HomeMy WebLinkAboutBuilding Permit 99-1093
, .
ADDRESS \ ~ 3b L/
SCHEDULED ~:~!qq
V~;A Cw.Vf,
TIME
CITY OF PRIOR LiiKE
INSPECTION NOTICE
1\:30
-"yvv
PHONE NO.
CONTR.
PERMIT NO. 9'1 - [dB
OWNER
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
. ~SULA TIO.N\ III A ~EWER HOOKUP 0 FIREPLACE FINAL
~~~NAL Nt" UMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION A MECH FINAL 0
{'COMMENTS: -P"""u ~ ~."5.C)V\..
~ ..i)~.L ~lA..tc..:tw,... -\v1fl;-.-_ b V~
(~~ c.t...-s......, ~ ~r~ leuu-t.
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?) I-ltwl ~~ ,1"!.V IV WIC.A(
CW &-0<;'0'" ~
frY ~A-hJ" 6> 'tY"1
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?\~ _ ~ Crt...-- OL ~ - ./
(J ~~ 40 ~ 1.,{i(L,,"t"' R-].-- - .
(i) ~ ~~ - .
p..Jl ~ f1~
u
o WORK SATISFACTORY, PROCEED
o C~CT ACTION AND PROCEED
~RECTmK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: .' Owner/Contr:
CALL -9 60 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
II
-- ---~------_._,_.~_.__._---~-
, .
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I to3f04-
SCHEDULED ItJkv It ~ I : I 5"
. ,
V (c.-ID g.1 A c.vr2.:J6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C( q -{ 0'1-3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
WATER HOOKUP
SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,
COMMENTS: _ ~~
1'l!7J11:"'~ 33 t
/5(~
~,
~.-t=-'" ~o~ 'I~'
1// t'-P~ ~ ~ ~
1Ci.) ~-~ ~ CA~ ~ ~
I u v '
..J.~
I 1 \'LI"
}!"'1' ~
40 _ '/" Nt:... _~
I"~~'L
,
lN7J-<J trY'-' - ~ "-"'"
~~J~
,
I
; \
/ / 2\ j;\'~'
'WORK SATISFACT;RV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT wor1' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,11 ( Owner/Contr:
-' ,
C::ALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
. ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1kSt.. if
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
~RA ING
o LA TION
FINAL
o SITE INSPECTION
COMMENTS:
dll oIW!L,a~cI
Pv" YP,/J/2(I""/
I '
DATE TIME
SCHEDULED ~
(;j't>Torla. C.u'",P
CONTR.
{! I JI1 fld""e.~
'1"1-/{)?3
~D/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
s'-'~wa II<.. iAtlll./<:
/
halCf:.
./'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:,g~ "'''"o''''.AI~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTI
II
._~.~._._.~-~_._--,._-,.-.-._----_._."_.-----_.~-....--.--..---.
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ (p 3(,,4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING /:))
o INSULATION /(J::>:/
~AL
"6 SITE INSPECTI~
COMMENTS; ~
,.;2-
~
G,{)
/(~
TIME
_ I O,TE
SCHEDULED ~
tJ~V'-?_- ~..
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
... 0 MECH FINAL
E \'vU5
-+- 2 '/" /! 0 r
f/.~) _...... C~-' -:P '
~.,..........~
v
~
A-{""'
qt1 ~ LOl1 '?
o EXfGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
.....
TrWf.
t'~~~-' !:Y~
I
pORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT .~CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'U-- I Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
II
~,.__.__._,.,.__..,_.._.^.._.__,___".._.__._____"'._._~_ - ..____.______."_' ...u_ ___
DATF RFr.fl\fl=n
9/Z/9'
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS J
/ b3 h 7 V:c:..~('; Cc. Cv/ f/~
3. LEGAL DESCRIPTION
LOT ~ BLOCK 3
ADDITION cf~rJrA/IIf(.. R-,:J~..
-.
14C~ivt /-b(=e) ZLlC<4k~
15. ARCHITECT (Name)
6. BUILDER (Name)
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
q~z-7'c;
PUSD
PIC
25-335- 02.(,,-0
1. White
2. Pink
3. Yellow
File
City
Applicant
S't::l A- Df)
(Address)
/nY9
(Address)
Mev~
(Address)
g bn: 57-
~ONytf
(Tel. No.)
47bO --Y'2.(Z"
Permit No. W -I Otf'?
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(~tk-- (WP" (DePth? {,
12. NO. OF STORIES
2-..
13. TYPE OJ-.CONSTRUCTION
frrJJ~t'- rtfl1l L. 'f
14. FU)(\R AREA APPORTIONMENT USE
..----.
