HomeMy WebLinkAboutBuilding Permit 99-0835
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHl'DULED.
ADDRESS /4n.c:; 0
&~/Vri 7i-
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Il PLUMBING FINAL
OM AL
OMMENTS:
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TIME
q:10
qq_ f3S
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,
tlJf}OQ..,;+-
V
----.
/
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.Ji:oRK SATISFACTORY, PROCEED
o CORREC~TION AND PROCEED
o CORREC ,LL FOR REINSPECTlON BEFORE COVERING
Inspector; Owner/Contr:
CALLI447.9 150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE ~QU'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V INSNon
I'
-----------.-.--
"I
SCHEDULED
~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
Ie : '30
ADDRESS \4050
BL..L,g
Tl.
OWNER
CONTR.
PHONE NO.
PERMIT NO. 'i'l- 835
o FOOTING 0 PLUMBING RI
o FOUNDATION ~CHRI
o FRAMING ATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: r?;) /2..h."..P-D C'..t~ ~""
m~~~
.4P~ iLo ,yj....... J
L.;' .
~
.4t./( -4..-IJuf.. qt)- ~ 1/11 - 5~7i::J- ,ft,
44' -rz 'tL" (" ~ 6.- ~ _3zt
..b><I.. r:o.e J'U> _~ /"^,~.,l.:,:,-, ..--t.....
I 'U-~
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" 1'2,3
/ 7r::."'-. ~
~ORK SATISF~CTORY. PROCEED
o CORRECT ACTION AND PROCEED
:S:~~:ECT 14: CALL FOR REINS::::::::FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSHOTl
--"-------.----
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.2:30
01:.30
ADDRESS
14057) 'BI-u615tK.V
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QCj-635"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'liI"FINAL
/0 lmE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
'g'PLUMBING FINAL
r 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
9 l --.--. 7-.... L (,JI ,(~ tLrl. I ~
I. od. ~ \~.,... ~,-- lA"...l....~~ .;.- la......A. Ll~ 7.i:
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'< _ So~ 11"\..:\-"',.... __~\c eo\M.,,~..,
4. Gl=l..u:. b.....J....J7., G.!tWo.tt....... 'OJ '/Il7-'1830 ,
,15. 1"\o;,^-\";9 1l.'"""-1lM. ~""1::;:;..rllloJ;{L {.Ill-~"'S ralf",U""'L
~,(,\,,.\,., 1----:>:- --I.,...., G...::....~to
1
---r;""",,'(' o. "r; () :lS';;Ve..J to 8~ l- 2000
H to. t=;\AC. ~ -- [. ot-;,c.k: T~\- Ie,=-
Pl~.I.l='lIll"L. ~u .l- oz, f..-.n...Q,r;.
Crdr'"
~
~t.l\ D-c- ($WCQo(
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORwK' CALL FOR REINSPECTION BEFORE COVERING
Inspect : Owner/Contr:
.v-"
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/, INSNOTJ /
1U)( ~ ~W1- <t?hl.rl<-t'S
---..----.-..-........-.....--..-.-..-.--..--.-----.----.'----
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H,'g~ (Wldthl (0,""'1
V '>::l-- 4/A
3, LEGAL DESCRIPTION 12, NO, OF STORI~'Y~
LOT <1 BLOCK --:? PID z5 -.3~ - n/~ I
ADDITION //J4I'jp fh-;; ~~ .I/"~7;J,., ~~(~C~~ON
14, OWNER (Nam.) (Addr.ss) (Tel, No,) 14, FLebR AREA APPaRDirONMENT USE
'?5.~ c:(f ;~
15, ARCHITECT (Nam.) (Addr.ss) (T.', No,) be -;;L </ . ~
;.4-ZS 'f~?"Jt 57: 6 , I'IVC;/'<. fSiR.a V6 rI$S./ 5S077 I'
16, BUILDER M _/~arJ'.~ f1I).. -L / (Addr.ss) --/ ~,~ (T.1. No,) I 15, NUMBER OF OCCUPANTS OR SEATS
/1(/1F8U7~-f Bn7y-..e.H ~/rw-.{~c-t.r/ /s'''~77;1 OCCUPANTS
7. TYPEOFWORK# Fireplace 0 Septic 0 Heating 0 Plumbing 0 Rerooflngn Porch 0 I SEATS
New Constructio~ Alterations 0 Addition 0 Finish Attic 0 Residing 0 Finish Basement 0 16. ESTIMATED VALUE
Chimn.y D Mise, I/;z. I 0 () 0 -
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq,Ft. I~?-fb Width~.;;L Depth 'It, V.s No I (f-3tJ-91
I hereby certify that I have fumished ""VI """"VI' on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or auttlorized agent for
the above mentioned property and at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offic' I can revoke this pe . for ju cap' Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X "37"/'-~ UoeoseNo, 7-6 ~
JUL -..J .
