HomeMy WebLinkAboutBuilding Permit 95-0030
.~'A',l'?' '/.,......"...,. ..1'" ".,!'.;.::.,.,"/.' ,p,;:;,....
I
-1
4-
w 8 0
::Ii ClZ
~ ~:5
<J" .J....
::!w .J u.i ~
a~~~~ 0
~ i:!1t:::S1L::s z ~
w ~ ~~!i~lli ~ ~
.... I
c( \II ~ Xll:Owlt: C ~
0 w.Juenii: <(
, 000000 ~ is
..:2 I U) "'-l
V\ 0:: ~
0'" :J ::r::
0
c Cl :J: ~
W 0 Z .,
..J ~ it: N C
:J Z w i...: Z ~
c Ii .- D..D...J.JZ is 1: 0
w .- i -....i!i!~~g u 0 ~ ~
:J: --.l z 0:: It:ctss....lLu W U 0
(.) 0 W ~~:I::I:~Cl~ It: "i:: W S
0 Q)
U) (.) 0.. iii~lt:lt:u~~ IL c: 0..
w ~ U) ~
::Ii:I:WW~::Ii- lD ~
V\ ::Ju....1flD..::Jw Z 0
~ ....w~ w.J.... 0 .- ~
D..::Ii enenD..iii
0000000 ~ >< ~
u w
W z ~
D..
0 0 en W
z ~
W W iii :J:
w w I- ~
~ g II::
Ww It: 0:: ~
~(.) It: 0 0
:5i= D.. D.. IL II. ~
~ ~ ....
0::0 ~ .... 0
N o c( c( C') ~
OZ .... z U N
-z U 0 . ;;;)
0::0 0 ~ ~
0..- U) o Qo.
11.'- Z ClCl~ !c~[j en u
ofd U) 0:: zz::s -It: ~ ~
w w w ~i .J~6D.. c( u
0:: Z en W i...:
~~ C ~ 0 8~~~; ll: It: 0 <(
-z C :J: ILIL_ ILOIL It: '0 0
0_ <( 0.. ODD ODD 0 8-
u en
0 .5:
W
~
~
......
-<
o
o 0
W W
~ 5 Iii
W 0 ...J
...J W Il.
...J I ~
~ ~ 8
o
w w~
~ ~~
- -' b~
a: z
o
iE~o
CL ~ Z
IL CJ ....
o W i
~8sa:
(j ~ ~
Z
a:
;:)
f-
W
a:
...J
...J
~
a:
~
o
Clw
Zll.
~~
w_
>.
00
Oa:
W;:) <ri
a:0 0
~II ~ !
z W >
o .Cl '0
~Za:Z as
O_O~ .~
W:I:f-a: (/)
ll.t::frl4( ~
~~Il.o 5
@@WOZ~f-
Wwa: -
~8~~~~
Il.a:u.zo .
..1l....J0 .0
~o~o@li!
OZOWf--
f-4( u.CI);:)
o o~~-<o@
Z 4(a:a:01l.a::
W Z ~ . ~~~~ffiz
.,. Z 0 - > !:;f-f-f-oQ c: E
v. 0 ClCl-o f- W ~oooa:f- ~ 0
f3 a: f ~~5~...J~~lf ~~li!li!li!~frl :; ~ 0
a: W 84(;:)...J4(::;)~w ......, a:a:a:a:oll. 0 CD ~
Q Z W a::04(Zowa: ~'J OOOOf-CI) _ c:
Q ~ irl u.u.~~U::u.oU:: o~ ~ OOOCl)~ Iii ~ ~
co.... 00000000 CJ 0 DODD u 0 E
iA13:1t1S ONtI Hl1t13H It1NOS~3d ~no). ~O:l 3~tI SlN3W3~m03~ 3000
\1\
....
. .
.....
~
I
~
::r-
j
\I)
~
i
~
~
a:
....
Z
o
CJ
Cl
ZCI)
-0
:lz
-s
zalii
o~
~o~ ...J
O~Wf-Il.<(w
w,..a:oz;:)~ u
Il..... -'II.
CI)>....,ISO~O S
Z Cl)1l. -Il.
-4(W~...Jf-w
~~~05fbg;
ij;W-'Ou.CI)II.
