HomeMy WebLinkAboutBuilding Permit 99-1268
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CITY OF PRIOR LAKE
1lBepartment of JSuilbing 3Jn~pettion
~Final Permitted D Conditional C.O. Expires
This Ceniftcare issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that aI/he time of issuance this structure was in compliance with the various ordintUlCes of the
City of Prior Lake regulating building consrTUction or use. For the following:
Occupancy Type
R3
SINGLE FAMILY
VN
RIDGE
Bldg. Perntit No
Use Oassificatio"
Type Construction
Fire Zone
N/A
Zoning District
99-1268
Rl
I
Legal Description
L3, B3, RA.>r t>.....ay
2ND ADDN
Owner ofBuiJding
~ileAddress ).5028 BLACK OAK ROAD !IE
ContnlclOr'sName&Address ROBT C~CONSTR.. 14906 MANITOU RD., PRIOR LAKE
ROBERT D. HUT. CHINS ~ 'C' PI JENIfI TOVAR
J-C2....!- lty anner
'7 ii\~ rOcf
I
55372
Date:
Dale:
POST IN A CONSPICUOUS PLACE
DATE TIME
SCHEDULED 7-p:-O! It r
IJJ/V J-e-- (()oA ~ '
I
CITY OF PRIOR LAKE
INSPECTION NOTI6E
ADDRESS
) ffC 9-t(
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
'l11FINAL 0 PLUMBING FINAL
,{J SITE INSPECTI N 0 MECH FINAL
<5 v..-:--r
COMMENTS:
,t
q - ll-b8'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~,
",-
I?or~~ , ')
-.--.-..--
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850-:-~R]HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7-/1-0/
111'1
AOORESS / S()] >1---.13/4(; K.. t')q K. R<!
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,
COMMENTS:
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t I, (0 E:-L - 0 ~
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~EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ ---;e... , ;;;;:gwnerIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
I/VSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
-._--_._.,---~-'------_...._~._--,.._._..._-,-_.._.._..._-----.__...-._~--
~ TIME
CITY OF PRIOR LAKE '" LB
INSPECTION NOTICE SCHEDULED lo~3()
.
ADDRESS 150 2.6 ~acL (')AL e..-J
OWNER CONTR.
PHONE NO. PERMIT NO. qq - 11.-(", &"
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FilliNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING!1 0 WATER HOOKUP 0 FIREPLACE RI
~ULA TIQIl ( 0 SEWER HOOKUP 0 FIREPLACE FINAL
~AL N, /1 ~LUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ,., })Q-~ECH FINAL 0
COMMENTS: ~An.n ~ ~ ;~ O~
A0 f.~ 00.. & 1Y\a..Y'~ ~ .
<--il Jod. Y ~ riP .Jeino IV\ ~
(~\-to...rrJ... ~ ( lY Atl' W:lu I
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E COVERING
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- 0wn ntr:
C LL 447.98Sb FOR THE N~ INSPECTION 24 HOURS IN ADVANCE,
C~E REQUlfMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNon
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j 1~~E/,::;.,'1 TIME
9'~5:ci)
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
t:EWER HOOKUP
fi. PLUMBING FINAL
o ECH FINAL
C;;OMMENTS:
(U O~ \.0!A eJ
(?) WJ.~ ~
(1 CfjJJ M(~
I ~ \-\00 ~
b6k
V J-yr~
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o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
ril.r- &u h
~c;<-
R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.,
ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSlVOTl
. __.__.__._____---- ___.__....,__.~_.....__u._... ___.~_'w.."_._..____... ._~_._._-_.- "
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/SDz.e
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
tMECH RI
WATER HOOKUP
~ SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CPMME~T~:
~S; 6kV.v.4
\ tl T,,\,p<-- LL
I k...lo U
40 pVc..
~
TIME
II: eo
qq- rue
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ J... -fr...-
)J (~ w. ~ ~ /l;c~
(z)~'q U 4- ~ ~ hopi.. J-u ~
(.~ ~at
~~ ~ OL-
R REINSPECTION eEFORE COVERING
Inspector: Owner/Contr:
CAlll447-9850 i"OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE 1;QUlREIlfENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V IN$NOTl
~1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Addr")
f/nvr
15. ARC~T (Name) (Address) (Tel. No.)
t:'{~C 0 ~'j ~ 6.5;- (jS,;J-b JJLf
6, BUILOER (Name) (Add,eSS) (1)1) 6/je'::....N'7OlJ-s6iy
/2;J~t'- ct.,! COhd flltrr L~-le al.l--c;~7..-6?1(,
7. TYPE OF WORK
New constructiO~
Chimney 0 Misc.
