HomeMy WebLinkAboutBuilding Permit 99-0747
r
I
.' "'.,.- ;...;~-", ~"",' """. ,.~ ."'t:'"~.,...,.
~
"~"~
--, ,
-...' .' -,-
""""'_.._"",""~,,....
"'~- '?'>'~" ",'I1"'r;;,-..~-
~' .<"1 J? "~~~l\;j;:~~~..}t_;-~T'
~~~..'"".....;".~.
.......
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/&3'70
SCHEDULED /(zo/99 ;:/S"
V/(!"7V/:?/'?/ e()~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJq-747
o FOOTING
o FOUNDA TrON
o FRAMING
o INSULATION
o FINAL
o INSPECTION
o PLUMBING RI
o MECH Rr
o WATER HOOKUP
L..J .,.::.....c OKUP
A )l( PLUMBING l
f"\ 0 MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~"'& P ~3iJ ~
( ~~ ~ ~'-'ta.~. .
~~:~. ~ ~W.~
~JP t:$: - 0~
~ l.Lx> ~ c:a- ~ t€.e,-v I
~. ~ W~ W dL,,, .W
~ 'A'iJ hi /
~
..
/
Owner/Contr:
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
l/VSNOTl
. .'. -,_._~.---- ._~.~._.._------_._.......~-~ .-.---
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \ I. "37(.. V iUrn.,. i a c...........v... .
OWNER
PHONE NO. ?.c..1-\
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMINGf'"
&INSULATI r
"" FINAL
o SITE INSP TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
plMECH FINALPc'
,J:Et TIME
~qq ~,~
CfCi-747
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
f~ ~O c!; ~~UJ-~ ::t:Qv1J~
V GoSibr\ c..~ I~ V'~
~~J~+~J.w~
_ ~ dru 'Goo-r
~1If _ ~t-.dyu rJ\lY'- cltk r'J~
_l~ ~~ <n ~ -+ ~.I>- ~?;T
r\~v&~l7v'
t>U.-dYIu.2 F~
-t~.~ ~~'k~
~ 't-L~ ~ ~'-'
/'6-' '~~- ~ ~ h ~
~ ~ - S lAJu1J. L " __
V (\1,)I~'\1.b r 1T~ tw''' c( .
ft 0 WORKSATISFACTORV, PROCEED V' ~ .6\L6Alr O/c:...---~
,.\ 0 CORRECT ACTION AND PROCEED ~ .---/
J.o ~ORRECT wmALL FOR REINSPECTION BEFORE COVERING
~spector: Owner/Contr'
CALL 447/98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
--~---_.,~-~-"._._._._.-
,
~ lfl~uv
1&=>1Co VILA ueJ A 6U~\J5"'
COMMENTS:!. cNf:::> 1514!!?N~
1..~&T~ (
3. CCJf4p-eQ Si...r feNce- Mc.1<'~O ~ ')
tN ~ \(ANJ /
8/ 1'OD
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...&INAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
A-. -",')
..,~ F
c.C).
(0
DATE TIME
QY-7<1-7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION A D PROCEED
o CORRECT W L 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 & SAFETYI
INSNOTJ
-.-------,-------..---^--....--.....-..-.--.-. ._-_.'.-"
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~\
DAIf Ri=(,;i=II,Ii=.o.
& /Ifp /qq
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
\ Co~"--J(D \l '\' Q". ~'" ~ ct c.u. ~e..
3. LEGAL DESCRIPTION
a
Sf-
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-747
1. DATE
Co \~\Q,a.,
PUD
BUILDING INFORMATION
1,. SIZE OF STRUCTU~E
1"'i9hJ9!b IWi"h)~~.JO.Pth).!7Z ~
12. NO. OF S~IES
13. TYPE OF CONSTRUCTION~
f\ew - Wtr4\ W.."hIl
14. FLOOR AREA ~RTION NT USE I P
PID
~'S~Od.d.()