00000000
z
o
1l.~1l.....i ...J
;:);:);:)...J...=~
...J:':t:::':4(z-
- 8 8f- II.
a:4( f- CI)-
ClQ'9'"W'9'"Z~Cl
zz....CI)...._""'z
iii4(a::a:a::uoiii
~IWwW~~~
;:)frl!;(Iii~Il.Il.;:)
...J,",,~~www...J
Il."'" Cl)CI)CI)Il.
00 0 000
z
W
:.:
i!
~
:I:
Il.
o
o
M
C\I
~
"
~
~
t
J
I
j
i
!
i
~ z ~ f
a: ."
w ;:) J
0 Iii ;!
~ ztn
~ :JC a:
~ -'z -' ..I ~
-S .- C ....I
~~~ (I) z ~
w ii: I
a: f- z a:
~ ~o a:....I...I ~ w ~
~ ~ ~ o~ ~Ci~w~ :.:
Z ~~~3~ii:~~ i! ofrl
0 0 0 Zll.
(,) ~~tnll.-'fo..:J: -tn
~ a:z
oW8(1) Wo w_
~~S ~~~ >.
Il. 8~
000000 0 w;:) <ri
z <c a::~ tn
2i f2 w
~ Z W ~
...I 0 .'J-' CD
~ -1l.~1l.~ ...I Z W
0 .0
!f;:)E;:) .~ t1" ~za:z
~~~luS~~ii: o-o~
\'. w:J:f-a::
~z tn ~~~ J Il.!::frl<(
(I)~1l.
~ iiica::a:a::ooiii CC~ztn~
~:J:w~!ff~ 1H1H~0~...I
-:t: ;:)o~ ;:)
it~~~tn~~ ~~~~~5
W 0000000 Il. zo.
W ..Il.....IO .0
~ (,) ~ ~o~ofali!
~ ~ O~(.)wt;;5
~ 0 i b~~~2@
z ~~iza::a:
i z . III Z z S!2~ ::>wZ
00 Z ClO. Q Gi ~f-f-b~~
CL - z :I J
IL ti .... ~ ~~~i ~....ilf frlfrlw 0 ~
a: 0
0 1&1 iii 8~:>::I~iw :I :.:a::a:a::&w -
w - a: w ~ a:: a: Il. &
~ CL · Q Z tn<( owa:: . 08f-~
U) a:: Q ~ -' u.u.~~ u.oii: 00 tn_ a; (/) I
u z w t!! 0000 000
_ CL C 0 DODO u E
1A13:1t1S a Hl1t13H It1NOS ~ ~O:l 3~,{ SlN3W3~m03~ 3000
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
Permit No. q 5 - "]0
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
1. DATE
ID,
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
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
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
buildin offic' I an revo this pe it for just cause. Furthermore. I hereby agree that the city offici lor a designee may enter upon the property to perform needed inspections.
X /O-2.1-Cf7
License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
CJ ENERGY DATA
CJ
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ SETS
Ulj!:: BUILDING
I':;Sl ,~
C;/
SURVEY
PLOT PLAN
CJ COPIES
CJ
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 (j) 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
i1ding ;:tr;itlO~ ~~~tf)
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................... .......... ...... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Sewer & Water Permit ...................... $
Certificate of Occupancy
Issued
Paid
Receipt No.
Date
By
he above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
a temporary ceiJ'~? ~'ring f1(liance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
Date " Special Conditions ~ any
24 hour notice for all inspections 447-4230
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo.
t; 7-JO{l
Thr Crnltr or the L.kt Counlry
Applicant:
Address:
Signature~
Legal Description: ot 2- Block A I
Site Address: 2-9 YJ L'./ J~.: (,.~
Building Permit # 9 S- -0) 0 PID # ~s - :10 I-Do 2. -0
NOTE: This permit will not be processed without complete information.
J::--,"",,"<
Phone:
$"..
t.J'-(,J.'-Vb 9 ~ _
SubS
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heater
I Floor Drain Water Softner
3 Lavatory (bathroom sink) Stand Pipe (washing machine)
J Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
J Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
2- Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$ ?fS1J
$
$ .50
$ /tJ6.00
GRAND TOTAL
Call or all inspections 2~ hours in advanc .
