HomeMy WebLinkAboutBuilding Permit 99-0734
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
<6'-44';
TIME
ll:~
ADDRESS 1(,"72..,8
W.~r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Ojq- Tslf
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~' OMECHRI
, TER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: //' ~ Q...:....... ~ (I~
~.~Or~ ~~Si~
.ki-t~ '/0 ~' I, 'J~ ~ ~
3S(
.~.~ o-L
/d~~' w .~"-,,,J -.f,., I"~f.s.:i;o
:d...,-- cy,~~ ~..I':-'f ~9 I~
~~ ~ -P~"Jtfn.ll1<L .rrr-- ~ d--r:z:...u
1/~fif~ .
~ d..L riA-- .
kK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wft.K. 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
INSNOTJ
II
~ 2:30
/~728 WIIIIDSOt<!-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
AD WATER HOOKUP
o SEWER HOOKUP
\ ~PLUMBING FINAL
/D MECH FINAL
COMMENTS:
0A 10 ~iv ~I"l^".
()
~ fA 00
DATE TIME
qq - 734-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
t ~IAt-
IIA~
( \ I)
~ltVw---
ft^1
OiJ
"
htd- ~~ ~- rvf
(.Al ^rI /
-/
k,.,,:
o CORRECT ACTI A
S-ct>c~
CTION BEFORE COVERING
Inspector: er/Contr:
CALL 447-9~50 FOR THE N INSPECTION 24 HOURS IN ADVANCE,
CODE REQUI~ FOR YOUR PERSONAL HEALTH & SAFE~!
INSNOTJ
.,
-------".._-~--------
II'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS / (0 ? d'i? uJ I t--J D 36 f2-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)&.MECH FINA@
COMMENTS:
/. AI&o
F.~.
- C/f~
--- ~/fSL.r~
C/. (c
Cl. (c-- -
DATE TIME
/tJ-t.-9? /("Jy!!,o
LArJ6
1'9-734
o EX/GRAD/FILLING
o COMPLAINT _./.""J
Jl- FIREPLACE ~
o FIREPLACE FIN~
~ GASLINE AIR T~.(C;/
o
P62-+11 (r
o JIIORK SATISFACTORY, PROCEED
r! CORRECT ACTION AND~OCEED
o CORRECT WORfCl'LL ,t REINSPECTION BEFORE COVERING
Inspector: f / ' -tt- Owner/Contr:
CALL 447-~850-FOR VHE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~-K
ADDRESS / h "7 61 ~ (AJi ~ (OJVI_"",
OWNER CONTR.
PHONE NO.
PERMIT NO. -22 - r) '7.5 cI
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP~FIREPLACE FINAL
o PLUMBING FINA 0 GA5,l..IN~ AIR TST
o MECH FINAL :::, .~ I"
COMMENTS:
- 8.!z: (}1 ~~ ~~
.12~iJJ ~ f;~
r.-:i ~~ -~ ''"""
\.&~~~Jr J
~ ~
eU I) ~~
tl -
~ORK SATISFACTORY, PROCEED
10 CORRECT ACTION AND PROCEED
o CORRECT WO~OR REINSPECTION BEFORE COVERING
Inspector: ~ \~, Owner/Contr:
, J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
1 r,'--'-""'--'~~------"'-'-""____"'M_""___--'~._~'"--'--'''--,,-_...._",,--- ".-. .. .--'----------.----..-.-~-f'.
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
JUN I :; 1999 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2,SITEADDRES, lD12.. ~ W\N~SOQ LA-Ns.
3, LEGAL DESCRIPTION
-'i
LOT
ADDITION
BLOCK 3
\AI I L DP-1? N a:::-S-. ~
1. DATE
6(o-15-QQ
t</SD
PID -25-33~ - 073-0
~N D5, 2.~ ADI'.I\I01V
4. OWNER (Name)
bb~o!- O\\\I-\~
5, ARCHITECT (Nama)
~
(Name)
(Address)
K..L\ tJ K..I-\M-IM~
(Address)
6. BUILDER
(Tel. No.)
(Tal. No,)
t~A-OCc.. l-\-Ot-'\ ESj INC.
(Address) (Tel. No.)
