HomeMy WebLinkAboutBuilding Permit 99-0940
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~ 21~
/ t../ 03 B L5 t- U EE/,eL)
SCHEDULED
OWNER
CONTR.
PHONE NO.
99-Q<-lO
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECH RI
~ATER HOOKUP
A EWER 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
COMMEN~~: ~
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o W~ SATISFACTORY, PROCEED
~ORRECT ION AND PROCEED
o CORREC WO L FOR REINSPECTION BEFORE CO~ERING
. IV ---:;;:::.
Inspector: / l Owner/Contr: V"--/"c
CALL k7-98 0 FOR THE NEXT INSPECTION 24 ~OURS IN ADVANCE.
CODE bQukMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V lNSNOTl
II
. --~.."--,~------,-----_.,. "TO-"'___'__o____..c
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J;bTE TIME
2:30
I I., ~ .;>
ADDRESS
\ ~t&> '3.2:> ~ LS \.4) Ii2-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
11-140
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~Ir.\
~FINAL '"
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
(iJ"'c;....E:l'\n\"l\"l'
A jil..PLUMBING FINAL
A '" MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
t.<--e. FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED ~ Vc.(~<d" ~
~~~~:CT ACTION AND PROCEED Or--
~CT WORK, CALL F~CTlON~RE COVERING
Inspector: .M.... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
97- C14tJ
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
\ '-\\o~tn
3. LEGAL DESCRIPTION
~ BLOCK _-::S PID _~~();;l.~l"")_
ADDITION ~r'.~ ~ \\ 13 ~;~\TR~\X~j(J: '
14. OWNER (Name) (Address) "i~() lJ..) I ~~~el. No.) ~ _ ~_ )(j4. FLOOR AREA A'PPORTIONMENT USE (\
tt'\'l-.e..Il~~'!-.{!\ ~1~. "l1\A ~')Q! ......,-\~..,~ {]"') )V - ~
5. ARCHITECT . (Na!fls) ~k\6i. ~ ~ess)" . ~ . . (Tel. No.) _. '
_f'!!i1f.I, H""~'!L.y \~\ .."'_r\CRt~nQ \A.\),.-<:'; ~ I
6. BUILDER (Name) (AddreSS)'\t.~I'/ \~"'~ 7:/:, 15. NUMBER OF OCCUPANTS OR SEATS
~~ l~~'\=\'N"" ~~-.JUL ~OICa.[nr""," 1.\l\')1)~"SC1 OCCUPANT~ -<
SEAT~
1. DATE
(l..\ll...~rA 'T... \_ t\E.,
<C. .3--(\\
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BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
,,":1.. Ot\_
12. NO. OF STORI~ d..
LOT
7. TYPE OF WORK Fireplac4"" Septic a Deck 0 Re-roofing 0 Porch 0
New constructio~ Alterations 0 Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement a J!...6. .1 PROJECT COSTNALUE
Chimney 0 Misc. ~ ~ '{:;) !?f!)
/B. PROPERTY AREA OR ACRES 19. P:I. DIMENSIO~ \~~ 1'0. CULVERT SIZE 17. COMPLETldN DATE
Sq. Fl \ ~(i:i') Width Depth ~ Ves ~ \ \ _ '\~
I hereby certify thMhave furnished information on thi pplication 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 aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~5;~~ \(\~~eml~ol\~:\:u ore, I hereby agree ,~~~ ~r;.,~lgnee may enter upon the property to pertomi~ections
. - '~~ License No. Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGV DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS Ll SETS
SURVEV Ll COPIES
PLOT PLAN Ll
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.CJFD
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ':2 10. (')Oe:>. (') 0
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee .... ....................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
R~.()o
I ()~r,.On
Division 1 2 3 4
Permit Fee ................................... $
1.L.j~'1 .rl..~
9~4.~t
I of;.OO
Eft," ·
Pressure Reducer .......................... $
Meter Ham ... .... ..t,' ........................ II:
Water Meter ..~b.......................... II:
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... It
46-.66
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pemllt Fee ..11:119........... $ L c> 0 . IX>
Mechanical Pemlit Fee .1~1fo......... $ l D C> .00
Sewer&WaterPemllt ..1t1ft!....... $ "1 S.SO
Gas Fireplace Pemllt ...1~.~.49........ $ 40; 00
ThiS!:!E. mas ~r Building Permit When Ap9(oved.
