HomeMy WebLinkAboutBldg Permit 99-1249 & FP 00-31
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~-~; i qrerttfiratt of ~rrnpanry t '~'
~}! CITY OF P~~R LA~ ~
~~ ! mepartment of .utlbmg 3Jn~pectton ;~
~~91 minal Permitted D Conditional CO. 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 Lake regulating building construction or use. For the following:
Use CIassificati,..'rt
SINGLE FAMILY
Bldg, Permit Nr.
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
99-1249
RlSD
Legal Description
L5. B3. KNOB HILL
Owner of Building
~ite Addre"l4Ii20 BLUEBIRD TRA TT.
Contractor's Name " Address
KRIS AND TONY KALAL
rity Planner
OONRYE
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, ,
SCHEDULED
DATE
$k
Tro.J I
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ftr'T
ADDRESS
/L/f, ~ n
J3/up "hr rei
OWNER
CONTR,
PHONE NO.
PERMIT NO,
9 9- JC)Lfq
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ ~A~1E ~R TST
COMMENTS:
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'xl WORK SATISFACTORY, PROCEED
( ~ CORRECT ACTION AND PROCEED
o CORRECT WO~ CAll FOR REINSPECTION BEFORE COVERING
I nspecto" f!:t:t- , Owner/Cont"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
II
--,.._~.._......,-,...~--'---_.,--
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
_ DiTE I TIME
.::f2lI-GD ;w- 4_ ~ Co
ADDRESS
l.q(/? 2L) BLoE:-!>ft2-l)
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
o WATER HOOKUP
o SEWER HOOKUP ~
~LUMBING FINAL
~ECH FINAL
9'1 ~ lUll
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. [l?~IMrohO_ ~ C'rJ4)...,
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2 ""' - - ~ ~ 1'-;:_ \.~. -
I 1..A::::LL-I 0-JUl "\-t. ,_ .----""-_
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6. D..\ (J. "? -'^"-' i\., -4-- \ ; ,^-. b-.4c..f7..............-
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71 C::;" Ai ..l-- It .ea<; Ro"t; /
8- c.Ofl ~r- 1':,~ crar1Lo ,'tA.,.,~J..'nu.
<1, ~..,kJLL '1:> \J......;:.J.. .h:, ~I!c- \~ R~
[b M\+-
I r<.. 0
+L
+; /'-.Q ")1 aA\ ,
.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
XCORR~ORK' CALL FOR REINSPECTION BEFORE COVERING
/ \/,'-
Inspector: Owner/Contr: ~ IGU2",-'y-
CAL~ -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
.- T
----~-r-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,a.o
ADDRESS \~ ~\rrl.. 'l1.,
OWNER
DATE TIME
I t-lG.~
1:'3.'"1..
CONTR,
PERMIT NO, qq - I '2.L{ q
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
A
A
o PLUMBING RI
o .JolECH RI
)i:f~WATER HOOKUP
~SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,:).,7
J' J- sro
f -) ..1;0 ,...Mi., () 1\
A*.-t7
~v
i/
U./f
~
7JO"''156 JI.
/M"
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)If WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
II
QAIE. RI=r.I=I\ll=n
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Cb.\-. I, L '\.'1 "\
Permit No.
1'7 - 124.'1
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 -;;z I _ n
\4~20 dOtllJ'h-.Jl ~:\
1. DATE
IO-l-Q'i
RISD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT :s-
ADDITION, I<" ,M\ '" \.\ rI \
14, OWNER (Name) (Address). (Tel. No.)
\(r15~TC\"\V' Kalal z<g3l.ueqcrl'v6':!.LOviWl:::: (l..ol2-)Q2D-9s'2-3
15. ARCHITECT (Neme) (Address) l0, (T17~-771S-1
6. BUILDER (Name) (Address) (Tel. No.)
~"hnH~ Lvro \I-..b'lZQrdSwlE\JoScl KpI::, SSLJC5 (19''Z}314-12.'iO
12. NO, OF STORIES
BLOCK
'5
PID 2~- - 3LO - O'2.S -0
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCcUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New construction)(
Chimney CJ Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 mentioned 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
building official can revoke this pe~for iustC:;juse. rth;~rJi'J I rereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x1G.:u.I-"..O~Q... ~. !{p.M...! Idim
SlQhature ~ - L..ic8nM No. Ollte
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16, PROJECT COSTNALUE
17, COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Sicle
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
SURVEY
o
COPIES
USE OF BUILDING
qr-'D
PERMIT VALUATION
lo.ll'l.,,""'oo
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R
Division 1 2 3 4
Permit Fee .........,............ ............. $
S U
City:
Amount Brought Forward .................. ct
Pal1< Support Fee "''',,'''''''''''''''''''' $_lII,CV').CJr::!
