HomeMy WebLinkAboutBuilding Permit 99-1013
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CITY OF PRIOR LAKE
j!lepartment of JJutlbing 3Jn~pection
)(Final Permitted 0 Conditional C.O, Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior LoJce regulating building construction or use. For the following:
Single Family
Occupancy Type
R3
Type Construction
VN
, Fire Zone
Bldg. Permit Nn
N / A Zoning District R I SD
99-1013
Use Classificatio"
.. L6, B2, Raspberry Ridge Second Addition
Legal Descnptlon
Owner of Building
<lite Address
15037 Black Oak Road
Contractor's Name & Address Butler Housj.,ug
f?.;
Robert D. Hutchins
Buildin~ Offi. cial
VJ ( Ii,'; (
I
Corp., P.O. Box 24597, Apple Valley, MN 5512
Jenni Tovar
rity Planner
Date:
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~
~t..Ac,~ Orr;:::"" RO
1:15
ADDRESS
/5037
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
Q<(-/or3
o PLUMBING RI
o MECH RI If)
!:~~ HOOKUP llY
o PLUMBIN'ci FiNA"L
o MECH FINAL
o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
F/~k
~ 7'0
1".5(1~
.i~k~
ftt-r ~d
v .J
~ 0/
~.~,
s~ A/or~~
~.5~~.-~Ab~~
~ a..0: fi'pd'"
~aff~~~
.)(WORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
T r
-~_._.._'--'--.--~._-_._._--_.._----~._----_._'_._------
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
/5D37
SCHEDULED ~
Blfie-Ie. 0/1 K-
z:oo
CONTR.
PERMIT NO.
Q'1-jO/J
o PLUMBING RI
.o.MECH RI
~ ~~~R"HO~~U~
!8'PlUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
2.5 ( b+ a.J&.;~J
t;-i>- AM.
~ 'i<..
~ hlA..
S ~<t'-
"'"'-
~Irt-
'" l.AA-
o-k-
c... , M) . - f'vIu.J.A L.. c.Jy..,,,
I -Ak.<
/
/
i,.",t"
o CORRECT ~CT
o CORRECT we RK, ";A FOR REINSPECTION BEFORE COVERING
~
Inspector: Owner/Contr:
CAll 447'9~ 'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
II
INSNon
----r--' -- - - --. -..-.. _.._..__....__..~ -.-- . . -.
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/S7J37
DATE TIME
SCHEDULED?1CO /:30
~ ()~ -RcL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
91-1013
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FilLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION . '" 0 SEWER HOOKUP 0 FIREPLACE FINAL
~FINAl <1:-- r<"" A 2SPlUMBINGFINAl 0 GASLlNEAIRTST
o SITE INSPECTION A j"LMECH FINAL 0
COMMENTS: ~/O ~ ~,~ ("')L
CJ fi~ reA ~..,w-,""!) derf
(; f)(lA I!--d ~u.s:E. ~~."r'r\-c-vd-
~..l. ~-r..,. .dlA....m.Aj ,
~JI"\ IJ~ <-
- Gto~ ~W
e:w d.<- v l.N.M..
)A<e..rYIOVt. Cw.~(lY\ dd",v~
" O'J'.:h;;-tL-. F1>- 1_ ~ r' _
~~:; "L~. ~<
~ CUV ~~r 4-(;) ~ ~c IMC-r
~~ - I
(J.5Vttl4iJ. 40 Cwo '^'" Leu; 121-
~..oU- ~ <;;, (}..J.' ~c.c.:r
o WORK SAT FACTORY, PROCEED
~ yoRRECT A1T NAND PROC
~RRECT WO ~l R REINSPEcTION BEF E COVERING
Inspector: , / . r Contr:
CAll .k709;[O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~REMENTSARE FOR YOUR PE "AL ""ALTH.l SAJo~'
IN'Norl I ~ C Q f;
~ I -/-2iO
\1
....-.--..--
,
"'~'-'-"~.JIJI~..~....~~...~~~~**,<'t~"">~,~~~"",-,,,,,,,,,,,,,,,,,,~,,
HOUSE HEATING TEST RECORD
') "'1~C2.J l .", .
ADDRESS _1St.. j L.J.,;l..... 'I. Il ().. k{PT. _FLOOR
OCCUPANT -~'<l4 1.1' I _"WNEP
HEAT LOSS DATE HTG. INST. --:"\
SOLD BY - INSTALLED BY _I., LI\ II -:i'1:? ,..I.
