HomeMy WebLinkAboutBuilding Permit 99-0661
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'l-z.s.!f'1 r~~~
ADDRESS 33 '73 ~Gl'j,u wAo1l:::.IL-
OWNER CONTR.
337'3 - '1''i, - <..l.oO
PERMIT NO'3~?'5- ~"'t=.kl~5
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
~ WATER HOOKUP 0 FIREPLACE RI
J.! SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
SCHEDULED
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTll0 I If ('~I..I> p......J.. a.X' ~ s-~
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#.I-t;;l-A-
o '~K SATISFACTORY, PROCEED
~;;RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ID -28-i' II :00
ADDRESS 3 ~ 7 os- C; 1\1 VI l. tr~L.o..
U
OWNER CONTR.
PHONE NO.
PERMIT NO.
'f1-('~{
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}'l- FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)Z(. PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. ?t....."'Cv.,
t:J
d-6..";'M~r"""":\ S"<;MJt ~.
V U 7J t.J;>
i:0
r>t-'
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ryt~ f,~/
~_ ,R.,..t:- ~.
o WORK SATISFACTORY, PRO~~/
?ORRECT ACTION AND PR02"'Un __
o CO~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspe~V ) _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTJ
"
, ,
DATE TIME
CITY OF PRIOR LAKE ~ .:J.B..oa
INSPECTION NOTICE SCHEDULED
ADDRESS ~37S &-)~~~
OWNER CONTR.
PHONE NO. PERMIT NO. qq -fo(p I
,
o FOOTING o PLUMBING RI o EXlGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL ~LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
is:.Sou P. C' () .
f"'Jes;e ~;Lo /
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: .-g - U~ Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
"
.,-_.._.._.._'-_..,-_._---~--
DATE TIME
CITY OF PRIOR LAKE
I~SPECTION NOTICE
SCHEDULED
iii s/9'1
A...,
ADDRESS 3'31'" CLvNWIl71':R f'ii't,,,_
OWNER
CONTR. .lJl;'".J5..UIJlJN 1-1....1':;
PHONE NO.
PERMIT NO.
99-t.~J
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
X FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
:l!!( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
GnA"E. IS Au..EPffiBU'
eu~ J~ (')WA.IOl.-r"'18A.h~'
v11,41AdA-JlJ SHoT' F'~;J',~ j~U_ .<'/JDlJ6I\
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~1
~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
"
~1
DAT!:' J:l:Fr.E.IYEQ.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
J. White
2. Pink
3. Yellow
File
City
Applicant
t:,/1/t?9
See 114/"; p/t..E #9f-bbO
Permit No. qq- ~(p /
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
3375 C:/v.N~6r(,. Tr",: / II/W
3. LEGAL DESCRIPTION
LOT S- BLOCK
ADDITION b/v/ln",J/l.fl'r ,..rr
;
(Name)
1. DATE
Ir J- f 9
~2-S0
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
.3 PID~S. 35;1- o~.,,-- ()
jJ//J7i.r/
13. TYPE OF CONSTRUCTION
4. OWNER
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
(Tel. No.) &5 J
1'. to. ~Y'o 0
6. BUILDER (Name)
Wl'N.Jh>t;N/V
/-101'1> ~ f
7. TYPE OF WORK
New Constructjo~
(Address) .
'895 //"z<- Dr 5....,'11' .;1,,,
t' ~ '14# 1>>/'/. SfJ~~
V Septic 0
Addition 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATC:::
Deck 0
Finish Attic 0
Ae-roofing LJ Porch 0
Ae-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
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 certify that I have furnished 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 II construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offici~ can reVOkefhiS ermi r just cause. Furthermore, I hereby agree that the city official or a design.ee may enter upon the property to perform needed inspections.