SAC """"""""""''',,'''''''''''''''' $ / I'J :<;n .00
Plan Check Fee ............................. $
I,081.7..C;
7M..1/
1fJ.oO
Water Tower Fee .,...,...,.,.,.,...,...,... $
Water Tap .,.,.,.,...,.,.............,...,... $ _
Builder's Deposit ............................ $~OO _ (!)l)
Other .,...,...............................,.,. It
Total Due """"""""'''''''''''''' $-1.5'tb q. t.f.b
Paid "11&"1 . 't(" Receipt No. 3c.. 4-~ <-
Issued I
',- .I Date \, \ \, ~ By fI.{:J lRr
This is tEI' ~at e rJt In the ebove applk:ation and accompanying documents is I.n accordance with the City Zoning Ordinance and may proceed as requested. This document when
signed b he' er ~~~.!.. ~ t.9{flporary ~(~fFte of ZCfl~jn comPlianceA1d allows :onstruction to commence. Before occupancy, a Certificate of Occupancy must be issued.
_ . (~I ~'~ 'ff('thl+('~"#'lCMl~!k.~~
-,'I . citY Planner te. Special Conditions if any .
24 hour notice for all inspections 447-9850
/00.06
too .00
BS-.SO
tl~q
IO~Jf
Collective Street Fee ...,.......,...,....... It
Sewer Tap ,.,.,.,...,...,.,.,.,.............. It
~/l' ot
Pressure Reducer ,...,I.f)..,............. It
MeterHorn...,.~.;t'.......,............... 0;:
Water Meter ".,'~,...,.....,............... 0;:
Sewer & Water Connection Fee ........... $
'-/s.oo
State Surcharge ,..,.,....,....,.,.,.,....... $
Penalty ........,...........,.,..,.,..,...,.,., $
Plumbing Permit Fee 91...~.12II!:l.... $
Mechanical Permit Fee '1!!.~...tZ!11... $
Sewer&WaterPennn 91.:.fl::ft." $
Gas Fireplace Pennit ....................... $ ..
This ~mes Y~Building Permit When ApPJOv~dc.
By ~ ~ Date ~/t{-7 (
Certificate of occupar/'
I ?.is". 00
I . ~c:o .~e;
" "1CO.60
, ,
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..
.
" Job Address /qt,:J.O 131u.'t!k;j +rI. t1JE
. Heating Contractor ;::'''1'4 I :..I~) I'J-I/-
Name of Tester J /I~
Date ~ -IL(-'?C/
~.7~d
~
~3%
I //~ tP
Percent O2
Percent CO
Percent C02
.f'.
Stack Temp.
Combustion air is adequately supplied per
UMC See, 606
Input
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II
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No, OO-CX13- /
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
/h/ICJO PID# 2.5-.310 -()2S-()
, 1-
/ 4-1AZ.O ~I u~/3/ eo ne IV (;;
Lot => Block ..3 Addition '<:;NO/3 H/~
1I...f/,..." J /('1 I" (
Address 9/ L/ / r.. k~", /i.v< $"'
SAMe
Date
Site Address
Owne~s Name
Healing Contractor
Address
Telephone #
6/'.
.11 Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devk:es
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr,
Output
Other Devices
Cfm,
TYPE OF WORK
Alterations
Replacement
New Construction
Repair
Est. Comp. Date
Building Permit #
39. 50
qq-/ z#
Est, Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMITFEES $
.50
4-0.00 Receipt #
3~/$O
TYPE OF STRUCTURE
l. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
y::
Multi-Family
Other
Two-Family
Industrial
Commerci~1
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39,50 minimum)
$99.50 PLEASE NOTE:
$64.50A, C d" U' C
lr on ItJOner mts annot
$39.50E hI R 'd S'd
$39.50 ncroac nto eqmre 1 e-
$39.50 Yard Setbacks,
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with huildinn ~ ~ before build.
ing certificate of occupancy will be issued.
~EAT CAI CIJlATIONS REOUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return 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.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
caA:;J;:c~"ljJ~iew and approval of Plansi hi /2 000
I t?:i ~~~Signature : . Dale/
1'v/z,/v'J".) j, "" .;.'", / /3//00
- "Building Offical's Signature ' DIlte
-.-'""'- ..'~_."
'~
~~
CITY OF PRIOR LAKE
PLUMBING PERMIT
D....k"T^- PIIx, ~ /'tr'Q ,
-" J )
3(,50 J<~~"'~n f ".