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE ALLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12SITEADDRESS l'fo.J;'cJ .l3/ad/~r~ IVE
r
SETBACKS: Required
Actual
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No,
qq -835
1. DATE
7-" -If
fU
FOR ADMINISTRATIVE USE
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION Il"Z., <')(")('). DO
f'ront
Back
Si<:Se
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
5Fn
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A BEl H R M
Division 1 234
City:
'1 <( '1 , ,S
Permit Fee ................................... $
Plan Checking Fee ........................, $--10 l C::;. 12.....,
'5&,00
IOn.Ch
/ r'Y') - ex::>
;:;c;- . SO
JJ\(}~
C) \'\1'
'^'
State Surcharge ............................. $
~E.~,:......:......r1:~~5.... $
Sejl<C Ol""om H'TI - dd,LL~ $
.l.wr..... .-,.7. .li; :7.)....
Other .........5..~W.....!l(.,~,'-'5.... $
Check if
Deferred
Tt1Pi:~~'~~;'~~I~:~~~~~itWh.n App,oved
B ~"... Date/-C.-'l"l
Certificate of Occutncy t.
tilOS
MATERIAL FILED WITH APPLICATION
SOIL TESTS r:J ENERGY DATA LI
PILING LOGS r:J PERCOLATION TESTS LI
PLANS & SPECS LI SETS
SURVEV
PLOT PLAN
D COPIES
D
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Ucense Check Fee .....\(.................. $
Pressure Reducer ..%.................... $ 'tt> .00
MeterHom.........((........................ $
Wat.,M.ter ..;rt,.........................., $ 135.00
CI Sewer & Water Connection Fee ........... $ ~ I, 2 0" _ ~C':>
r:J WaterTowerFee ........................... $ I lOt:) ..C9"'t9'
89).00
10 '>1"'1.00
Water Tap ................................... $
Build.~s D.posit ..........................., $ 1/")t'K-').D a-
Other ......................................... $
Total Du. ............................., $ "7 ~~.41
Paid '7 3ZAJ\ I Rece'ot No, -::?,,"I~;"'..1-
Issued Dat. 7 Ii- j Iq&f Bv Mti"
This Is to certify It1at the request in the above appncation and accompanying documents is in accordarK:e with the City Zooing Ordinance an~ may proceed as requested. This document when
Si9~.... C' Planner constkutes a temporary Certificate of Zoning compliance and allows construction to ,,,....,..,..... ,~. Before occupancy, a Certificate of Occupancy must be issued.
",. _ . _ '7 -<\. -''iF'\
City Planner Date Special Conditions If any
24 Hour notice for all inspections 447-42309:00 a.m. . 10:00 a.m.
"~~" PRIOR,;')?
,,.:; '1'-
- tT1
U
.. _. ~.....-
I. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:!hIlJ1/ I ~//7?1 /~'/
Address: rfh') / /9;!Jq /h/7 /J / >6
Signature: /,A/Zu ~/2/2~
Legal Description: Lot 9 Block;z. Sub /1R~G #Ii-L 2~
Site Address'/~/(J ")Z) A//N /'; /JeY -/ /%/./ t7 Ii!- I
Building Permit # tfq - f.,'=';.I? - PID # z,5 - 3 L{.3 - () / P, - 0
NOTE: This permit will not be processed without complete information.
PPNo. QQ-63S-
Phone: ~/9?- ?'l?/
Thr Crnltr of lhr uk, Counlry
Quantity
7:
7
~
/
)
/
3
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
. '.
,:5
I
Rough-ins
Water Heater
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
/
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
GRAND TOTAL
\",\\ D \\Jii"r\
"....' "..' ."....
I<\.. .' -' ,..,;,' "~I \
0- " _.~ .- . .
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing C~p1l!d the amendments thereof.
RE~ 9~3/qq DATE
"'TrEST
Call for all in'ctions 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
~~~ FRJ()..;>~ CITY OF PRIOR LAKE MC
fa .)'~\ 16200 Eagle CreellAv. S.E. P",mit No. qC;- f335'
\ ' Prior Lake, MN 55372
~ HEATiNG APPLlCAnON I PERMIT
Dahl 8b/'J7 PID# :Z.5-3~-OI8-0
Si18 Ad~ress / wstJ BLtuJlJ..u,! ai - ~ f1 R. /
. -
lot 9 Block 2- Addilion /W1Pt..6 ijlt.-t.. 21tF
Owner's Name 'rr~'" "tls;/:- ~,#~ ~s: ~
Addro~X ~6>I:!J.Si C~/ -
Heating Contracto.\ ~,/.J.A( ~~.0 #A, ~~ r:v-Jt; Ie
Address/-?l/%J /2.k.{. .Jk.t1~.: .P .;/-P ~V-"l"b 55378
Teiephone II 61';? li<!!) </OOc> g-- - '
Furn""" Malle l Model 73u,~ TYPE OF SYSTEM
UDdeI Size 31'3 /C,:; cJ !;Jb070 :,::Air Planls
Mocharical
Air Condftioning (j~/o;j~ J _ i.J
Vent System '
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Spoc:ial Devic6s
N
co
0...