./ ...', I ,_ J t' T.f
Elaebleol W....k By . '... Llna By It f"f \.1 ) \ j .. .
TYPE OF HEAT GA _ FA ~HW _STEAM _SPACE HTR, _U~'T HTJl. _OTHER
GAS DESIGN CONVERSION
MAKF
Modo'
Swia'
INPUT
,... (' " "u..
7'1J ~ t:'. 9 fk .::TO
'J.l fQ/j Gl~-
.. IOO/L.a'
E'''' -
, ."'.;,1>....., ,".',,',
- _.coO_"",:>.. CONTROlS
THERMOSTAT ':...) Hoot PI..
Volvo Iv,}. ( I
Limit -f'.i .i,'.. <:, .1... .$-\,
Limit Setting J'1D
Fan Setting ---,"i" '''''' ",.,/
PllotTypo f/.)..r-
Pilot Maka I......). tZ
PII"'Madelt~;;n f..' 4::T'" t.,r;")"
Pilot Timino
L.W. Cut Off
pr...ura.?IJfit-.. '.. .C- porco, nt CO", t# #,l",
Input CFH ',Pereant 0 ~
Stack Temp. Percen' CO 2 ~
Form 235
CITY-:iJ LAri:tUBURB
MAKE OF BURNER
Modal
Max. BTU Rating
MAKE OF FURNACE
Modal
Vent Size
II -/
KIND OF LINER
Draft Hood
Fi I,.,.. Size
eft imn.)' . Location
Chimney Construction
~IZE
R.,ularor
....umber
NON~
I
Il.
In~
I <_ J I dd-I
Ouhi'"
(';.'
Smok. 80mb
Draft
Door Pr...ure
Wiring
T..t To-'
Lighting'ln...
1- _27- 00 0 I
~LJ.JJ' H,r:
Y tf'
0..,. T..t.d
Company T ..ting
No_ of Tester
~;.'
""-~~
'~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE /
AND UTILITY CONNECTION rERMIT
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN dll4-1rA41
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at botto~l L./ - I I
2 SITso~-:> I f!:J fPA;k <f2lk.. f< 001< .,(f1li1s-.304uO/ o-~
3. LEGAL DESCriPTION . .., -'t,e~ Ct.d..d< ~~
LOT V..:> BLOCK L-- '81e Jr/It f
ADDITION _ ~C -Ol'1 cJ (f rP r;{ I tfllJ:i1r5 iK&JpJQi'~ ~t:fM:
14 9.YY,NER.i-!' (~"f".~), ~ (Addri:' Pm,' 2491Y~(Tel No)l&> I ~\
t)L/'1 er1'-:\U'ii.J1A' v..Q'<i) fJ . Vt.U'k'td1Al.0'''124 3W-21ei
~Rcf)!1E<;:~ a (Name), \J <; '-\- ~~ 6-/2-. d:~.J (Tel. No.) (Ui ;:>r
~~::e~~ ' R.A<Y>VljJ€./1i11l (7'.3537 482-2044
6. B~ttl (.ir (~~uU~ ~stf! n- \ (Tel. NO)\.'jZS,_
~. 0.80K 14~1, C~ VaA)~1 M/Il.i}lip4 OZ{~~
7. TYPE OF WORK Fireplace 0 . Septic 0 Deck 0 Rs-roofing 0 Porch 0
New Construction.,,{ Alterations 0 Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement LJ 16. P~JECT COSTNAL!{E ____ CkJ
ChimneyD Mist - * /'33 I ~..=O.J -
18. PROPERTY AREA OR ACRES 19. PROPERTYpIMENSIO~, S i \10. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft i4,(ctC1 Width 84 Depth 181 :!:. Yes ~ Dee'" tq q~
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' am the owner or authorized agent for
the abov entioned property and th.a, t all ruction w~:.anform to all existing state and local laws and will proceed In accordance with submitted plans. I am aware that the
'n iel I~tf ~ . ~~~f..~erebY agree that the Ci~al r~er~mayenterupon the property to p~rr~r(~q_
--S a ' License No. I Dale - - I
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
CJCJ-/O/3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Helghl\ ~Idth) ",,' (Depth) t i 4
~:s. x .Fii~~ ,'Z9)( L;.- ~
12. NO. OF STORIE~
4 Lev.e-\
13. TYPE OF CONSTRUCTION
LDoo-:l fJvVVV\.,e.