BLOCK ~
-C.a.~Y'li'\\ ~,do..~
4. OWN~R .-;:) (Nam.) \/ f (Address) -\'t'\~11..l:3"e..
"Va,,<\ Y lRv-\o.. i\ e.:..<Y\\.O. k\\~ ,,~\ S-\- <3,,)
5. AR9l'.' \E~....... (Nrme.l... _\ _ _ -J ~ss) \.. I (Tel. No.)
lo\\..-", v....J~ ,\-,(\\5'\ \..0\0\<<- <Ol?~ L.\<tl-5~q~
6. BUILDER (Name) (Address) (Tel. No.)
~('\~ '(~M\,\ ~~~~ ~~~e:;:~~~l~~~~\~~
7. TYPE OF WORK Fjre~Ce 0 Septic 0 Deck D Ae-roofin!1lJ Porch D SEATS
New Construction)( Alterations 0 Addition 0 Finish Attic aRe-siding 0 Finish Basement 0 16'2?R ECT COSTNALUE
ChimneyCl Misc. 77S/~
BS'qP. RFtO. PERTY ARE.A OR ACRES 19. PROPERTY DIMENSIONS 1'0 CULVER~E 17. O~'7;?'2:~
\?:r-. \ \Po. . Width \G\ Depth \ \..\. ~ Yes ~ 7/ h / "t 7
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 1 am the owner or authorized agent for
the above . d pr~nd that all construction will conform 10 all exisling state and local laws and will proceed in accordance with submitted plans. I am aware that the
b . official can re k . permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
) - - . 6-7-'1'1
f Signature License No. Date
LOT
ADDITION . S~
(Tel. No.)
("lrl\'\~I-1 dDCo
15. NUMBER OF OCCUPANTS OR SEATS
a.
OCCUPANTP
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Meter Horn ....t:J...,r....................... $
Water Meter .:1.~.......................... $-.--J '2<::;' . c,()
Sewer & Water Connection Fee ........... $ ! J '2 00 . ~
WaterTowerFee ........................... $----.!:?0Ij .!lO.-
Water Tap ................................... $
Builders Deposil ............................ $-.L. c; I') r; . Cl(,\
.
Other ......................................... $
Total Due .............................. $ ILj I"). --rr:-
Paid 7 q lor. 11-- Receipl No. 3SS-gy'
Date ~/z..(/f~ By ~
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ requested. This document wilen
ate r ry Certifi{;e r zonmmPlia"2JJ~ aA~;~ru~n t~;;.~nC~Bef~;;;Uf.j":e. ~ Certificate of Occupancy must be issued.
. ~ ~ U Special Conditions if any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I rzn; l"X'o.c....e
USE OF BUILDING
S~D
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Division 1 2 3 4
I, 'd.u,Q .~.;-
~2{). l.{~
8'7.~
J
m\;L
LYCe~~
Permit Fee ................................... $
Plan Check Fee ............. ................ $
State Surcharge ............................. ,'I:
Penalty ....................................... ,'I:
/('),.." 1'l0
I (')(l . n(")
~~ , "){)
Gas Fireplace Permit ....................... $- tfO.C()
This ~t~~mes vl.Jr Ruilding Permit When_AfW~!'t 4
By ~)/;r::::- Date (n .;,:~- f
Certificate of Occupancy
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... $-
Issued
Th~~S c .~~. reque
Sign by rne;co
CrtyPlanner
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
Cl
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $_
Collective Street Fee ....................... $
Sewer Tap ................................... $
51 ,I $
Pressure Reducer ..I.~.................... $
BSD.OO
1 " <;'1"\ . O"'l
q f, ..1"'rJ
24 hour notice for all inspections 447-9850
"
-------------------~--
.
-Permit_
.__j(S76 fJlrSl>PIA(AAW*
.HHtIng.. " ... A~N AIl1.~1I".
*T..terw/Signature ~ '^
tV
!1!!!
!!!!!!
Poundo
p,.."..
'Goo Uno
"'~
lnope<:ted
.Percent C~
'Por<:enl0:2 ~'"
PERFORMANCE TES.T
7'%
.Percent co
6%
<180
.Stack Temp.
