY DIMENSIONS ~ 10.CULV~
SqFt.<::;Pt' s UYVe),j WldthSee D~ Yes \ No A /.J.() de;"5~ /h,"
- I hereby certify that I have furnished irfformation on this application which is to th t of my knowledge TrUe and correct. I also certify that I am the owner or autM'lfzed agent for
the above mentioned property and that all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building mal can revoke t~ permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
x----AJ"': ~.bI~"t ~ 22r) 7 S/.J..J}q'1
S~ture license No. Date
Permit No.
qq- t,~3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hs;ght) ~dJbJ. 1"J (Os"'hI I' J
'tI')(n ~T:J:ZT7.
12. NO. OF STORIES
:J...
13. TYPE OF CONSTRUCTION
~(-<.J fI~>r\,.-{
14. FLOOR AREA APPORTIONMENT USE
9r>'7 n
1 S. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
/S:51. 000
17. COMPLETION DATt:
FOR ADMINISTRATIVE USE
Side
OFF STREET PARKING
SPACES REO
SPACES ON PLAN
Side
PERMIT VALUATION
I C;-"J.~t'? . 00
S U
r,lfU.2S-
/ ~B- <{~
'['1 .50
Sewer & Water Permit ...................... $
City:
l v. ,'i0
~~~[\
~~C\
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... <l:
Sewer Tap ................................... $
.Sl_" $
Pressure Reducer JeJ..................... 4'
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LI
PILING LOGS c:J PERCOLATION TESTS c:J
PLANS & SPECS LI
SURVEY 0
SETS
COPIES
PLOT PLAN
c:J
~ ~l':l.tX>
( 0 sn LJC)
q~ .b::5
Meter Hom ....6',Z.rc....................... $
Water Meter ...'ItJ........................... $
Sewer & Water Connection Fee ........... <l:
WaterTowerFee ........................... $
( Z?-.60
L 2 00 .c9a
1M? -00
Water Tap ................................... $
B.i1ders Deposit ....u.u......w......u.. $ I t:;-() 0 .00
Other ......................................... $
Total Due uw..................u..... $--/775. -/7/
Paid '"111 f:.:T2- Receipt No. ,%Co\1
Date 1lr.~ ha By f-Ol,.\- ,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance an~ may proceed as requested. This document when
sig~y;e City ~n; I~~a ~mporary ce~~~comPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ C~l'fanner Dale Special Conditions ~any
Issued
24 hour notice for all inspections 447-9850
............-.
~
,.
..
o
ORSAT TEST
Job Address /':-1-/'// /?!,Hb,,-J 7r f?-.nr/,f-'
Heating Contractor ~hrt:. ~/:j /' ~C-
DateJ -' / - 't.,Cr Pressure 7. ( h .
Percent 02 -2.% PercentCo-i!:t'P*"7
Percent C02 g'%,. Stock Temp ~) ~
.
" ---
!
r
'\
FROM WENZEL MECHANICAL 612-452-0367
(THU) 08, 1 g' gg 11: 1 41ST. 11: 14/NO, 3561851300 Pili
CITY OF PRIOR LAKE
PLUMBING PERM"
J.... ...
..- ~
J. ,_ .",...-
pp !fa, qc; ~ {P(p3
!IImrIe; ~GI.*lI_oIa..s-
~~ _ ~t&""
,..... ~.,....... c-"""
t
N~ Wenzel Mechan~.~al
:S"': : "f~ J!..MIY.3f!'t# JU
~.~, .-
LAlIlIl 081.. "". , Lift 4 ,ilGc:ir 7 I!Iutl Knob.. 1'1< 11 ?wl....Arlrln
5na Alfl3"': 14211 Bluebird Trail R1
Bu/ll:llng PermIl'. 99-663 .PfD .~-119-049-0
1lIOTE: ,",fa Derrnll..nJ nDIlM1 . . .", ,., "lIhCIUtc:Il/OlPlllfll i . . j. n.
. ", I i.IRE UNrJS
I' QlIIUIllly T~ t:lf F~. ~ J T'w- (If ~1&1UrB
~ ..rI'l TIJC .... "" .;maLA .IlClorer :J I RauglHnii
I traellw.llhl' I W..-I'fIrRurr
I ~OG' r:Jralft WI.r 5Gftner
,
\j l.aVWI)' (tIamIa3m smll') !WVIlIlgl! (wta5I'IJng tnKhInl!1
, lau1lll1)' 'Tra, (1 ar Z CZI~ sinll) s.-age Ejlidl:lr
r I StICI_ 5tal1 8__1'-- ..i1'" (m'Z. ~ C1A.pYSl
I &ou BacIcftgttor AlII_mill, T'1ISl
.","'" La'- ~/lftlIlIl!r
3 WIU/I' 0.....'" (Ill illt) OI"lIr
FE' SCHEDULE
'.