18. PROPERlY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. II. q {( '3 W;dth )( j I Depth Ill? I Ves 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 ntion d property and that II c nslrue' n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building al . revoY~pe cau Furthermore, I hereby agree that the s!!Y offic~r a dijg~e..6f1ay enter upon the property to perlo~ "eded ~pections.
X ~ L,t' H' / ~v II/a; I'll
tgnalure License No. Dale
nATF fH::r,I=I\j;,Q
/t7/2-0;9
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS y') J I
I C;-O,a P 11/cdK
3. L'EGAL DESCRIPTION
I?J A' E
Oa/[
LOT"{ BLOCK "5
ADDITION .e: (,fJbeH'1Il. d..'1"
40'};1 IJe-rf7:) c/4~j~f
rh.cL
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
SETBACKS: Required
Actual
Fronl
Back
BUILDING DEPARTMENT VALUATION
1;';;;;1/70;
..e;
PID Z5-304- - t'J/ro-O
/Jdd h
U4>
(Tel. No.)
~1rl-'I'I7-679o
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-/2&8
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
;2
t3W;tf::=
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
~i07@g'ALUE
17, COMPLETION DATE
FOR ADMINISTRATIVE USE
Side
Side
USE OF BUILDING
5FD
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION 1l~S:~ .m (11
TYPE OF CONSTRUCTION: I 11 111 IV()I?
Occupancy Group A B E F H I ~S U
Division 1 2 "14
Permit Fee ................................... $
Plan Check Fee ............................. $
<.212.. Z 5"
7?'7. 'Ire
F\ 7__ <=;1)
State Surcharge ............................. ~
Penalty ....................................... $
Plumb;ng P.rmit Fe. r.r..~.I2M.e.... ,< 100. f':) 0
Mechanical Pe,m;t Fee9:J..:./U.€?... I Oc>.f':) 0
Sewer & Water Permit ?1..~I?-ft.e... $ ~5 ,~'V
Gas FlrePlac~p.rmm.~./.?.w..~... $ 40 .00
Thi~I{Jtl~eco uilding Pennlt ~~en AePJqve~~r.
By~.:i~ Date IO--;L(-'1'Y
Certificate of pancy
Issued
Amount Brought Forward .................. $
Park Support Fee ........ ................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
" $
Pressure Reducer ..%................... $ '/5. t::J D
Meter Horn.....<r.......................... $
Wate,Mele' ..JfJ.:~....................... $ 12S.,t<J/!J
Sewer & Water Connection Fee ........... $-1,-::> f!)O~'
WaterTowerFee ........................... $ .,(Jr'l.~O,
Water Tap ................................... $ ~
Builder's Deposit ............................ $~~O
Other ......................................... $
Total Du. .............................. $~~Z~ 2. L
Paid '?R 2-fIJ 2 ( Rec.;pt N9-.)(. q fjtf
Dat. 11-7_ -CZq By (Iff>
City:
~
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS Ll
SURVEY 0
SETS
COPIES
PLOT PLAN
Ll
""r.:;(').~
{d<;'l").eO
---
(
'-.
This is
signed
24 hour notice for all inspections 447-9850
..
..
Percent 0
Percent CO,
Percent CO
Stack Temp.
I I
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-.",--' ...".-..
1..-__..._.,
I. Blue File
2. Gold City
3. Yellow Applicant
# 99-/ z.&B
Phone: H2",) -91\ '1 q
vA i-l.tc\i <S) \ II
I ' - 1
KYKP, .e!f)6E 2r!:)
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: () I ,"'......../ :P LQ t..
Address: k. If.lr::.. - .1:". f:>' ,,<;' 1- (/ -{J (f-f'L {
Signature: ./J~ iJ(~ '
Legal Description: Lot.:3 Block 3 ~"b
Site Address: J,C; () .J Ii Rk A(, It, D f:J ~. R,f\
Building Permit # QC} - /7-0?J - . PID #_ Z 5 - 364 -0 (('0-0
, .
NOTE: This permit will not be processed without complete information.
lh, C'nlfr of lh.. L.... Counlry
Quantity
d-
I
I
.~
I
I
I
.~
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Back/low Assembly (RPZ, Double Check, PVB)
Back/low Assembly Test
Lawn Sprinkler
Other
$
$
$
:@Jit;i
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
3
,I
I
J
This permit is granted upon the pr ss condition that said
contractor, shall comply' spe ith the ordinances
of the State Plumbing th dmenp thereof.
