HomeMy WebLinkAboutBuilding Permit 99-1061
.c' ~ ~,,;:t~<;~. :""~~'*;"'~< ..,~..,.:~~l:._ .~, , '€1t~<l..r"-Vf~'1~1'>l'~~< .J'i,:'~'.'''':;'f. J:}t>~1?...,: ~ .~~' ,-, '~<r,~ ,S ',il
i
I
4
=---= _ _ _ _ ~ ______ __________ ___=-.. __ _ _,._ _ _ ~ ~ ~ _ _ _ _ _. _ ~ ,_ _ _ _ _ _ ~ r_ ____ _~
tB". """~"odl!I">~""_".~v,~", ."'~~.."'......-. .~.~"......",~
'. -_.,'~ ",f ;1___. f ,:V;. f -~-.:.~, f -~..~, f~i.-:."f~'i;,:. f :,.~ ~f" '-.'~~.:s: ;.....:~ :tf ;~.'~.'L.. ~.~ ~t:lo:, J!I'-.,~~~,.'.;- ~,'~., ,,_.
, -'t>,......."........ ""~ . ..."". ...... A.... .~...,. .~ ._,,, .... '1:"'" . ._.. ._,'.,"''t......_. ......, ' ....." .. il. ,,' --
( . . ...-........-...........-- .m......__ "i-4
f.::: I QLertifirau of OOrmpancy , t ::. (
:\ Cll'l: OF PRIOR LAKE
J)epartment of ~uilbing .Jnspettion
/~FinaJ Permitted D cond~tionaJ C.O. Expire.
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 lAke regulating building construction or use. For the following:
Use Classificatir'~
SINGLE FAMILY
99-1061
Rldg. Pennit N",
Occupancy Type R3
Fire Zone 1iJ.. A
Zoning District '0 1
Type Construction VN
Legal Description
Ll, Bl, KNOB HILL
Owner of Building
0' Addr 14466 BLUEBIRD TRAIL
'lIte ess
1668 E. CLIFF RD., BURNSVILLE, MN
HOMES BY CHASE,
Contractor's Name &. Addres'" A
Date:
ROBERT D. HUTCHINS
9/1/i"/;ffiCia!
1;4,
rity Planner
JENNI TOVAR
Date:
,
,
\
POST IN A CONSPICUOUS PLACE
55337
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 11/5:"
ADDRESS
/4-4-00 6LU673IR.D
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
.A ~ATER HOOKUP
I Z EWER HOOKUP
fj 0 PLUMBING FINAL
o MECH FINAL
COMMENT~:
~l ~U 40 PVC
I;;OT~~1 .~~~~ - No
U1t~
!~
d/---
Clt---
~
~
bope
Q1-/()&,/
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~ &v dcU-..
, PROCEED
o CORRECT AT 10 AND PROCEED
o CORRECT 0 I , CAL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL J7.JsSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE aMuIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
II
, ,
~', Y OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I YL/ ""
13k~...cl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~S RHOOKUP
o FINAL UMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
0J Or- uw:!
G) rWl
fJao" r-k-,.: V\
'vi .. M
I'. 17
'~
~"
r fl
\.,b{ -tv,,. "'-
/
DATE TIME
1-4-00 // ~ 30
'1Cf- 10<../
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
cSV~
LL FOR REINSPECTION BEFORE COVERING
Inspeelor: Owner/Contr:
CAL ~:~-9.850jr!oR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
, ,
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
e&
,4r-
TIME
SCHEDULED
ADDRESS 144(.;,G.
~...... ...,l.~c1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Gjq - tDG, I
o FOOTING
o FOUNDATION
o FRAMING
~NSULATIONn'\
NAL '\.V
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
MJ ~
(I ""' Ii I~
-
...........