Il'Il:ll.liilrilll. Ccm/T1llrclllll. MI.lId-F.m~y
(1 % tA JCIb casf, S31J.SO ,"il'limumJ
~..ld.mIal, Nil'" 0fI11l I. TWCl F.m~,
FIeIIllill'lIiBI, ...ddlllClI'IS & AIIIlrallCnll
SLaY! ~Ilarg..
-
..SO
131.50
J
J
I
I
-
-
...6S
GAA"'D TOT',llL
"1i~~~\i
\9\3\\.0\
111.. ~.,.... ;. ...... dP!'" IJIII ....... ~ Ill. ,.nI
. ,,,. . ,.... ....,.I, III . ...... ... _..oIi_
Ir.,.,~ PfIllllbltJ!iifW:~"'/~o799-==re
. V'j' J!r1-- -- &llU I
CaD for aLl ~1iG1II ~ boUlS in 1d"lllllZ.
16200 i.acl~ Crcdt AIf. S.~.. Pri"r t...U, Minnuaca S5312 I Ph. (612) 447-4230 I fAX (Ii 11} 447-420:15
. - .....-........,... ......
, ,
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av, S,E, Permil No. qq - 1.003
Prior Lake, MN 55372
HEATING APPLICATION 1 PERMIT
Dale li)!;...../@; PID. 2S-33<1 - 04Q - 0
. I '
Site Address /(,/dIJ f{;MA-'\l! m......J R I
Lol 4- Block 7 Addition i<.N 0 6 H I L.-\,... 2. ~
Ownor's Name In f-) Wrl M~'"
,
Address
HealingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N. FAIRVIEW. ROSEVILLE. MN 55113
Telephone #. 65] - 6 33 - 2 561
FIREPLhr.E
IlInI\ll Make & Model ib J JJ C;; (.,
Model Size t,~
Conn. Load
Fuel ~'Lf
Flue Size
Supply Openings
Return Openings
Inpul OUlpUI~
Edr. .
Clm.
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Condilioning
Vent Syslem
HEATING OR POWER PLANT
Steam
Hol Waler
Radialion
Special Devices.
Other Devices
^neraliom::
_ ne placem e nl
TYPE OF WORK
New Construction
y
Repair
Est Compo Dale
Building Perm~ #
Est Cosl $ fInD CD
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES ~
/oIrJ-jqy
/
,50
qq-Grn.3
/,,1i~,t) ~-~\...
\eU\\.O\NG f'~\";'''.'
Receipl #
TYPE OF STRUCTURE
I ri.,k
]: Gl'U':n
J. Yell.,..
Filr 0
Cily n
Conb'.ctor r+
I
....
-I>
I
III
III
o
'oJ
..
N
....
:l>
Single Family
. Two.Family
Indu.lrial
Commercial
Fee Schedule
Induslrial, Commercial & Mulii-Family
Flesidenlial, Heating & AC
Residenlial, Healing Only
Residenlial, Gas Fireplace
Residenlial, Addition. & Alieralions
nesidenlial, AC Only
Public
Multi.Family
OIl18r
1% 01 job co'l (S39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
'1l
..
'1
ID
III
~ I
~ r-
ID :
'1 i
Remember 10 add Ihe Slale Surcharge on Ihe bollom 01 this application.
The price of your heating permil includes one rough-in and one final inspeclion.
Addilional inspeclions will be billed al $35.00 each.
House Healing Test Record must be submilled wilh lll!il!!inIIllmIJIil o..mh., befo,e build
ing cerlificale 01 occupancy will be issued.
HEAT C~VJ.ATIONS RfotJlRI'Q wilh number of supply and return openings listed p
room with CFM's per opening. New struclures or additions send 1I00r plan wilh supply
and relurn localions 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 houls are B a.m. - 4:30 p.m.
1lI
U1
....
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FlNAL)- CALL CITY HALL
447-4230
1lI
W
W
III
III
I hereby apply lor a mechanical systems permil and I acknowledge lhal the III
in(orrnalion above is complele and accurale; Ihal Ihe work will be in conformBnCI'a:.
with Ihe ordinances and codes ollhe cily and wilh Ihe slale building/mechanic,
code.; Ihal lI,is lorm does nol become a permil unlil signed by Ihe BUILOIN(
OFFICIAL; Ihatlhe work will be in accordance wilh the approved plan in Ihe
case 01 all work which requires review and approval 01 plan..
{;~~,-~.~ .
