HomeMy WebLinkAboutBuilding Permit 99-1208
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
, A4A.'6
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @)
~SULATION
INAL
SITE INSPECTION
COMMENTS: <3 +-r
SCHEDULED
f L l.c-k
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
~
~: ~ rCA.L- ~
C-u...,J,.. I ~ .-<.-<J J-",
;
(- (~ ,~.
r(l/~ -~
\. #UltA____ ~ ~.~
Co{fL
--
_.
~.~~~
'\IL
"le, - IL.oK'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.:) - ~~
Q~SL
I
;J,
.11
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ '
Owner/Contr:
TIME
4<r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
____..---,--_u__.
t/VSNOTl
- _.._._,....__...._~---_._~------~T.~n_--
HOUSE H EA TING TEST RECORD
ADDRESS j!Ltfljft' Ill' ~ Lie P
OCCUPANT
HEAT LOSS DATE HTG. INST.
SOLD BY -fi,oLl1"'-'A /kun".t\. INSTALLED BY r""r.J~..,./ ~ ,.",_
Electrical Work By /~ -,-,t:....~ - Gas Line By ~~~:-/;,.. ,r,,.~~.~,.../__\
TYPE OF HEAT GA._FA-lL-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
APT. _FLOOR
OWNER -<4
JOB #
CITYe',H ~RB
MAKE (P..,..".,.".,
Model.s:i;fItIJ090-/ul/'I
S...'ol If <J'lq 1- / ~LL.J
INPUT \r<,~
GAS DESIGN
CONVERSION
i
I
I
I
j
;
I
i
I
,
I
i
CONTROLS
Vent Size ~-'I
KIND OF LINER.-vt/V\. SIZE ~NON~~
Draft Hood - ReguloTor jI/lA-(" .~........( ::i..2-, "'? 1-)<.
Filters SizeJM-X A.<'- 1< ~_~ber
Chimney Location Ins,d.---.J..;' Outside
Chimney Construction f1.-l/ tS ^ " T
\
"
" /
". /
^
/ \
( \
/
MAKE OF BURNER
Mod.1
Max. BTU Rating
MAKE OF FURNAr~
Model
THERMOSTAT H PI
)t' eot U9
Valve I.AJJr. J-c 'c~
Limit JlAA- ;"
Limit Setting j)O
Fan Setting 'rJ'~
Pilot Type J 10 t- <..:J-~ ~c.....( .e
P;lot Make )t/ 1
Pilot Model iV 4
Pilot Timin- A..&4
L.W. Cut Off MA
Lo:'
Input CFH 'r<~ ,(100
Stock Temp. --1/ V c"
Smoke Bomb
fi/l-t
Wiring
o K-V-1
Test Tog \J f c:....
lighting Inst. . rv.....4---
Pressure
Percent CO2
Percent O2
Percent CO
Draft oAAA
Door Pressure~
'I; ,7 % Dot. Tested .1.-::L - ()O
r; . 5 ~, Company Test;~g ~""'r1ckson ~ &A/C, 3650 Kennebec Dr., Eagan, MN 55122
J.H~r""f'''Iir.;meofTeste'~ ~
Or,:"" Dvu:,t U .
Form 235
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 144413
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
D'ITE TIME
SCHEDULED ~J I .j!L
Ria L~ -r;.
\\:00
CONTR.
PERMIT NO.
q'l- /2.08
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~SEWERHOOKUP
UMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Wc...h.
~
CJYL.-
? t-JL rvwl
~j ~L1J
1/ /1-
IIWORKSATI\FA ORY, ~Ro1EED
cr CORRECT ~ - ION AND t~EED
o CORREC7 ~ -OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
r.AI I k7-9850 FOR *HE NEXT INSPECTION 24 HOURS IN ADVANCE.
;O;~ ~EQUlREMrTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V ,_on
I I --_.~--'-_.__._------
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
" ~s -Ii" lI-;:(1V
PHONE NO.
IlflfL/Y~B kt ~ I f2-
:::::N(~;~~?J
o PLUMBING RI ~X/GRADI~
a. ~ ~CH RI 0 COMPLAINT
.. ~~TER HOOKUP 0 FIREPLACE RI
a. Jil:::&EwER HOOKUP 0 FIREPLACE FINAL
... 0 PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
LfG
Prc-
-NO
~-
v 0
v
01<-/
~ J- /YlWvA- ~
l.,..-y~
/
J,fY P'"
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({/
/
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o CORRECT ND PI tOCEED
:S:::O:ECT ! S REINS~::::/::n::FORE COVERING
CALL 44'-9850 F,OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
$ TIME
CITY OF PRIOR LAKE q~oo
INSPECTION NOTICE SCHEDULED ~e.