~
..-
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace L'I Septic LI Deck 0 Re-roofing 0 Porch 0
New ConstructiorW Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 MiS!" /3 D, 000
la. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CUl;::!~RTSIZ~' 17. COMPLETION DATE
Sq.F!. /'2.,000 Width,fD Depth/,r-'O Yes .? {)~'-, /qC;C;
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 I am the owner or authorized agent for
the above . ned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin cial b~e ,~rm. it for ~~tcause....~hflTIore, I hereby agree that the city official or a deSign.. ee may enter upon the property to perform needed in::R..8Ctlons.
X 7'-~-_ ~ ...., 0;;-'1 '" "-~-"79
, SlQIlature "license No. Date -
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.5FD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Amount Brought Forward .................. $
Park Support Fee ........................... It
SAC ......................................... $
Collective Street Fee ....................... <t
Sewer Tap ................................... $
Sf,;' $
Pressure Reducer .......................... $
Meter Horn ..........1'....................... $
Water Meter ...,,"'......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
fr'/tJ
W!..-v
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATIONf 13tj-oa->"'~
S U
City'
I. I') '5'1 .2<::: .
(p ')'1 ? I
'-S" .00 .
Penalty ....................................... $
Plumbing Peon" Fee ..9.9..-LO''lS.. $
Mechanical Permit Fee ..'1!l:"L~.13. $
Sewer & Water Peonit ..1.9.~Lo.'13.. $
~"k
Gas Fireplace Permit .. ......,.a.r~.. ~
This #~comJYour Building~ermit.f'Vh9n Ap~d.
By ~~~ ~ Daw i"J'l?-1'~
Certificate of OccZcy .
(Do .~(]
~').06
55"" . Sf)
-ac ~o
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA (')
PILING LOGS 0 PERCOLATION TESTS (')
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
A I=;"() . Of'. '
J () 5"0 . OQ..
L{S . 00
t;;/5".~
t. ;;I tJo .06
I]M . 19-n
Water Tap ................................... $
Builder's~osJt .K'D................... $~f:JtJO ..~
Other .......(~..""'If.................... $ SiD.." 0
Total Due ...........~,.,~,?.. _. - - - -
Paid "799(;.9(, ReceiplJjo. .3r"Z2S"
Date 9//7/e;e; BY~
st in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce a~d may proce~ requested. This document when
fi\U\lP-O.""'poraoy C"'!1fte O'ifti compliance d allows con~ruction to commence. Belore occupancy. a Certifi~w... f Occupancy m sl be issued.
rllvv I I"" _ /.K]('A.()rnh
City Planner ate Special Conditions if any
Issued
"
II
24 hour notice for all inspections 447-9850
1
~
.
-Permit#
'Job Ad.,... 1'-:3'0'1, l/.:UTo f{[1J
'H..hng Contractor METRO AIR
Yc,r) ,
*r esters/Signature
-Gas Une
Pressurized
Inspected
.Percent CO2
.. Percent O2
Final Inspection
, ,
Ollie
Time
PERFORMANCE TEST
7.1 I % .PercenlCO
C:>II-/ '-0
.Slack Temp.
Date
f, ,.-.,p ,
Pounds
Pressure
D
?./~
'p;._ ;~.,':" <.:;..~:7~' .;;",;::":'"
0...., -~
,.~,' ...
-.... """"""'"' ..~. '''''''~_~'~-,o:~'''-'''''t'''~~'''''''
Tht' Crntt'fof lht' Like 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:
/}
/
r-~~- ~ ~-~
Denied () j
Reviewed By: . <~ ~
- fI . ",(-
Comments: Ale ufl,f CD.nnol
Ar.r.p.!"1tp.d With Corrections
Date:
1...;/ b-'fj
10' ?rrciR~d.
&ncrd~
"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."
-~
.
(j~('f\
CITY OF PRIOR LAKE ~ ~::.. :_
PLUIIBING PERM" ~p No. _qq - 1090
..... . ~e.n"'I~r- \'UJI'\)\)ifl,:1 Phon.: L./1../r;-J/134
,.,4 -: l..J'fiOO Adri"ol\ C! .rel Pn'or c....."-o>
.',1 ......; ~ 9- R d.9 L-
,_, .. L fc -"'.3 Sub eI'M!/Ji/Vrlt... RlOeiE 571-
_" .,,,, at ~
... "'dd. :_110 ~~Y.. \ ~1'c.+Qn:a (' 1.1 ,rll"_ Pi.J5.0
~ U.. PMIlII, qq. Ie <?,,'3 .PIO' 2', - 3,3;::,.0 ziO - 0
NOT&: ThIa . , wII nar ~ p .. ICI "fltIloUl compl.l. ;nlo"".lIon.