----
/~ (Y-"KJ.L-. ~
(~~
"---
---
"
~---2
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:s:e:::ECT ~ ~ALL FOR REINS~:~::I::n:~FORE COVERING
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
--'~---<.~-"'-~-----~_.__.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATE RECEIVED
6 /z(p /19
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom)
2. SITE AD'pRESS v:? / / /___
/qqtf,~ /-::J~u""b /,.". d .J "f
3. LEGAL DESCRIPTION
I ' BL,9CK /
ADDITION .tl..Y/7.h ,J!6bL-
4. OWNER / / (Name) 0 JAdd~)
N-(j?7J~ /'.!/r ,-oAf~
5 ARCHITECT (Name) /&~f c;(AdC'SZ-ff
6. BUILDER (Name)
1. White
2. Pink
3 Yellow
File
City
Applicant
Permit No.
94-/06/
1. DATE
?-~r--#'
/Z./
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
PID 2.5-3/0-0(')/-0
12. NO. OF STORIES
"'2--
~cL
,~dress) ././
,er,cJ///~
}#/I/
~5'?~?
13. TYPE OF .PC'NSTRUCTION
.~,A..,.'l'
_ ~_ ~ J. ............
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
~.?37
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New constructio~ Alteratj~ms 0 Addition 0 Finish Attic LJ Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Ch;mneyO M;sc. / /'~;7,. ;J..Op
8. PROPERTY AREA.3J3..A9RES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMP'LEiION DATE
Sq, Ft. :>.r ~// -" ~;dth Depth Ve, NO;;Z J:J~-4-,1f9 q tJ 4~~'
I hereby certify that 1 have furnished infomlition on t~is a~plicatiQn which is t? t~e best of my knowledge true ~nd correct; I also certify th~t I am the owner or authQrized agent-for
the above mentlQn perty and that alf constructl will confonn tQ all eXlstmg state and local laws and will proceed In accordance WIth submltled plans. I am aware that the
:Uilding official c' k~or j~:/;.zmore, I hereby ag~ee that the city official or a des/z,... ~r upon the property to P4- :~G~tions.
-~ signatu? ~ - ~ , License NO. ,- Date ~ '1
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
MATERIAL FILED WITH APPLlCA 1l0N
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
s;::-n
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMtT VALUATION I .~ 1), IT)(").l')(l'
PLANS & SPECS 0
SURVEY 0
COPIES
Water Meter ................................. <t / as .. ct::5
Sewer & WaterCQnnection Fee ........... $_./. ? ~ . dO
WaterTowerFee ........................... $~/)(") /9Q
Water Tap ................................... <t:
Builder's Deposit ............................ $~ t5>CJ ~
Other ......................................... 'I',
Total Due ............................." 75"0/3. 7/
Pa;d 15{)8.:J.-I Receipt No. 3r..Z.z.b
Date ~/zo/~ By /IlL-
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s requested. This document when
onstltutes a temporary Certifi te of nlng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
CHy,
Division 1 2 3 4
Permit Fee ................................... ~
I J o1"J?" .:;('J
(p '1 i&,. 't(O
rot?,. 'SO
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumb;ng Pennlt Fee ...9?~/.t2.t;f.. $
Mechanical Permit Fee .9!?:.-:.tP.(p,( $
Sewer & Water Pennlt .f...?:://!.!f.f. $
1/90. t)e
(oc:; no
bS'.c..,-/,?
~)
4(lf
~~;;;;;;':'ro-
By ~~ Date -l-'l"l
Certificate of Occupa Of
Issued
SETS
PLOT PLAN
o
AmQunt Brought Forward .................. $
Park Support Fee ............. .............. $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
8sI'J.0 G
/05~ .00
$
c/G.oo
Pressure Reducer .......................... $
Meter Hom ........................ .... ....... <t
",. --",.-----",-----r--
24 hour notice for all inspections 447-9850
Special Conditions if any
'"
Job Address /.!i!iJd.. J3JJ~,I. J.:I!;I~
Heating Contractor Controlled Air
. "
Name of Tester . /.....~...
Date //-.z...z....-~e:
Percent 02 7~
Percent CO2 <I!'-,('-/
Percent CO ~
Stack Temp. ..3=~
.t
'.