, V~I~
LO; 5 Rlock-3
/ '-It;;2...0 J3luch',.,(l.. Tr~
qq-/ z,4-C1
Applicant:
Address:
ThfCfnlfroflhf LlktCoUnl11'
'------"''''-,-
"
\
,
\
Quantity
/
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Sigr ~h IrD"
-".~---".-
Phone:
L Blue File
2. Gold City
3. Yellow Applicant
# q4-12A-9
60/- 'lSY-6{(/S
Legal Description:
Site Address:
Building Permit #
,
NOTE: This permit will not be processed without complete information.
Sub K:f'J 08 ttt Ll ./
/V,L-.
PID# ZE;- 310-02S-Q
FIXTURE UNITS
"
Type of Fixture
Quantity
Bath Tub with or without shower
,)
I
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Back/low Assembly (RPZ, Double Check, PVB)
Back/low Assembly Test
Lawn Sprinkler
Other
$
$ 9'/. S"'o
$
$
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbill8Al~he amrndm;nts thereof.
, ~o'I. .1./, ,,?/m) DATE
,
ATfEST
Call for alJ:;;'pections 24 hours in advance.
16200 Eagle Creek Av. S,E., Prior Lake, Minnesota 55372 / Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
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
.....
GREEN. 'N.E
YELLOW - APPLICANT
GOLD. elY.,
CITY OF PRIOR LAKE S.W.No. qq-IZ<fCj
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
---=- \ --
APPLICANT:~~ . b'fG/
ADDRESS:~ 41 C1, tt~ddf (l ~1.111 ~
SIGNATURE: l..(v-.AJJ~U .
SITE ADDRES~: \ ~ Io~ f> ~ 111\0 ~ ilA:LJw.p~ I
PHONE: 0d~ ?'-Is"b
DATE: I/-J(yf/ Cf
BLDG. PERMIT # qq -}1 Y ~
PID# z.5'-3/0-02..5-D
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
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
from
BY
your permit when approved, .
DATE: / 1/ IO/Q0
I
This
-------------
-------------
----------------------------------------------------
----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
Fee for either sewer or water individually is $t7.5D 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. 0 V'I\'l~\. . T
REC'D BY /"".r~~NG f';;;'-' \
~I~,""";-
16200 Eagle Creek Av, S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE MC ,/,
16200 Eagle Creek Av. S.E. Permit No, c}9-/ Z?f-9
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date I '-/- tlO
PID'
S~e Address , Lll.? ;;) () R. L. . j.,,. ....J! 'I... I
n ,1::'-
Lot
Block
Add~ion
Ownefs Name TOIL"" I K('.">
d ,
kA.\1A\
Address
~~ €D.'\. "",
d-
Heating Contractor 'R1 r vV\ i "'" \..e '" ~\...... "" b i ,AI" b
'.... r,<1'~..I\ d
Address rl-./(')_~Lj ~ ,k.!\^,o,/lr-x"l,e. ''1v,"_
I~
Telephone' rc>~1 L L}(D'?,' 19,~ lj..
Furnace Make & Model I ("'\11'10 V TYPE OF SYSTEM
Warm Air Plants ').:.
Gravity
Mechanical
Air Cond~ioning
Vent. System
Model Size s<,c) l.\.1-l C.., - tn,",
Conn,Load
'I...
f..
Fuel
(t.:"
'-t
_Flue Size
Supply Openings II
Return Openings I' J..
Input IOO,Ol'QOutput .9:). ('xY:)
. J
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Edr.
Other Devices
Cfm.
TYPE OF WORK
A~erations
New Construction . '{
Replacement
Repair
Est. Comp, Date
Building Perm~'
q9- /v.,L?
- , -
Est, Cost $
HEATING PERMIT FEE II:
STATE SURCHARGE ~
TOTAL PERMIT FEES $
r. ,.\1) \ "
C'J\'-C'''~C '.
\1
.50
Receipt'
TYPE OF STRUCTURI;
1. Piat
2.G=n
3. Yellow
F;1e
Qty
<:oomocto<
Single Family X
Two-Family
Industrial
Public
Multi-Family
Other
Commercii' ,
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & A~erations
Residential, AC Only
1% of job cost ($39,50 minimuml
$99,50 PLEASE NOTE:
$64.50 Air Conditioner Units Cannot
$39,50 Encroach Into Required Side-
$39.50 Yard Setbacks.
$39.50
Remember to add the State Surcharge on the bottom of this application,
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections wili be bilied at $35.00 each.
House Heating Test Record must be submitted with buildina I2mIIlil IllIIIII1m before build-
ing certificate of occupancy will be issued.