114q\f{~~ve I
l.u,,~.ytt~i! ~"
~
15. NUMBER OFOCCUPAt}TS OR SEATS
OCCUPANTS L.j-
fJA-
SEATS
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $ RSn,DO
SAC ......................................... $1 0 c;r~ ,00
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ..~..'.'............... :
Meter Horn ....."i::il:.r~..................... $
Water Meter ....1f:>-........................ $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $~I"YJ - t!J~
Other ......................................... $
Total Due .............................. $ 7'5(J 8, Z, /
Patd '751JPJ.').. / Recelpt}lp. _ 2,tdJQQ
Date q //:zjqq ~~-/ii7{::;
st In the above apphcation and accompanYing documents IS In accordance with the C~ty zomng Ordln~nce tnd may pr~ ~ue:ed. This document when
stitutes a temporary Certificate of Zoning comPlia~c.. allows.construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ Cf.Jf5f; . {}",'X; ('~ lMr,.A.A>fid'l e...;,u ~
ner Date Special Conditions if any II
SETBACKS: Required
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION I ~< t'X'rJ. e>o
USE OF BUILDING
SFO
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
I ^c:;;<. . ?,C;"
Cot; 'S . "1<':'
{g~ S t>
Pennit Fee ...................... ............. $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... (:
Plumbing Permit Fee ..~q"L43........ <
Mechanical Pannit Fae .~4~.IO'.I2..... $
Sewer&WaterPerm~ ..11{.;,.V!..!~.u.. $
/.co.nO
I()(,).~
'J~.~
~
~:I:~.git'~...O...~:~I~~.;e~,tWlWn~~~ed.;.~ F
By ~]'/"'f'_Date _f'lr-' /~
Certificate of Occu~ --
Issued
24 hour notice for all inspections 447-9850
..----_.._---'~'- ._."-~--p--~-_._---~~-,-~'---
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ
SURVEY i:l
SETS
COPIES
PLOT PLAN
i:l
'1"1. lJO
12$.00
L '20" .00
',olJ.OO
FROM WELTER & BLAYLOCK
PHONE NO.
612 8828573
Oct. 01 1999 09:44AM Pi
aa... ' .....
l"_"LO. . ~tc:&.T
GQUIo. I;IT"
CITY OF P~IOR LAKE NO oq /6L3
SEWER AND WATER PERMIT . -+ - -
APPLICANT: 1J e/J--PJ" q... 13 I a 1.1 10 cf<
,
ADDRESS: / S- 0 9 13" ;.JW" / 3 .DATE;
SIGl'lATURE:~ ') ,-"_,_:""""".- 9 o/~ .BLDG.
SITE ADDRESS: /5037 fYoc.1< Dok RJ 1'10#
leiS[)
FILL IN THE SLANK~
NOTE: Sewer and Water
contractors must
~e reqistered
with the City.
(,'" ..:1-
8"lr .... - 8'b 8' I
9~3o-'l9
PHONE:
PERMIT II qq/oJ3
;;J.5:-3t>'1- % - 0
10 Estimated length of water service
70
feet;
2. size of water service
J
inch (es) .
3-
Location of any couplings from structure
-
feet,
5- Estimated lenqth of sewer line
70
Cast Iron_
feet.
4. Type of sewer pipe. ASS
p\7C v-
6. Clean out (if required), located at
structureo
feet
from
::::-::::;;::::6i~:-:::::;-::::-::::::::~--'''''--~'''.
BY ~ DATE: /0/4/0/1
:=_5=====~~=&#==~==~==m~s~s=~#~=====~~=~=====~~~==~=~~~-g~===
. Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe-
. Sewer and water permits issued for new construction must be
recorded on the buildinq permit card at the time of ~ssuance
to insure that no duplicate sewer and water permits are
issued. - ~#- ~~
DA~E PAID AMOUNT PA!9 ~\~&9~~
RECEIPT # REC'D BY \"J\\\..Q'\
$
$
5
:35.00
.50
:35.50
se~er and water line connection permit.
surcharqe
TOTAL
FEES:
16200 Eagle Creek AV_ s,E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employ.r
II
FROM WELTER & BLAYLOCK
PHONE NO.
612 8828573
Oct. 01 1999 09:44AM 1"2
. , .
. " . .