ADDRESS 1AA4-6 P:liL LakL -r;
OWNER L cc. k.. ~ "N~ CONTR.
PHONE NO. PERMIT NO. 'l'i -Iz.o~
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
... Dl'LUMBING FINAL 0 GAS LINE AIR TST
I" ~ECH FINAL 0
COMMENTS: "2>~ ~ Io~vk-.,- oK
(I') En;>. \ ~ GY\'bI'nt'~f :VlOL ~.
~ Srl ...wi iY.,,"~ D0- ~wt.Q];pY)\~
. .u.~I"<A SuA. +~t- 1dJ.rA/LW~1./ ~
~ ~\u;:w- (.ewydr. 0{...- ·
~ I\t\2.ht-a~ U'o<a.lDA. ~
if \W.,.-~ s ~ck 1zJ~ I \L.. ~
n~ ~~~~~:.r ur -
~ k.ug.& ~ .
~ 'Inf/'/ Gx!Afw?J_o ~.I.<~nV\ o1t
~~0~
~ ~\~ <t1J
o FOOTING
o FOUNDATION
o FRAMING
P)NSULATION ~(Pt
~INAL I"
o SITE INSPECTION
o WORKSA~S
o CORRECT.'CT
~RRECT
Inspector:
=
-
-
- ---~
i- 1- 6U ')
~
ROCEF.D
ND PROCEED
,C LL FOR REINSPECTION BEFORE COVERING
CALL 44'-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE RE,UIll ,MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
\J [NSHaTl
II
~.._.~^.
~%
QATF Ri=r.FIYFn
/o/1-h9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicanf
Q9-/2CJ8
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12SITEADDR/4'tfLfr I7ICl-LA-t2-IMtL /J.7--,
1. DATE
/()-tf-7 r
BUILDING INFORMATION
11 . SIZE OF STRUCTURE /
t1/JS'};7' _~" I ~
12. NO. OFSTORfES/r~
13. TYPE OF CONSTRUCTION
l;JO(JtJ t?01!lW
14. FLOOR AREA APPORTIONMENT USE
1<./
3. LEGAL DESCRIPTION L/
LOT L BLOCK PID ~ ZS3 3"10 l..()O
AJvotl m/.L. I zAA? MtIJ/71CIN
. .
14 OWNER ~Z- A-S /'Jr/(t;eK
15.i~~N=el'uwco I ~~A~K..~ 6.57~Z. -07ZS;
6. BUILOER (Name) . (Address) " (TeL No:) stY'!
J5,t~~f;.A: r tJ1t.w.4,~'t'l'/ C,J!/7<t7-tJ3?&
7. TYPE OF WORK Fireplace 0 Septic (] Deck 0 As-roofing 0 Porch 0
New construcliOrX' Alterations LI Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement 0
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS ~VERT SIZE
Sq Ft 12; 000 Width gr, 17 Depth 13:; I Yes (;)
I hereby certify that I have fumished 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 mentione ro e and that I co IUction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uilding 0 . evoke this perm' JUs se. Furthermore, I heSY,agree that the city official o~f ~r3n the property to perf/a~~~ns.
License No. (" Date t
ADDITION
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PJ/PJECT COSTNALUE
.,.., I.~~ tJOO
1/fl:;;;;0 I~:;I- UJoo
FOR ADMINISTRATIVE USE
----------
MATERIAL FILED WITH APPLICATION ---
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
SETBACKS: Required
Actual
Front
B.",
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVALUATJON ~. f') 1')
SFO
USE OF BUILDING
TYPE OF CONSlRUCTlON: I II III IV V
Occupancy Group A B E F HIM R
DivisiOll 1 2 3 4
Amount Brought Forward .................. <I:
Park Support Fee ........................... $~(). O(i
SAC ......................................... $ L' f:J "0 .on
Ci1y'
S U
I.D::u. .:2<;-
. ~ f.,V. <(t.
~T.DD
Permit Fee ............................... .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .~.:~................ :
Meter Hom .....q.."....................... $
Water Meter ...111........................... $
Sewer & Water Connection Fee ........... ~
WaterTowerFee ........................... $
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ..q.~..-:-:./2/?e.. $
Mechanical Permit Fee 1.1..~.!?:-g.et.. $
Sewer&WaterPelTll~ ."!.'l.~J?ct:!.~. $
'-5: 0 (')
I [)O . 0 0
Ion. on
35,00
~i~!.;
\r ~1
IO,,~
/ ";l6: /91':)
't ?,tXJ .~O
. 700.0"3
Water Tap ................................... ,'1'
Builder's Deposit ............................ $~/)n.. Of!)