By \ff"- Date 8 -(,,-'"{.. '7
Certificate of Occupa y
I ~~.o6
1. 2 Oil .6"0
J., flr? _CTO
Water Tap ................................... It
Builder's Deposit ............................ $-4-,~ t;JO .0(')
Other ......................................... $
Total Due .............................. L ~"4 Z-f _ 'f <-
Paid A 221. Cf (, Receipt NQ.. 351374-
Issued
Date B/z-'~/t: By #L--
Tho ~fy lhet lhe re~~:;;):.n the above application and accompanying documents is in accordance wilh the City Zoning Ordinance and may proceed.i requested. Tho document when
signed . ~~r ~~a'Y Ce"leJrt.'i'f' compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be Issued.
, Cny Planner ale Special Conditions if any
24 hour notice for all inspections 447-9850
II
-.-----,--.------.--.-------...- ..--r--.-----...--.
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Pe,mit No. qq - q t.fo
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale /O/~/<f<i' PID, 25-.3/0- 02.4--0
Site Addres:, !t./t,?J' &"d;;'~m4Y ""-/SD
Lol .!!.- Block .3 Addition t<: NOB H / L-!.-
Owner's Name . _-T~
I~
v -
Add,ess
HealingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N. FAIRVIEW, ROSEVILLE, MN 55113
Telephone '. 6 5 1- 6 3 3 - 2 5 6 1
FIREPLACE /J.uf !JGc..
1Xn~ Make & Mod.1 (n"""....
Model Siza
TYPE OF SYSTEM
Warm Air Plant.
Gravily
Mechanical
Air Conditioning
Vent Syslem
Conn. Load
Fuel~
Supply Openings
Aelurn Openings
Inpul . Oulpul ,;)7..,.,,,
Flue Size
HEATING OR POWEA PLANT
Sleam
Hol Water
Radiation
Special Device. _
Edr.
Other Devicos
Clm.
TYPE OF WORK
Alterations
Replacement.
k
New Construclion
Repair
Est. Cost $ J J nu.."
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Es!. Comp. Dale JOh/9'i
, .
Building P..m~ , Q'1- 9 </-0
~~~:>i"'\(\
.50 (;- \,p.\~G ~~
~\\,Q~
Aeceipt # ~
TYPE OF STRl!.CTURE;
I.f'inl:
2.tln:rn
J. Ydl"
o
n
Rile r+
alJ I
COnft_10
IN
I
\D
\D
Single Family
Two-Family
Induslrial
Mulli.Family
Other
....
....
Commercial
Public
Fee Schedule
~
U1
)>
"
Induslrial, Commercial & Mulli-Family
Residenlial, Healing & AC
Residential, Healing Only
Residential, Gas Fireplace
Residenlial, Additions & Alleralions
Residanlial, AC Only
1% 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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III
III
~,
a.
III
("l
o
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J
III
"l
Remember 10 add Ihe Slale Surcharge on Ihe boltom ollhis applicalion.
The price of your heating permil includes one rDugh~in and one linal inspeclion.
Addilional inspections wilt be billed al $35.00 each.
House Healing Tesl Record musl be submilled with \nIild.i!!g IltiIIliIIMDllm belore buH~
ing cerlilicale of occupancy will be issued,
I:!flII CA!,CIJI ATIONS REaUIRED with number 01 supply and return openings listed p
room with CFM's per opening. New slruclures or addilions send "ocr plan wilh supply
and relum 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.
(lI
....
N
(lI
IN
IN
Cily Hall business hours are 8 a.m. - ~:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FlNALl- CALL CITY HALL
~47-4230
00
00
00
~
I hereby apply for a mechanical syslems permil and I acknowladga Ihat the
informalion above is complete and accorala; thai Ihe work will be in conformance
wilh Ihe ordinances and codes of Ihe cily and wilh the slale building/mechanical
codes; Ihal Ihis lorm does nol becoma a permit unlil signed by Ihe BUILDING
OFFICIAL; Ihalthe work will be in accordance with Ihe approved plan In tha
case 01 all work which requires review and approval 01 plans.
