HomeMy WebLinkAboutBuilding Permit 99-0669
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CITY OF PRIOR LAKE ::I"~
Department of 1Sutlbing In!ipection ';":.'.' .~
~ Final Permitted 0 Conditional C.O. Expires JJ, ~
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This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of isslUlnce this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatiol'
SINGLE FAMILY
Bldg. Pennit N' 99-669
N/A
Zoning District
R1SD
Occupaocy Type
R3
Type Construction VN
Fire Zone
L5, B1 RASPBERRY RIDGE
Legal Description
,'iteAddress 15043 APPALOOSA TRAIL
1608 WEST HWY 13, BURNSVILLE MN
Owner of Building
contrac~ame&Add=' T.C. CONSTRUCTION INC.
,'-/ - I llllBFP'T' n l-HT'T'rt:nN~ .
v J Buil,ding OtyC.ial - City Planner
Date: ! () I i?-. II 1 I
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TlttJ1\TT 'l'').\lA lJ
Date:
POST IN A CONSPICUOUS PLACE
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CITY pF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS -":;~~ ,qpA4L.oDOS"l "1'AAlL
DATE TIME
9/2.717,
. I
A<f
PHONE NO.
PERMIT NO.
CONTR. -re. (!oNS-rAuGrlo,J
99- UtA 9
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
COMMENTS:
@Il!IOf!. 15 1I((~t>n4I'.u:..
~l1Jm/AJ .soL'-
FE,JC.l!
I..JAlTII_,
~ EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,v.~
)(.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: ~ r;t.1. , . ()w"~r/CoDtr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/50'13
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
:gJFINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
,~
COMMENTS: 'S~. ( (
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DATE TIME
tt9-(,.,I.?
o EX/GRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-~
~ WORK SATISFACTORY, PROCEED
(~ CORRECT ACTION AND PROCEED
o CORRECTlfO CALL FOR REINSPECTION BEFORE COVERING
I
Inspector: "Owner/Contr:
CALL 447-9~50 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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SCHEDULED
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
q:dO
ADDRESS \ 6C>4 3
Arf~A
OWNER
CONTR.
PHONE NO.
PERMIT NO. --.1.1- (, ~
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING N~ 0 WATER HOOKUP 0 FIREPLACE RI
~SULATIO 0 SEWER HOOKUP 0 FIREPLACE FINAL
~~NAL ~ '-::UMBING FINA" 0 GASLlNE AIR TST
o SITE INSPECTION ~~CH FINAL /' I 0
COMMENTS: l2-) PATl 0 ~.... '91 ~ ;"i ok..
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TION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9Sdo FOR T IE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUI)"MENTB ARE FOR YOUR PERSONAL HEALTH & SAFETYI
--V lNSNOTJ
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
.,.Iz.~ 3; (f{)
ADDRESS
/.50 ~3 /tP~"q~ Oo.sr1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tf9-~"o;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~D WATER HOOKUP
SEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
COMMENTS;t1/.IJ /' eJ.Jl
~J,JL
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A.L/ J7 p~; a1-o--
'-11 h.A -1-0 ~ ~ r'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
R-1 A'~,f)-a./ ,
~ ,. .'
".JJ.~ ~A1/1
/"
/'
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wo;;f' CALL FOR REINSPEcTION BEFORE COVERING
Inspector: I~( Owner/Contr:
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNQT1
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COMMENTS: ..,/l -
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J' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wn(\ALL FOR REINSPECTlON BEFORE COVERING
Inspector: !^ l ~I OWner/Conlr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
DATE TIME
SCHEDULED
7-JS'-'1't {6;<>o
LC:;O<.J-~
4r~ la-<c.
( ~ONTR.
PERMIT NO.
qq-(,,,q
~~D P~~:'~~:~
WATER HOOKUP
SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRADlFILLING
o LKSHOREnNETLANO
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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1}ATF RF~FIYFn
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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.
CJCJ-(p(p 9
J
1. DATE
ECTlONS
.ACES NUMBERED 1 THRU 17 MUST BE FILLED IN
:FORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
SITE ADDRESS
/ c:,nZJ?'
.~G l (:)~c......
\.