II
'~
~e"
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. qq-/l?raL
APPlicant:!))J/./~ iJh/}-'Y1/p'~1 C'O Phone: '/-~?-?"i2.l
Address: );('dl .f'1}v;/4,H r"'UL JORO....N 55352.-
Signature: C,,/- /7~;'" :?'77//7'./7~
Legal Description: Lot I Block I Suh ~N Ofj If/ '-' L-
Site Address: /~/.J./~~ A///d/./4/,b//I1 /1:/ R /
Building Permit # qq-IO(P/ PID# zS-3/0- OOI-()
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
Tht Ctnlrr or lht L.kf Counll'}
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
;:7
-j
/
~
/
/
/
Bath Tub with or without shower
:f
/
3
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
/
Rough-ins
'IY"te.r Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
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
(_ PAID WITH
$ " ol"l nlNG FE> iT
,-
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
_ of lhe Slale Plum~~' e and the a~9'dm'i'2ts thereof.
. o. 'f/z,z/yq DATE
/.". ~ _ - ArrEST
Call for J:nspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 553721 Ph (612) 447..9850 1 FAX (612) 447-4245
An Equal Opportunity Employer
....
IS)
'"
CITY OF PRIOR LAKE MC
16200 EBlIle Creek Av. S.E. Pel mil No. 99- / O~ /
Prior Lake, MN 55371
\D
'"
IS)
o
z
_HEAnNG APPLICATION I PERMIT
q -/J"'; - Qq PIO' 2.5-310- 001-0
BJ'JP b;"l,) 7/1, IZ/
Ou
SaeAddre., /~~c.,c..
;lICA......
rJmf:' t""
U1
'"
'"
'"
,...
'"
'"
'"
....
\D
t
U
I
a:
Cl
z
a:
'"
z
f-
a:
w
I
no
a:
Cl
w
..J
..J
o
no
f-
z
o
u
LoI I 61oc1l I AddBbn K-N 0 t:3
OWneflN,ml ~P.~ a\1
Addle.. . }:~~ Il y'l ^ ~r;;; ~ '
Ke"ingConl'acl~' . ~'^ l/n<Vh..Q aft"
Add,e.., ,:;)/d/(j ,6;~^~ A-uP....
Tellphone' (~~I ") - --1't,f) ~ c:,OOl ~
, -
TYPE OF SYSTEM
Werm Air Planls
~.(X)O Grlvlly .
Mechanal .
Air Cond~loning
Vent. S,"'em
Furnlce M,k. a Madel bOn ill ~
Model Sill 71> J)/f'.r" r Q~.
J
Conn.Loed
FUll A! A- r Flue S;u
I............
r c:;- (I
/7
g
HEAllNG OR POWER PLANT
Sle'm ,
Hol Wllo,
Radil'illll,
Spldal Devicl'
Supply Openings
Relum Openings
Inpul
Ed,.,
elm.
OUlpul
Other DlIYicas
TYPE OF WORK
1/
'"
IS)
en
IS)
A1Ie'81ions
RlplaCSl11anl New Consltuc\ion
ElL Comp. Oal.
en'
en
"-
,...
'"
"-
en
IS)
Repair
Est. CosI $
HEATING PEIIMIT FEE S
Bulkl1ng Perm. ,
STAlE SURCHARGE .
TOTAl PERMIT FEES $
.50
c?q-/Oh/
/"~O'1'J~
\ e\l\\..O\NG pe.p.w.\l'
Aecalpl'
l.Gru. 0.,
lYlllow ~
Slnglt F8J11Iy
TYPE OF STRUCTURE
V Two-Famlly MIlIU.F8mly
Commercial
I"dullrill
Public
, Olhll
Fee Schellule
Induslrlel, Commllcllll 6. Mulll-Femlly
ResldenUal, Hellftg 6. AC
ResldenUa!. Halling Only
Residl"Uai, Gas FirapllCl
Residenllal, AddlUone 6. All8rallanl
Aesldenllll, AC Only
1% 01100 ces11139.&O minim"",'
199.50
$64.50
$39.50
139.60
139.50
Remembe, 10 add Ihe Stale Sun:hl.ge on the ballom 01 Ihl! Ipplicallon.