JllXTUq UMTS
n............_
QuanlIly TWe .. FblIu.. Cl.wtdr; Ty~ of Filllll,.
I Ietn Tub'" Of .....our. 3 ROLlgh.l"a
t DIll! 1Itr... I ( I We. ....I.r
( ~ o..In , / .1 w.., Solln.r
:) LhaID'Y (DdIrIlom **l I / I Stand Pip. (wa.hing rYWc:hine)
,
, L8UNlry Tray I' Of 2 comp. . ....) s-;. Ej~Cl'
/ IP10wtIr .... I 1Ktlfto"" hun.Df't (RPZ. Du. Old, Pv8)
I ..... I BaclcItow A...mtIly T..I
.... 8Irtk .1 Lawn Sllrfnld.,
~ w..., CIaNI (IDiIM) I OItIer
,...a iNLI
II'Gl UIlI. Co..... ...1lII!I a .....FImlIy
Ct. III job -. ".10 ",,"Imum)
.-.11...... N.wOnea Two Family S
",.,.. 1kJ. .' f JI ,. a AbrallDna s
..... ......... s .50
caRANO TOTAL. \~~~:~M\T .
'!Ida ,... II, " "- .. __a cundlliOll cIlM ..;C1
. , ,aIloD......, iia all _ _ .....__
"'...--..... .. -~_... ." .,., _.
P~}IZ/qqA=
CIIIJ......l., I .,-ZlbauniB . ., ...
16200 Ellie Creek Av. $.E.. Prior Lab. MiaMIOCa '.53721 Ph. (612) 447-4230 I F......X (612) 447-4245
Aa E".... C, . .".l)'~""""
II
09/23/99 THU 12:20 FAX 6128621223
JD EXCAVATING, INC.
14iI~
"1'''. ...... 1I9:Z4 faX flU4i4l/4S
fl.).'., 'v' n_
cITY of Pll.IOJ. LiJI:
!~OOl
_. "'"
............. ....----,
~ -,.,...
.1
CITY 01" PRIOR IAlCE:
SENER AND WATER .......1'1'
!'lOTi:: S."'liJr and Wat.er
eontrllc:t:ors tIIUS~
~e regl:1tered
wi~h the city.
S_WN..
q9~lOq3
XAP.PLIC~T::Tn EXCfWFtTIf\JC-, INC- "'~OtlE: -:r"'''-43'&'2.
)L ADDRESS: 11-42. - i~ '2.ND AVE. . cop,,", RI'tPlb~DATE: ....
~SIGNATURE: ~(. . .A~~. PERMIT ,qq~/O<j3
x SITE ADDRESS: Jt-,3 6LJ 1J~,\r:.. M~p:!tlt 25-3.3S-0z.."~o
FILL YO THE &IANICS
1_ ~stima~ed le"9~h or Yate: s~~Jice
r..~_
2.
Size of wa~er $crvice
inch(es).
r::. PAID WiTH
L~"'a PEi'iMIT
,P,UI t-"I'
fct.n:_
J.
Location of any cQupl.inqs froll\ structure_
4. Type ot sever pipe. AllS
PVC X
Cl!st Iron
5. Esti~ated length of s~er line
feet_
6. clean ou~ (if re~~i:ed), locat~d at
struc~ure_
feet
from
::i. '>P1i":" ~=it ::, .:'r=~~ /9~ ----
----~---=~~~----- m-=_~__- :__________~
FE~S: $ J5.00 Sewer and vater line eonnection ~rmit.
S ,so Sureba~e
s. J5.50' TOTAL
Fee ~or either sever or water individuall.y is 520.00 plus
S .50 surchal:g"e_
· Sewer and wa~er pe~its issued tor new construction must b~
recor4ed on the buildin9 p~it ca~ ~~ ~~ t!~@ ~f i.$uanc~
to insure that no ~up11cate seVer and Va~er permits are
issued _
-
OAT:!:: PAID
AM............&. PAID
/' wrrH.
\ ~U,[~G p~RM'T
REcrIPT f
REC'D BY
16200 Eagle Cnrk Av. S.E" Priorl.aJce. Min/lll:SOEa 55372 1 Ph. (6)2) 441-42301 FAX (612) 447-4245
A.n ~uaJ o",..."U"iIY &.pJ"y....
~
II
----,.--
....
