HomeMy WebLinkAboutBuilding Permit 99-0701
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Ik7 ~ Owner of Building Site Address 4562 HUMMINGBIRD TRAIL
(~~.. ~~ C 'N &Addr WINDWOOD HOMES PO BOX 24329 APPLE VALLEY. MN 55124
(" - ontrac~s aIDe ~..
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(~. ~ ;;::;, 1I01\FlI1' n HIT1'r:JITNS rity Planner JENNI TOVAR ~.
',," -:: ~ )'lldi,.OtyciaJ :.
(~~~ . Date: I ( I ~ ,/ 0'1 Date: . ~
~ -: I POST IN A CONSPICUOUS PLACE :-
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CITY OF PRIOR LAKE
jDepartment of jSuilbing 3Jn~pedion
~FinaJ Permitted 0 Conditional C.O. Expires
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Penni,~" 99-701
N/A
Zoning District
R1
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 Classificatiol'1
SINGLE FAMILY
'........1 n..~"'..'"r....
L7. B3 ~~OB HILL 3RD ADDITION
,c.<,:",'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
)(/;<;;jo-e 1rJ;(R;
ADDRESS
45 (;, 2-
t+1A.MMYt~ j.,:.JJ 7Z2,
J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"JiitFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,
COMMENTS: >;t"Q ... ~,
oJ:,nf
,
L-vv
.6c '-~
~- ,;2:t,j
p~
,p~-;>-
A'
c:r1~ ?(J I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I
lAqPA ~
~_.
~..f2 ~
/Jr~.~~/
(
--
-
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----
-
~-
)II WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~t
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
, crrv'OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS --':}~ 'Z.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)( FINAL
o SITE INSPECTION
COMMENTS:
~ts OJ<.
Cu _0" {)K
DATE TIME
SCHEDULED
~
t-IlMlM'^Jr.. RI/2 f'\ 1A.dL1
CONTR. f,J'rJ/:lv.Jooo UOMES
PERMIT NO. 99-701
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~,.j <5#ff~""," UN17l. .$CClClE."
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 51: .-_ n....n...,..lf.ontr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
INSNOTl
~._--r----_._--
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~#<n F30
45GZ- ,l-/UI'1/'-1IN~8/.eD
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
Ir. 0 PLUMBING RI
o MECH RI
~WATERHOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS~ ,1 ,;
~). ~~ 40
~r' I~P LL uff~
\9'\'(1fuJ'/'A G K-
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So- knt ()/f.-
/
o tORK SA TIS
o CORRECT A TI
o CORRECT W
qc;- 70 /
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
'{Jvc.
No L+OJ
hK
, I
\h,(~
TORY, PROCEED
D ROCEED
FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447.JsSO ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQJRJMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V /NSJWTl
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Hu.kt\JNUwLi
CONr,{.
ADDRESS 1.f5coZ..
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~WA ERHOOKUP
^ 0 R HOOKUP
("'1 MBING FINAL
o MECH FINAL
COMMENTS:
(~) ~ [.If.>
~\1
G) YLoJ Q
~A'
f~~f
II )'J~
V-tnrI ....,
V
,.-.../1
lA--V ~
) 04E ;rIME
r 11 i>~ -'If..--
qq- 10 I
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~i~
o~
OCEED
OCEED
OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-9850JOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
11
~-
OWNER
~
L1 S It:> 7_
DATE TIME
SCHEDULED ~? 3e)
JlvI'1M/ N'~ 6/ JeL)
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
CONTR.
PHONE NO.
PERMIT NO.