The price of you, healing plrmA Indudlll ene AI.ln BncI ene linallnlpecllon.
Addilionallnspec6011& will be bOled al 135.00 each.
House HeaUng Tesl Reoord mUG' be submllled wilh c, ",", .,. JlIlIIIII' "'''!'"" belo,e build-
Ing cerUUcale 01 occupancy wiD be issued.
tlEIII r:Alr:lll ATlON!: "I'FI'I1 1"":11 with numbar oIaupply end lalurn openings lislell per
room wilh CFM'a p" opening, New slrucluru or eddllions send Door plan wIlh supply
and .elum localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY Be MAILED TO THE CITY OF PAIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PAIOR lAKE. MN 55372.
Clly Hall busirless hours are B I.m. . 4:30 p.l1I.
ALL WORK MUST BE INSPECfED IROUGff.lN AHD FINAL)- CALL CITY HALL
447-4239
I hareby apply lor I mechanical syeleml permll and I ecknowledge lhallhe
Inlormlllon Ibove 'I complell and eccurale; lhallhe work will bl In conlormance
wllh Ih. ordinances and cedes ollhe clly Bnd willi Ihe siBle buRdlnl!lmechanlca1
codse; Ihll Ihls lorm dOli nol become a parmll u,,11I B'gnld by the BUILDING
OFFlelAl: that Ih& wotk will be In aCCilrdanoe wllh the approved plan In tile
cllS~ ,all work whIch rsqulr.. review Bnd approval 01 pians.
A",,~ ~ 0 -CJ4-Cf1
,
Dale
9/z7/e79
Olle
Buldlng OlllcDJ'. S\gIl8Itn
... _ ..... .6....L-_~._
GREEN - FILE.
YELLOW - APPLtCANT
GOLD. CIT1"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO. 99-/0b/
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:lh/~ 4/~/.P"m/'.1 ~(') PHONE:
ADDRESS: A?J/) f::fJI>>/-!b7 r:;f/f!./ DATE:
SIGNATURE: ~~/~ ~~/.7~
SITE ADDRESS: //;#~ ~~~/ -h UPID# 25-3IQ-OQI-[)
FILL IN THE B~NKS R/
.-.?/6 feet.
//???kY
q~-57
BLDG. PERMIT # qq-/O~/
1.
Estimated length of water service
2. Size of water service
/
inch(es) .
3. Location of any couplings from structure
feet,
4.
Type of sewer pipe. ABS
Estimated length of sewer line
PVC Y
,?)L)
Cast Iron
5.
feet,
6. Clean out (if required), located at
structure.
feet
from
==================================================================
BY
our permit when approved. ~~\O~~~~~~\
DATE: \~\LO\~
This
===========~=====================================================
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 building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued,
DATE PAID
AMOUNT PAID
RECEIPT #
REC'O BY
16200 Eagle Creek Av. S,E.. Prior Lake, Minnesota 55372 / Ph. (612) 447..4230/ FAX (612) 447..4245
An Equal Opportunity Employer
From JECHEEXC
PHONE No.
612 8926396
Oct. 19 1999 3:00PM P02
GRI;.l'lII. PIU.
Yl.l.LOIIt . A'''UC..lIll
GDLD . ClT f
CITY OF PRIOR LAKE
SI~WER ^,~D WATER I'I~RM:tT
qq~/o(P/
NO.___ __
NO'.1'E:
E;oWel.- and Wnter-
contract.nrs must
be registered
with the City.
f.l I,., t
I'HONE; '7 J tJ ,) (I,_n~
. - '. . --
.DATE It/-;t, '9 9'"
BLDG. PF.RMI~ tiSk~,/;
.PJn# <'--5-::3.10 - 001-.0._
FILL TN 'I'IIE BI.J\NK~
1. E~tirnated length of watgr RBrvice
L;/)
feet.