RE ) ?4/C-V DATE
A TIEST
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
Sinks
Bar Sink
Water Closet (toilet)
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
-
Call for all ins/ections 24 hours in advance.
N
Oil
~
.-<
Oil
CITY OF PRIOR LAKE
16200 e.gle CreekAv. S.E. Permit No. qcJ-IZr"g'
Prior LakB, MN 55372
w
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0..
HEATING APPLICATION I PERMIT
//)/CD PID. 2..S-::!I:)4--Dffo- ()
SitlI Address I ~ 0 ~ R J5L..ACt:::. Ollt:::.. RD N 6-
L<ll 3 Block ..3 AddItIe>n ,e~.86e.e.1./ IeIPt!i5 3en
- clARk. ~..v.J . -
. ,...../ " ....J., I:
Addt'81S / t,/ . f ( J ./, l.,. ._..,<~_. T;.....u . ,~ ~l'
Healing Conlractol. f-.p.4a.R.. .. ).J"..J.'l~u
n F ", ro:- ,;~,' ,IA-.
"1111:1 v .J ./l..'..IU.-,,~~"'" ~ "'-...{.
~. Y;
,,-/ c:','I.. (J'~I// /'
._. H/~ (.-f....
Dale
Owne~s Name
[j)
w
[j)
H
~
0..
~
W
I-
Z
W
I
I-
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tj/
IN lIeJe #;tec vG HrS. 5.Q) 77 Remembello add the State Sun::harlle on lhe boUom of this application,
Addr86S
T9Iephe>ne It
f
'{
Furnan Mek8 & Me>del ,~~.'"
it.' f.:i If (;. /t,-.6-
Madel Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~ionlng
Vent. Sy&lem
HEATlNG OR POWER PLANT
Steam
Hot Water
Radiation
Special D....ices
x.
/.,;.y--,. [.{'of.-
Cclnn. Load ','
FUIlI 1/"41"' ,FkIe Size
y
t""'':'"
Supply Openings
1.9
If
~rn Openil1Js
'"
Oil
In
.....
""
In
""
.....
In
'"
Input./ '
Edr.
t (J OIJlpUl
-,
" OJ
c.;.- (/
Other Devices
Cfm. // (.i()
TYPE OF WORK,
, New Conatlllction
;(
AlIel'lltlons
Replacement
Eat. Comp. Dale
Bulicllng Perm~ tI
C/C;-/ZfoP
CD Repair
Oil
'" Est. Cost $
.....
Oil HEATlNG F'ERMIT FEE,~
Oil
Oil
N STAlE SURCHARGE .
-- ,
,...
Oil TOTAL PERMIT FEES $
--
.....
Oil
.50
t'" p,t>.\D WITH
Receipt~ aUI\.D\NG PERMIT
"t.'
TYPE OF STRUCTURE.
,,-
1. o..e.
].. Yellow
File
Oty
~
Single Family
Commercial
Two- Family
Industrial
Muni-Femily
Other
Public
Fee Schedule
Industrial" Commercial & Multi-Family
Resldential, Healing & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & AI18rations
Resldefltial, AC Only
1 % 01 job cosl ($39.50 minimum)
$99.50
$64,50
$39.50
$39.50
$39.50
The price of your healing p..mri\ includes one rough-in and one final inspection.
Additie>nal irepeClions will be billed at $35.00 each.
Hoose Healing Teflt ReooRl musI be submitted with buikli"IJ JlmIIi1I1ll1llilm before build-
ing cert~jcalll oj OCCIJpancy wi. be issued.
...FIIT r.AI nil ATIONR "'''1'1 JIClFn with number 01 supply and ,alUM openings listed per
room wHh CFM's per openlr1g. New structures or addiIions send 11001 plan wfth supply
and return locations shown. HEAT LOSS CALCUlATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED lU THE CITY OF PRIOR lAKE, 16200 EAGlE
CREEK AVE. S.E. PRIOR lAKE, MN 55:172.
City H8lI 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 lor a mechanical systems permit and I acknowledge that the
Inlormallon above is completll and accu'llle; that the work will be It1 confcrmance
with the e>rmnances and codtlB of the cay and with the slate building/mechanical
codes; that this Iorm does not bacome a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved pian in the
ca~~work WhZ'C . e 'J\'lres review llnd approval of plans.
(" f/ . I ',L /. ~ ,
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Applica
; j(oioe()
Oate
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--.,--.---,-.--,--.'---- -- --. -- ".--
GIlIEEIII - FLE
YELLOW . APPLtCANT
GOLD . elT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. qq-/Ze:>f?