Other .............................. .... ....... $
Total Due .............................. $ '1455. 7 /
Paid '7<:/0. "7/ Receipt No. 3 ~ 'frj
Date .u>/u/n By 1.f?--
uest in the above a~lication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed;/ requested. This document when
r constitutes a temporary CertiJD,Po171Pliandrj'CfN;;J;t!u:;n to comm. ence. Before occupancy, a Certificate of occupanc. Y must be issued.
) 1" ' 1.JJ6.,-YVl~r;f;1~ L~"t')
Planner Date 0 Sial i s' ny
24 hour notice for all inspections 447.9850
uilding PelTllit When 17rov",?
_ Date IIJ- -'1:
;sued
/
I I ---...-- - -,.-- --.----...
12/10/1999 09:03
T.... CfAlIr 0' Ihf 1.._11., CO"u.I'7
1012-8947972
LAKESIDE PLBG
PAGE 01
CITVOFPRIOR LAKE
PLUMBING PERMIT
1. Blue PUe.
2. Gold. Cty
3. y.lIo.... Applicallt
#
tf?-/zo9
Applicant: J....aJz.~" !_;l, .p L~ i. /-i#'~ Phone:" I;L - .'<".; <; -? (",0 "
Address; ~ 'I" '1 f..1:::~ A ,..>-<- S "'-"~~ '" ~LI . ":~-.'I' 7.'
Signature' ~ ~
Legal Desc~ptlon: Lot 2 Block ~ Sub I::.Al08 1'111--'_ 2A/J:J
Site Address: /"" U f( ".,.1;>..., ~/~~ -rJ? Ie I
Building Permit. q9- / 2.0B .?ID # {dv~3 87/"1'0
NOTE: this PllrTnlt will not be processed without complete Inlormati~~' 331- ()~O- 0
.. .. FIXTURE UNITS
pI; t,,"t 13/1{ J.OJp.uwil.<.. 171") ,:T~'Nl'
" . .
Type .01 Fixtur.8 Quantity
evUI"I1/1\.1!.V UnoA
Quantity
141ol. -If; l-s~.Yv
Type 01 Filcture
I
I
I
I
I
I
I
I
I
I
']
/
/
i..{
I
3
Bath Tub with or without showei
Dishwasher
Rough-ins
Water Heater
Water Sollner
stand Pipe (washing machine)
Sewage Ejector
Backtlow Assembly (RPZ, Double Check. PVBj
Backflow Assembly Test
L.awn Sprinkler
2:>
Floor Drain
Lavatory (bathroom sinK)
Laundry Tray (1 or 2.compar1'niem sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Other ,_Di.$,<;7t..5...J.) I~~~;'~
.:i '<o:;..u,.,./..I.-,
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% 01 job cost, $39,50 minimum)
Residential, New One & Two. Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$ q9~"J
$
$ .50
GRAND TOTAL
1~~@~DW[g \' I,.
I r~----l I'
: i I DEe t 0 WIn I
.'\.'.! ~ 11..,u,\
'. .11 I
. . ,-,~___..,___._,._.,______~L::./:
L_ .----------___j
Call for all spections 24 hours in advance.
\6100Ea~\e C!eek t\V, S,E., PI\ot Lak.e, Minnesota 553121 Ph. (612) 447-4230 1 FAX (612) 447-4245
All BQ,\la\ O~\lottllnit~ 'Cm\l\o~et
II
HEATING APPLICATION I PERMIT
Dale 12h'4/Q 0 PIO. ;2...5- 33'0/- OzO-O
S18Addross. Itf'-lll<] flu (n /" 1JrcLd AJf:..
Lot ~ Illock~ Addition I<NOe, HIt...1.. Z-NQ
o.vnefsName ~ Un<;fy-u~
Addr_. 'P-o. Bo'Y-. I~('-I
Hoallng Conuactor 'Fa.J.~,'c.k-.sD n H-ea..fi >\9 -d- A-(c
Addr8SS 30SD ~"V1 e~x c. 'Dr .tj-j J ~~C)J---A-J
461- 4t5z_ - z:-n6 u
TeJopilollo' _
FUlfla... !.laka "ModoltllltLtrn.. "'If ()1l.['1D TYPE OF SYSTEM
. Worm Ail PlaIlts
Model Sin €<< . roo gro/l IIJ"/l1" Gravily .
Mor:hanical
Ail Co ndilianing
Vett. Syotom
HEATING OR POWER PLANT
Sleam .