2 .
size Qf w~~Qr servJce
inch(es)_
J .
Loo.::.tion of uny COl..\l' 1 i nllA: from strl1~ture_..
?)
feet.
~ \ ~\~
-1. ~'ypc of E><;>....er pip"'. A [1,<:;
/'
PVC ~
5.
EatiTO.:'ltcd lengt.h of S:("'W(~r 1 i ne
LI/)
Cast Iron
teet.
f.. Clean o"t (if r""_lUirArl). lo(.at."d at
structure.
::;:-:::~;::~~:::.::::;:.::;:~::::::~~;;::,-;;~~._...-
~~====~=====f============='=-~=~=========~,_~===~---__~l=~~~===~~==.'
FEES: $ J 5.00 Sewer ""d water ~ine connaction p..t'lIli t_
$ ",.20 SUI'charga
o 35_50 TO~'AL
...._[eet
[rom
*
Fee for either sewer or water individually is $20.00 plus
$ .50 curcharg", _ --
*
Sewer and water permi to; i....u<,a fOl" new CUll"truction lIIust be
recorded on the buildin~ permit card at the time of issuance
to insure that no uup11cate sewer and Water permits are
i~su~d. ~
//-\tJt'"r- N\\~
1I.MOUN'I' 1>Ar~ ~~\~r.. P€.?-~
. '\\.U\' -
REC'D BY \:iv
DATE PAID
R~C}';IPT II
16200 Bagle Creek Av, S.E.. Prior Lake. Minnesota 55372/ Ph, (612) 447-4230 / flAX (612) 447..4245
A" F..,I.Junl Opporlunity tJ.I1lP)OYCI'
, ,
...L.....
u
GREEN - '..E
YELLOW . AP"-ICA.T
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. qq- 10(0 /
NOTE:
Sewer and Water
contractors must
be registered
with the City,
APPLICANT: :r tc..ht. 8'Xc...-..
ADDRESS: '1 ~ t l\f::~
SIGNATURE: (j,JJ.
SITE ADDRES~; l~\"\('
PHONE:
1.. r. I.;.)..
DATE:
/I J/6/cM
I "
PERMIT # 99-IDlJ
BLDG.
~/I
PID# 25-3/0- 001-0
1.
Estimated length
of water service
\
FILL IN THE BLANKS
,~ S
feet.
2 .
Size of water service
inch(es) .
3. Location of any couplings from structure ~
4. Type of sewer pipe. ABS PVC ~ Cast Iron
---
5. Estimated length of sewer line ~ ~ feet,
6. Clean out (if required), located at
structure,
feet.
feet
from
==================================================================
s your permit when approved. 1
BY .;()/ Jf,/~ DATE: 1/1/6Iqq
;1 - , , ,
==========0'======================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~'~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAID
REC'O BY
( 1';:>.\0 \fITf'; \
. ~ui\,::;I.NG ps..o,;:J'i
\
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447..4245
An Equal Opportunity Employer
.---
,/,
$~t
(/) 09., " I ',") /" /
,/ I (." C-::-)
Tht ('tnl.. of lhf lak", COUnl1')
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIU\.ePLlCATION DEPARTMENT CHECKLISt
NAME OF APPLICANT
APPLICATION RECEIVED
//(P/{. s- c;V (V-!7!SC
y;h' (.f; '7
The Building, Engineering, and Pllanning Departments have reviewed the building permit
application for construction activitll which is proposed at:
/ ,.--/ c; (/; C- [;'c {/C?:;' / Ie 1.../ 77<:'..
Accepted
./
Accepted With Corrections
Denied
Reviewed By: WAcT'W [H~L'''''''N,J
Date: ~ /, /"
Comments: RU^,OFF
Mv~1"'"
~e:
C.C:UJ\.H~.YCD To A.-...tO
ALONG:. DttA'NAc.c
,
{' UT/t../T"Y EAsE 1\.1. E'.....JT5 AS. ~\<Jc:.H AS Pa.Ac.rlf.A-L.