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~ en ::J: m JJ )> Q m 5'" JJ en " g> ~ " a;l ~ ::J: ~ i ~ en 0
~ m !!l- CD ~ 0. "t:J !eo c: I: 0 c: CD .. a
ID ? ;"" :g ~ :; CD 0. a 0. ID
~ ~. ... s. c: ::I 0. ... ... ::I CD
-f g> a :; -< ? ~ 2 "t:J ID 5' ID CD ~
m ... f ::r III III ."
r- Z (S" b en 0 CD 1Il 0.
" en G> !4. ::I 0 0 N' ~ ::I g> Z ...
m c -(;It en '0 al III CD CD ID
ID 0. III III III
JJ JJ " ::I ::I " =II: a 3
~ 0 m 5' 5' ID ... ID
=i :I: :II CD CD go ~
)> ~ en en
" JJ =i s: ...
m G> 0 (j)
m " 0 " 0.
en m m I: c- ~ ::I:
m -0 CD
-(;It -(;It -(;It c: en m
m JJ - N. ~ 0
1Il CD CD ....-
:-+ "t:J 'V ~ ~
g> iir Z
......... 0 r' G)
<:::') 3 CD ::1.80
~ 3 , ....... ~
c:::. "P CD ::;! \ (l'- ~m
~~ 0 a ...Q "0 '" cZ ."
- " "0
~ 0, a m
CD f'J r- f CD "'0
c- o "'::1 0 c;
CD ." ~ ~(')::IJ
" :e ~ !!l:" -
JJ CD zlO
3 0 (5
CD :D Q en:Il:I:~:E: <~~G>:E::;! en ~ ::IJ
0
CD ..' ~ al~!aCD~ CD ... CD ;; III t. Z ~ ~ r-
-g: =II: ::r "(
Z ~ o -. :E III ag>o<",,, -
-. a 3:::t . ::r -. 3 m fj en :I>
=II: ~ 0 ~(S"a z en::l~~)>O ~ V) "0
CD 1 g: s' :;. ." m ~"
g> < :?::I~ C) +- ::D
C'i" :$. 0 ID o' - " en m
~ ID 0 :D 3 ::!. iir -< i:
!4. en ID ::I ::I en t,J =t "
... 1Il "0 CD iii-t CD
I: ~ m 0 ...
s g,
o. ~ ~
::I m I z
:D \ p
" c
~ (')
z {\J
-I I
() ~
o
III
CD
o 0 0 ~ 5' -
Ill"o;::;:_::r
lIl"a.::rOCD
CD_CD_3m
OO~::rlllo-
- 5> ~ CD =-'<
~r-1ll~21ll
_.-0.~'O
~ - - _.Ill"t:J
o::r::r~o--
... III -. III 0'<
,,-lIl::l<_
~~O'~CD~
~ CD 3 1Il (ii'1ll
o ~ III 0 3
o a.::I 0
"'0 0.3 CD
"CDo"t:Jo
~1Il0iD::r
~. =: ~ 0. _ ~
... - 0 CD CD -.
CDo--lIl\1lo
lIlCDo-O::l~
-, CD - 0. 1Il
~~0~1ll'<
(i). III ~ CD g ~
~o OI:CD
8 CD;::;:... 3
III ... III '< alii
~ g."t:J III _~ '0
~CD::I_CD
Illo...a.::r...
:g CD ~. ~ a ~,
-,:;....;:;:.........
o _. I: ::r ::r III
<~::I_CD::I
~_=~~o.
o::TlIl 0-
- CD cO' ~ * III
~Ill::::Ja~~
III '0 CD CD =:::1
::::J~ 0.0--0
!Il~~~g~
CD 0. _. CD
a. ~ 5' ::::J a.
'OCDCDOcg
iilOJ3g-
::::JCCDO'::r
-. - 0 ... III
::::Jr::r3:
~S2~Ill::T
CD Z _.::1 CD
,",00
,u~CD
~
~
.....
~
N
Co)
o
:l> 0
~ ~
~ ~
:D
~
!l:
c
~
aJ
m
Z
en
"
m
(")
-I
m
C
~ ~
o (.)
c 0
~ ~
I
Z
:l>
z
C
."
Z
:l>
.!:
I
(")
:l>
r
r
(")
~
:J:
:l>
r
r
0-
I:
1Il
5'
CD
1Il
en
::r
o
I:
iil
III
iD
00
!II
?
o>~a~
:II" 0
rn~~i~
^O~ _.
)>~:;:T>
<- 0
moo
. Z 0 "
en III s::
m en g. 1Il-
. S::::I"t:J::!
