HomeMy WebLinkAboutBuilding Permit 99-0889
~......,- ~-C~~: 'Tr,'"",~~
"'-0""-''''''''' -'",,"- ~".--~-;-......- ":"l' ----~.~-
.'~~:
-... .,-- ..
'~",'~.~
~"~-::,...~- ~>::
QLtrtffirate nt (lDrrupanry
CITY OF PRIOR LAKE
Department of JiufIbing 3Jn~pection
ft(Final Permitted 0 Conditional C.O. Expires
This Cenificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
cenifying 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 Classificatif"~
Single Familv
'~ldg. Pennit NC'"
99-889
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1SD
Legal Description
L6, Bl, Raspberry Ridge Third Addition
Owner of Building
Contractor's Name &Addres..Equestria~ Homes,
Robert D. Hutchins ~,
rity Planner
,~ite Address
15029 Aooaloosa Trail
535 Stone Rd., Mendota Hts., MN
Jenni Tovar
Dare:
q /'finrtncial
Date:
.,,,...:~,-
',',.r.;.",
.
.i.:.i.J.......i
:-:..~",.,
.y
'...e'....-. .J."''-~,,",'','--,-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
B-3(~n /;15
ADDRESS j6W-9 Af'PIr/...-(J()<;A TK.
OWNER
PHONE NO.
CONTR.
PERMIT NO. 9'7 - 88 ?
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION ~MECHRI 0 COMPLAINT
o FRAMING WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~ SEWER HOOKUP ~ 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL ~ -:J::R-"-I..:J TiJ.,E:
COMMENTS: ,1/ ~ "j(" ~ ~
f r -;;-- # .
~ .....;:J- ~ ~ &-....:. --- -,k,' oL.
~~ r~"'-+'~'~ ,(>..' Ie @~s~
~~.,
',) /.t'I
~ ALLu/?, (~_ 7'<'> -r:: ~/
2:;= A.f, d1... -
@ ~ 4/1...u' /f........
/~ ~~~ ~
(?J e.~~ ~
~,
v
~ cfr'-
~L.-?
rL'd , f"'~ '.o"" ~
,l/I t . < I ';. . , . n
-r ~ '-kJo'd. ..v>- ~ a.RL Q-\ , .. _
~~. 4 ~/ h -~-L-6- ~T.;-
P.1P:A ~. f)~_ r- <~If kl--
.d.<< dL- ~ hdA-M/
u
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: fr;r-, . Owner/Contr:
CALL 447~8io FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
I1:Ob
II-Ib.cq
T~
SCHEDULED
AffalooSQ
CONTR.
ADDRESS It)()~~
OWNER
qq~ 8~ct
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
~s RHOOKUP
A LUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(,) ~ h.A.,
V <\v GuO
I
~5S
( ...1'J\~
IJj>.~VL-
.
~ fA----
/7
1LJ!) fLwfJ
fe'U'ff
/
/
D
r'n.v,",c'c.LJ
OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447,98JO FORJHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIR~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1/2..10
J:tS"
ADDRESS
/5"Dzq ~p,q,-O~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qCj- &89
,
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 0 FIREPLACE FINAL
o PLUMBING FINAL /f\5\ e, GASLltlE AIR TST
o MECH FINAL t!)I r- >.,-
COMMENTS:
2-
~~ ,. ,,~. ~~~~~:'~4~1A--
K? H, d'J.. ) J J~II (Ui r
-
~- (I~ ~ :--=~~
(l__~U;_U~. .oj ~ '"~.. ,R) ~
----
-
~'f /J
l~A<L.J
JdWORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT ~CALL FOR REINSPECTION BEFORE COVERING
Inspector: #- ~, Owner/Conlr:
}
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
II
.)~O~~ PR/G-\, (
I..: ..."
- l'
u on
ll,-n= g.'''''''EQ CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
JUL 2 I ~ ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS lSSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS,
~
?3
150'2 ~
1,.
, ,
3. LEGAL DESCRIPTION
LOT 6 I
ADDITION ,)/,'llA
BLOCK
&'J.-
/
J2.l.hP&JJ..~ Y
1'7~Z/ -tiq
t)cca.lQo~"'- Tr. ,(fS'.f)
PID
2.<<;:' s'1? ~(X){. - 0
'X iJ 6(>
40'R~~ t(Na7)jb~ o}Jeiadr.SS) (T.INo.)
