HomeMy WebLinkAboutBuilding Permit 99-1270
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PRIOR LAKE
,.-ECTION NOTICE
DATE TIME
/dt/1'1 2:60
/402(0 L5e- vELI t€3O
ADDRESS
OWNER
PHONE NO.
SCHEDULED
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI ,,()
~WATER HOOKUPItY
~SEWERHOOKUP~
/0 PLUMBING FINAL~
o MECH FINAL
COMMENTS:
;1' T A-
~9'O
~ ;::(qd-
s~.
~ Cc-'~.1""'1?1J
v .
.~~ (ff
/?Y() Aifo
tjc' )..1/,.
tJ'
n/~
(' fff
~I J
Qc;-/z70
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
l'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Ad
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/402-0
SCHEDULED .MOO ;3:00
!3LU6f3I/GO -ne.-.
OWNER
CONTR.
PHONE NO.
PERMIT Ne.
o PLUMBING Riff
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL(-l
o MECH FINAL
9C;-/2-10
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~ 'p.
~FINAL fIJ
o SITE INSPECTION
.-90MMENTS:
W.f.\,Cu.D \"leA ~,Y\ -c..-!.VIVl4. ~
(71 S1& <M- d. tv~.& fX'^ ~J.4'Q..\\,IN\~~
\-\--c-..v-A <,1 J /I klu 6x-l V~ O-.M
CvOS -'0,,", G..... ~j!- - ~ sh-t.d
llQ~ Llf CoM <;'1rw /~ 4:.h d-.J>rf <;;
~ f'u.Q.Q ./\.An,..!, ~A..M: Uh '?J" U~~
7) ~ ~&"J \J.BroY-
- - \- -
~Yft;t:r~ ~:J:' ~~-
J(W)~~ \L-A~ ~H-r..<;
-
y\~ F,Vt~ WlJ- (" ~Mv1Y1 ()~
------
-~-
Inspector: Owner/Contr:
CALL~7-9850 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~MENT.S ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
-_.._-,---------~---~.__.._._~.__._."'.
DATE TIME
# Z:crv
/4tJZ&' I3L.-U6BI,eC)
CITY OF PRIOR LAKt::
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
o SEWER HOOKUP
V\ 0 PLUMBING FINAL
r ~MECH FINAL
COMMENTS:
\-\ V f<'C
Vk-
(l)
c;-ul-
V' {'~ k b....- <;
~cl
(Knt-
^ .
\I 0'5l--
o k.------
{
V ~f'1"\4 (- \.;:v' Ci1
r-
qc;-/z 70
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Cc y
\.J
, \;\~~
.'
?'w- 1.8-;-- '~C::.3.\
/
/'
/ ^
o ~ SATISFAC~O IY, PROCEED
~~~~CT ACTIO, J.-AfOCEED
o CORRECT W7" C 'LL OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447[9850 ~OI THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\tV/.?
M:kL
IIVSNOTl
UJREMEfTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
:;/7 rk d1; 30
t5Cu6lS/,eO 77L.
TIME
ADDRESS
1M ?rn
PHONE NO.
CONTR.
PERMIT NO. qc; - / Z 70
OWNER
o FOOTING
o FOUNDATION
o FRAMING
, 0 INSULATION, 1/;'
~INAL "H
f:l SITE INSPECTION
COMMENTS:
(0 nn& bY6-O-L ~ 5r<:fr-.e.ev,Yv-\ qLf* .
bJ;Xt1 2>t":d f.re.~s tx^ dk..Jk'fvV\f~
~ t-i?\V"d ,)l~ tr.if?' & (Iy ~ '" I "''j
~ ~lfe ~+n.Mt-;()V1 d-e'J,.,....-,?;
~ - -------
/~. e.o. -h <g=\-~--"
~~~ ~ )
----- ---- .~ ~
ALL ~~ Ok.
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
o GAS LINE AIR TST
o
~
o WORK S~AI ACTORY, PROCEED
o CORRECT C r;:r.ND PROC
/ CORREC I;ALL F REINSPECTION BEF COVERING
Inspector: Owner/Contr:
CALL J7.9~50 FOR THE N~XT INSPECTION 24 HOURS IN ADVANCE.
CODE R~JREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSliOTl
.-_..._-,...-~..-
__., _.~. _..... M.____.'...__._~____ ._,___.__~__,_,__.__ -.-.,....--
-_.._'-+--'._-"-r'"'_._-_.._-~' ,.-..-
,
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED A~
ADDRESS \ 401./0 ~~fYd II'>--
OWNER CONTR.
PHONE NO. PERMIT NO. <i"'t- 1l.7o
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ULATION ~ o SEWER HOOKUP o FIREPLACE FINAL
o SIT~~NSPECTI o PLUMBING FINAL o GAS LINE AIR TST
o MECH FINAL 0
~ t 1'ruS'
COMMENTS: p
~0a ~
0~'
f
d^-'<d >-
1/
r-2- d~/'~
rb. ~
a}) r~~~2J :;t:;:fl~- ~ ~
~.O .~ .<"--, ...d-U~
/J('1 'T' -II=- .--1/ .
t:.l.A. """"yo, PI ~4.---'."~"",~,
_u I V (j
o WORK SATISFACTORY, PROCEED
-,.1 CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ,. 1t7..j- ( Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IIVSNOTl
~ TIME
CITY OF PRIOR LAKE 81 RI
INSPECTION NOTICE SCHEDULED
ADDRESS 1402.1::. EJ..u_Ql. r-d. 1\.-
OWNER CONTR.