" ;}}~!~~Ef~'
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.iQ-/O/3
Applicant: L..Jel+er "" l3/ayJi>ck ,Phon..:Ge,/,j- <;t~.:;- "iri.'8L-
Address: /~-o ~ t: )./wy / ~ l3u('J/s u:;)/-e> MAl 55337
Signature: i ~ )...: J p~~ J- 11 L~' - '
Legal Description: Lot h ~1e<:1<.:L Sub ~n'" D,Jd"+,;'~ +~
SitllAddress: /S037 .lJ1'1'l:l: o..A- tPd /?sbet'rl/ ~';dse
SuildingPermit# 991013 ""S(? .PID#:2S-3o'/--OIO-O
NOTE: Thi.. permit will not be proces..ed without eompiete information,
1. 11~
'- ""Id
3. Ye;llo...
File
Cry
"WIiQl)r
n.. C...ltt .r IIN' Lla_ CIiI....Ir)
FIXTUAE UNITS
Type of Fixture
Quantity
Type of Fixture
-
Quantity
:2..
I
-Z
.2.
I
i
I
Bath Tub with or without showef
Dishwasher
3
/
/
/
Rough-ins
Water Heater
Water So liner
-
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
. Sinks
Baf Sink
Water Closet (toilet)
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly Test
Lawn Sprinkler
Other
c:<.
FEE SCHEDULE
Industrial. Commercial &. Multi-Family
(1 % of job cost, $39.50 minimum)
Residential. Nllw One &. Two Family
R....idential. Addition.. & Alteration..
s
$99,$0
$39:50
$.
$
$
GRAND TOTAL
.50
..I~)~\ .\
'J"I .,.,\
/ ~~O 0 1('\;."'"
{ . o..\-O\~
\ fQ'IT
State Surcharge
This permit i$ grVlu:d upon the. ~I.pn=ss condi.lion dmt said
<onWICtor. sholl <<Ilnply in 011 respeclS ",ith tho ordinances
of the Stale Plu.mbing e and lhe amcn~nt$ thereof.
___ _ /O/d:,M1 DAn
ATTEST
Call for all ill <liollS 24 hours in advance.
16200 Eagle Creek Av_ S.Eo, Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 44/-4245'
An Equal OpportUnity Employor
I r
~--
---'-.'-i-'-~-".'---^""-'-'~-'--~'--'--'-'-~--
1. Pink File
2. Green City
TVPF OF STRUCTURE; 3. Yellow Contractor
CITY OF PRIOR LAKE
4629 DAKOTA STREET S.E, Permit No. qc; -I 0;3 Single Family. xx
PRIOR LAKE, MN 55372
_ TwooFamily MuttioFamily
HEATING APPLICATION I PERMIT
Date November 18th 1999 PID# 2:><<:1:4 - (;/()-c
Stte Address 'l 15037 Black Oak Road N.E. /C/'5L'
Lot 0 Block 2 Addttion /C./lSP6EK'K,1 /'c/DG E 2tv{.'
Owner's Name
BUTLER HOUSING
P.O. BOX 21...597 -- Apple Valley, MN. 551V.
RAY N. WELTER HEATING COMPANY
4637 Chicago Ave. So. -- MPLS., MN. 55407
Address
Heating Contractor
Address
Telephone #
612-825-6867
Furnace Make & Model ~ - TUD100
Model Size TUD100
TYPE OF SYSTEM
Warm Air Plants xx
Gravity
Mechanical xx
Air Condttioning xx
Vent. System
Conn. Load 'iQ, 121)
Fuel NAT GAS Flue Size 5" CLASS B
Supply Openings 13
Return Openings 5
Input 1CO,OOO Output 84,000
Edr.
HEATlI~-
Steam 1" IlHC': 'E I! \'17 ffi: j.
HotWH~r~- ~_~_u__ ,Ii
Radiatio,;(_ HeY In
Special Dav oes I 9 _ i I: ;
t ",
,.
"
_t:.
Other Devices--
Cfm.
TYPE OF WORK
Atterations
Replacement
New Construction xx
Repair
Est. Comp. Date Dec. '99
Est. Cost $ 7600.00
2000+8250+
HEATING ~ERMIT FEr: $
STATE SURCHARGE $
Q'9 - / ('0 0-
J/,::)
/" PAlO Wlil-l
\ BUILDING pER',,1\i
Building Permtt #
. 50 10;l.~0
,50
TOTAL PERMIT FEES $ 103. on
Receipt #
Commercial
Industrial
. Public.
Other
JOB VALUATION
$00$1,000
$1,001 - $10,000
FEE
2% of job value, min. $20.00
$10,001 - $50,000
$20.00 for the first $1,000 plus $1.25 for each additional
$100.00 or fraction thereof to and including $10,000.