,,)>lIlCD
:II~lIl"'z
~ ~ ~i I
S; S::? 5.
^ ~:::rlp
mFnmz-
- O~CD
S::-f ~
z05!4.~
C11-fen"';::;:
~:::ren5::T
~mO~2
. O>iD 3
:::jrlllo-
-<00 CD
c......
Orlllo
"~8:;
"-;::;:1:
:II 0 0' '0
-Z::l"'2.
Oenlll'<
JJ - 1Il III
S;~~5.
^~a....
mS:::!l~
-mOl:
-,-zo...
0)-f"'::I
",>"'2.0
8 z~~
m o~::!.
> _. ::I
G> :T'fil
r en-
m .g!2:
"t:JCD
-<a.
"t:J
CD
...
> -f
0. ::T
a. CD
;::;: '0
0. ...
::I 0'
~ CD
sa.
5. :::r
CDO
o I:
CD 1Il
;:J.CD
::o::::r
o.m
III _ 5.
CD 5' en
OCD 1il
;a;l s
o en 0' ::T
o - ::I CD
I:JJ 1Il a
~ g ~ ~.
~ a. 0- 1il
~~ g ~
0-!4. iD
CD 0- a.
(ii' CD a
en en
1:1: -(;It
CD 0- (,)
po. 3 C11
a' 0
CD 0
a. CD a
~. ~ I:
:T ::T <go
i I
5'
=: III
5. 5.
I !
I i
0- o'
CD ::I
0'
iD
0-
E
9=
'<
o
I:
...
5'
o
c-
a.
CD
1Il
o
::I
CD
JJ
CD
3
CD
3
0-
CD
...
0'
~
0.
:T
CD
~
a
CD
en
I:
a
::T
III
...
CD
CD
o
::I
:T
CD
0-
o
==
o
3
sa.
:T
(ii.
III
"t:J
"'2.
o'
a
0'
::I
"
CD
CD
en
o
::T
CD
a.
I:
CD
o en
o 5.
3 CD
3 iD
~ Dr
~ 2.
-<
JJJJJJJJ:Il5'"
CD CD CD CD CD a.
1Il 1Il en 1Il en I:
C:C:C:C:C:!4.
CD CD CD CD CD ::!.
3. 3. 3. 3. 3. III
ffi: _~ _~ ffi: ffi: ~
>>G>:::r:::r~
08:elmm3
O;::;:,,=-ct.CD
::I 0' _. ::I ::I ...
-< ::I iD CD CD Q.
1Il'O Ogo~
gorr 2. >go
?: CD '< 0 s::
CD I:
i>> 2F.
~ ;,
o III
~ 2.
-<
5'"
a.
I:
~ ~
~ 9
Dr
2.
-<
-(;It -(;It -(;It -(;It -(;It -'-
~~~~~~
0, 0, 0, 0,(11 sa.
o 0 0 0 0 _,
o
0-
o
o
!4.
~
(,)
<0
0,
o
3
5.
3'
I:
2-
"
c
2:
o.
s::
~
~
2,
o -<
-
::T
~
~
"'0
m
~~:-
;<~:l<
=l!~
~ "
7\
Qa.:n
".:;; 1i"
~
g
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3. Yellow
File
City
Applicanl
Applicant:
Address:
Signature:
Legal Description: Lot J- Block I Sub: ~
Site Address: aq~) lD III \c\.s Ll1/n.L
Building Pennit# ~S -OO~() PID # ,2S--.jD 7 - O()..L-D
NOTE: This pennit will not be processed without complete infonnation.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
I Bath Tub 'J:~ er without shower $ 6.00 ~)lOD
/ Dishwasher $ 6.00 f..o, 00
I Floor Drain $ 6.00 I,., I 0(")
.3 Lavatory (bathroom sink) $ 6.00 J g~ 0(\
I Laundry Tray (1 Cl!t-compartment sink) $ 6.00 Cc,.OO
I Shower Stall $ 6.00 L~lO{)
I Sinks: $ 6.00 1: I oe,
Bar Sink $ 6.00
~ Water Closet (toilet) $ 6.00 Jd l 00
~ Rough-ins $ 6.00 /8 I 00
J Water Heater $ 6.00 L"l'lV'\
Water Softner $ 6.00
/ Stand Pipe (washing machine) $ 6.00 In'll()
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE
GRAND TOTAL $
.50
9~ ,.07)
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.