5. AR9HIT..E~~ h- (Name) l ~. ~ -=CAddress) (Tel. No) ~
vKia-c.. A~ ~'^~~\- ~,\\'\ Q~'\ {"i.'1-75'10.....-J
B.BrUILDER (Nam.; (J ;;;.S) ~~t'J 95~r~~'-I/a;
Q wSf ilJlA.lt JlC{ItL/(16rJ/k1r1'r 1:!r:z!!J~ SL~'a. ~jIJ
Fireplace LJ Septic LJ Deck 0 Rs-roofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
7. TYPE OF WORK
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.TJ -~B~
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
nkwt6k.IL
13. TYPE OF yONSTRUCTION
7&~/~f/d-
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCU~ANTS OR SEATS
OCCUPANTS z..
SEATS
I
I. .'6. PROJECT cosTJau.,~;...t
ILL 20 cfrn5"r '- / ~f
.117. COMPLETION DA
New Construction,
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19_ PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft !ill{" Wldt"1llflJ6 D.pth I fJ~ Y.s No
I hereby certify that I have furnished i. .;~.. .."",;~.. 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 mentioned property and that all construction will conform to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
bulldinq~ cjh r.vol)<j this ~ just caus.. Furth.rmor.. I h.r.by agr.. that the city official or a d.slgn.. may .nt.r upon the property to p.rtorm n.eded insP7ns.
X -~ hYrl.K. ~~. 2.,,/7, 1767 7-ZJ- t{
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
F"""
Back
BUILDING DEPARTMENT VALUATION
Side
Side
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I '1 OJ ,",0(') .1"'1 pi
<J::.i?
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
Permit Fee ................................... $
11";l3'l~':).~
~t.l.?1
9\5. 00
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... s::
Plumbing Permit Fee ...Lf(.~g~....... $ 100 .Of)
Mechanical Permit Fee ~~m......... $ J (C)('). D()
Sewer&WaterPerrnit .ff..m......... $ 4.c;. t::('J
Gas Fir.plec. P.rmfi .r.r..:,.r:t......... $ 40 .00
Thi~t' B~_s._.j' U..lr .:Iuilding Perrni~hen Approved.
By -<IS. Dat..'J -~e-'1'1'_
Certificate of pancy
City,
t(t
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
LI
Amount Brought Forward .................. $
ParkSupportF.. ............................ p=\S"f) .l'lC"'l
SAC ......................................... L_..l.." ~f) .<">0-
Collective Street Fee ..........~........... ~
Sewer Tap ................................... ~
5'~' $
Pressure Reducer ..lft................... $
'Is. 00
Meter Horn ..........(1........ .... ........... $
Water Meter ..~~......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
l 'as .0(\
I, aOO .01'1
. >r DO .&1"1
Water Tap ................................... $
Builder's Deposit ............................ $~O{") . ~a.
Other ......................................... $
Tolal Du. .............................. $ IS?' ttfD
Paid '7~71 q" Reo.lptNn...3S-~3'7
Issued Dat. "e/, /~ By ~
T~~~ ~.~ in the above application and accom. panying documents is in accordance with the City Zoning Ordinance and may proceed at requested. This document when
sig lanne nstitytes a temporary Certifi~e of zoniryomPliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
_' JvrA/l_ -; d'i/9
City Planner Date Special Conditions if any
24 hour notice for all inspections 447-9850
, ,
CITY OF PRIOR LAKE
. 16200&111. C,eekAv. S.E. PermftNo, qt;,I3ff1.
P,lo, Lake, MN 55372
. HEATING APPLICATION I PERMIT
.-< ~
cL Dale. ~- ):~-~ ~ . PIDII Z5-.;3A-Z- OOCD-O
(T) SiteAddleS5 \.S~~C\ 'f\o",,,,\ot))GI. ~ T'('~',\..
'"
'"
o
z:
lot ~BlocklAddftlon ~U$):;\-\.....r" ~,).""\\. ~~
awner',Name E '^ '^-'< \\.,.. ,-;,.", " \\ D~ -
Address ",',"\ S S \ ~'" i-- c. A....", ~ ~~
Healing Conlractor'~ -<..:~ \\, r-- ""In \.