'l~~
Building OmcarsSlgnalur.~-~
f6/lv-fill'
I ~ Dale
/0) <//qq
I Dale
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..~..~~1.,Q rvd L~:Zl BaL 18/10/01
____.,_______"_~__.....J--____'______'___'_".'_"__M___'___"._______...____
GREEN. fiLE
YELLOW M APPUCAIIT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. qtj -1'X,03
.
NOTE:
Sewer and Water
contractors must
be registered
with the city.
,
APPLICANT: /i/6'h74't' IYIP./lJU/YlJ/ld
ADDRESS: /q-/j-9 vb;/J'/hJH _ LL
SIGNATURE: ~A;/11X'. Q.iIM..IlA7fJ
SITE ADDRESS: //f~11 Ah./,.k.AAJ-Z:;)
PHONE: t/5~-/ot.5
DATE: 7h~/99'
BLDG. PERMIT # rc;.-~3
PID#
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
o~es your permit when approve~. (
DATE: I 1"4 CIa
- r
BY
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 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
RECEIPT #
" PAID WITH
BU1LDII'l'~ t't:.t'lMIT
AMOUNT PAID
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
"'T'"
~. ..........
'_or,' ...~ .~,.~~'1'7'J!'. _~ >,'r l? '-;;<0';" f;;'" +t:,~"~iiil,...<!,.,..-t:jr'!"'.,--...._.?".,.....~.-",~~._<.,r,i.'.' ",'"
-,_.~,. "",,~,.~'IJC,'""'i1"'\7fi""-''f1fll
"
~
Tht' Crnll'r of lht L.kr Country
White - Building '_,
Canary - Engineering
Pink . Planning
.6.UlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1\<//,
-'/',
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j # 2;: .tl:
, ~<.
~
,/
/1,._
,
, -'---
Accepted
Accepted With Corrections
Denied
~~~
Date:
fo -}f7-Cf7
Reviewed By:
Comments:
"
,..,
I.)
"The issuance or granting of a permit or approval of plans, specifications ,andi:, '"
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," .
,
1C;- (Pft:,3
Th~ ("t'ntl'f of lht' L.ke Country
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
MLt/ 'J7.yf tV 50 tV
(p / / / qq
, I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I'IZ::;.3' t3Lu68len /K-
I C/O:Z- II
Accepted
Accepted With Corrections X.
Denied
f2f?f10
Date: G -/(.'11
Reviewed By:
Comments:
-' l e..."A.. t"J II Cl...-tkc~~ ,^WArO rll)-"
"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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ThO' ('"..nl.., 01 lh.. Loob Co."....,
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
NW, J?)t-(I\!SON
&: / / / qq
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J LflJ I
,
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7' --;I "'- -J-./
8L U E-81 k:..U 77<!....
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: /J"''-TEtl. C'UI.IESI'fA"',v
Date: !.h" /9'1
Comments: f?..",~,,",,"
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SEE A-rrAt.."'ME^'TS: ,. F;"u'l<-- C"If.lO€: /"'SPEC-n.", /,uJ".Il..,,,noN 2. &4110',.)(, P~II'"
~. E1l.0SION CO""....OL- MEAS"tlE:S 'I. C/(,OS'OAj (!oJUT1/.o,- P~N
"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,"
t#
---r-
PRIOR LAKE
INSPECTION RECORD
(42//
SITE ADDRESS -1._1l 1S/lIjllo~~ Tt-e,J
NATURE OF WORK 1\\"", (\""c:h.'r-\-:-r1Yl
USE OF BUILDING s.,~ i)
PERMIT NO. c, <{ - ~~3-
CONTRACTOR 1\\1\ J,,,C.. "^-'-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
'FOOTING 'if) 7h 1)-f1
I FOUNDATION (Prior to Backfill) ~~ 1M, 18" z' ~'}
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC~ ,",' U (\
FRAMING oJ lA/ I r !
VV - . )
INSULATION llJf.}. I mil
ELECTRICAL \
PLUMBING CLV ~/'2Z/11
HEATING (if required) ~l. y I (n,
FIREPLACE ~-:\.~ 31, "\-:t<6tifllt,(, (}j., IO-I?!.&l1
GAS LINE AIR TEST ~ ,f{1j ~, Ch1{,JJflI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ae. e.-r.~
f oi 0 I (Pr ?,II ~I ftJ
~~ . f\\\~\q~
t\'\ i 1\ W\ ,,,,)
HAS BEEN SIGNED
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
(,+1-97
DATE
J
I
F-f'p- 99
I G - rs - tt~
(0 I~ 00
q - /fi] -'19
GRADING (Prior to Sodding)
BUILDINGt'. lj .,} 7U g /1 Cb
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850