Finallnapection
Date
~Q.:~
QUM1IIy
l
t
~
:t-
l
I
\
,1
Typ. 01 F1lllU,. eu.ntfty Type 01 Fixtu
Batt! Tub wtltI or wilhout ''-r .3 I Rough-ins
Dlel'Muher ( Waler Heale,
I Floor Oraln ( Water Softrler
l LaVatory (balhraom link) L Sland Pipe (washing me
I Laundry Tray (1 or 2 c:ompallrnent sink) Sewage Ejector
Sho_r StaIr ~ Assembly (RPz. U
Slnkl Becltllaw Assembly Tas'
Bat Slnlc Lawn Sprinkler
Waler C'OHt (lai'et) Other
'nc:llIMrtaI. Comlrlerclar & Mula-FamilY
(1 % of job coat, 138.50 minimum'
R..tanh., New 0.... & Two Fltni/y
FlNIdenttaI, AcIcIIlIons & AltarauoNl
8lateSul'Cllarp
Fa ICH.DUL,2
CITY OF PRIOR LAKE
PLUMBING PERM"
AppllcaJ'lt: "::l~~\~r \'\u.rno((\q
Add_: '-l~,,^ ~r\c.1.g,,, ('1'-121& '5 €..
t1fgnaty,., cr ~ <f .5l~
lapl OaICrIptIon; lot Z. ,BIoctc_.3 Sub Ml2.DINA/.- R.\D6b 5TH
SI18Add_: Ie.. 3'1<.. v'c..-torr.... Qu('vca... PIJ,D
Building Penm, o.q - r'/47 PIO" 25 _ 3.3'5 - 1\2-2-f)
NOTE: Thla permit will not be P""CI'"wa MUIout COmplete 'nformatlOn.
FIXT1JAE UNITS
I..... ....
t CloIO Cty
,. y-.... 4ppUt,ur
PP No. t19- 7 t/ 7
Phon.' Y4t-loi3L1
Pu-for l Q.\u2
re
china)
cull. Check. PVB)
I
J
-'
--
S
$
$,
S.
.50
caRANo TOTAL
~~~t~P.M\T
lBUII..O,t
1lIU ......... ill _..... ...... IIloI ""- eolldl'ion ...., ..id
.on.......... ..... a>mpIy in II. . ." ... Willi.... ordinance,
DIllie Scole P1U1111li... ~ """ ...... ''', I II dlcnlot.
. .~ /1/1/ qq ""It(
~:~ .A~T
C"I fbull Wit ...~.d 24 hows in ..t-ncc.
16200 Ea,le e....kAv. S.,E., Prior ~e. Minn_ 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
All Equal Oppa.,w,ily Emplo,er
~----_._-~-_..
~
DaIA> if) ?C:1J'iEl-- PIO. 2.5-335' 02.'2--0
Sll8Addre~, !~~1ro rhdMtt1 ~ve-
1oI2.. BIod< 3 Addllion CAgDiNAL.. KiD6t=::
~~Name1J0:I'-,n t!..llMl',a
- )
Address ~ aM ~ '
Healing Cont'acIllr ~PKSC41\ ~y 'Lift:.
Addr8S6 611\']., l'/J;'lI.PJ.o1 JJ rr.l^ jeJ tJc.V'VK'v.llo
Telephone' - &/1. 'Cf14 - 1qgq -
Furnaaa Make 80 Modul f;ror. i'I }
Model SizII 'Ko Vl'lIlHl ~ l.U>ll. 0
ern OF PRIOR LAKE
18200 Eagle Creek Av. s.e. Perm~ No.
Prior Lake. MN 55372
99- 7l/-7
PLlD
5nt
COOn. Load
Fuel VlrAMAsrJ Flue Size -
Supply~ j,t;
t.;l
OutpUt 1~ltJoO
lVPE OF SYSTEM
Wan1I Air Ptan~
GravIIy
L1ecl1anical
Air Condftioning
Venl. System
Relllm OpenilVs
lnp", . ~O. 600
HEAlING Oft POWER pLANT
Stllam
HoIWlI18r
Radiallol\
SplIClal Devices .