X LJ OAH /YrR ~-/- 97
/ ( Signature lICense No. Date
17. COMPLETION DATE
v
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION ~.oc::c>. t')~ PLOT PLAN 0
Front
BUILDING DEPARTMENT VALUATION
sPA-
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division1234 7 2--
PelTTli' Fee ................................... $--.1. -:J I . '::>
''711. 2:L
R'S.oo
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
g.~{l.t')t'i
I s-o . c:xs
Collective Street Fee ....................... $
Sewer Tap ................................... $
_ v $
Pressure Reducer ......?i!............... $
Meter Horn ......c::t...'z..................... $
Water Meter .....ff)........................ $ / 2t::;' .60
Sewer & Water Connection Fee ........... $~ct') .I")~
WaterTowerFee ........................... $ .-"}~t1 J9t:J
Water Tap ................................... $
Builder's Deposit ............................ $ - C -
Other ......................................... $
TOlal Due .............................. dl!~,"ll.o, 'eL
Paid f1 7'7(, - f 1 Receip, ",0, ;:357., z.- 7
Issued Date 7/7/ f1 By .Ma _
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni~g Ordinance and may proce: ~U:m:-;'his cbcument when
s~'9o y 'he Cily Pt''ji,ot:{es a temporary Certificate o'.J.ooi']ll ~mpliaoce aod allows constructioo to commeoco. Before occu.pancy, a Certificate of Occupancy must be issued.
I A, / , f"",N.r;y:"J
... 19' I er - Date Spacial Conditions ff any
24 hour notice for aU inspections 447-9850
Plan Check Fee ..................... ........ $
State Surcharge ............................. $
'l (; j) (')
Penalty ....................................... $'
I On . on
lI'J" .D(J
-<,c:;-so
~~;:"C"r7
By :v Date. ( -"!
Certificate of Occupancy
Plumbing Permit Fee ....................... $'
~f-
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $'
11
'-'"_.._---~~------"~-"-----
..
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Job Address 3375 .c::/~~/.,""
.' .
Heating contracto~d~
Name of Tester / "f.! . ( .
Date It) 'Fp - ?J; q
Percent O2 7
Percent co b
Percent CO2 <t'
Stack Temp. 130'
Combustion air is adequately supplied per F.
UMC Sec. 606
Input
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"
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake, MN 55372
qq-(p(.;j
MC
Pormit No.
Dalo
HEATING APPLICATION I PERMIT
{j-d-C;~ PID# 2-5-352...- 0/5-0
~::> 7<-' /1' "-
Silo Addro... .::>~.:.:> (", ...~'" . /.lr:"J
Lol ~ Block ~ Addilio/...i!tk,VN'WA-re.e. Soo7i'/
Owner's Name
l'-,i-J...:;y},.ui".'r/;L_
Addros.
HealingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER
Addr.... 2700 N. FAIRVIEW, ROSEVILLE, MN 55113
T .Iephono # _ 6 5 1 - 6 3 3 - 2 5 6 1
FIREPLACE
1i\Jm!!\I1l Mako & Model . dC'., f A.J bW
Model Sizo 0cC' me
Conn. Load
(
--'
"'FEe
TYPE OF SYSTEM
Warm Air Plants _
Gravity .
M.chanical
Air CondirioninQ
\/l,ni, ..,t5:;':I;
..,
p' ~" i
Nel'lJ C-Dn ?h-vcf1..f\.. V
Eva Ji"j P<rm'
'1F qq - (Pb /
(' PA.\O WITH
l BU\LDING PERMIT
j i ; . r ~
TOTAL PFflM!T rFES $
RlJcpirrl ft
SEP I 3 I!m
TYPE OF STRUCTURE
I Pi".
ll:~1I
l. Y~lIow
Single Family __
Two-Family
Induslrial
Commercial
Fee Schedule
lndu.c;lrial, Commercial &: Mulli"Family
Residenlial, Healing & AC
Residenlial. Healing Only
Residential, Gas rileplace
nesidential, Additions & AUeralions
Residenlial, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Public
Multi'Family
Other
Remember to add the State Surcharge on the bottom ollhis application.
Tile price 01 your heating permit includes one rough-in and one final inspeclion.
Addilional inspections will be billed al $35.00 .ach.
III
filt: II)
01, "C
CO"ft:tOf I
....