HDt Wator
Radialia n
Spodat DlVic:es
=
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Conn. Load
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Fuol
Irll(
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Supply OpenIMS
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Rolur. Oponings
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Inpur a M()
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A~eralians
~
Repair
E1l. Cost S
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==
CITY Of PRIOR LAKE role
162.00 Eaglll Creek Av. S_E, Petmil No. q:j -/ ZOP;
Prior Lake, MN 6.5372
1/.
Flue Sbe
1'1
1
{"
OUlplll ?O L/ () 0
Otllet Davicos
TVPE OF WORK
Replace'MnI
y
Naw Corutruction .
Esl Comp, Dele
Lf1104].
QQ-/z08
PItLd l^j /'1l.ild.PV.
/~p..\O~;~\\
Receipl \~n\NG ~
BuHding PllfIl1a ,
~
~
~
-
,
~
HEATING PERMIT FEE'
STATE SURCHARGe S
TOTAlPERMITFEES 1-
.50
,
~
"'-"
=
TVPE OF STRUCTURE
1.1'l'"
1 .....
l YdICl....
Rio
City
Co_
dC.~ ~
,--Single Family _ ' ,/
- -
Com morclal
lWo-Family
Industrial
Mulli- Famly
PtIllic au-
Fee Schedule
Induslr1a~ Cclnvnoltial & MuIU- Family
Residential, Heamg & AC
Ruidsnllal, Healing Only
Residential, Gas Fireplaco
R88idential, Addillons l Alleraijons
Residmtal, AC Only
1'1.01 Job cost (~,50 minimum) ,
S99.50 PLEASE NOTE: i
'64.50 Air Condilioner Units Carml,
539.50 Encroach Into Required Side:
$39'sC Yard Selbacks_ :
$:J9.SC
Remembe,lo add !he SlaIe Surcharge on 1he bollom 01 this appllcaliJn.
The price 01 your healing "."mil includes 0f1B rough-in and ono r",.. inspection.
Additional Inspections will be boled a1'~S.OO eacl1.
Ho"". Healing Tesl Record mUSlIN> submitted wilh Nlilriino 1!IH!!!l!!lm!2ir beta"' buid-
ing ce<tiicale 01 oc:cupancy wil be iasued.
liEM CALClll.ATlON.~ 1I1'(\11111~1J willi numbef'Of supply and relurn llpflIil>gs Ilstod per
room 1'11111 CFM's pe' opening. New stllrwru or addilians send 11001 pl&n wih supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO lliE CITY OF PRIOR LAKE, 162~O EAGLE
CREEK AVE. S,E, PRIOR LAKE, MN 55372. .
CIIy HaU business hou,. are B 8JIl. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HAlL
447-4&50
I hereby apply 10, a mecbanical systems permil and I acknowlodge Ihallhe
Info/malian above is camplele and accurate: Ihal lhe work will be in canlolmance
willi the ardlnences and codes 01 the city and wilh lhe slale building/rn<tchanical
codes; Ihallhls folm daes nol become a pe,mlt unlil sIgned by lh. BUILDING
OFFICIAL; Ihellhe wark will be in accordonce with 1I1e apploved plan In Ihe
case 01 all wOlk which requires review and approval 01 plana.
I
/#1'~..iJ..KI1/
Appl
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12-/;~ahq
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P,L. FA:;/- 447- 4245
"'; '/'~"'-;:"'~'fi',.
CITY OF PRIOR LAKE NO.~/ta8
SEWER AND WATER PERMIT
NOTE I Sewer and Water
. contractors must
be reqistered
with the City. I
APPLICANT: s~rn
ADDRESS: ,/11/9 ~~.
SIGNATURE: ~_ S? _
SITE ADDRE~ /'-1 '-14 P 8 'Sknft!2 rtd
PHONE: ..J?tt;- If /'19
DATE:_/2-/S'- JiI:?
BLDG. PERMIT . q"~/2oe
PID' zs.d~?- 020-0
FILL IN THE BLANKS
Estimated length of water service L~~
/ if
Size of water service inch(es).
Location of any couplings from structure
Type of sewer pipe. ABS PVC ~ Cast Iron
Estimated length of sewer line A-d feet.
\
,
,
feet. DEe 2 01999
feet.,
6.. Clean out {if. required), located at
structure.
feet
from
===================---============================================
.
This
BY
your permit when approved.
DATE: rz./z.-o/&/9
-------------- ---------------------------------------------------
-------------- ---------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
surcharge
TOTAL
'. I
"
* 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 building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. . --.,
DATE PAID AMOUNT PA ...,,~~ f'~?-~\'t'
\O'J\i-V.
RECEIPT # REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-424~
An Equal Opportunity Employer ,; ,;;J"..