$132.50 for the first $10,000 plus $1.00 for each addi-
tional $100.00 or fraction thereof, to and including
$50,000.
$50,001 and over
$532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
The price of your heating permit includes one roughoin and one final inspection.
Add~ional inspections will be billed at $25.00 each.
House Heating Test Record must be submitted wtth huildinn nArm~ numho! before build-
ing certificate of occupancy will be issued.
J-lFAT CAI CUI ATIONS RFOllIRFO wtth number of supply and return openings listed
per room with CFM's per opening. New structures or additions send floor plan wtth sup-
ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
S.E. Prior Lake, MN. 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230,
I hereby apply for mechanical systems permtt and I acknowledge that the information
above is complete and accurate; that the work will be in conformance w~h the ordi-
nances and codes of the ctty and w~h the stale building/mechanical codes; that this form
does not become a permtt until signed by the BUILDING OFFICIAL; that the work will be
in accordance with the approved plan 7'n the ase of all work which requires review and
approv~ .A?"/ / /
~~~'l/~~!A.. //./{/99
AP,P Pllii~caj'~~at~/
-::z~tal"--
Bu~g6tiicial's Signature -
..
~
Date
/ / ~q ;2)")
, Date'
~J",.,.,~t:'c'.,,;v,~:t~>~~ .~, "".-- k~..""-"':t'~'~..,.'-':.;~r--""~.'~~"""'~,'~.::M>'V\',,
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ThrCrnlnofthr l....rCountry
White - Building
Canary - Engineering
Pink - Planning
BIIILOING 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:
'---.
/-..... L-
Accepted
/
Accepted With Corrections
Denied 1 j
Reviewed By: L Jt?1..:.JP1.fCv.-.J Date:
Comments: A-(("~)(\l-r (1.,/1J1,.j ILYJCV7JMJ1
q--1~j
It)' /u;vl ciJ.~~y..oc/S
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."
~1
q9 -/01.3
Th~ Ct'ntt'r of lht' L.b Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI-tE.CKLlSI
NAME OF APPLICANT B Uti- 6 R !-fa Us I AI G)
APPLICATION RECEIVED 8/1 (p /19
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5037
73 LA GJ::::. 011 JC.. R. 0
Accepted
Accepted With Corrections
x:.
Denied
Reviewed By: rr~ fL,A -
Comments:
I. \(p,.,,.,Q aLl aJ~Q~ ~ ~
'Z. Ma..;v...\-c-l;"'-.. 1f.,....,"'-~ ~
:s. s,,~ '!--.\-l\QnA ?,'I- ~~ YL
Date: 8, -2(, - q ?
"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."
1 ,..,....---r-'-_. . .. -I-"~"
._...--+-..._.-----"'--,~,.~ .~.
'i9-/C/.3
White - Building
Canary - Engineering
Pink - Planning
Th~ Cl'nll'r or Ihe Lak.. Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
BC/TL 6. /~ HOU~/NGI
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5037 BL-~JCK.. (];-1K- 120
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: ~Ii E~t(r:_",,.,,,,a.N.J
Date: f:Ji7/99
Comments: ~~ ....".... R~
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"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, " .
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
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SITE ADDRESS I ~(..,;~J/ ~ur~ M U
NATURE OF WORK )J-e....l (~_
USE OF BUILDING ~~ \'\
PERMIT NO. q9 - r (') I -i DATE ISSUED B -2(,,-'1' 7-
CONTRACTOR ~-;rr-I.Q}- - 4",lX"''i- (\n'!.V' .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING fA
~ ~,
I FOUNDATION (Prior to Backfill) ~) I rfr;" , I 10- ~ -II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC If"c otJ~'I fr- I/lo/~ ~'EW/=il:. 1~/1Ip
FRAMING ~U 12/11/'\<1
INSULATION (/7,) Ia-/!' I"
ELECTRICAL (7-'
PLUMBING I (j) /I/d-r/<r T I
HEATING (if required) L! /~J /1..../0jIJ1 I
FIREPLACE I !u' I I
GAS LINE AIR TEST I If 44>1/:r( I
COVER NO WORK UNTIL KBOVE HAS BEEN SIGNED
, y._LltI'.I15 I I
FINALS
GRADING (Prior to Sodding) 16 (!.. 7-/';' tv
BUILDINGl I~b (c,ll tl\ lOb aJ, l/z:?/ot. ~
ELECTRICAL . I I .
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
Cj - 209Cj
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BEEN ~IGN:D
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
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