1'C~4 \SO~ ~. W (Q1l.- 441-2A24
t'f10f lov'k, HI\l
Fireplace C1
Alterations 0
SepticLJ
Addition 0
Finish Attic 0
Deck 0
Re-roofing C1 Porch 0
Re-siding 0 Finish Basement 0
I. White
2. Pmk
3. Yellow
File
City
Applicant
Permit No.
qq-734-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
r---.
12, NO, OF STORIES
13. TYPE OF CONSTRUCTION
S \NJz ~E FI\I'l. DE-I/'tc..1-\
14. FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK
New Construction)(
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 m oned roperty and hat aU nstructlon will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 n r ke this pe It..for' t cause. Furth~re, I hereby aglee that the city official or a designee may enter upon the property to perform needed inspections.
X ..11 /\ ) :#- "2- ()(") c:::... 2. 2. ~ c:; (f)'" - (S - C(!:L
License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
..5FD
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
tV
@S U
q '711 . '2 s---
Co35, ?-'L
54 . eX)
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F !:l. I M
DiviSIOn 1 2 (j)4
Permit Fee .,............ ...............,.,... $
Side
Side
I JP, CJOO.OO
City,
;l6, PROJECT COSTNALUE
:w 100 oco. 00
17, COMPlETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS I""J PERCOLATION TESTS I""J
PLANS & SPECS I""J
SURVEY I""J
SETS
COPIES
PLOT PLAN
Cl
Amount Brought Forward .................. $
Park Support Fee ........................... It:
SAC mmUUUUUUuuuuuuuu.uuu $
~so . DO
I () <;'(1 . Dt'J
Collective Street Fee .... ............,...... $
Sewer Tap .............,..................... $
'./.. .
Pressure Reducer .1&..................... $
Meter Horn .........~......................... !I:
Water Meier u~k.'u.uu.u.u....u.uuu $ I as. Cft)
Sewer & Water Connection Fee ...,....... $--1. ~ (');) . ~
WaterTowarFea ,uumuumU'UUUU' $ . ~ DO . Cl'?
Water Tap ................................... $
Builder's Deposit ............................ $~I"'\{) . (30
Other;~~;,~~~.:::::::::::::::::::::::::::::: :--, '-{./ c;, ,1 j
Paid "/LII (" AI Receipt No,:> S7c,S~
Da,.l ! 1':, i q (f By Lf. k.lAJ
This is to certify that request in the above application and accompanying documents is In accordance with the City Zoning Ordinance and may prcx:eed as requ~ed. This document when
sig :~r constit~mporary Ck~;t~~~c;comPllance and allows construction to ~~.. ....". ....... Before occupancy. a Certificate of Occupancy must be Issued.
CIty Planner Dale Special Conditions if any
Plan Check Fee ......,.,.................... $
State Surcharge ........,.................... $
Penalty ..........,.......................,.... $
100.(<)0
lon.()f)
~5.5D
a(~ . 0{)
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................,.. $
Sewer & Water Permit .........,.,.......... 4::
Gas Fire ace Permit ....................... $
This Ii' eroml1 vn"r Building Permit When ~proved.
By - ~ Date (p~ 1-17
Certificate of occulncy .
Issued
"-"---_.._."._~..--~-
~
f~~
'8'~
24 hour notice for all inspections 447-4230
l./S. {)()
-r-""'''-.'~'''- ...--- -_._-
"
.... ..._.._-~_...._.._-,-_..,._-
----
. LP Gas Natural Gas.k
Job Address /Gf)~r{/I!(JI:iJr!Jl/
Heating Contractor .::r1:t-RE. INC.
Name of Tester
Date J() -"~'7y
Percent 0, R-
Percent CO ()
Percent CO ?s-
,
Stack Temp. .~.~~
Pressure "{,)o/t- tsP :
Input I/.,~
\
, ,
. "..~' "" " ,""" .,d .,. "
ca&aM - ...c
Y'EUOW . ... ~K:.IIT
GOLD - OfTt :
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
,I
S.w. No. rq - ~B4-
II
NOTE: sewer and wa~er
contractors m st
be reqiste ed
with the Ci.y.
PHONE: 6.5:/ '/s/ ,,1rY'O
DATE: 7 - <- 0 - f
~1!:~;17 L u..
BLDG. PERMIT iI -r 1,737
,..-.--' .