~\ ~\. Q
7. TYPE OF WOR\.-
New ConstructiOryt
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas 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 all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revokA th~perm-"or i'f!'f cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspecjiRns.
X ~~..>('" J~ WV\ /C) 7"V (, -'&-7'7
--- Signature license No. Date
3. LEGAL DESCRIPTION
LOT
S- BLOCK
V<. , \,~-I"V"" I
" (Na~~) - ,
T C ( <G A.--t
(Name)
ADDITION
4. OWNER
5. ARCHITECT
6. BUILDER
(Name)
:5";' [;
Fireplace CI
Alterations CJ
''""'
tPc)-<;f
,.e ISO
BUILDING INFORM.ATlON
11. SIZE OF STRUCTURE
(Heighl) (Width) (Depth)
12. NO. OF STORIES
PID ~5~34Z.~ 005-0
13. TYPE OF CONSTRUCTION
(Address)'
'kv'\L
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
1(001( fA k-d J-JI.../\.. J 13
~ \\c- (Tel. No.) /
.pc...f\hV' ~5(-/~iJ
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
(Address)
OCCUPANTS
Septic D
Addition 0
Deck 0
Finish Attic CI
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
- SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.:5PD
FOR ADMINISTRATIVE USE
Back
Side
Side
M.ATERIAL FILED WITH .APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 84 ,000. f') i')
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV ~U
Occupancy Group A B E F HIM -<tV S U
Division 1 2(!>4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
CollectiveStreel Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ..~~...................:
MeIer Horn ....t:.L..,................. ....... $
WalerMeter ...~.......................... $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
IJ<:;.c9cJ
/, 'J (,)D.(') 6
. ( 6 (') . 190
s:l~n,oG
Itl<;-I'l "'0
7eJ7 .:;ts-
511.1f'2
In -Off
q:;, (30
/00.00
'00.00
."?S". s-C>
~~
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid 704{:..47 ReceiptNQ. .?55l.t
I~ ./
Date "hr/f't:f By ~
. ,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed s requested. This document when
signe~ City Pla.n constitutes a temporal)' Certificate of Zoning compliance and allows cons'W"on to commence. Before occupancy, ~Certi~~ancY IJ\lst be issued.
. L ).{ A . . .AA _ 1.-"2-'- qc:; ~,J'::llnA "'\..~ 9 "~>iVI"~<"'"1\'I ,.,.,..v
,- - C ner ' Date ',", S~cial Conditions n any
24 hour notice for all inspections 447-9850
Gas Fireplace Permit ....................... $
This ~mes Inur Ruilding Permit ten.APp~vA<b.
By ~X ~~ Date -it, V~
Certificate of Occupancy
. .
!J:;0f0 . I9Q
.
70Lf0. "11
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Job Address _~f) At/llo'>~ PL
Heating Contractor A' ( S ~ do~_ ( -
Name of Tester f/.;b-
Date 9hile;q
Percent 0 ~.
Percent CO2 9 .3>~
Percent CO 1'0 Df. .
, ,
S ck >",0
ta Temp. ;;>7,
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: A:cht",j /J?(}77 _ PWm.b,i7t"A Pl)one' ~~I 1;;.~- 565'0
Address: I?~. &'ll I~:::l '7'/ $A,;5~~ ~
Signature: ~AI -1u. .
Legal Description: Lot <;" ock / . Sub /Fa~",,.;}/ L~ _,""
Site Address: /5fH1.3 Qlppa /wSD-- -J;t}, L- ie/s6
Building Permit # qq - tP't '1 PID # 2.=- -3+2-- 0 0::;' -0
NOTE: This permit will not be processed without complete information.
The Crnlerof the tikI' Counlr}
FIXTURE UNITS
Quantity Type of Fixture Quantity
I Bath Tub wit!:!. or without shower 1
I Dishwasher /
, Floor Drain
3> Lavatory (bathroom sink) I
/ Laundry Tray <li):>r 2 compartment sink)
~ Shower Stall
I Sinks
Bar Sink
:3 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
$99.50
$39.50
1. Blue
2. Gold
3. Yellow
file
City
Applicant
#
9v- -~~q
,
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
GRAND TOTAL tp.\O \N~'?i,'j\\\
\ eU\\.O\NI.:l .