Edr.
Ill.,., Devk:es .
Clm..
TVPE Of WOAK
AlEJralions
. Replacement
Est. Comp. Dal8
New Cons\rUCllon )(
Repair
Est. Cost S
HEAllNG PERMIT FEE $
BuDding P"'m~' . q q - 74-7
/...--,,~\O'-N~?>NI\'t ;
~U\\.O\~G
,
Recelp! If .
-
STATE SURCHARGE $
TOTAlPERMITFEES ~
.50
-
1 ......
L"=n
1. Yellow
t'iil,
Ol~'
Cun[l:ll.\l'.'
"
;U
o
:<
:r'IPE OF STRUCTU~
Single Famly .1__ Two-Family
CommelCiel .
InduSlrial
M1JIi.Fam~y __n
Pubic . Other__
Fee Schedule
Industrial, CommlKCial 80 Mulll-Famiy
Reaidenlial, Heating" N;
Re&kIenlial. \1eIJIing Only
ResidentiaL Gas Fire!l4ace
Residential. I\dd"iol1S & Alterations
Residential, M; Only
1 % of job DOSt ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add \h. $1aID Surcharge on 1he bottOm 01 tI1iG ""~, .,.'" n.
"
D
X
Z
o
The price of your healing permit includes one raugl>-in lI!ld one final inspection.
Additional ir~~' ~'.ns will be billed et $35.00 _h.
House Heating Test Record rrost he submitted with buiK!i!l9 Jl!ll!lll number belo re bUIld.
ing ..,rtlicale of occupam:v will be issued.
I:If&: ~AI.r.lJlATIONS BEOIltRl'1l wiII1 nlllllller 01 supply and retum openings ;,gtee pet
room v.(lh CFM's per CJtlCning. Now slrucllll98 or adcfllions HIId ftoor plan with supply
and retum Iocallons llhown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAllEO TO THE CITY OF PRIOR lAKE. 16200 EAGLE
CREEl< AVE. S.E. PRIOR LAKE, MN 55372.
City Hall businelll; hours ale 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL)- CALL CITY HALL
447-4230
:<
'"
if
I hereby apply lor a mechanical systems permit and I acknowledge that the
inlormation above is comple\e and accurate; Ihat Ihe work will be in conlormance IV
with the ordinances and clXles of \he cily and with the stata buildinlllmechaPi~ai (Sl
codes; Ihalthis form doee not become a pel1llil until signed by the BUILDING ::0
OFFICIAL; Ihallhe wo,k will be in accOfdance with the approved plan in the ::B
:a8e i;! w~ r~;:: approval of PI;; /~7 LtL. ~
. ~piiJ~7lre f DAY' :<
_____ ~/ . ') /t^. / J ,1-'(l~L.. ;!!
BlAldirS 'gnalUre ' Oate
SEP-13-99 1214:45 PM LLOYD EXCAYATING INC
612 44121 3036
I II; J..j '. I ,I j l' I. , I foil I , , i. I I I _ It. .,. ..' ~
,I j I Ul ~klUI\ ~\I\~
~f . ~', '','!It,'
,.,'1
" 99'-7'-1-7"::
,,0.
CITV OF PRIOR L^XE
SEWER AND WATF.R PERMIT
NOT! I
.,~,~..
Se.....e 01\<.1" .If,II~.c.l
contr.ctor.")III,1j.t"
be rO'l.toll',.!.
with I:.h. ';.:CI.t.>,,':-
APPJ.,IC:AN'I':, Llovd_..l. W'4 UtAtJ'l1v4 _FHONE:~/.J' ~'irtYC{,
ADnRf'.lSs,__17..$.i)~~f'~ 'Z 6~ L~.I<(' DATE. "'J -/:5'7' :~,:~t.