APPLICANT: ~ nso" bC4//d i1 :;
ADDRESS: ---I otos- f:.,'<jlu/?J-j/~ ~/;.t
--- ......-......,
SIGNATURE:
SITE'ADDRESS:
~
.. rILL IN THE BLANKS
t;
1. Estimated length of water service
4tt'cP
feet.
2. Si~e of water service
/,f" inch (es) .
3. Locati.on of any couplings from structure
feet.
4.
Type of sewer pipe.
ASS
PVC
~Cast Iron____
i..
I
t
.'6. Clean out (if required), located at. feet fr~'m
structure. . . I
~===~;===:~============~=======~~=======~~~=-====-=~~=::=~====n===
This applicat' your permit when approved. 111
BY DATE: ? /za/qq ~
=~=======- =~~=~=~===~======~=~==~=~=~====~====~=======~~~===:'===
5.
Estimated length of sewer line
.,cD
feet.
. .
,
water line connection permitl.
I
,
I
Fee for either sewer ~ water individually is $20.00 p~us
$ .50 surcharge. 11
I
Sewer and water permits issued for new construction must ~!lbe
recorded on the building permit card at the time of issua ce
to insure that no duplicate sewer and water permits re
issued. '--"" I
DATE PAID AMOUNT ~~rcJ i
B eo ,,\.j)\NG I'
RECEIPT # REC'D ~u
,
i -'
16200 Eagle Creek Av. S.E., ;;;or Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) ~'/-4245
:. An Equal OppO!1\1nity Employer .
i
fEES:
$
S
$
35.00
.50
35.50
Sewer and
Surcharge
TOTAL
"
"
tB 39\1d
9NI1\l^\l8X3 NOSNHor
0'32:2:15P
'30:02: 8551/51/50
II
"
III
CITY OF PRIOR LAKE Me
1&200 Eagle Cnek Av. S.E. P.,mi1 NIL
"'lor u.... IIN 55372
C;Cl- 7.2,4--
TYPE OF SmUCTURE
"",1'< .L:
......" !", .....
J. Gm>. t....,
J.vea- - CfIIIIlndar
HEATING APPUCATION I PERMIT
Il8I8 (1ir _ t'\ ~ - 4 ell PlD. ;z.s - ~- 023-0
Si8Addrea. /~72.9 (JJ.-ko/l. L.';. I< ISO
1DI A:- IIbcII . ~ Add~1on j11t.D~N&5S PoNDS 2 NO
()wnlH'lName, r __~H_ ,",~_c.c..
AddreS!l,79A4 len""" ~..... W
}laalingConl.aclDr \1..U-1 Atr~ "t.__
Address .1] III v.J 11 '" ~ -S.
ToIephone' . ~r') - ...~D l
Furn.... Makl Ulodel /..~....Dlt (;,-2.:f
.
Il.
~
"
111
I<l
I<l
III
(1\
III
N
"
<Jl
Model Size
I')c.."."')
-,
Conn.loed 04'1. L 1~
J
Fuel_~AT F.....Size
~l.
w
"
~
a:
>-
w
.J
.J
a:
:>
E
a:
v
N
..
III
III
(1\
(1\
I
I<l
III
I
L:1
::l
a:
. (
5.ppIy Oplniogs
R&lum Oplllings
/I
5
Inpul_ 7~oDV Oulp1J\ ,"0 ~
Edr. ,
elm. ux)[)
TYPE OF WORK
Allerallons
Re~.
Esl. Camp. Dal8 .
R8p8lr
Est. Cost r
HEATING PERMIT FEE ~
Single Femily
Co_n:iaI
./
, Two-F8IriIy
Induslri.
Pubic
Wli-Faml~
.00-
Fee Schedule
Induslria~ ClImmen:ial & MIAli-FamiI~
Residential, He8ling & AC
Resich!lllial, Healing Only
Residenlial, Gas FuepllICIl
Residential. AddiIians & AIe.alions
Residenlial AC Only
I'll. 01 job oosl ($39.50 ~)
$11!1.50
S64.50
$39.50
$39.50
$39.50
j
I
~
i
I
!
Remember 10 add \he SlaIe Sun::hug8 on 1119 boltom oIlIlis application.
TYPE Of SYSTEM
Warm Ai. Planls
GIlMly
Mecharical
Air Condlioning
VenL System
The price of you< heating pMm~ includes one rough-in and one final inspection.