Address _ '\ \n l.\ 'I.. C'\ '\4 L \ l o~ ~ Y l V r; lY' ~ l,lC.C
Telophone' . ~,,~ - \ \:l\\
Fum_ Make . Model ( V, ~r,' v'
Model Size fl '\\ V - ~ C4, (J
Conn. Load 5 0 ~u.. ~
Fuel N <A '\ Rue Size S II
Supp~ Openings \ ~
Retum Openings --,
~ Input 'J1, '{,. . ~~ 0uIput. "\ \ ~\J
o
0<
f-
W
:E
Edr.
elm..
\., ~ <;
TVPE OF SY~
Warm Ail Plants A,
Gravity
Mechanical ~
Air Condftioning . ><
Vent. System
HEATING OR POWER PLANT
Steam. .
Hot Waler
Radiallon
Special Device.
Other Devic8.
TYPE OF STRUCTUR~
LPmk
1.0.-
3-. Yc1law
...
all'
~
Single Family X
Commercial
. Two-Familv
Indualrial
_ Muft~Family
Public Other
...
ICI SO Fee Schedule
Industrial, Commercial' Multi.Famlly
Residential, Healing & AC
Residential, Heeling Only
R/llIidential, Gas Filepll108
Residential, Additions & A.erations
Residential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remembello add Ihe Stale Su rcharge on the bottom 01 this spplication.
Ths price 01 YOUI healing petmft Includes one lOug~-in and one finat inspection.
. Additional inspections will be billed al $35.00 each.
House Healing Test Record mUM be submllled wfth buUclina Rmn!I ftllmlwlr before build.
ing cel1lficalll 01 occUJWlCY will be ISllUed.
l-II'AT roAI r.lJl ATIONS ~I'nl ~"'1'1l wllh number 01 supply and relwn. openIngs lisled per
room w1lll CFM', pet opening. New .Iruclurll8 01 additions send Door plan wlltrsupply
and retu m locations shown. HEAT LOSS CALCULA1l0N5, PAYMENT AND
APPLIcATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE- S.E, PRIOR LAKE, MN 56372.
City Hall ~lness hours are 8 e.m. - 4:30 p.m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-42S0
"TYPE OF WORK \.1 I hereby apply lora mec~ical eyslems permit and I acknowledge thai the
if . . ~ ' inlolmelon above i. complete and accurale; lhat Ihl wOlk win be in. conlolm.~ce ,
~ A/lar6lklntl. Replacement New Conslructloft '. wllb 1he otdinances and <<!des 01 Ihe city end with the atale buildlnghnecllaOlcal .
.... . , '. codes; Ihat Ibla lorm doe! nol become a permll unlil signed by the BUILDING
~ :.'~paI~~' . ~ ~mp. Data l~ " .. OFFICIAl.; Ihal Ihework ~III be' In ~~oldance'wllh lhaapproved,plan ~n the ='..
en -:&tCoat . CiON, o-/' _ BuUdlnllPennhll. ~ vy_ 'Bffl ;, ca8tu1l,~I:work:.W~1~h.~III~S r~~~.:m.dapprovel.oI pl~ns. -:."', ,. ,..' .
~:;.:=,.:." '.' .':' .:..." ':.,~ -- ..'.. .:.,'M<'...~..' ,_ .;: ^.' , ,. :' "t i;: '''''.: .,--"V(:.,\...,,'Jt:~::<.""
. HEAllNGPERMIT.FEEro lOYJrrH, '.:"J':""\ ' ,,".'" ',--~\-dO\','.V":':,:
~L.' .~ ",':. . ," . .'. ". '. \NG PERMIT. '" .."/~.- . ,'0" "". ._..._..<.'o:....~.., D~ ..',:',"'-'.:'
.', ~"TESURCHARGE, , '.' .50, '. "'. .eUILO.. "",:;,1", "',),' ,~:..,... "".:'/) "-i 'Aq' :::....<,.,..
~~7...;:. ~~. . _ . . _:' . . ~ "~ _ ..'. ;,.,r....,N " ~ ..' __ _.._~ .... . .'-- " 7~ Z;,7, I ~..' ''-
UJ;:i6TALPERMITFEES'. . Receipt' ". -- .: 0 . '. ."-'.,..... "'SulkingBignalure ",,-. .... {.. .Ollle".'..::
...~wi~;.i~,~~~~~~~tth~;.i.;:~::~~.i~~~~kt~.,;)~~:fr~i~~{?~~:.