IN
1
10
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o
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ID
VI
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C.
ID
n
o
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ID
"\
House Healing Test Record must be submined wilh b.~H~inQ p~unit DJL.mb.eI before build-
i"" !!Iic'-:H'~ ',r . ~!T:f,r::y will be :3-"IJ:;,~!
"; openings t;sled pe
-,'-->:,:",,,- ~.-~,--! I'')or pl;l/1 wiih ~UDp!y
l::_Ai'" ~;, IhYMENT AND
.' r\'- "" '.C. 1f:~O:-
,_T :',',[ '~IJ' ;~TI(-"'!C rr''''!lln,,--, _I.
.,'..,.
-"J' "''''--'---''.'Ir',-.-,-
.,
C.,,!.
"~ Ul:ll;i-lIS ;:":Yllr:lluq~
LA'
"T-
-,
~iJ-,,/:;_?_-:-______
UoiC
3.iL919.'1
Oala --
m
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Ui,
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....
CITY OF PRIOR LAKE
18200 EegIe Creek Av. S.E. PemUt No. 99 ~(H;/
Prior l..ak&, UN 55372 .
AddleA
Telephone ,
Furn_Make & Model ~(')~
Mod8lSIu ~LJ -I.ro
Conn. lo8d
F~,(lal,~ueSae
SIIJlIlIY Openings \l
Retum ap.nlngs ~
ifnpul rct'CQOutput.-91,('f:yj
>-' .
, "'"d.
I : r.
N
z.,
~Im.
TYPE OF WORK
E
fIj\1te.ellons
IS)
Cil1epalr
.....
RepllCllmsnt
Eat. Camp. Dale
,
tyPE OF SYSTEM
Wum Air PIInIs
Gravl\y
Mechenlcal .............
Alr Cond.ranlng J-- 4- ~"
V8IJI. Splarn
HEAlING OR POWER PlANI'
SI8M1
Hol Waf.,
Rlldlalllon
Spacial DIYfcee
OIher Devices
NIlW Cans1JUC1ion
~
cPl. Cost $
m
~~EATING PERMIT FEES
BulldlngPermU qq-~tP/
~Q . 'Z>O ".. PAID WITH
lBUILOING PERMIT
.....
.>TAlE SURCHARGE S
z
i;rOTALPERMITFEES $_
.50
lCO .00
-
Recelpllt
TYPE OF STRUCTURI;
i.Pig
2. IlR
J. Yell..
Aloe
Oly
~
Single Family
)6
Muftl.Family
Public Dlher
TWQ-Fam~y
Induslrlal
Fee Schedul&
Induslrlal, Commercial & Mulfi.Family
Resldenllal, Healing & AC
RllSldenUaI, Heating Only.
Rssjdenlial, Gu Areplece
RllSjdenllal. Ad~"lons & Alle.aIlons
ResidenUaI. AC On\}I
1 % of Job cost ('39.50 m1111mum)
$99.50
164.50
139.50
'39.50
S39.50
Remember 10 add Ille Slate Surcharga on Ihebollom 0' lhi. epplice.ioo.
The.prlce 01 }lOur heeling permlllncludes one rougMn and one finallll5JlBClion.
Adol1lll fnlpec:liona will be blled el $35.00 ellCb.
House Heeling Tlltll Record musl be aubmlbed whh buIIdlng IIllIDIil DIl!IIbIr beforelluld-
Ing certlliceJe 01 occupancy win be issued.
I:iE6I CAt.cuumONS REOUIRED wllh numbeuhupply end relUm openlllgs Ilsled per
room wIIh CfU's pet opening. NlIW sltucIure8 01 eddIliGns send lIoor p/8n wilh lIIlpIIIy
and reIurn IacaIIona Ihown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE CITY OF PRIOR L.AKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall buafnllSS hours 8.. 8 a. m. " 4,30 p.m.