9?-~70(
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
/ mECH FINAL
o EXlGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
) Sd ~Af~ A/"1
ozJ ~9 ~.u' . r9AAt\ft ~
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V &vs-;-IY-, ( ~~,
ro ~~l- ~'-t;AlA~A-J r\~1;~:_~ _UL~
o
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o WORK A TISF T
~c RRE AC
CORRECT
Inspector:. Owner/Contr:
CA{L 44...7r~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD\ R/!,QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
11
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
t!ATF r:lFr.~
JUN - 9 I!:m
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS ,I I
As'"b2- 't-WM lI/\,uV",'6112.6. T~ L
3. LEGAL DESCRIPTION
LOT
l
BLOCK
ADDITION
140iAh~llWccfr~~
15. ARCHITECT
6. BUILDER
(Name)
(Address)
(Name)
(Address)
1. White
2. Pink
3 Yellow
File
City
Applicant
Permit No.
99-70 J
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
PID z5-.349- t72Z-o
12. NO. OF STORIES
13. ~oNs;FgN
14. FLOOR AREA APPORTIONMENT USE
(Tel No)
(TeL No.1
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Rs-roofing CI Porch 0
New constructiO~'W Alterations 0 Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement D 16. PROJECT COSTNALUE
Chimney Ll MIS/" / 35 f!~t)
8. PROPERTY AREA OR ACRES 19. PROP"ERTY DiMENSIONS r10. CULVERT SIZE 17. COMPLETlb~D~~
Sq. Ft r-/Z POO Width 1,1 Depth 4, Yes No 11115;'1'1
I hereby ~rti - IS e In 0 alion 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 abov e 10 roperty d that construction will confonn to all existing state and local laws and will proceed in accordance with submitled plans. I am aware that the
building offi . I n revo _ his . or just cause. Furthermore, I hereby agree thai the city official or a designee may enter upon the property to pertorm neede;t'lnsgktions.
X - <. :u4i fa!~/4~
/ I -",..-- ature Ucense No i' ~e
! I
SETBACKS: Requir.d
Actual
SEATS
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
s~o
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
MATERIAL FILED WITH APPLICATION
Side
SOil TESTS
Ll
Ll
ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
/<1"1.01')0. r=:JiT"'
Ll
" $
Pressure Reducer .o/.e.................... cr
Meter Hom ....!:;J;,H.................. ....... cr
Water Meter ..1/:>........................... cr
Sewer & Water Connection Fee ........... $~';2 .t:)r:J. (t),<,.
WaterTowerFee ........................... $ 'IfJt'9. (T'j~
Water Tap ................................... $
Builder's Deposit ............................ $ I. C;CJI'J.. cJl'::)
.,
Other ......................................... $_
Totel Due .........................m.. $ ./fR'J 6 . d.d--
Peid ?t. O. z.-"1- R.c.ipt No. :1 w 0 "S-
Dat. if; /.;<.S'/'f q By.-lM--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce anft may proceed,4( requested. This document whe~
~) ~t flenn.r con"'ut.. e tempora"! Cenificate of Zoning complianca and aliows cons c1ion 10 commen 9. Befow ~c>>p..".ncx.!-Certibt. of IlFcupancy must bectued~
~- ('",,-2-:3.qc2c ~ _I L-Nl.-LA.UJAA Vf'.\ .l.!-~""" <-
City Planner Date Special Conditioos W any
TYPE OF CONSTRUCTION: I II III I~
Occupancy Group A B E F X I M (,.ff S U
. DN;"," 1 2(J/4 I I 3-;:) de:;-
PermIt Fee ................................... $ I .
rns."l7
7 <{ s-o
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $ l 00 ...d>C)
Mechanical Permit Fee ..................... $ '.P...vC:; . rJ-O
Sew.,&Wet.rPenntt ...................... $ -S-S- _.,,-0
Gas Fireplace Pennit ~.... ................ $ '10 _ t:>e:>
This ~JJ1com our Building Pennit When t\P~d.
By ~ De1e /.-/7-7 I
Certificate of Occ~cy
Issued
City:
jlJ\}<
~
PLOT PLAN
Amount Brought Forward .................. <I:
Park Support Fee .... ....................... <t
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... <I:
850. as
/050.00
Ljt;-_6Q
{ :;/5.00
11--'-....-
24 hour notice for all inspections 447-9850
-,.