RECEIPT NO. t/klfs' DATE
ArrEST
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
GREEN - FILE
YELLOW - A....UCANT
GOLD . CITY
CITY OF PRIOR LAKE NO. tfS-.lj
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: C-oQQ lC\) Q \u W)G\ c\J~ PHONE:Y l <)..'1-j \ \0
ADDRESS: <;O~ct ~h0 J'~ \'--Il '\)r M OLt~~ 5S'3&rlATE: 4.-\0 '<1 S
SIGNATURE: t} Cc.U..V'\..VnAJ_ ~ BLDG. PERMIT # flS- -0130
SITE ADDRESS: d q"bo Lv ,\ ()~~~ PID#o!.S--j{)7 -00;..-0
FILL IN THE BLANKS
1. Estimated length of water service ~l)
2. Size of water service \\\\~ inch(es).
3. Location of any couplings from structure feet.
4. Type of sewer pipe. ABS PVC l--" Cast Iron
feet.
5. Estimated length of sewer line It\)
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
ByJ/7-di4J"I/./, ft'- DATE: 'lIIo/1S'"
====== ==========~===============================================
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 1/M/?S-
RECEIPT # J... 7J...1c 7
AMOUNT PAID '!f1' SlJ
REC'D BY l' a
4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
White - Building
Canary - Engineering
Pink - Planning
Tho Conlor of lho LIb Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~(\~~~~...
~ -q -IS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.'2Q30 lj'L~ ~~
Accepted
Accepted With Corrections ~
Denied
Reviewed B/{?J2 ~~
Date:
2 -I$"-~
Comments:
\.~~ ~,,~ ~c.s.. ~~
(.,~ Y-'\~ ~~ ~ IJ.A:lU -fat+' I~~~
3.~ ~c9-.~fl_ ~ ~~~
LI.N(!)t~ ~\clw~ ~C4~/ ~ c~~ ~tS'
IThe 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."
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.r of Ih. L.k. Cou.lry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
f\ I ,\ 1"-
\ \ ..' y' i '. lJ i
\): \ ,rJ--'f.o' \_.f'l.""'."...C/...: //........ \. IT ,.~..
I
APPLICATION RECEIVED
" -" "'''-'
, '_..' '~."
~. - f~- /J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~"- (,4 '~' ,r"
...... i........;.,.
"
'.. '-..::.,
'.
.' "'"\./v".L
Accepted /'
Denied -;: 0 ~
Reviewed By: ~ Date: !}-I(,.C; S-
Comments: -f1j fWL .~ flfM.- SJ1Ja-r~ 6h1rd~
Accepted With Corrections
"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 yle~of this code or other
ordinances of the jurisdiction shall not be valid."-
.,
(1'1
. .'
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.r or .ho Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT~~ ! ~,
APPLICATION RECEIVED 1/ r / ?1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cOl)struction activity which is proposed at:
)..930 V~:t ~
Accepted ~,. Accepted With Corrections
Denied
Reviewed By:
'J c
~:J~~~~~.~
#-"-.u ''ui1iI-Ik~~J 91A
liThe issuance or granting of a pe~it 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. II
..Y'-,.'.......~. i'r'"
f~/ ;51)
Th~ C~"ler of I"~ Lake Coa..lry
fflp Wd I'K 1/5'/ I({:>
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (;"1.'1-1-. (~J -.)~J {f--. ..J2..u .
, .
APPLICATION RECEIVED ~ /9/15
, (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con~truction activity which is proposed at:
;;'930 1JJtlyet~
~
Accepted
Accepted With Corrections
Denied
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 1130 C>>llds (~__
NATURE OF WORK .
USE OF BUILDING S Pb
PERMIT NO. _ ~5' 03 v DATE ISSUED /027"7
CONTRACTOR l~e.'JJ~J ('11~JO"Y') ~r~ vL gv.- I ivy.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
s . ~ S INSPECTOR DATE
.
SEWER I WATER I SEPTIC
FRAMING
INSULATIO
ELECTRICAL
PLUMBING .
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
FOUNDATION (Prior to Backfill) B ~.).' <')
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
(Z\-\
...0'
1.(.....
......")
\. r
J'
II' .,.
I" .,'
I' . It,. ~-,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.J 5.
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 447-4230