Ln
N
C)
co
...,.
C)
co
N
-
c:o
c5
:z:
:x:
<I:
L.L.
d
:z:
e-
<I:
w
::c
w
-'
-'
:>
U)
:z:
"'"
:::>
<D
Conn. Loacl
Fu.~5.Flue Size
SlJpply Openings 1/
.!:J-
RelUm Openings
IIIput ?aoo Output
Edr.
elm.
OIher Devices
(T)
co
...,.
Afterations
Replacement
TYPE OF WORK
Now Conslrlldion
Building Perm~' "19- 835
/~f~~~tA\t ~
, e\l\\..O"'"
,
Receipt #
Ropeir
Est. Cost $
Est Comp_ Dale
:z:
C)
:oc:
tjctS(J
HEATING PERMIT FEE $
C)
C)
I
g STATE SURCHARGE ~ .50
I 0
" f~"" ,; /9(J "'-
TYPE OF STRUCTURE
l.PiIlI:
~ a.-
3. YclkNf
FiJe
C;."
0>-
Single Family
CommerdaJ
1/
MlAti-Family
Olher_
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commereial & Multi-Family
Residen'al, Heating & AC
Residential. Heating Only
Resid8l'ltial, Gas Fireplace
Resjdentia~ Add~ions & Alt&rations
Residential, AC Only
1 % of ;00 cost ($39.50 minimu m)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember fa add lIle State Sureharge on the bollom of Ihls application,
The price 01 your healing permit includes one rough-in and one final inspeclion.
Additional i~."""!1S will be biled at $35.00 each.
House Heating Test Record must be submitted with buildi"" I!llm!i! ~ before build-
ing certificate of occupancy wi. be issued.
!:!fAI CALCULATIONS, RfOLJIRFIl with number of supply and return openings fisted per
room with CFM's per opening, New structures Of addtions send floor plan with supply
and return locations shown. HEAT LOSS CAtCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372-
City HaW business houos are 8 a. m. . 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAl) - CALL CITY HALL
44N1850
I hereby apply lor a mechanical systems permit and I acknowledge that the
information above is complete and accurate; thallhe work win be in conformance
wilh the ordinances and codes of the city and wilh the slate buildingfmechanical
codes; that this form does no! become a permit until signed by !he BUILDING
OFFICIAL: that the work will be in accordance with the approved plan in the
case of all work which requires ,eview and approval 01 plans.
B;;~ /c;q
Datlf
Building Oftical's Signature
07/12/99 MON 09:55 FAX
14!1 001
........,.......
"cu.ow.. ~IIT'
GOLD.cn'f
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 99-~
NOTE: Sewer and Water
contractors must
be reqistered
with the City.
~
APPLICANT: DC Mechanical/Stocker Excavating
PHONE:
890-4241
ADDRESS: 8247.-4i'est 125th St_ Sava?.... MN ~~lZLDATE: 7/9/99
SIGNATURE: / L~ LV riJid:v"" BLDG. PERMIT II tJq-f335
/_ ~ 71 -u _ _
SITE ADDRESS :---l.,,,n,n "'''B''h~ '1'~.<1 ,e I PID# 2S -34<3 - 018- 0
FILL IN THE BLANKS
1. Estimated lenqth or water service
feet'.
2. Size of water service
inch(es) .
3. Location of any couplinqs from structure
feet.
4. Type of sewer pipe. ABS
PVC-x-- Cast Iron
5. Estimated lenqth of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
This
===-------==~==-----=====----~=======~---=~==
===_B
BY
====--====~~=---------
s your permit when approved.
DATE: 7/28 /qq
===~=====~~============~---------_.
FEES:
$
s
$
35.00
.50
35.50
Sewer and water line connection permit_
Surcharge
TOTAL
* Fee for either Sewer or water individually is $20.00 plus
S .50 surcharge.
* Sewer and water permits issued for neW construction must be
recorded on the buildinq permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. -
DATE PAID
AMOUNT PAIY-~~~
REC'D BY --\.6U\\'p\~
RECEIPT #
16200 Eagle Creek Av. SE.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
~
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shore land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
q9~g~
..---r--- 'tJ ,dc'
Property Address_ /L.j~So 73/tld/yj} 7YM1 IVi.--
Lot Area. /2. 0(, -- , Sq. Feet x 30% = .............. '3 (, ~ E . SO
.......................................*................................