NOTE:
Sewer and Water
contractors mus~
be registered
with the city.
APPLICANT: fAlfrl1 /I)~c/!-- ?: 'i.e-
. , /
ADDRESS: /1()"J(> ( lln"Mri'{r'') A.~7-
SIGNATURE: ~ /J ( JJc-.t
SITE ADDREStJ J l;f) A'Q) -BL/!{!.,K.. o,q/::. R:O,
PHONE: Lfl/7-5?tf7.
DATE: /1 j(j. i/~9,
BLDG. PERMIT # <1'1-/zh8
PID# 25-304- - 0/&-0
.~
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
==================================================================
This apPlicat,iioo~n?~~~Your permit when approved. /
BY/( JllAk/----- DATE: / / / z Lj CjCj
,Ij - , I .
============~====================================================
FEES:
s
s
s
35.00
.50
35.50
Sewer and water line connection permit.
surcharge
TOTAL
* Fee for either sewer or water individually is stJ.60 plus
S .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.
REC'D BY
~' .f'\ ,~l\\'\-\" ."
Vp'rv 0'(;::::'\ \
\ VJ\\P\~
DATE PAID
RECEIPT #
AMOUNT PAID
4629 Dakota SI. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447,4230 I Fax (6121 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
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White . Building
Canary . Engineering
Pink - Planning
The Cenler of the L.ke Country
mJll,.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED,
/~ ('
/
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,-,,".,..
;1,.,::-.,/ ,/ ..._'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
,
/ /-
/
,
/_--/'
I-
'.
Accepted
\/
Denied 2 /J/ )
Reviewed By: f-1}.. :/~
Comments: ,4/ Unit CJJ.nnbi
Accepted With Corrections
J DJ .)Jhlc, '7
. '
~n:.YtJuch J Oi SidlfCud",
.
Date:
"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."
~\
qCJ-/ZfP B
White . Building
Canary . Engineering
Pink - Planning
Thf('t'nlt'rof lhf labCounlry
BUILDING PERMIT Affl-ICATION DEfARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
;etJ8c/<C,J ~,e,c ~N":::'I IC..- .
/O/U/C;q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5QZ8 t3t-RC,J::.. OAt::- ,e,. 0 NC
Accepted
Accepted With Corrections X
Denied n
Reviewed BV......oI1,- ./-,
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Date: /,"J - ,?{~-C; y
Comments:
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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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Tht CC'nttf or tht L,kt Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/<:' () I.:f E7<! T C'L /J K K.- C uN :::Tl<::::...
/c/u/r;<7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5[)28 L5t../-ICK. C/-/;C: K 0 Nt:
Accepted
/
Accepted With Corrections
Denied
Reviewed By: Wo'tLTfb C-ln~<'M"N,.j
Date: loJUJ\~
Comments: _SEE. )NFoIUVlIlf",O,,", ON .,,,,r=: Rf0Jo_sr;: .s,Ot"
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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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PRI"OR LAKE
INSPECTION RE'CORD
ecQ
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I SO::2A 'lSlrirk- ()n.l,
NATURE OF WORK t-...1Pu\ l'r1\.tdr--LC...\''r-t\A
USE OF BUILDING 31-' Cl
PERMIT NO. 91'-l")(nR- DATEfSSUED 10-'.)0-9-1
CONTRACTOR Moo" i Cla,k C~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE D UMENT
FOOTING
I FOUNDATION (Prior to Backfill) II /<rl}z ~
PLACE NO CONCRETE UNTIL BOVE HAS BEEN SIGNED
ROUGH /iNS
SEWER / WATER / SEPTIC I (/J) 1I/:N/11
FRAMING teLe ' ~/" ~/~
INSULATION t:::, /~P
ELECTRICAL
PLUMBING ~ 1/'::>7/00
HEATING (if required) . //5://01
FIREPLACE 1ft ~/?,J"
GAS LINE AIR TEST .1
ECTOR
,. s:,"
I~/D Jffl~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, '....HII81~~.B I I
/'~~'Ul1 ('.n. 'ibl./I,,", FINALS
GRADING (Prior to Sodding) I 118
BUILDING '1U) 77J 'lit ~ 0 r/;:y
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
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1'f1~ol
711zli51
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v, II tt I j K If){
UNTIL ABOVE S BEEN SlIG~r(ED
NOTICE
This can:! must be posted near an electrical service cabin prior to rough-in inspections
and mai!ltained 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