;- ~'~- ~:':"~:;"';;;:;'~:~~ .:i.... _-70 I
~ ~ Pllor Lake, MN 55372 ..
HEATING APPLICATION I PERMIT
I I I q q GommeKlal
/ Dale -I - PID' z..5'.3~q- OZ2.-0
--- Sile Addr... t.ifj(q:J._ kJlJ W1W1/()Gl hf'lL 'ff-: W, IE . K./ _ Fee Schedule
lol ..:1- BIxk.3 Mdilion ItrVJh fh II . ~d, _ Ind..slIial, Commercial 8. Mu~~Family
. 1'1)') . _,J . . --" -.Jm"" I ~ Reslllenlial, ~Ieali"g.& ^C
OwnelSMame A %JfJLUUD{)J /lJ1J"Lo<..A..J Rill '1H ,. Only
" . "'-: / e~ entia I ea mg
Add,es, M WN ~q ()lJIJ/; vaUv.+, mfll 6Slt#f nesidenlial, Ga, F.oplace
. . /1, ,A VJ"Y1,^','UML .yA~ j Residenlial,Addilions&Merdons
HeallngConl'acIO~JIA I.. AJI Nr'IITi Y ~LIA, ~1.d'esidenUal, ACOnly
Addles! jc;/~t5 rloAAlill1J1lJ Iihll1<tJYYn11iframfllS)[ff4
. - V J
Telep"o,o' fo5l-'f.rp,.q-5"15~
Furnaca Mak. & Model ~a -11'1)
Mod eI S111 I tr; DI'J/'J
.'.1'1"1: of- li I rtut. I UK;'
Induslrial
Public
MuIlHemilll
Other.
Single Family
c,..---
Two-Family
",~ 01 job easl(539.50 millimum)
599.50
$64.50
$:19.50
$:19.50
539.50
I
Remembe,lo add Ihe Slale Sun:hargll on Ihll bol1om ollhls appficalian.
Conn. load
Fuel A h+.fVl ~ Flue Slz.
, .
24
II
fi /I
TYPE OF SYSTEM
Warm Air PI..lI
Gmily
Meeharical f:hYTf"/J (})Ji I .
A~ Condilloni"ll
VenL Sy s1.m
The p,",e 01 you. healing peJm;'lnctudes an. ,ough-in and one fila! inlpeedoR.
AddiUonal inspecllo"" win b. binod al $:15.00 .ach.
HousII Healing Te.1 Record mul' be s\lbmillecl whh l" 1;Iot'...1ltllDiI 0llIlIbH bIllerll IJuold-
ing e"lilieall 01 oeClJp.ncy will be issu.... .
!:If.AI CALCULATIONS RI'I'IIIRI''1 wiltlnumber 01 supply and rel..n openl~ listed per
room w lh CfM', pit. opening. N.., Ilr\/CIUI" or addalo", .end I100r plan with supply
and return loealion, !hown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE. 112.011 EAGLE
CREEK AYE. 5.E. PRIOR LAKE, MN 55372.
Retum Openi"lll
Inpul It{) /IN) _ Oulput rrq II/) ()
/ - , ~
HEATlNG OR POWER PLANT
Slum
Hol Wallf .
Radiallan .
Spec; a! D .vie..
Supply Op.nlf1l}'
8uildlnO hlml ,
In4,5tJ
.50
(j)6'(;0
qtJ-tfl)/
City Hall buslnes. hours a'II 8 a.lIL. 4::JO p.m.