Addilional ilspections wil be bil18d al $35.00 each.
House Heating T esl Reconl must be s\Drilled willi illIik!irnllllUlll...''''~' beIo.e build-
ing ce!1ilicale Dr occupancy wil be issued
I:!fM: CAI.C.IllATIOI\I!': llEOlURFD wilh ....mber ot suP!li~ and rellm ""srings Iisled per
room w~h CFM's per ope,"",,_ New slrucllmls Dr additions send nOOI plan wilh supply
end .elum locations shown. HEAT lOSS CALCULMIONS, ~YMOO AND
APPLICATIONS MAY BE MAILED TO TIlE CITY OF PRIOR lAKE. 16200 EAGlE
CRH:K AVE. S-E. PRIOR IJ\KE, MN 55372-
Clly Hal business hours are 8 8.m. . 4:30 p.m.
AU. WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) " c.w.. CITY HALL
447-4230
)(
I(
)('
HEATING OR p(lWER PLANT
Steam
"",Wale,
Radialion
Special Devi:e.
Other DIIYices
New ConsllUl:lion
y
BuldIngPennU. CJq-7.~
.-4PA1D,wrrH -
lBUILDINGPERMIT
STATEsUACHARGE S
TOTALPERMITFEES S
.50
~,
&_ .'. !~~,'lI.:
2. Goad City
). Yellow AppliOUll
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant- SC.hQ.\""Qr \'\...""b'''j
A~dress: ~ ~ Clrd<LC;~
Slgnllture: ~
Legal Descrlpllon: Lot 4- Block.:3 Sub i1IIWERtV6S'S PdAlDS 2^!..o
Site Address: 1L,l) 2. 'is LJ ,r'\Sor Lc:.n..L- I2fSD
Building Permit # qq- 734- PIO# .2-6<336- 02-3-0
NOTE: This perm" will not be processed without complete information.
# cn-~
Phone, '1'-1'") -1o')3Y
V 1','(\ I'" J r. l~
T", Cr.jr, "Ill'" L..b C_..1'7
~'l
Quantity
I
l
\
.;t
I
d-
I
;)-
FIXTURE UNITS
Type of Fixture
Bath Tub with or without shower
Dishwasher
Quantity
Type of Fixture
f
{
,
(
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
SewagB Ejector
Floor Ol8ln
LavBtOry (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
BackfIow Assembly (RPZ, DoIiIIe Chsck, PVB)
Bacldlow Assembly Test
Lewn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & MUlti.Family
(1% of job cost, $39.50 minimum)
Residential. NBW One & Two Family
Residential, Aclclitions & Altel8tions
State SurchargB
$
$
$
$ .50
/ ffl-\O'1t~~\"t )
\fQ~\~G
GRAND TOTAL
This permit ii granted. upon the e~pres5 condition that s.\ljd
contractor. .hall comply in 011 rcspcc;lS with the ordinllllces
of the: State Plumbing an iiL;'7":"""-j'ts t~n:of.
~J7;qC; DATI!
A '!TEST
Call for at
16200 Eagle Creek Av. S.E., Prior La1cc. Minnesota 55372/ Ph. (612) 447-4230 J FAX (612) 447-4245
An Equal Opportunity Employer
II
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. !/-t;. -, 3 t
Prior Lake, MN 55372 '
Date
Lot
Owne(s Name
Address
Healing Contractor
Address
Telephone #
Furnace Make & Model f-/t!;4r-#~
Model Size F/~p~c.6_
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condttioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Fuel
Supply Openings
Flue Size
Return Openings
Input
Edr.
Output
Other Devices
Cfm.
TYPE OF WORK
Aherations
Replacement
New Construction
Repair
Est. Comp. Date
Building Permtt #
,~ 'f/AlO
~ lNl
W. r' Receipt # "f6"'UY\- l J
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE :I:
TOTAL PERMIT FEES ~.