"
,.
.Permit", _
"Job Add,... l'5o;:)q::&;: t.C~"
%0';09 ContrOClo' ME1'Ro AIR
"rO"."/S;gn.,u,. -5jJ.. .A..k:-
",,--..~. ',..."~,---"... --"-..,....~ - _. --- --. ~.,- -- .
7,
Q!!!
Ilm!
Pounds
Pressure
.Gas Une
Pressurized
Inspecfed
"Perce"r CO2
PERFORMANCE TEST
.c".tJ,'o _ "P.'een, CO .0'10 _
""7,5"h
=q 0
"Stack Tem~. ~
"Percent O2
Final Inspection
Dale
.~~
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: AG-VlZDLJLT PLv~e,J\\k:,
Address: i'tJ15 <4. /.....ov),;:'L _ I \a I 61-
Signature: ~'--'--'
Legal Description: Lot (n Block I Sub ~i&l2-IZ-'I ~ I D4 C
Site Address: LSD?""" A-i1rALv~A- ~PrlL- 1<15D
Building Permit # rf-~~ PID# 2.5-3+Z.-01iIn-C
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PP No. j<J - fij ~'1
Phone: (.,/2- 43L "3 r' '\
Tht Ct'ntt'r of Iht L.kt Country
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
<<- Bath Tub with or without shower \ Rough-ins
I Dishwasher I Water Heater
I Floor Drain Water Sollner
-3 Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
t Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (toilet) 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
,-'/ PAID WITH
GRAND TOTAL 8UI~DING PEi'::;;";IT
(/ PAID WITH
l BUILDING PERMIT
This permit is granted upon the express condition that said
contractor, shall comply in all respects wi t e ordinances
of the State Plumbing C~de nWlh a"!, m Is Ihereof.
REC B DATE
ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opponunity Employer
I
-. ..... \
't'lEUOW . &JI'II . tcA_T
GOLD - CIT"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W. No. 99- lf3R
/ NOTE: Sewer and Waoer
contractorsllIlst
be registe ed
v., with the . ci .y.
APPLICANT: ~ r:v~ PHONE: c.,~J ~~, f':9.L;flJ
/'
ADDRESS: .fj6?tI.r ~ AJAJ~ ~-r6#. DATE:_f'"- /3.-' L
SIG~ATURE: 4 .p . BLDG. PERMIT #~9IFI"
SITE ADDRESS:J~O.:l.9 ~~ PID# ZS-;34-z,- ODe.:6-
~~p ,
FILL IN THE BLANKS !I
1. Estimated length of water s~rvice ~o feet. II
2. Size of water service
/
inch(es) .
3 .
Location of any couplings
from structure 8 feet.
PVC / Cast Ix-on
5.
Type of se~er pipe. ABS
Estimated length of sewer line
~o
feet.
4 .
6. Clean out (if required) / located at
struc'ture.
. feet~. 1lI"""",.
This
BY
:=============~====~~==~=:=======~=~==-======: ---
permit
when approved.
Q/z-/91
DATE:
/
/
-----------
------'-'------
~~~========~==-==-~==~========~=~=========~====== ===
*
Fee for e.ither sewer or water individually is $20.00 pl:.us
$ .50 surcharge.
* sewer and water permits issued for neW construction must be
recorded on the buildin<;l permit card at the time of issua"ce
to insure that no dup11cate sewer and water permits ,re
issued.
$
$
$
35.00
.50
35.50
Sewer and water line connection permit
Surcharge
TOTAL
FEES:
DATE PAID
RECEIPT #
~
AMOUNT /9~~~~i'.
REC'D B\~~G
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 4<.7-4245
An Equal Opportunity Employer
HI 3!:l\ld
!:lNI1\l^\l8X3 NOSNHOr
1l'32:2:t5to
EE:2:2: 86;t/E2:/'311
. I
'l"',1~:"";''''~_-:~~ ....,:l.~".4j ~ . L~_ t~
"'::"'.~
.~~~~~. ".,,}._l~t~,~.,,~ ~.
Ie( -'::::;?
