HomeMy WebLinkAboutBuilding Permit 99-0775
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SCHEDULED ~~O~1
SeAGu'C--f.-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4575
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
B,-INSULATION C/.'l
~FINAL :c'-':>~~
o SITE INSPEcTION
COMMENTS: r.
2-. G-;VCc,-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL~
)!(MECH FINA~
,
~rpD ~ ~
$'/ fb/'J 0 tcF
DATE TIME
3:30
99-775
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PRO EED
~ORRECT~CTI ND REED
o CORRECT W AL FO REINSPECTION BEFORE COVERING
Inspector: . _ Owner/Contr:
CALL '*~ FSR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE F~E~TSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1-'Z7-ert 11:it;
ADDRESS L/S76 s~ Ci.
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
.....-ATER HOOKUP
~ ...lil:>SEWER HOOKUP
/' 0 PLUMBING FINAL
o MECH FINAL
19- 775
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
J(OMMENT~ '\ .
( l ) 4l ( A--cJN ~ (to Vile. _ . .
JI~ -l~'r~L LIr'- - No ~
~AAA.<l,~ _ ~
'~<;f. -f' 1Ac,,-l GAJI.L }~o(; +u
G:svwlY.- - ~b ha Mc:..~k ~ve-..
Ct.Jvr-1::1 rA.eA
N;
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..J:wORK SATISFACTORY. PROCEED
-~'ORRECT A ON CEED
o CORRECT . CALL F REINSPECTION BEFORE COVERING
c)..r, vA... W~
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Inspector: Owner/Contr:
CALL 44~-98"f FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REWa.EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
O~ PRIO",
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4tINNESO~"
Ill' L t. '999 CITY OF PRIOR LAKE
,j" I BUILDING PERMIT,
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. SITE ADDRESS
f/s 75
-5.G'~u~. t"'/~U /..JG
3. LEGAL DESCRIPTION
LOT 1 BLOCK-..1J
1f'Ma6 11i<.f.- ~NZJ
ADDITION
4. OWNER. " (Nam.)
/V/pD!fL.
,
5. ARCHITECT (Name)
(Addr.ss)
(Address)
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq~ 175
1. DATE
47/~~
R/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (W1dlt1) (Depth)
PID .2.S-.33q- on ~ ()
12. NO. OF STORIE~
13. TYPE OF CONSTRUCTION
5~"c(!P'> .~:rN!If~
14. FLOOR AREA APPORTIONMENT USE
(T.'. No.)
(Ter. No.)
16._B~ILDER ~am~ (Address) /4Nhl\l (Tel No) 15. NUMBER OF OCCUPANTS OR SEATS
j/.filld.541d-/ .t[mS.~.>>'rt'K. ~5 ?,;'};rsr~. v.i/kO -/~ OCCUPANTS
7. TYPE OF WORK Fireplace Ll Septic C1 Heating 0 Plumbing 0 Reroofing 0 Porch 0 SEATS
New constructionY- Alterations 0 Addition 0 Finish Attic 0 Residing 0 Finish Basement c:J 16. ESTIMATED VALUE
Chimn.y 0 Misc. I!f,-S?!? .,.I 4>r
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVER~ 17. COMPLETION DATE
.sq. Ft. o<tJS'f r:;AV.sJl"~ Width D.pth V.s Q!.g/ 4,1/'19
I hereby certify 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 on property anct that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uilding 0 ial ca~ perm~r Just cause. Furthermore, I hereby agree that the city official or a desi? ~?gon the property to perfo,2;7~~
,,---- Signature Ucense No. .-t::.-r;'O.
SETBACKS: Required
Actual
front
0""
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING .s F 0
FOR ADMINISTRATIVE USE
Sloe
:SiCll!
MATERIAL FilED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~
Total Du. .............................. $ 'riO/I. l..f )
Paid eo, I . o..f ( Rec.'PtMo.:3 57., cf 7
Dat. z.. q By )f/J.-.
rtify that the r uest in the above application and accompanying documents is in accordance w~h the City Zoni Ordinance a~ may proceed.4 requested. This document when
Plan r constitutes a temporary Certificat,! 0,' t9~compliance and allows construction to commence. Before occupancy, a Certifica&f of Occupancy must be issued.
to I dV.L.j..
City lanner Date Special Conditions if any
TYPE DF CONSTRUCTION: I II III IV V
Occupancy Group A BEl H D
OMsion 1 2 ()
P.rmitF..................................... $~
Plan Checking Fee ......................... $~lf')., ~
Stat. Surcharge ............................. $ cq2.. 5t:J
P.naIty ...f1.\9.;)........................... $ L (')0 .o.a....