ALL WORK MUST BE INSPECTED (ROUGH. IN AND FINALI' CALL CITY HALL
441-423Q
I "ereby apply 10f a mechanical .ylleml permll and I aclenowledgll Ihalllll
Information abovl Ie comple'l end accurall; Ihal Ihl wo,k will b.ln conrOlmenCI
w"h Ihe ordlnlncII. and cod.. 01 till ell, and wllh Ihl "Itll bundlnplche.ical
codlls; Ihallhl. Iorm dOli not becoml a p",mll unlll elgnld by thl BUILDINQ
OFF~ Ihal Ihll Walk wDl bll In acco,dance wllh th. Ipproved plln In th.
cde 01 all\work which 1_lrlll '1lYlew end epp,oval of planl,
Edr.
Clm,
~
"" Ablatlonl
.....
..
.., Repal'
0
a> Ell. Co.I'
a>
....
'" HEATING PERMIT FEE'
.....
.,
.....
..... STATE SUf1QWIGE 5
roTAL PEi'.Mrr FEES J
Olh" Ollvieas
TYPE OF WORK
Replaclm.nt
ElL Comp. Oal. .
N.w ConllIVellon V
~~_..
PAID WITH
BUILDING p=:~~ 'IT
F.lIU4>I ,
J/-;/-19
Dall'
1/ //S!t1
1:a18
iV'
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant//////tJ, J /J///~/y~2'
Address: -&() rY7////47 //7;(.
Signature: r;lJ7/~- /}'}--/7J?'J~
Legal Description: Lot 7 l'\IOCk~ Sub K./VOB rtfI-I- 32.0
SiteAddress:~/X7 U.///'H4/n4/.-Y1/'./y~ _~///J R.I
Building Permit # .. 99- 7/,}/.../ PID#-"S-.349-oZ2,-(')
NOTE: This permit will not be processed without complete information.
10/21/99 THU 13:14 FAX 6124474245
CITY OF PRIOR LAKE
'"'"."'\~1r
FIXTURE UNITS
"
Quantity Type of Fixture Quantity
T Bath Tub with or without shower ~
) Dishwasher /
/ Floor Drain
~ Lavatory (bathroom sink) /
I Laundry Tray (lor 2 compartment sink)
I J Shower Stall
I / Sinks
I Bar Sink
I .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
GRAND TOTAL
@001
I. Blue
2. Cold
3. Yellow
rile
City
^J'lf'liCMl
#
CJ9- 70/
Phone:
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
BackfJow Assembly Test
Lawn Sprinkler
Other
$
$
$
$ .50
/PAIO WITH :T
$~LDING.J'!-RM~ ~
This permit is granted upon the express condition lhat said
conlrnctor. shan comply in all rc.Cipccts with the ordin~ncc!i
of lhe State Plumbin e d \d en thereof.
OCT 2 5 1999
Call for inspections 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
II
.L.
.=-,...-......__.
GREE. - 'M.E
YELLOW. APnlCAtrr
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. qtf- 7tJ I
NOTE:
Sewer and Water
contractors must
be registered
with the City.
l>"'c.~\-".r ~.~",-+;"")
'1-(;~ fJl .p ~ , n~
APPLICANT: ~ V1./VI ....,. .c-_-...;
ADDRESS: l/,\I~ .3".,\,,, w.u
SIGNATURE: ~i... _ tJi-VI k
, -
SITE ADDRESS: .., S'"~ L I-l~",..;,,~\.:.;~! \~.
FILL IN THE BLANKS
~
PHONE: Cl.~~) gqL.'t:.'>OC
DATE: 'l/ ./.,'1
BLDG. PERMIT # 99- 70 (
PID# Z5-3t./c;- 02.2-0
1. Estimated length of water service
{'b
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
- feet.
4. Type of sewer pipe. ABS
PVC 'f..
Cast Iron
5.
Estimated length of sewer line (lO
Clean out (if required), located
structure.
at
feet.
.-/"
feet
from
6.
BY
es your permit when approved.~~
DATE: q/ ! 17
This
----------
----------
======================================================
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 buildin~ permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
issued.
DATE PAID
RECEIPT #
\
AMOUNT PAID ,,;,:,0.