.~
~~
White - Building
Canary - Engineering
Pink - Planning
Thf ('fntfr of lhf L.b Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, -I.-I
.-'V t.<-,,^ ~ ~
t. - c. / .., '
.< /\,......' ,'./::~ .... 11.~ I /1
. t__"),..... ~ .
- i /
;. '":'.; /.:;.
l. " 'f
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l:::,(.:; '_ 'i Ii.,' /)-4 /,,-;, 'v'4
~/-- .?
,/-<:::. .
Denied
-/
L)~, jV7J&1
Acceoted With Corrections
Accepted
Reviewed By:
Date:
',7;:)'1/ q q
I -,
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."
?Ct-8Bi
The ("('Rln of the LIJr., Country
White . Building
Canary . Engineering
Pink . Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CIiECKLlST
{;6?Ll6S TfLt/tN fl",,&>
7/Zi /Vf
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/C;OZCf
APtJAI /?n~
T~,
, .
Accepted
Accepted With Corrections /--.
Denied
Reviewed By: (;;:/) t2-... 7 I......
Comments:
I. Keo.t:l ",l~ o..tb~ 1Jc..J...:tc-
Date: 7.;;(8 .qq
"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."
11
White - Building
Canary . Engineering
Pink - Planning
Tllr Crnltr 0' I,", Lallr C_,u..,.
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTM~"'T CHECKLIST
I-L~> .
[; 61(/65 r/Z-//t N
7/z/ !r;'f
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/C:;O Z<j
Ar fJAI .00 <;..A
TtZ..
,
Accepted
,/
Accepted With Corrections
Denied
Revievved By: 11,,;;t 5mKMAllo,
Date:
, ,
~/fv
'Jr.
Comments: Ru..of"F" 1"'1 <1ST" oc
c."J>,JIlr;<lE.;) "-0 14,.,,1\ A, 1'lI,,1{.. DQAt,JA!\t;: ~ UTlLlT'"
E'A<t.EM,:"aJ1"S A~ f'lh.t(:w ,qoc;. ~n.t:r"'T""C.IIliIL.
~IJMO ?uM.$')>S 1\f"s-r c...,~Cc.,- 0;-0
E~I'!:."Jo,.)t.
DR'''.... .n~E_
5E"e:.
,,..tF'o4r""\1lt'T10JlJ ON
RE"E:JLS ," S. bE:
;g.. "'-rrAr_""'ENT~: I. F......AL /1,.",<:>e 1""PErno.' 1"''''alll'fAn.''' Z ('~It"'o,"'" Pd.'"
~. E 1l0S lOt.! ~.")"rlto~ r'\E:A>..nt.e:s
<1-. EfIJ>S'o.... Co.rrIlOl- R",~
"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
, .....~...--._'~.-
,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS (S()';1'" Ay.?DCllOo"c. It-
NATURE OF WORK N~~.
USE OF BUILDING Sl=""D
PERMIT NO. 9 '7 -~q DATE ISSUED 7. ~f",-'7_q
CONTRACTOR c'1! ~ac G--..\_____ ~~ .
NOTE: THIS IS NorA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING (W
I ~. I ~-\ \-9~
, FOUNDATION (Prior to Backfill) I .t:ffild-- I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ERI)sEPTIC1>~~ ~, I f:~3/-9J
FRAMING- - W (/ \ ftJj GP"';'p'~'71 J()-)-1(
INSU~TION ~~~ (h.., Itl-t;-'f) I ~ /0~Jr'1 I
ELECTRICAL I I
PLUMBING rJ4. (/1) 9"~M"1 CdJ 'J /2.<1/'19 I
HEATING (if required) {/- , '(jJj/'/z7/~Y I
FIREPLACE~:r; '*- &:t-, lIh Z.fl;q k/ I
GAS LINE AIR TEST ~ f/z-r/rr, I
COVER NO WORK UNTIl:ABOVE HAS BEEN SIGNED
,.--.. I I
FINALS
I ~__
I A.
I .
I
I
GRADING (Prior to Sodding)
BUILDING,\P'~~ 1I,/..0'l1l11.,A1
ELECTRICAL '
PLUMBING
HEATING
DO NOT OCCUpy
7- 2/ ,of)
1//z/orJ
I
I
I
V1/ .;0,)1:l
V 1M
UNTIL ABOVE Hks BEEN
NOTICE
\
U'l.~ ~
S G t~ E 0
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 addWons
whp.re 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 I
i
j