../f)/v/ff
Dale
/0/ </-/tlCJ
Dale
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....
CITY OF PRIOR LAKE
l&2OG e.... Cl1lIk Av. S.E. Plwml No.
Ptior L.... MN 55372
HEATING APPUCATION I PERMIT
Dale 9-2.~-<lL) PID' Z.S-310-0Z.-1--0
S~e Addroaa . ILl I h?'''-' ~ i lA.J""_(2."ceJ ',--~ L ,.efsD
\.IJI .!::!:....- Ilklck ~ AddIion' k.AlOf5 II/u_
OwnetIN.,.,.. :\ b L... Jr"-.,....l h~. ~~,
...-<
05
'j
Il.
99- ?c,t()
Addl_
H..tiIl9Co11II-l~ I..ep,....-.A ,~.lz::.,v .?loo........ \+t-u
AdIlr_) (a~2D l"--:>h ,+r, A nTI:l r4 'Avt- _ 'Po l- 0
,
TlieplIGnl' . 441- 't9~
I'urn_ Mtlw & Model 'p ~ ~ ,--
'-'
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.
,
.
.
.
i
Wadll SII. .
ColV\.l.ced
"11 . u"l5D
<
<
<
J
.,,--~.,
Fuel N~~ Sh. '?
/Ll
,
Relum Openings J
I/lput q I, trQO .o.-put 7), <;-<;L)
SupPly Oponlngo
,.
'.
~i
~ I
,.
Edr..
Ctm..
TYPf OF SVSIEM
Warm Air P.....
~
M..nic8I
Ai. CGncIUonWIGJ...\'" - ~
VillI. S,s1- .
HEA YlNG OR POWER PLAN'I
St..",
Hot Watll
Aadlliion .
Spedel Dwl_
. Other Dwic8e
~ i
TYPE OF WORK
/
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<t'
,,'
0'.
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01:'1'
01'
I;
Ill'
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QI
VI
AllendioM
. Ropl..,.mont New Conslnlc:\IaR
. Eat. Cofl1ll. Dale .
~
Est. CostS
HEAlING PERMIT FEEl
.5D
qq- qL/-o
. ~~
($~~G!e.'?-~\'t
Receipt .
Building parmh I .
STATE SllRCIlARGE .
TOTAL PSR~l FEES .
TYPE OF STRUCTURE
,.....
I .....
,........
FIk
("l~
","",'"
Single family
1/'
Two- Family
lndualriaJ
Plillic
ClIler
M~I-FamIy
COfMIercir I
Fee SCIlod....
>l. lAdultrial, Cornmen:io.l & Mull10Familv
Resldenlial, HlIIIIng & ,.r;
"""idontial, "MUng 0II1y
Residant1a1. GIll FftpIIcB
R..o:onIill. AddIMn& & Allerlllolls
Resiaenlial, AC OnIV
1% of job co.. (139,50 rmlnuml
$99.50
184.50
$:18.50
1:19.50
$3&.50
Romemllef 10 adcIlIle SlIte SUltM'110 on :118 b_m of lt1is IIll'kalion.
~
i
I
I
I
f
I
Tho prico ol)'OlJr holllilg permlllncludo$ one IOUgh.in..d 01\0 fnll itspaClion.
Addillonol i~n. wiD be blled at $35.00 oach,
1I0.... HeaIiIlg TIl&l Reocfd ,."'" b1111111m1llod wltllllllillli!!g wmiI !IWIIIiII tell"e bulld-
"'9 co...... 01 OCCllpellCY wil be _ued.
'tUT ,..' '" I' ITI""'~. Il~"" IIFn wlIh ......,'" 01 supply IIId rollll1l openings IIIed pllf
room with CFM's por oponin~ _ IlfIIcJuf81 01 addltlonl send noCll' plan .... aupply
and lIlum locaIIons ahown. HEM lOSS CALCUlATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOflLME, 18200 EAGLE
CREEK AVE. S.E. PAIOR LAKE. MN 55372.