CITY OF PRIOR LAKE
. 16200 Eagle C...k Av. S.E. P&rmR No. qc; - /09..3
Prlar LA_, MN 55372
HEAnNG APPUCAllON I PERMIT
D... \ \-;,-"l ~ PIU 2-5-33'5-02.&-0
Site Ad,hss \ l. ~ lo '^' \I \ l \-;;..~ iA l \\r" \) P R../s.O
l.oI --.k Block "\, Addftlan (~r A " '\ v.~ 1</066 sm
Owner's Name . C ~ M \-\(, l"\SI
Addrea -.:r'A v.. ~ [\\"-t W.I ~ l\x.d\ 1-&r-~
Heallng Co/llncIDr ,,,\ {~ \\~.... ~'" \.
Address \ \n l\ 'i t'\ '\.t ~ \ l 0fI..J.. ~ i \ 1-J ('; IT' ~ LlI<.t.
Telephon" ~\.\, - 'i ,~~
FurnlCll Make a Madal (,(,. v,.., \.v
Madel SIz, f Y\ V- oc... \)
Conn. Load S t) ") '-\ l
Fuel N VI T Flue Size
Supply Openings I \ ~
Retum Opening. 9-
Input ~ ~ ,l1tf\ OuIput 11
0..
IS)
ill
"-
o
z
C; {I
~
H
a:
o
~
I-
W
J::
()(\O
Edr.
Clm.
\"\ '-\G
TYPE Of SYSTEfI\ ,
Warm Air Planl, .x
Gravity
Mechanical
Air Condilianing
VenL Sylltm
HEAliNG OR POWER PLANT
S1a1l1l
Hal WaI8,
Radiallan .
Spoclal Devices
Other Devices
J::
a:
"
(T)
iJ\
Allerallons .
TYPE OF WORK
\~ -
Replacement New Construction
. Rapalr.' Est. Comp. On
Est. CostS ~"\ {\ \.~ BuDdlng PermU .0.."\ - / 013
N HEATING PERMIT FEE S. p..\O \f'J\ir\ It' .
. . . f' ...,"'- PERMt ,
6. STATE SURCHARGE S. .50 e\)\\'O\..''''
z ~.~. \
'- :!~~PERM!TFEES ~ Rec:e~tI,
. -~.. - ~
,~~m~~~~.::f;:.:;; :.
-~'''-~~~~~~/.~.. ~..
iJ\
iJ\
iJ\
....
. ~~~; :. r~~~~~::;...~,:. .-'. :~:~7i;~~}~: ..:._ .
~ -
~ +:.."
TYPE OF STRUCTURI;.
1.1'bIk
2.. an..
3. ...u.w
Rlo
0"
0,......
Single family X
Two-Family
Indut1rial
MulIi-Family
Pubfic OIher
Commercial
Fee Schedule
Indualriel, Cornrnwsl & Multi-Family
Residential, Heating a AC
Residential, Httdlng Only
Residential, Gas Areplace
R..idantia~ Addftlons & AJlerations
R8Ilidenllal, AC Only
1 % of job ~,$Ominlmum)
$99.50 I R)'d fE..E
$64.50 c-
$SlI.50
$39.50 i \'\ NOV - 2 _
$39.50 U .
I"
"
..,
Rememblll' 10 add the Stale Sun:harga on lhe battom of Ihis llIlpllcaUOn.
The price ot yoUl heating p8rmlllncludes OM IDII4I1-in and one final inspection.
AddltionallnspectiollS will be billed at $35.00 eBCtl..
House Heating Test Rsc:oltl rnusl be submitted wllh .... "lrI'rr IlI/IIliI ""....",,~ before build-
ing certillcale oJ .." ':. leY will be issued.
~q'1' r..' r.II' ""nN~ 1'11'1'1 Illl.F" wfth number at supply and relUm opllnlngs lisIed per
room willi CFM'a peT openlng. New stNcIurB& or additlona tend Door plan witIf supply
and retum locations shown. HEAT LOSS CAlCUlJUIONS. PAYMENT AND
APPUOOIONS MAY BE MAILED TO THE CrTY OF PRIOR LAKE. l&aOO EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Halll!uslness houl8 are 8 a.m. - 4:30 p_m.
ALL WORK MUST BE INSPECTED (ROUGH"'N AND RNAL)- CALL CITY HALL
447-4230
I heleby apply for a mechanical syslems permll and I acknowledge Ihal Ihe
information above Is complete and accuralt; Ihalllle work will be in conformance
with fhe ordlnanc&l and codes 01 Iha city llnd wllh the stale bulldinglmechanlcal
codes; !hallhla form does nol become a perlJ'll unlil signed by Ihe BUILDING
OFACIAL; Ihal the work will be In accordance with Ihe approved plan in Ihe
case of aU work which I1lquiree raview and approval 01 plans.