S.pticSyst.m .....H.b-f.:-.M:........ $ too .x>
"'"'" .......?~....................... $ :5~ .c;(,
_I ...,F-p.................... $ LiD .00
Thi~tjPt1 ~~Iour Building Permit When Approved.
BY~ Dat. /...2/?,-?7
Certificate of Occu ncy
Issued
( P>~",-. . AlIQ..... PLOT PLAN
o
City:
ffl#~
Check rr 0
Deferred 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC "".............................."..... $
Collective Street Fee ....... ................ $
SewerTap ................................... $
License Check Fee ..................... .... $
Pressure Reducer ....~.................. $
I..{'f;.oo
,(lSD. C8
10.'>0 .00
MeterHom........"......................... $
Wat.rM.ter ,~............................ $ / .2') . CJ()
Sewer & Water Connection Fee ........... $ J . J DO ... 0-6
WaterTowerF.. ........................... $ iJ 0(') .f')6
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
J. <;,nl"l .60
.
24 Hour notice for all inspections 447-42309:00 a.m. . 10:00 a.m.
..
.
--rS7S""' .'
Job Address .5e4.bv(/ Clf'c/f'. ~
Heating Contractor t (Jf{ 1'_ ffI-r.
".;
Name ofT ester 1; /0(
Date "-/6- 97
Percent 0 7, ,
Percent CO2 " 2.
Percent CO 0
Stack Temp. '"] S- 2.
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. P.,mit No. 99-775
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dal. %/;()kiq PID' zb-339-0/7- 0
SiI. Add,ess 1./675 .,C,; 'I, n (b".dlf III r_ R. I
Lol -L B;OCk ~ Addit:n<7c-N'''~ /7/("'l..- 2/110
Owne"s Nam. /Jl,.!lk _ ,:h:,c(/- .'~ ,tJ......v.v
Address
f1ealing Conlraclor ALLIED FIRES IDE dba FIRESIDE CORNER
Address. 2700 N. FAIRVIEW. ROSEVILLE. MN 55113
Telephone ~ 651-633-_2_561
FIREPLACE
IiIJ1mIlt;ll Make & Model JJrtJ-O cPt-.
Model Size f.::'C:C(.:.- f).;" _
Conn. Load
Fuel r-;.,!1.I
TYPE OF SYSTEM
Warm Air Planls
G,avity
Mechanical
Air Condilioning
Vent. System
Flue Siz.
Supply Op.nings
Relurn Openings
Inpul Oulpul ~/. ,Yl'-'
Edr.
flEATlNG OR POWER PLANT
Sleam
Hal Wale,
Radialion
Special Devices _
OIher Devices
Clm.
TYPE OF WORK
Aileralions
Replacement New Conslruc:tion
x'
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Es\. Comp. Dale. J?-J..)..qc;
Building Pe,mit # qq- 775
/p~\O~t-A\T
.50 \ e\J\\.O\NG pE
Repair
Est. Cost $ / I rr"JJ
Receipl #
TYPE OF STRUCTURE,
.. :l>
~..;!ft!!b >._,co':"- C
1. Gfft'" aI, to
J. Yellow . COlmlKlor I
....
o
I
\0
,n
Single Family
Two'Family
Induslrial
Mul\i.Family
Commercial
Public
Other
o
....
Fee Schedule
~
m
1l
'T1
...
"l
ID
III
...
a.
ID
n
o
"l
::l
ID
"l
Indusl,ial. Commercial & Mum.Family
Residenlial. Heating & AC
Residential, Healing Only
Residenlial. Gas Fireplace
Residential. Additions & Alteralions
Residential. AC Only
1 % 01 job cosl ($39.50 minimum)
$99.50
$64.60
$39.50
$39.60
$39.50
Remember 10 add Ihe Slale Surcharge on Ihe bollom ollhis applicalion.
The price of your healing permit includes one rough-in and one final inspection.
Addiliollal inspections will be billed al $35.00 each.
House Healing Tesl Record musl be submilled wilh !1Yililing I!mIIIiI 01/'"'''''' belore build.
ing cerlilicale 01 occupancy will be issued.
HEAT !d\LCIJLATlONS f1FolllR<,n wilh number 01 supply and relurn openings listed pI
room wilh CFM's per opening. New slruclures or edditiOl1s send 1I00r plan wilh supply
and relurn locations shown. IlEAT LOSS CALCULATIONS, PAYMENT ANO
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
m
U1
....
Cily Hall business hours are B a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-4230
m
IN
IN
00
00
00
~
I hereby apply Jor a mechanical syslems permit and I acknowledge Ihallh.
informalion above is complete and accurate; (hat the work will be in conformance
with Ihe ordinances and codes 01 Ihe cily and with Ihe slale building/mechanical
codes; Ihallhis Jorm does not become a permit unlil signed by the BUILDING
Or-FICIAL; Ihal Ihe work will be in accordance with Ihe approved plan in Ihe
case 01 all work which requires review and approval 01 plans.