Cily Hd bu!in8U hou.. ... 8 O.IT\. - 4: 30 p,".
ALL WORK MUST II! INIPECleO (ROUCBIN AND FINAL) . CALL C1YV HALL
44 7-4230
I hereby apIMV 'or a mechanical systlma permltllnd I lc.lrnOWledQe Ihal1he
inlormaticlfl above ill complete .....<1 Iceurato; Iballha walk will III in con/olmoneo
with Iho ordin""c.. and cotles ollhe eftV and w~h Iho Itale buildll19<'rnlCha<lical
codol; :"al thialorm d_ not become a pOI mil Uflt1laigned by Ihe BUILDING
OFfiCIAL; Ih.. !he wor1c willl:a In eccOfdlllCI wllh I/lAJ approved p1an'in the
ca.1 01 ,~I :",'k whi~h ,.qUi._ 'OVi:W and approvat 01 plans.
/;f)u.D:1~ q -1-'{ 1~
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Oat'
/-
.Q~i_2"~<.~.9 .!.~P )~.4,~.t5 ~~X .,6....1,..2....4/4J...Ov859
O~-SlTE MARKETING CO.
~J.""I Vf'" YJUUj( J..Aat;
IoZIOOI
~oo~
'-0. ~ .....
nlll" . ~""'r
Gl_,~o"'''
CITlt" OF PRIOR IJ\Xll NO_ C?q- 9L/0
SEWER ~D WATER PERMIT
APPLICANT: Kf~ Ex ('u...()c.,V4
ADDRESS: :f61 S W 7o-+-h.. str~
SIGNATURE: ,Aun.~ .~/YY~
SITE ADDRESS; \\.\\n~ Ik.:l~,.r\ \1"\. '\-'It:,
Non: Sewat. and Weter
cQntraetor~ myst
be rQ'1ist:.rad
with the City.
l'HONE: 507-7</t/->00'<:;; 6 -
_DATF.:-0- JO-'t <"1 _~
.BLOG. PERMIT II ~ ~l.:)
PIOil~""?>\~ut\
1.
FILL IN THE 8LAN~
Estimated length of water service .:?;J
J II
Si~e of water servic~ inch{ea).
Location of any Couplings from structure
1'e..t:.
2.
..~
t>~\t) 'l'J ~e.?-~\\
U\\.O\NG
:J.
--..
~ .
Type ot sewer pipe. ABS____ pvc~ Caat Iron____
Estimated length of sewer line J;:) feet.
5.
6. Clean out (if required). located at:
str-Ucture.
feat
from
~~~==~~....~-~::~;=--~==~~==~=;--=~~-====~==~_~m=~=~:~~~=_~.__~~=
This apPlic~~fJ%es your permit when approved.
8~ ~CU<"'---""" DA'rE: /1/9llCf
' .// .
~:=~-==.=*~~:-.===.==~~--~--Q~====~~=:~..a~==~~~~==-~_~~__===_~==
F'EES:
$
$
$
35.00
.50
35.50
Se~Qr and water l!ne connee~ion F~rmit.
Surchargl;l
TOTAL
· Fee for either ~.~.r 2[ water indiv!dually i~ $tJ.~o plus
$ .5D surcharge_
.
Sewer and water permit:~ issued for new cQnstruction must be.
recordea on the building permit card at the time of issuance
to insure that no duplicate sewer and water permit.. are
issued.
DATE PArD
RECEIP'l' .
Al"lOUI:T PAID
REC~O BY
.~~?<~\\
(~\NG f
4629 Do""t. 51. 51::.. Prior u.k.. :-tin_,,11 5&37Z I Ph. (612) 4474230 "'
nN EQUM. OPPCfIT(,.hTV FJo1Pl.CVF.A
F=..~.JUJ::l. .4!M. . b------
)1.> ;~ ~:j ,... ~ -'-:J
",\' ;;:. ('.~ . ~., " \\111"2
,';i I .....:..' ~ '-' '-l L5
,)1--' -
,( NOV - 8 JlH)
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1. Blue File
2. Gold City
3. Yellow Applicant
PPNo. 9?-?~
Phone: L...[I-/l ~ 3,()
CITY OF PRIOR LAKE
PLUMBING PERMIT
APplicant.C)@11A.~ 'P11l~)-/-+O
Address: (IO~. I .~l-tr-~)c\.~
Signature: (~/Jr'~ J~
-,,- - -
Legal Description: Lot tf Block.3 !:: h ~n/Od ffrc.-L-
Site Address: I Lj I.p.~'ii '12, I \ A 0 Ioi rd -r-rL. /i?j,. 0
Building Permit # 99 - 91./ 0 PID # if!. r -:3' 0 - oz.4-0
NOTE: This permit will not be processed without complete information.