HOUSE
x
x
x
=
SQ. FEET
/Q.,og
LENGTH
WIDTH
=
ATIACHED GARAGE
= [,l/O-
TOTAL PRINCIPLE STRUCTURE......................
/ q yq/
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS............................ --
(Driveway-paved or not)
(SidewalkIParking Areas)
x = Cj7u -
X = ;7/0
X =
DRIVEWA YiPA VED AREAS
TOTAL P A YED AREAS.........................................
I/?o
P A TIOSfPORCHES/DECKS
X
=
(Open OC1:ks 'I." min. opening between
boards.. with a pervious surface below,
are not cOR5idcred to be: impervioUS)
x
=
x
;;
TOTAL DECKS........-....-...
-----
.-................--..
OTHER
x
X
.,
;;
TOTAL OTHER........-......-
-
.............--.........
~ IMPERVIOUS SURFACE
~OVER
Prepared By ~,;J!/-!Ie/J!cu..,H
Company ;J11-ftr, JJ I a-eff p;olk
(k.,., ~1;;>>4 I:fj, C-/
3o?-& - \ ~
l-b~740
Date 7'/6/'1;
, Phone # hJ:;j ~!:;) -/77/
I.'
r'"....-..,....":v.~~<:/~~II:':i~~;~~..jtt>7~:-'1'~"':,,"- ,
'_""".~"~~~'~"''':'''(~---:z''''''_-':''~~~,,,,,,~-,,,.....jiO '.'~,,~-"""'7"l"--""'~"""~">-'-"'~' 4l-i/'"'''' ~'Pl""~, '"""" t,~,~,,_",i~,
'~
~~
~----
Tht' Ct'ntt'fof lht' L.kf 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
V"
Accepted With Corrections
Denied
~j7~
Date:
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."
r:'("; '.' --, ~
'" . .- --/ / -
,/ -/ --~~I ---.J J
Th. C"....lu 0' Ih. L.., CO....II')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT /, / I -r7 C c :._-;--/ ILL> 7--' EI<" C ::;,.
APPLICATION RECEIVED -~!- -; / C; c;
I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/.(.)~7_) dCc,6CII<'L) 77:::..
Accepted
,/
Accepted With Corrections
Denied
..... I ro , I - - ..,
Heviewea t:>Y: NflL.TEK t:.'-JIU.."')JHJ9^'~
I I
Dale: 71 I"!??
Comments: R"A.nr:r:- ...us..- i3e:
c.oA.Ju.y~f'.
-ro !lAIn A LoNt.. r\"'f1Al;:r.~
AJJ'O I l'T"iu TV E.A~FII1E:.rTS
AS t<(cJUI
AS P,(M71~
SEE ItJFo<t..-11lTooAJ
<:JIJ REuf'nSf' <:~,
,5f;E oIlTT'AcJ..I...E.JT'S: l F"vAL t:.o~ti€ /l'oJsI'E:c:no^, /AJFoIl""Arm,.} Z atlA{)(I'oJ'" AAN
3. EIIDSID,.,,) ('0"''Trt0L.. 1'1€(u,,"-E:S
<1, uo:s..OoJ f'.ONTtt.OL Pl.-It'"
"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,"
C/CJ - 6'35
The- ("tnltr of lhe- L.kt' Counl!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT Aee1.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT M / /
APPLICATION RECEIVED
/ C. L- STrlEOT BRO.:5.
7/7/99
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4D5O /3t.-U6t3/teD /K...
Accepted .tX-
Accepted With Corrections
Denied
Reviewed By: Cli ~ ,k
I
Date: -J -1;;1 -<'}'7
Comments:
flpn"u c.{( cJ-h.rLd hD.-LAc9. ~+-S
"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_~"~'___.._.....-___.~'~..._,.______________.__..____~___.,_
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
, .
BUILDING AND INSPECTION
SITE ADDRESS ltioSD 'lS\lJe\:Jltd. ~o..i \
. NATURE OF WORK "/P.....l (\MJ""rL~
USE OF BUILDING S,FIJ
PERMIT NO. q '1 ,p,~ DATE ISSUED '7-/2-'77
CONTRACTpR M:t\\p<'-\.-O<k OJ-.. (<D~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I ~ INfjOR I 8, I (, ~ D~;
I FOUNDATION (Prior to Backfill) (YJ )e/tdtJ j):( \3k< ~ if ~'j
PLACE NO CONCRETE UN~ ABOVE HAS BEEN SIGNED
ROUGH - INS
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
u GRADING (Prior to Sodding) /.,};= <II/doo
IO~ BUILDING~~ P.,O +c:. ~-(~"LOO
ELECTRICAL
PLUMBING ~c-_
HEATING I~ c..
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
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~WE&WAT~-{SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850