.., .7/
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~~
Building Ollical's Signalure
Jl;()/<;<;
081.
6/10/97
Dale
1l
o
....
- 6 \999
CITY OF PRIOR LAKE
. PLUMBING PERMIT PP No. Cl9 - 7 'is-
Applicant: lh I It! ~ /lI/ / ./i11/Y'k1L/ ('1() Phone:~"K/,?:- ZIZ I
Address: ~. V>>;-;/A'iI/7 a/.I'/74/.//. ;:nJI'!.OI'lN 5S3.:S2...
,4L . .
Signature: (:/7 /,7,j'j ~P7//h7L""
Legal Description: Lot ~ Block 3 Sub KNOtS HILL /NO
Site Address: ~/..") ;t <t:;' );LYY:r// / / h /1/ / It, ,e I
Building Permit # qq - 7 -7.5 PID # ~'5 - 3"3Cf - 0 n - ()
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
The Ctnll'f of lhe L.ke Counll'}'
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
z
)
I
.--5
J
I
/
Bath Tub with or without shower
Dishwasher
Floor Drain
::t
/
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
I
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
:'1
Sinks
Bar Sink
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
$
$
$
$ .50
,/'. ~,'.N\i\-\
~G pE,R\1Jr
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plum7flJtin and the amendme'Y~ t~ereof.
. E"!;/("f9&1 DATE
~ : ATTEST
Call for a~spections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
~-
07/12/99 MON 09:56 FAX
141002
....... . .....
'ItuDW . "'PUCAu
GOt.D . I:IT..,
CITY OF PRIOR LAKE
SEWER AND WATER PE~T.
NO. QQ-77S
NOTE: Sewer and Water
contractors must
be re9istered
with the City.
ADDRESS:
824Y'West: 12St:h "s~_~;. MN
SIGNATURE: f) ~-I..~~
SITE ADDRESNs::S Se"gu~~~Circ~e N.E.
.PHONE:
5537..8....DATE:
890-4241
7/9/99
~
APPLICANT: DC Mechanica.l/St:ocker Excavat:lng
BLDG. PERMIT # qq-775
If! / .PrOi :25-339- 0/7-0
FILL IN THE BLANKS.
1. Estimated length of water service
feet".
2. Size of water service
inch (es) .
3. Location of any couplin9s from structure
feet.
4. Type at sewer pipe. ABS
PVC y
Cast Iron
s. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
:i'-~:~~~ :::::::~~J:-;;~~--
I I
=~====~=~~=~~==~~---===== ===~===========~~=======-
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 buildin9 permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. .
AMOUNT PAIOv~~~~~
REC'O BY~O~
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 441-4245
Nt Equal OpportunitY Employer
~7 CITY OF PRIOR LAKE MC
. _ ~'?:i 16200 Eagle Creek Av. S.E. Permit No. 91- 77":;-
~ Prior Lake, MN 55372
HEATING APPLICATION I PERMIT Single Family
Date K- 6--9<:] PIO# 2.5-33"'1- 017- 0
StteAddress ~?S-- S'ea-- 'Sail C!/'k.,,;J~ .12./
- v
Lot -7- Block ~ '3 Addttion ~A/(')!$ #/l.-t- 2IJO
Owne(s Name /h ~ kG s>-z:?~ 6~s ~)/.~
Address ?4'd- S-- C)b ~ 9f-G ....Jk ~ ~"I'I!h
HeatingContracto~nCO"";j/<.p ~t:t...$!!.."#UY- /J //f' P
Address I d 'IiI ;( Iu ~ '4.r1.,.," - "j .4)e . .r. c\;..u49.-<
- - -
Telephone # h /.}- x-C7 V t!70 cJ I
Furnace Make & Mod~k')jU,sI~1 TYPE OF SYSTEM
Warm Air Plants
Model Size q I trt' iJ Gravity Additional inspections will be billed at $35.00 each.
Conn. Load M.echani~l. :il . . House Heating Test Record must be submitted with huildinn ~ 01"1'10'" before build.
Air CondnlOnonori~..J- s;h/c T'L.d.30 ing certificate of occupancy will be issued.
Fuel AJ 4-rC;;AS. Flue Size Vent. System ? ,::; 70-1
!:!.EAI r.AI r.LJLATIONS R"nIIlR"Cl with number of supply and return openings listed per
IC} HEATING OR POWER PLANT room with CFM's per opening. New structures or additions send floor plan with supply
q Steam and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Radiation CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Special Devices
Supply Openings
Return Openings
Input q/ tJt7/J
Output 'J/t7t20
Edr.
Other Devices
Glm.