:;IGNATURg:.~II..~ 8LDG. E>EIUU'1'.~f1- ?~i it,
5ITE AIJ:mE::;tl: ,..lb.1..7~_~ t".. - ~ PuDpID. 2.5- 335- 02.i(-O'~,:'
U+-L IN THE BLANKS}
..ii::.
.....
l.
F.s~,;",..I~d l..n"lth at wat"l' sarvieCl
} 1/
M,)
tec\:..
:I .
~ir:~ of W'e.t,el. ~~:r.'\li c~...
inch(lIsJ.
from 5tructurs----L---t.~t.
rvc~ CII"t Iron____
t,/)
J.
!..oc.t1on of. ~ny CO\Jpl/l'I~S
, .
TYpP of ~R~Qr pip~.
I\BS
5.
Estl~~tH~ 1~n9~~ or ~~wer line
feCIt.
~ .
Cleall nut
stru,,::l.LII f.":.
(i f t'''''luiL-"c:l).
looat.ell aL
/)
f....t
fl"OIll
.,-. _ _-. ,._ ..,,___ __ __n- _"'I. "._ T.'.:;'" ._........._,..;.. :.;..;;;;;~__!!I!!!!!I!!III'_;:;:;==:=:::;;;=::!:._........ii5c:.===...-==....
'l'his
.. .:~~~~~:.:::::::::~~~::_......- ...
.
=--- -~
t'[rs:
~. J~.OO
.~r _ 5")0
~ -'js.SO-
sewer ane! wat.er linll c.:onn..ct ion permit.
!!cH'''har.,.
TOTAL
. Fa", ror "l~t\..r "".,..r or WlltU' incUvidl<ally i.s Ul."C plult
'~ .50 nlJrchar~e.
.
",...,,,,r and ,,~tQt. pOTr' itc is!!lued for new, conlttrlolction muet be
""corct,.,d on th.. bllildlrlli permit ,"lIul IS" the \..Lm" or illllURnce
'." i",.",,, I hHt nn ()"nllcl!\tll sewel: anCl vatel:' pGrml.t8 are
.lsstlpc1,
OM'" FA l' I '
A.MOV~'I' PAl'" ~'
Iltc'C BY ~\O:~e.~""'\\
\~\)\\.P\\"
HI::CFTrT <<
<11,29 D..",. SI s,~. P"o, I..ko, MIII"","l. 55372 I Ph, (612) 447-4230 I Fa_ (6121 441,Q:Zll5
,", e::O.'Al. orF,)RTU"n'V ~1"^,FJl
lV'
._----.--._.""~._" -,-~..
,
P.01
~.
,:'~~\1.: ;
oC' " ,
fI' ,,~ .. "
.!!:
~~,
~"':'
.it
";{,.
.
r'.',;'
.~. ,,~
D~
.;,",,~i .
~I~;t~'
,. ,./:-
','
"..
l.....
<1;'
.,-
~"
',t:'"..
'''.'.'
-'il.:"'-:I
".1".'.
. .,
.: . ) .
,;'" 't
/"
qq-7t/-7
Thco C"IlI... of Ilk Lab. COOI.n".
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OFAPPLlCANT D,r-j,e / IV' ;:::: 6 I /~/ 19
APPLICATION RECEIVED c;, //0/ qq
.
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is proposed at:
/&37(0
V IC77Jk IA
CULl/G
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~t..F'a. E""IIt:.~""/MI-J
Date: 6/Z9/99
, ,
Comments: Q...",oFF
r'1c.J~T
BE
c...,...JUE'''''E:'~
r~ t'lA..lr'\ ALDAJ(" D(1A'.....AA~
,
f
.
UTIL.ITY
e::.4.1 E' ....E..rr-s
AS
MuL)fo
As.
{~.QAL"'JC-AI ~
S'L'T" n->JLE:
0..J
TUi: R.rAlt PoR"TIO.u of "..t~ LDr ""0.3'" ~.e: EIlEcrC/) Rr ~F
E: l!d"E
DI'
D1.STur1...i3ct:D SOIL.
-r.:lr- oll.,,,E. "'A'"
e'IA..' CWL....