~..I"ilII"'
...
i,.:.
" ~.. .
I I
f -.--t-'~""" --:-"~""
"'--""'1 .,~. _............~ .
~. -'-~'~-.-
~ .---.. ..-..-.
"....~-~..~.-.~:-:::'l~
.....~,~
~~
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr or Ihl! Lakl! Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
,~
/ ,,::::;..:..--
,
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. ~
,.
!.- /:..
,
i_.__
Accepted ~
Denied /J /1/ j -
Reviewed By: 7i ,1;')/' ~ Date: i 0--/9-<=f7
Comments: ;;;JLf m/LAt rlrLNliJcu...t a.:;t Or7D'At- UN ~
. (/ ~
Accepted With Corrections
f
"The issuance or granting of a permit or approval of plal1s, 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."
/'~
/ ~~
/,,").,..--, - -~. ..-- -~,
, If. I _ / / / 5--
/ /. , ~ ".' L......'.l
Th~ Cfnlo:>r or Ihf L.b Counlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I I -' ., . ~ /- I. (.._1 (. ;..../ -~,' ./---- .
.:: ..:- t: /I,j~/ .~ _,'--
/{ /4- /'77
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/444 E, l'l J::: (~ C Ie -77<-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: j~)AL-rF11
S"J...f IZE':'(M ANN
Daie:
, 1
101/7119
Comments: DR,,_Jro.JA" w,"~
C-~.J
O,JL.V B~
A
MA}(IJo'1UM ",1= 7<1- I
WI"E.
/1, ,HE'
f'RoPFlnv /...I^,~_
S€!. 'Nf"..Il.MA-'ICl.u
O;.J /ME:' I<bJEilS ~
~-
sr:f=' A-rrAf'"i-IMF"vT3 ';. J. h#J'I'k c.ltA-O(' J^H.PCU10^-l }..vF"niU11rtnotW Z f2a.A.tllN/~ RA-N
'?" En.asforJ C~o,J,.-rt.L- MEA ~ u/'lD
'-I Efl.o, <c .v c..~T~ ~ 'P oU\-,.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
~~
qc;-/20B
ThOi' Ctnlttof lht L.kt Country
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS~
NAME OF APPLICANT J5)!!t;..NNbR- r;.ON 577<-
APPLICATION RECEIVED /0/4-/99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4- -14 8
PI K. f::-
LIe..
IK--
Accepted
Accepted With Corrections X
Denied
Reviewed BY:( .2.2 ~,. L
Comments:
I. I'\t:l,'.. ~t2f"" "$..\"OV\, ~
'2. ~ <" rr a..tta..cL..ut /-{~~
~. S"'r~ ~ t/'<1..e. 5 /ko, _
C-'
Date: 10 -Il - 9' "l
"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
..-r
_._-<~.,---+
PRIOR LAKE
IN'SPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~'-1 LlA D:k.. Lakp.. \,."';\
NATURE OF WORK -Ne\L\ 0.,.,..,c::.\.ru,rJr",^
USE OF BUILDING Sl=D
PERMIT NO. '19-1'l{)~ DATE ISSUED ICl-II-cr<f
CONTRACTOR 1;t-U\"'..... ~ . .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEC-lIONS BELOW
THE PERMIT IS BY SEPARATE DO;S~. T ." DA '
I FOOTING I _ 'tV I - i if 'i., I
I FOUNDATION (Prior to Backfill) If /J) l~l9fqq ~'/D L11If~ I
PLACE NO CONCRETE UNTI7'ABOV~HAS BEtff SIGNED
ROUGH - INS
\ \ (IV 4411\
I\~ Il V (~)
( ;f) 1 h/dt) M
?, \;
[(;) 12/17/': (?Y(?JZO(9 -Ie
G,~ ~
FIREPLACE ' fig I l't bO
GAS LINE AIR TEST ;/h /c/~d/r;
COVER NO WORK UNTIL UOVE HAS BEEN SIGNED
l~ I I
FINALS
Gt,
12.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING if I ..s_
HEATING (if required) v
)~ 10\9Q
IJ-Jo-'14
GRADING (Prior to Sodding)
BUILDING (,(), '';u. .,f
ELECTRICAL
PLUMBING
HEATING
DO NOT
1/17(8D
7/J? I~
(~C ;;/JJ ~I_ ,.,(
V - m "' { ::: \ lw
OCCUPY UNTIL ABOVE\fAS BEEN,l!kIGNED
NOTICE
This card niust be posted near an electrical service cabinet prior to rough-ir inspections
and maintained until all inspections have been approved. On buildings and additions
where no seryice 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
"