C'\~'-\ .
REC'O BY e\..l\\'"
"
-.,,\
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~~
QC)-70/
The ('tnlff of lhe Like Counlry
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT IV / /1/ 0 rv () () Q No 1'1 ES
APPLICATION RECEIVED (p / q / 9 q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45b z.. /-((/1'11'-1 ( /II q B / eD 772- .
Accepted
Accepted With Corrections
Denied
Reviewed By:{i1J t!. A-
.Y
Date:
&-f?- ?(
Comments:
J.~ab~~w~
"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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-- .....--...--
-",",-~"""'-'.-'--,
~
_.~
~
i
White . Building
Canary . Engineering
Pink . Planning
Thr Crnlrr of lhr Llkr Counlry
I'IIIILDINr. PERMIT APPLICATION DEPARTMENT CHECKlISr
NAME OF APPLICANT
APPLICATION RECEIVED
,I
,
/'
/ ,'--; /
(-,
i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..',(
'-.....
<:-.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~l~
Date:
to. 2-. '3 -ti '7
Comments:
ArrltLL~/~~ ~.~9-0~Q ~ L~~CLVe
~~r <Cr~ ~~m01 /Jeerv \lO r~ }Jtv.LM
l.l~\\ ~ ~~2 e- ~ ~ 1rIr>; /wS
~ ~p \!\N\/\JVlAJAAA ~e.:r~J<. M_ If) ~~
~t9-VI-\ -&{j(.\LVe qo s~ ~rv~ l~lAe-(..
"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."
I
qr;- 7C!
ThIl'C....It'foflh'l lIlhCflunlry
White - Building
Canary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
:,.'.,
Iv I II/U HOC [)
~/~ /C;c;
r
/-fo ;t1 c ~
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45bz.. HUNIL/fNq81k:D 772..,
Accepted
/
Accepted With Corrections
Denied
Reviewed By: JJJ4LT1Yl E:J.JI/E:<C"''''N.J
Date: (,,/1.~/99
Comments: RUIitMFt:: Mo,Jsr 1]~ ~t'JAh/F"~f) ~ AIlJO /QLc/IJr. 'UQr4-'AJ4&E. ~ UTie-,T't'_
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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."
I J
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~c;-t'oQ ~\lIM'^^t'^Jl,~~ -\-r-=J
NATURE OF WORK '1\.p11 \ C "'~
USE OF BUILDING SFD
PERMIT NO. qq - 1(') l DATE ISSUED G, -n -"l9
CONTRACTOR ~~ t,^,{)I'\'"'O.~ \4.6YIt\<>s..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I .
INSPECTOR
I FOOTING (JJ I i:r
I FOUNDATION (Prior to Backfill)~;;r~ b '1-2-11 j),."/t, lA" 1-Q-1';
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROU~H - INS
SEWER I WATER I SEPTIC (JV 918";'1~ ,
FRAMING (j ~
INSULATION II (h /U4'fr"
ELECTRICAL ,
PLUMBING 1aJ) IdeA ~
HEATING (if required) (' f&.- );;../:;-/1,; I
FIREPLACE.. .It' /Zo/""/ff I
GAS LINE AIR TEST ~"'f.t, {2/CJ"h~ I
COVER NO WORK UNTIL BOVE HAS BEEN SIGNED
I I
FINALS
.we; &./i"(OlJ
fR.1
DATE
I ~:- 6ZJ (l)
(t, ~ (... - ~ q
.~-- --...
- - -- .
GRADING (Prior to Sodding)
BUILDING "fs)>, ti>> 'i11/11\ CjJ, /ltlJIJI
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
/1//6//J'1)
, I
..........
~J f/m~ \ l") .(Jd
UNTIL ABOVE ~Ajs BEEN SIGNED
NOTICE J
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 inspectrons
FOR ALL INSPECTIONS (612) 447-9850
, ,