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumb~'ng ame mInts thereof.
-- . R . e lift! DATE
ATIEST
Call for all inJections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
T
J.
GREEN - 'N.E
YELLOW . APPLtCaNT
GOLD. en....
CITY OF PRIOR LAKE NO. 99-&07
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: 'd"::' r \~ ~ X ~ PHONE: 7;) ^ 7 Lf /')0
ADDRESS: d ~fJ ~fl:t:/ L (J 1M ~ DATE: 7/14- /9 q
SIGNATURE: r,( A L 0-LL BLDG. PERMIT # QC;-fs,b9
SITE ADDRESS:;50L;'~PPAL-OOS/l- -r;re... PID# 25-34-2-- 005-0
.el so
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
BY
rb~es your permit when approved. /
)tY DATE: 1//4-- '1 '1
This
--------
--------
========================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~.Eo 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
7-(LI-97
\[.J\\r\ ...
AMOUNT PAID~f>,.\~;' 01=:'(("'\\'
~'
REC I D BY, eU\\"O
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
~j~~~Jr" llilUU Eagl.. CrHk Ay. S.E. r.rmi' No. -.!1'l-I'-IAQ
Prior Llk.., MN 55372 ~
__,. HEATING APPLICATION I PERMIT Single Family - lL_ Two-Family
U_t/l.-a~ ..,,1 Comme,clal
If /7 PIU, .25 -~2. - CJ()5 -6 -
. - L
Sile Add.ess . -)1, TN ~ _~ Ist;~? ~~~-tS1t 1111 Sclledule
;jJ ;eISo
Lot 5" Bloc!< I Add~ion ,RJ/.<;/lIiE-eRi! ,l(!IDtSE- -3 Induslrial, Commercial & Mull;.Fam;ly
~, ( J . ~ 4-/1' - L nesidential, Healing & AC
..L. .rl _. /...l..,. ~I'
Residenlial, Heating Only
Residential, Gas Fireplace
Residenlial, Add~ions & Allorations
Residential, AC Only
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Heating Conlraclor Ni/ J I./5/rJ.'}-")( ./...."
Address c?t())'1 E fd~ 1>1& it~.. #61"1 P,e//6U(3:
7 . . . . 5(,01/
Telephone' C; if ,;i. '73 7
Fumaco Make ~ ModeYih', '/y.wL_
Moldel Si,o /J.LlI') .. )$
D.le
o..n,,(5 Name
Md.ess
Conn. Load
Fuel
n/.~
flue Sizo
s""
Suw'v OplInings
(I
5'
Return Openings
Inpul 7(!J&IJ Oulplll (' IJ.~~,.
Edr.
Clm.
TYPE OF WORK
TYPE OF STRUCTURE.
.1.Yri_
InduSI.ial
M ulti.F amlry
Oilier
Pubic
1 % 01 job cosl (539.50 minimum)
199.5Q
164.50
S39.50
539.50
139.5Q
Remember to add lhe Slate Surcharge on the bollam of Ihis opplicalion.
TYPE OF S~5T[M
Warm Ai. Planls
Gr..ity
Moch."ic.1 ~
Atl Co,'\dirioning _
VonL System
The ",lee 01 your heating permil includes one rough.in .nd one liIlal inspeclioo_
Additional insp""lions will be iJilled .1 $35.00 each.
House Heating Tesl Record musl be submiUed with lIIliIl!imI WIIlliI!WIIJbll! before build-
ing certificate or occupancy witl be issued.
HEATING OR POWER PLANT
Steam .._...___
HolWalt>r
nadiaHon
Special O&vices __..
tlJ;:I\I C!\l.l;MLATIONS fi.EQUlB.!;U with number of supply .nd return aperings listed por
room wilh CFM's per opening. New strocture. or addil;oflS send "oar plan wilh supply
and reluIII loco lions 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.
Cily Hail business hours are 0 a.m. - 4;30 p.m.