Thf Cfnlfr of lhf Lib Counlry
Quantity
Z
I
I
~
I
3
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$ .50
,l~~Rt~~="i:;\T
This permit is granted upon the express condition that said
contractor, shall comply in all !,es,.gects with the ordinances
of lhe State Plumbirll?..lloJk a)!6JlfI!i ;,,,-,,d~~s thereof.
.~~{?q_DATE
-- ATIEST
Call for almnspections 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
Bath Tub with or without shower
'3
I
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
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
GRAND TOTAL
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.
Thr (~fnlfr of thl! Lab Country
White . Building
Canary - Engineering
Pink - Planning
ID.l.!LDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ c.. l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Reviewed By:
~
9/1~
Acceoted With Corrections
Accepted
Denied
Date:
~-)" - err
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."
~~
CJ9- 940
Thl' Cl'nlrror lhl' L.kl' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEEARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T8 WOOD FI II c-K-..
e/::s/qq
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~tP38 t5c..-u68/,e.O 77e:- A/G
Accepted
Accepted With Corrections , _
Denied ~
Reviewed By: Cz2Q (j]j ,. A-... --
Comments:
Date: g - 0:,- '7"1
I. f6"cd a tl a-fkcW ~=.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."
II
-T.----~.--..,---..---.----..
(7:;. 9L/O
White . Building
canary . Engineering
Pink - Planning
Thll' C...I", or 1M ub Co".n)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
-r- B IV 0 C U {' I (I t,;-R-
6/:S/QQ
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~(c38 6c.UE.-t3/KO 77L-. Nb.
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: ~~n ~n':;<""'~NAJ
Date: 5?/rz.h9
i
Comments: ?'HJ~f"~ ,MvS"" 13E. co,.; v~'1'IOD
TO 1'1 N 0 F,l.ANI.. Da.A-lAJ ~ t.~
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lJ. ER.osl.tV CONT"1l.0<"'" 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."
" ,
----- ---. --
_ --- '. .:-1U~q'(t4f1~245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
. .
/~
SITE ADDRESS l'iio3f3 E\\lE' \:)~~ \.-,<>,-:,\
NATURE OF WORK ~eLU 00Y\..c;:twr~~.>-.
USE OF BUILDING S;:F~
PERMIT NO.9') - '1 L/ c) DATE ISSUED ~ .(" -<7.'1
CONTRACTOR JlS ~d~~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING . V I &\..\~n
, FOUNDATION (Prior to Backfill)~) I~, I 'J:' d~'l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH~- INS
SEWER I WATER I SEPTIC W. 1:1)/'11
FRAMING 1J)p ./ If . fKl)
INSULATION (~ I rA., -
ELECTRICAL I
PLUMBING (/) I /3-~ 1- '3 0 -11
HEATING (if required) @) 0J- q -'5D - 9 ~
FIREPLACE tW ~; lo-r-Y;;
GAS LINE AIR TEST 1:\1, rr:f 1. ~ rfh-, Cjr3" -""i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/1.(1.. j t. z y. -ll;) ,
h:J, PI30/8t>
flJ--C(
10- 'ij-CJq
j
GRADING (Prior to Sodding)
BUILDING1.t.O ;y. '1A'~&. \\-W-1'
ELECTRICAL .
PLUMBING
HEATING
DO NOT OCCUPY
MA- tbJ I 11- n- Of)
IVLA f(~ Ivl~n-qq
UNTIL ABOVE HASVBEEN 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II I