Cni'JS7folUl'_TlON UF HI (L~o:.:
."'''''T'' NOr- E,JrER 'f'14'S <-o'r
rile""
N.Rfi'f'(,L l-i,u.< PI!t\Kw~"',
_1)r4""'fH..r:..n
{!ft~c..a.E,k: wAL-.c PANF-~
,
r
DA-~AC.EQ
'8 I T....M'........cu'C.
PA'r1--/
/JJIL.L (lr;:
P~r,)AIIl.Fi'.l'. RJ IHE:' BVJLDCIZ
Fh.\OIl.. 10
hAJAc.. _"S:Ic;....J.~F.
"'E~ J.oJF.Itt4qn",.,J
ON .,-~t='
R€J F.A.,'~ .s'T')~
S'tZ A~CJ4Mf""AJT.5: L...E.AJAL ~IOE JspE.c.n~tU J~r:'nfLM~nVl...J
2. t:Ct?IID,,u(. PCA,.,}
~
t:1l0S I".J C".vrll.''- I'1fA"',JIIES
tf E:.a.os 101\' L:o N'll( Oc- ilA tV
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construod to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
....,,-.
_.--,. ,
If
..., . . --
II I
~' n','
;'~.'~"', H"',,,_ C:-:, ,'~> _..
" \,,:"~"'.-
-,".....'"
-;-'lIl~"'f'" "
'*", ',,~,';."'.~"....:~';,"".. "'"
-$ .,,~~,..'):'-":k.:;, .""l'''.,,,....,"''"~+.:.:.'',~~''','',<~--,~"',,.
~1
White - Building
Canary - Engineering
Pink - Planning
Thl' Cl'nll'r of thl' L.kl' Country
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
Reviewed By:
(]- tj; j~
t
~l(. .J~ iT U1Mrtd'
Date:
.tA1U<)CLvh
<X - 3u-77
,
IOi~~_
;
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."
~~
99-/0(, /
Thr Crnln of thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/kJH6S 8V ~Sb
6/2&,/91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L/ C/ w r;, IS c-V 675 r /CD 772.....
Accepted Accepted With Corrections X
Denied
Reviewed By:
(/dPI1;l- -
Date: Cj.../-7'9
Comments:
~1~~ !?~i~
,
"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."
I I '_'_"~_"'___'~_'__'"_4"~'~'.__'__.___"~'______'___"__~'---------,,-...
1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS mlP --:f,111P k~t&~,1
NATURE OF WORK ..$ f'h., Grn.J-.
USE OF BUILDING S;;F.b
PERMIT NO. o,Cf-tO(of DATEISSUED 1../-'1{
CONTRACTOR ~p '" ~ C~ ~ . .
NOTE: THIS IS NOT A PEFnnIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
DATE
I /14,
, FOUNDATION (Prior to Backfill) 1 ~6 AP~.Y I
PLACE NO CONCRETE UNTIL ABOVE HAS BI::EN SIGNED
ROUGH - I~S
SEWER/WATER/SEPTIC I (7)/ (//;o/",q
FRAMING I V I( V. h~ 15-~q
INSULATION I I, /f) I \\-1149
ELECTRICAL I V I
PLUMBING .1 f/)} //)fh"i I
HEATING (if required) I V4J //J 'ifq I
FIREPLACE I (f 1
GAS LINE AIR TEST I !/:p #' / Y1'f I
COVER NO WORK UNTIL fBOVE HAS BEEN SIGNED
, ~ ./,1) I I
FINALS
I €l~j
I ~.
I . _
I 0) /, ftft)
IV
OCCUpy UNTIL ABO E HAS
NOTICE
~
")~?g-7'l
I
j
j
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
7- 2:. e'. oy
Yllllnvl
" :Uy Iqq
I v Is' qq
BEEN/ S~GNED
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
'1
II I