Other De.iees
All WORK MUST BE INSPECTED (ROUGH.IN FlIfAl). CAU 1 HALL
j~a~y lo~ql!?:!!f.ys::::a:o mil a~n~~gelh.ll
in'mmalioll ab-o~e ~s complete and accurale; 1h Ihe work wHl be in cont,
willl Ihe ordinances .nd codes ollho city and WI e .tale !luHd;
code.; that this lorm does nol iJecomo a pelmil unlil sr9 y he BUILDING
OFFICIAL; Ihal tho work will.be in accordence with Ihe approved plan in Iho
case or an work which requjres rev;ew and approval of plans.
New Conslrucl;on IL-
Ropai,
Replacemont
Es" Comp. Oat.
Ou.ding Po,mil N
Me,alions
Est. C<JsI S
HEATING PERMIT FEE'
STATE SUnCHARGE ,
TOTAlPERMiTFEES ,
.50
'':<'77
Cf9-"B9
,...-pAID WITH
laUlLDlNG PERMIT
.
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White . Building
Canary . Engineering
Pink . Planning
Thr("rntuofthrl.abCountry
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT. 7- C- C C f\! <;77::'-
APPLICATION RECEIVED. (pI Z/CJ<;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5CL/-3 APP/) c()C':::rCJ/k; /I; c-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: I,lac,-"'''' E:'JdE"""""Af,J
Date: (o/Z3./H
I .
Comments: ;<'-''''''FI'" ",,,,;7 BE: ('o,,",uey/Cb
,
70 AND ALONe.... DtetTc~AChS ~
.rJ11 L./'r't'" E.A-"'~M~ As V'lAJr."" ~
Pn 4c..rtC!-":1e-
.sf="~ I/lJF...,f;l.MATI<'ltJ 0...\ RE:uF~<F </l'\~
r::..~~ A'T7"AC.I-/.M~JJT"s.! r MIUA~ C?RAo.E.. l/IJsPEClr~"1I1 /Jf 1~.....d",ATl""M' 2!. C!/t.II6/AJb R-I4AJ
'< EaO~'oN c",...J,ROL MEAs<J<>'ES
c.f F="Jt.e.<:.t'JAt C ...L......J'T1%?.. R A... J
"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
The (',nltr of the L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT "7 e Co tV.;. It:::-.
APPLICATION RECEIVED (p /2- //qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5oL/-3 APPA L..{)OS/9
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Accepted
Accepted With Corrections x:::..
Denied ? _
Reviewed ByJ - ()~~ k---
- 1
. Date: (p - I (,,-'V7
Comments:
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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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White . Building
Canary . Engineering
Pink . Planning
Thr Crnlrr of lhr Lab Counlry
BUILDING PEI:IMIT 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
r/
Accepted With Corrections
Denied
Reviewed By:
~ !&--~~
Date:
(0 .- J.- ( - c:; ~
Comments: .
~1 ~~ ~\A'3~~,a../IAA'l ~~ "1W'W~J(
'e{; CJV~ ~l~l ~
"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 -150 <-1~ Ap.r"\ ~c. ~,
NATURE OF WORK ~) (l....A.zJ...t-1 \ ,,\-.,'<:lv\
USE OF BUILDING .3F ))
PERMIT NO. ~."t
CONTRACTOR TC..~-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMrT
l FOOTING I INSPECTO rQ . I ~..I,. itT~
l FOUNDATION (Prior to Backfill) I" \ \ 1./IfF(;l;;!i;
PLACE NO CONCRETE UNTIL ABOVE ~S BEEN SIGNED
ROUGH -: INS
. SEWERfWATERfSEPTIC(~ . X;~"\'-, ~ . ~ \~1-9q I
FRAMING '- t,v ( , 't 1./J f '1 ~
INSULATION w;.. r~J 8 h 11 'I'i
ELECTRICAL - \\ I I
PLUMBING a"i (/}.J 8"./;I/'1:J
HEATING (if required~,~I~ ~ ~~'\V ~~'V;.\\11 ~- ~.Cj11
FIREPLACE .
. GAS LINE AIR TEST~Movv QA, 1,- C; ,o,~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
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'i'_. )O!/Z;'(f/
'Z't' I /
9- S:J.- ??-
,,,.'"
BEEN SldNED
DATE ISSUED
(p -((0 -~ 1
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j
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ~)
HEATING
DO NOT
In,
,
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.
OCCUpy UNTIL ABOVE
NOTICE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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