HEAT CAlCIJl ATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan w~h supply
and return 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.
City Hali business hours are 8 a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HAll
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUilDING
OFFICIAL; that the work will be in accordance with the approved plan in the
cai"'\1I workr which reqUire~ review and approval of plans,
\'-)rA ^ ^ .aOLd17i:JL _ , I-l/-(}"}
Arf''ffn'jA J1/'J'5'fle / Da"
~(~~ - //4/00
Date
Oing Offical's Signature
"_T<'~"'~_ -'-,.'_._
",,!,!!,"',--:~
-, }~,,-=:-",,":~ ,.~""""',._~
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Thr ("rnlrror lhr L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
6UILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
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" .. / i ,~" I' l
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.......'- '.
Lj
/i/G
Accepted
~
Accepted With Corrections
Denied
Of?;. ~~ Date:
kIt Unif Cant10t ~Yl~
Id~/71
I '
) tJ s({le t/ CtrtlS
Reviewed By:
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,"
:
/
/"
~~
Tht Ctnlt'r or thll' t.kr Coun''''
qrJ-/21-7
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1?/-/f.?T7 N IfC I 'it. 5 /,I::RIf/uA/V
/0//3/11 I I
j I
jCfU.JI L-
APPLICAtiON RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t.J.&20 8L- uEJ3//<!D 77?/-J I L-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: Wflerm r,uv::s""",Jd
Date: loluJ<;9
Comments: 5Fr: I..JP..t\.,...,tt"'-I()^, aN '-t-fL. Rtvfn5~ SIDE.
<r::€. t4TTAI'~ME:u-r'" J h..J.4L c:.n.AOE:.. }/'J~pE:c.no"; )A1Fofl.M4r;fM,J 7~ f:11-p-rwJ/.. PLA,J
<' Fn"""'lt'l"\ (i......-v,n<'J(... ME:ASllltE:.'\
<1- Efl.o!=:. ,n^' COlUmoL ..:f?A,.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/-IZ1'j
White . Building
Canary . Engineering
Pink . Planning
Thll' ('I!'nll!'f 0' lhll' L.h Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPART~NT CHECKLIST
I1I1RT7N Ifol'1bS/ ;::,e%N\I jc/!{;-f1L
/0//3/QQ / f
I
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
jLj.(P20 BL-U613/,eD 7/!!/)/L-
Accepted
Denied
Accepted With Corrections >'---
Reviewed By:
Comments:
I, Re.ar9-. IA\\ a1T<<.cW ~ouh
2, ho,'\A \cdIA 1".""""'",,, (\."....\......\
Cd 0 g~J---
j
Date:
!D- H-"i"t
'3. 8o~ o.vd tr--eP~ ~e.Cj '-1l'teA See ,,^fl.V\I'~ ~\J6.
U
"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 r ,-, ...-----'.--.'...--,-" ,---"._-~-_.__._- .. - ,-,--_..._,-~~--,-.'..,,_.._- .."-.-____...'-...-.-'.....- .. ----.___-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
. /.-.-..
SITE ADDRESS ILl/Ild-.f) 'b1l1'e.\r)tt-c9.. It-D.i\
NATURE OF WORK ^-Ipo ,\-GmA9-tlL.rc.~''r''''
USE OF BUILDING S~\J
PERMIT NO. 91' - 1'24<1 DATE ISSUED / () ,/4 - 71
CONTRACTOR MeLle.. \
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC MENT
FOOTING
I FOUNDATION (Prior to Backfill) f'~1:.;t~ (~ t/1Dj'1~ I (I)) II/;s/f'i
PLACE NO CONCRETE UNTIL A1JOVE HAS BE~ SIGNED
ROUGH - INS
SEWER I WATER / SEPTIC I rB Ii J1101r:l
I 'IJV J
FRAMING 'W
INSULATION r/Ji Iftl)~lJ
ELECTRICAL V-
PLUMBING Y 1. J/;;J/oo
HEATING (if reQUired)1J rzt.6' {I-r/Po
FIREPLACE I .' ) f!jlt//Jb
GAS LINE AIR TEST I, 1/J-/tJO I
COVER NO WORK UNTIL ~OVE HAS BEEN SIGNED
I I
FINALS
/;)5' SMr/L.;
DATE
1-zJ-~
., - ~ '.- .... ': ~
,-, ..
GRADING (Prior to Sodding)
BUILDING 1M 'O/. !z.t15'J
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I
I
I P ~_
UNTIL ABOVE HAS
NOTICE
f.e.
1I?ll/"
'3/z,~/Db
BEEN SIGNED
nris 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