TYPE OF WORK
Atterations
Replacement
Est. Comp. Date
Xi
New Construction
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE ~
TOTAL PERMITFEES $ /OcJ
99 - '770-
Building Permn #
ere;. s-o
--
( PAID WITH
BUILDING PERMIT
.50
C)C'
---
Receipt #
/
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
COt.
<.
Two.Family
Multi.Family
Commercial
i
I
,
I
~
Public
Industrial
Other
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
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.
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
cast:' all (?'rk which requires review and approval of plans.
~4.~ .er.:. J7'O?7
Il::a'}l~~~ . Da)!'
I'~~ e/G./9&j
Building OfficaJ's Signature Date
91/ J3<16'
The Ce..let' of lhe lake Co...lr)'
/1; r: -, j' r:-
,. '/ - / oJ
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPMn]IIENT CHECKLIST
NAME OF APPLICANT
j'//'T'r;.. I ~'I'~/'j..1 '-I /-'i'L".,'-
,. " , , \.---' 1-- "'--" r " ............ L--' '--' "_ __
APPLICATION RECEIVED
/ / e".' --. .... /~, ....--:
// ~ L/ '/'/
. ~ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/' r--; 7 -- c-, j::' ..c' --::;:. i '( / /f / Lj (I I ;::-.
~.-', ....J '--'"L.....-'/L"';:J~,.'-............ ,-,/,/',__L-,,--,,"
,1,1 ,-
I \; t::--
Accepted
Denied
./
Accepted With Corrections
Reviewed By: /-J"LT'€tL E:...'u....."^,,,j
Date: 7hJ9'
Comments: f1'...."I<~ M,",ST Be (!..o.JVC'oIa, -r.. IINO .qL O^' "
not "'UO..,. IL.
<. VT"..,T'Y E'AsE.ME..'T'!. "'5 ....,,~>l As Pt1-IIC.TICil,-.
<~t:' ld{:"n_ A-rt.,,J 0...J 2t:vFA~t!. S/tJ.F
rF~ "'T"I"\4c..l...~: 1..-5..".... GIl/tt>F 1.....< p",.......... I I.vFoA.1Of""'OA' 7 a....O/Al(~ R 4'"
\, F./ln",,,"! C"Almo.... r'I1E.4."" E<; <f. Ua"".! 12.JJT'''-D'- {{II,,'
"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-77S
Thr ('rnlfr of thr I.akt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!IT
NAME OF APPLICANT
APPLICATION RECEIVED
/'11// t:L6TAE:DT BRGS.
~/22/q1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4575
56-A G; U~0 61 R.~L-.6 N 6
Accepted
Accepted With Corrections
v
Denied
Reviewed By: (I tJl{.7 /..
Comments:
Date: c: - 28 - 9'7
/, f(pr;J 0(( &l.ffac~d !(~JoJ.:;.
"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'" ':;':;~~',~:'~':';'~~
~
-~,
.~~
-Y~1
''''--
The ClI'nlll'rof lhll' L.kII' Counlry
White . Building
Canary . Engineering
Pink . Planning
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
,/
Accepted With Corrections
Denied
(J.tl1,~
.A II!. Un J ts rY1 t/5T ~ s.d1ocuJc:....
Date:
0/).-lI/'1I
Reviewed By:
Comments:
/0' {;'.oW') s'de. 4ft Lir-4<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."
_H__.__"_._._.~"~_.______~.__. -_..__.".~~---.~_._._-~--_. . ,/
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~S'7S S'eo..(Jut\ 0~irc\p
NATURE OF WORK NM Q;;;d.uc::(..'6'Y1
USE OF BUILDING St:D
PERMIT NO. 9'1 -/7<::; DATE ISSUED ~'d.8-'1'1'
CONTRACTOR M; HQ I d,.J <-= ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING ~f-j- I );j", /'('1
, FOUNDATION (Prior to Backfill) I CjD7/.J-b}t1 f"~u,e.epw"",-, 7~Jf,J
PLACE NO CONCRETE UNTItL!ABOVE HAS BEEN SIGNED
ROUGH - INS
0. $', .
Vi
\.
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~
ELECTRICAL
. PLUMBING (;J) e0~'"U1J R/;,/~1
I HEATING (if required) (I() f!;jfJ/# V ~ ft'1
I FIREPLACE V (V V? 16/'-1 \.
l GAS LINE AIR TEST 4 ~~S ;J])81E/q1' ~ fJ-Iz,-1Q
COVER NO WORK UNTIL ~OVE H~ BEEN SIGNED
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FINALS
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GRADING (Prior to SOdding)
BUILDING T. L 0 10 ID 1 \ ~1A
ELECTRICAL '
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
1J,-.l.'1-~
(~\~ 1 )IO!1Y
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HAS BEEN SIGNED
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 inspections
FOR ALL INSPECTIONS (612) 447-9850