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
../
Two-Family
Industrial
Public
Multi-Family
Other
Commercir
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99,50
$64.50
$39.50
$39,50
$39,50
1-
Remember to add the State Surcharge on the bottom of this application,
The price of your heating permit includes one rough-in and one final inspection,
Additional inspections will be billed at $35,00 each,
House Heating Test Record must be submitted with buildino permit number before build-
ing certificate of occupancy will be issued,
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening, New structures or additions send floor plan with supply
and return locations 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 hours are 8 a.m, - 4:30 p,m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans,
Cld~_____ jO-{,;)-CJ9
. /) I "J9l1liCt'11" ~ignatU<e ,.... pate /
.~ ~h~N7
Building Ol'lical's Sig~ ' Dale /
r:
/
The Ctnftr of Ill", Lt.ktr Count.,.
C)C;.734-
White " Building
Canary "Engineering
Pink " Planning
flUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Cf/ k' ,ri eE C!..- /tOr-; E.5
&/IS/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ju,/~8
Accepted
./
Denied
J'If I /\/ D S O!<:!- !- rl /\/ E:
Accepted With Corrections
Reviewed By: jJAL~1l t..1l€.S(tfIl/'lAl
Comments: 1?.."""FF A{UOS-r- BE
(!oAJuE....,I&D
A,JC
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ro4JIIE.'I'ED
A"'t>
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~c:t" I..vFoltM..AT"ION o~ ne..J~..Jl.o;.E "'I ,....~
Date: 7h/q~
70 4AfJ) A'-o.vbDI2f1r,.Jtt;~
PIUIc.:rr"J'1<-- .
i<r:A"-
-TO -ruE AJofl.r;!Ellsr
.q o:r:,qc./;",Jr" Lor 'S ,
SErE. A'T"T""4l..1d,M~T'S. ! I. ~i ~A..ADE JAJs..P!!t.Ti~AJ JLft:'tNI.t4<tATI'f'ItA..J 'Z 51tItlo,.ut.,
FA""
'". r;R.'~'DAJ C../JTl<o<. ""€A<.ul>..E<
u.. E"tta.s.IO" f1('l!_"':I"t RjUJ
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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."
, ,
qq. 734-
Thr CPl'Ill'r of lhi!' L.kr Country
White - Building
Canary " Engineering
Pink " Planning
BUILDING PERNUI..APPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(!.AR/lt366 !for165
&/IS/qq
t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1,72...8 WI NDSOt:?- /-AN 6
Accepted
Accepted With Corrections )<
Denied
fUll/-
Date:
(,-2/-'1'1
Reviewed By:
Comments:
\. W <>.(( ~/I'f.cW ~~
"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."
- --,----,-.~-~-----.---..."'----.-"-~. .------..-.~~-...-..,--.~---.-... ----.-"-----r--.~
~~7~.-:;""""'~"C""~:.."""':' ....
";..'.;"":'\'1"
'.'''''
,+,"'1-.;:,....'_,
~~
White . Building
Canary "Engineering
Pink " Planning
Tht ('tnltro' lht Lib Counll'}'
BUILDING 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
~~
Date:
{., - 2- 7 r4CJ
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 /~ 72.6 WINDSOR-.. i-N
NATURE OF WORK
USE OF BUILDING SF D
PERMIT NO. qq - 734- DATE ISSUED ~//_7,/q C}
CONTRACTQH CA~,q13F~ HtJI'16S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~PECTOR
VY
, FOUNDATION (Prior to Backfill) I t:....4J /63- I &/3/91
PLACE NO CONCRETE UNTIL Ae{6VE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTICr~ ) t}d .
FRAMING
INSULATION ~ fu, \ I
ELECTRICAL ~ . I
PLUMBING ((~)I m I Y j{J ~IJ
HEATING (if required) ()/8/z.r,j9<J i I
FIREPLACE ("1h'!> 3S. t.1{c,-'I~ I ~ f5:(, 1-'(-'?'7 I
GAS LINE AIR TEST @g;iu.lf1 ~,,O /l b: ;E'jfJ IdA~1q
COVER NO WORf<' UNTIL ABOVE HAS BEEN SIGNED
, WALLBOARD I I
FINALS /
I V\J-f, I oft ~/ q4 .
I ~, .1/'jr1J#-O
I 1.
I -
I ~ /. 101' '4
I \J K H-J (/5"/q)q
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I FOOTING
DATE
7/Z-0)?<J
i
J
fYJ
frL{-ct'?
9-1-~1
0-~-iJ'1
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
This card must be posted near an electrical service cabinet prior to rough-in inspections
<lAd 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
II