RC A ....,AIt IM.~ Ot:'
z'-l F~..T Ar tHE: PRoPEll.r'r' u tUE. .
A"'...
DA"'A6Gt>
CDJJt.fl..ET'F L.J~, Il":.
PA,.,JeL-S
IN"-&.-.
&E
REPLAOED
13...
1He: B "'"DEI{
PttIOf'( "-0 F'NII4t-
51G", of\''
~t:'t: IASrno.....A-TloN <!IN REv€.Il<t:..E' "('Q€
"E,E A7TACHflo1.ENT<;.:' I. h^,Ac... aI<AOf:. JAJ3.PCC!:ii,.,.I~~.n.../1(Itr,,',^J
? aRAIl'NI. p, ",,)
3. EA.oS/o^" ~_"""rfl~L- r"1EA<..a.lR.~
4-. €"~"'i/OAJ f?,. ,u./.l'7l.. R AAJ
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a pennit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Pennits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
1
"',;c"::"';''''"~;>'''-~~~~I;,;;;",~~.:qlF'~".t'''''-'''''~:_''}o<''''''~~~_'''~"'~''--''-''i'o,'~' ....-""''f.,,~,!,'l't,~~i~~~'(}'Iif7'''('!l~\y,c.._..}l.,!~~,.._l~~'i'''O~_ ~~:k,:"7'~"f~,~....,.",;.... _.
~~
I
,
Thr Crnlrr of lht Lak, Country
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
. J' .-' /...
i
APPLICATION RECEIVED
/ I
, /' '/ /
I
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"
/ /;.'" j
-'
1.,-
Accepted
Accepted With Corrections
v-
Denied
()tX,J~
Il
* A\f1 {Jnlt 1n lX'
1" ~ 4' dri v~ (AJ,dfh fti)
v
Date: & - d g - 9/
,S.e;;tb w..k.. /01 &ryp1!o r Li n CS
fr~~ L;rv...
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."
q9-7+r
Thr ('","llI'r orlhr L.kr Counl!'}'
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT DA,e / N ~ E: I HI G
I
APPLICATION RECEIVED ~ / ~ / qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&37fo
VIC7V/::jA cue.V6
Accepted
Denied
Accepted With Corrections /
Reviewed By:
(2fl/Lyt-
Date:
(;,-25'-(/
Comments:
J. l?~ CL\lo.~ ~~
?" ha\,^~i,^ ~"''^ Gm.~l
<,. 9,.,,, ~A-.I.. s,.,&, y......1...
~. Tree.":::. 'j-eCYUf~ ,(llJ- d..QJll~U ID~
U' .
r.\l I .,
-'t' a......... 1'\.\,'", Z'3 hu",1.:::... \),0..
"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."
m----,--__~_____".".__~__m_.__.__'__"______.,_._..___'___.__------ '-"-"~'--'--"-'.'--------~-~---r-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IlD~l"( Co \/ Ic.\o~'\o.. Q.llt-llt"
NATURE OF WORK l]Pl.\ O"",,:\;-
USE OF BUILDING 31='D
PERMIT NO. 9 i - '11.\l1 DATE ISSUED L - '2 S - 11
CONTRACTOR Kp\IM\~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, FOOTING(~ I J:0~ I 7-1~~~
I FOUNDATION (Prior to BackfilllClX> I~ I r-r -I&-q 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC .!)n.
FRAMING · (\)
INSULATION-'ff!"" ~w h. q-fJl1 \
ELECTRICAL \,
PLUMBING (/0 'l!h-o/<l1
I HEATING (if required) [F ~
I FIREPLACE e:l. t)" 6;}, q-~J}'7 ~
lGASLlNEAIRTEST~~~, ID-20-'1'?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r WALLBOARD I I
FINALS /
lMu
q/, tjq
I
+!ftq
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
I
1 Ii I ql q 4
I '
fJ) / v!
[7
Js )Q fq 1+-
~S BEEN S
This card must be posted near an electrical service cabi . 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 (612) 447-9850