ALL WORK MUST BE INSPECTED (RDUGH-IN AND RNAL) - CALL CITY. HALL
441-4230
I hereby apply lor a mechanical syslems pelmit end I acknowledge Ihallhe
in'ormalion above i. complele and &Ccurate; Ihat the work will be in conformance
with Ihe ordinances and codes of Ihe city end wilh the slele bulidlnglmechanlcal
codes; Ihat Ihls lorm does nol bscome a permll unUl signed by Ihe BUILDING
OFFICIAL; thallhe work will be in accordance wilh lI1e approved plan In the
c::.1 all work IIV~ squires ",view and sPPloval 01 plans.
~~ic~S~ .' -5f1:~JeQg
7 g/qq
Date
JUN. 1.1999 10:02RM
GENZ-RYRN
NO. 925
P.1/11
ne CI'Il'fr qf n,. u~. en,,,,,
CITY OF PRIOR LAKE
PLUMBING PERMIT # qq-~(,/
Applicant: All. j/"\.D - Ql SU) . Phone: W ';l,~ - \144
Address: 14.., \4"6 S _ "R..c 'tu.n.. i.. ~,
Signature' X\-,~r'\ ~,~ .
Legal Description: Lot!::> Block .>:<' subG \qnll 'l\i1.il. c.cu:\-h
Site Address: '?,2,]n ~~ ~ll.i:.1.A.. ~~ ~Io\.f RZSO
auildlng Permit # qq - (p 6, I PIC # 25- 352. - 015-0
NOTE: This permit "'(ill not be processed without complete information.
FIXTURE UNITS
I. 81..
'- Gola
3. Yellow
Ale
Cily
AppliJ:lllt
Quantity Type of Fixture Quantity Type of Fixture
) Bath Tub wil1'1 or without shower :3 Rough-ins
J Dishwasher I Water Heater
\ Floor Drain el Water Sollner
~ Lavatory (bathroom sink) I Stand Pipe (washing machlnB)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Bacl<1low Assembly (RPZ, Double Cheek, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
d. Water Closet (toilet) Other
IndUStrial, Commercial &. Multi-Family
(1 % of job cost, $39.50 minimum)
,
Residential, New One &. Two Family
Residential, Additions &. Alterations
StatB Surcharge
$99.S0
$39.50
~
c pp..'O ~p.tAtt ~
, ~\)'tO'N
$ qq. 50
$
$
.sa
FEE" SCHEDULE
GRAND TOTAL
s /()(),aO
,"
This pel1Tlit is pled upon the e.press condhian thai said
con,",ctar. .hllll comply in IllI respects with the ordinances
ofthe Soue Plumbing Coc:Ie llIlQ the a~~~enlS theruaf.
Ri~NO. e/t?<; DATE
/f1tA. ___ ATTEST
Call for all i~ctions 24 hours in advance.
16200 Eagle Creek Av, S,E., Prior taIce, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-42~5
An Equal Opponunity Employer
JUN. 1.1999 10:03AM
GENZ-RYAN
NO. 925
P.2/11
_'I'LII
Ql,LQW . -.c.o1lT
.... " CIT'i
CITY OF PlUO:R LAD NO. q9.G~1
SEWER AND WATER PERMIT
~OTE: Sewer and Water
contractors must
]:;le reqistered
with the city.
APPLICANT: ~.....D.X\...D - ~oJ1
ADDRESS: )L.nW~ ~_1<h~ ~ DATE: .~J~'8l9S-
SIGNATURE:~J'i ~ BLDG_ PERMIT # 9?-~(P/
SITE ADDRESS: ';<;:2,-r~ ...M LtJ(ll.1 V~:t.A.Sl'::.'\rt.l~ .zs-.~52-OIS- 0
FILL IN THE BLANKS
I/^'
1. Estimated length of water service ~
PHONE: 49.~-1 \ 44
feet.
2 . Size of water service inch(es).
3. Location of any couplings frolll st;ructure feet.
4. Type of sewer pipe. ABS pvcl Cast Iron
I
5. Estimated length of selJer line ~feet.
6. Clean out (if req1.lired) . located at feet from
structl.lre.
=======================~==~===============================~======~
This app~~ti~be~~~r pe~it loin en approved.