.Ji\ ~\k\l.
~~re
/~F..IZ..---..
ring OIfical'll Signature
\ \- ). ~ '"" <1
11/;799
/ Dele
-"':':'.- ':f{"f.-~~~;":
........
-">..~%~:-..:l.:i _'..
... ~..~; ~.~..~..~~..~_..~:~fi~~.. ...?t~~~~i:;LqR~"~~~{~-
.<c.
..-==,.,-=--:..,....-..
qq-IOtp
Lll 'l OF PRIOR LAKE
Impervious Surface Calculations .
(To be ,submitted wIth Building Pennit Application) .
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Pemi.itted iIl30 Percent.
Property Address
/h g64- 0C~~4 f.Jt/~E S',E.
Lot Area I Z, 000 Sq. Feet x 30% = .............. g6tJCJ
*****.****************************************.*************************;
LENGTII
WIDTII
SQ. l' J:J:.!
HOUSE
ATIACHED GARAGE
x,
x
x
""
'"'
TOTAL PRINCIPLE STRUCTUP'"
/473
DETACHED BLDGS
(Garage/Shed)
..... Jl:.
x
TOTAL DETACHED BUILDlNGS....._...
fl/4
x
'"' 4B~3
'"'
'"' '14-
.............-. 571'.3
'"' (/[.7
'"'
1m x ~,n
x
ZS,~ x 4-
TOTAL PAVED AREAS..
PATIOS~ECKS
(Open Decks Y4" min. opening- :. _~,' __.
boards, with a pervious surface below,
are not considered to be impervious)
It;. {, 7 x 4---
x
'"'
TOTAL DECKS
(pl,7
OTHER
x
x
'"'
""
TOTAL OTHER...___
jV/:l
TOTAL IlVIPERVIOUS SURF ACE
&OVER_. . ~
Prepared By ~ /~
Company a,Dk'~~~" (j.
f',;/
2./Iti'
I /1-85"
Date 9-/-77
Phone # f~ 2 ~ 3t100
II
99-1093
Thr C..nltr of Ihl! Lake Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
C t; /1 HoH6 t3t.-O,eS,
qp/q9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t:3b4- VI 67VKI /1 ~UK.rJ6
Accepted Accepted With Corrections :<
Denied_
Reviewed B~Og)r ~
Comments:
Date: 7'-/0 -7'1
~r'J. r., it atkcW. l-le-.ofl.oX<:-
"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 . ..._......_,.__.,...___.__._._,.._._..u~..,___.__."____".,_.~._.... __..___~_.n'__'.'. - - ---..---....-_
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ThO' C..nlu of I~ Lak.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(~ -; IL / /~-(C /~/ C--
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/?3f::4-
VI C TC /~ I ;-J
c C 1<' Ve::
Accepted
./
Accepted With Corrections
Denied
Revievved 8y: iJ"''-1"Ert f:5~/U:SPiMAJ,V
Daie:
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Comments: RuAlnnc "'US"-
.
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4. ERasu}AJ (:"''''''''7t.QI_ MtYJ"iull€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 olher 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 JLD-:\{"tf I/,\dc)~('u. (lllJ-lNl
NATUREOFWORK ltel., ClnvtdWef.,'V-t----1
USE OF BUILDING . SFD
PERMIT NO. 91- lliCf"<, DATE ISSUED S - IO----CU
CONTRACTOR (\ -\- \^-A ./..6v,"-.QJ'
, -,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU NT
FOOTING
, FOUNDATION (Prior to Backfill) ( ,
. ,
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
SEWER I WATER I SEPTIC (~) !)),
FRAMING f/{/ //;'/h/~9
INSULATION I l(}} 1/)1( AI
ELECTRICAL I (/'
PLUMBING IIIJ.J 11/;0/99
HEATING (if required) ,I Uf;rJ d,h/y'l
FIREPLACE I IF I
GAS LINE AIR TEST 11/1) #}o/r1 I
COVER NO WORK UNTIL ~OVE HAS BEEN SIGNED
l~ I I
FINALS
I (;\,/;)'\//20 (P(V
I .~-/-
I V' (
: ?V
t1}s
/6~ '7-/'7
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
f9.j.O{)
OCCUpy UNTIL ABOVE
NOTICE
\1/ z "",,) titl
I - - I {
BEEN SIGNED
. 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 sha\l be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II