BY ~~ DATE: ,I?J/qq
.' - ~, ,
================================____===__~_=~==~=~~---~~==z=~=====
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
surcharge
TO'J.1AL
* Fee for either sewer or water individually is $20.00 plus
$ .50 sl.lrcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
~o insure that no duplioate sewer and water permits are
lssued.
DATE PAID
RECEIPT #
AMOUNT PAID .......-'~~f\tA\'{..
REC'D BY _(~\}\\.O\N
. 4629 Dakota St. S.E., Prior laic", MU,nesota 55372 I Ph. (612) 4474230 m (612) 4474245
AN EQUAL OPPOImINfT'!' I!MPlLl1'El
'''''' ."..-" ~ ,.' "., . ~, .. -",.... ".,,,,:,"'" -,.
qC;- fr~1
White . Building
Canary - Engineering
Pink - Planning
Ta.e OralN .r lite lAkt c..".ry
BUILDING PERMIT APPLICATION DEPARTMENT C~CKLlSI.
NAME OF APPLICANT
APPLICATION RECEIVED
i vE IV:C 1'1 ;--11'1 rJ ;-I () I~l Ss
lei I /qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .'
3375 qLY1V'J\,/ATEi<- 77< N t/V
Accepted
,/
Accepted With Corrections -
Denied
Reviewed By: ~..,( E:'>lQ"~M"'JIJ"';
Date: ,./z.S/T7
Comments: ~ l"Iy.... I3e. l'"",vE."m "-0 "''''0 ,q~oNu O_~ f UTl~t"'t'
J""...E.....f-..tr"- AS ",u'H Ii< ~A<:rloIL.
No (!o........llv'n.'" 1k.....,,7Y "H'V~
0lL~1t. 1A..t1"'.,JI.....
"30 t:."'....,.. A <: 'TilE. ..,JIO-rLA,vO.
SE.E. I.JF"Il.f\1A1"'oO.J 0,,", RE..JElj.c." <;,0".
_<t:F. ATTAft-lNg.,,~: I. h","L (l,ttA<>;;" 1^"p~,,,,IO/..J ,,,,F.ltoWln..) Z. ~tVIOINC. p,~^,
3. J=:4.l)SIO~ (It'!\tT"4/')1 "'fEA<.JR.E'..S
'l. raosloN (}"IJTA..Ot- -PL.R;!U
"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."
II
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.
-
....... , -.~--
..---.,
~~
White - Building
Canary - Engineering
Pink - Planning
Thr C"rnlrr of thr L.kr Country
mm.,nING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED.
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
Reviewed By: _ * )~..YI-^-1"~
Comments:
Date:
G - ( <t -0/7
"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."
~~
qq- tR~!
Thl' ("I'nltrof lht LlhCounll'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPl..ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fVEN.5NANN HOM6S
fe/I/CJCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3375 crLVI\lWA I t:;-;e. /f<' N'tA!
Accepted
Accepted With Corrections
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Denied tf
Reviewed By: ~;r:...
Comments:
Date: &-1<1-'1 J
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"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 3375 ~t~:~~T- Irfi.i\
NATURE OF WORK Neu,) .Q;__~l'<J(,*'-e.-1.
USE OF BUILDING S FA
PERMIT NO. ~,l . DATE ISSUED (D-I'-/-17
CONTRACTOR \A)",^<:'IAA"lA~ \4
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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I FOOTING ( ~)
PO-""
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SEWER I WATER I SEPTIC
FRAMING
I INSULATION WJ..- ?~,
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UN ABOVE HAS BEEN SIGNED
ROUGH - INS
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COVER NO WORK U IL ABOVE HAS BEEN SIGNED
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FINALS "
, GRADING (Prior to Sodding) .' Air
BUILDING /\JA~r:()~ /f!J 7A4-J.r~
ELECTRICAL Au , ;t~Q
PLUMBING ~A Y /d-78
HEATING ( ID - '2f
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DO NOT 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.
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Call between 8:00 and 9:00 A.M. for all inspections
cnCl AI I INSPECTIONS (612) 447-9850