PHONE NO. PERMIT NO. qq- 12..70
o FOOTING
o FOUNDATION
o FRAMING~
~SULATI
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~S~
COMMENTS: 0.vJr
e,,^k
",-S
o IL--
^
lfltY"rJ ;;t;j _
I~
-t::::::... ~~
rl ~o !: :.!k: '"
-0
~
(.0.
fu
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
h1(l )
------
(lWV1t1
Ja.,r"\.Y\~
233- Wl/
o 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.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
. ----.----.--.---,----~"-~. _..,~-----_._,,_.-.._,,------_._---_., --. -------- -----,.--..---.-.--.
s~\
DATF flFr.FIVFn
/O/ZI/qCJ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
14oz/p 8....v6t3IR-D TR"'IIL- Nt;;
3. LEGAL DESCRIPTION
LOT
.~
1'1,4 PD P;
2-
prD Z,S-3c/.3-0IZ-D
ADDITION
BLOCK
H-L/..L--
1. DATE
It) -.:;0-"17
!<-I
Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
QQ-IZ70
BUILOING INFORMATION
11. SIZE OF STRUCTURE
(Height)"", _' (~id!!ll. ,. (Depth) I ,
-J~"-~ <(It~
12. NO. OF STORIES /
13. TYPE OF CONSTRUCTION
4. OWNER (Name)
lOrLE~J~:
5. ARCHITECT (Name)
1<;"",;::.
(Address)
Iq~go
(Address)
,.,9-<
"I5~tj;3~-~7Jj (TeL N057.s vr"I"l_ ,~ F';'OR AREA APPORTIONMENT USE
f'llMuJil-mL..' ::u,-~I ..,~ q("7~
(Tel. No.)
L(/1'106' ,e
Fireplace 0
Alterations CJ
Septic 0
Addition 0
Deck 0
Finish Attic 0
Rs-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
I"?/,t:(; (Address) .32O-6785-~a J (TeL No.)
O".;e:./CtlWGPJeIN91 "RO. /3tJX 3<"I5J e-cW SPJeJtJ6? kN
.s(,;,3z.o
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATP
16. PROJECT COSTNALUE
17. COMPLETION DATE
7. TYPE OF WORK
New Construction,(
Chimney Q Misc.
/B. PROPERTY AREA OR ACRES 19. PROff.91?I!.1ENSIONS j~. 10. CULVERT SIZE
Sq. Ft ~ .;:)"f ;). Wldth1b,i1 Depth 1<<fJJ Ves 9
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
b~?.can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may entel upon the property to perform needed inspections.
X~. FoL ~ O. c:... :5. ~..:i 'C-.J.6 -"f't-
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Baok
Side
6. BUILDER
(Name)
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.5.~n
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A S U
City:
Div~ion 1 2 3 4
Permit Fee .........,.,...... ............. .... $
cr4J.25"'
(,,17 .1./(,
55.50
Plan Check Fee ............. ................ $
State Surcharge ............................. $
Penalty...................... ......... ........ $
Plumbing Permit Fee .1.9..~.a7.p.. $
Mechanical Permit Fee 1.'t..~.IZ.7.C!.. $
Sewer & WeIer Permit .'f.r..: /.z. z 0... $
Loo.cO
f (;)0 . etJ
35.50
~
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Q ENERGY DATA Q
PILING LOGS Q PERCOLATION TESTS Q
PLANS & SPECS Q
SURVEY Q
PLOT PLAN 0
Amount Brought Forward .................. $
Parl<: Support Fee .... .... ............. ...... <I:
SAC ......................................... $
Collective Street Fee ....................... cr:
Sewer Tap ...................................!t
Pressure Reducer ~!t................... :
MeterHorn....a_..II....................... cr:
Water Meter ..:;l2.......................... $
Sewer & Water Connection Fee ........... $
WalerTower Fee ........................... $
I!
24 hour notice fOf all inspections 447-9850
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION --ill. COCl. oJ'
Water Tap ................................... $
Builder's Deposit ............................ $----.1,- h'f)r') . (")(1
Other ......................................... $
Total Due .............................. $-$315. 71-
Paid 13 \'5.:'1 \ Rece!ptNo ~".,c;1o
Date 11 f Of ! 1'1 By t4) Lr-
the above application and accompanying documents IS In accordance WIth the City ZOning Ordlna~ce an~ may proceed as requested ThiS document when
les a tempora", certi.,"/" J' zon~mPI;ance and allows coos"u,"on to commence. Before occupancy, a Certiflcale ot Oc<;upancy must be Issued.
~J:J Special Conditions if any
SETS
COPIES
~sn.e3
10SO .=
46.00
I U;;,Ot':)
(. 71'V'"J.~
7.on.f'lt"')
..
.
I I
Job Address
Heating Contractor
Name of Tester
..
Date
Percent O.
Percent CO
i YO l.-~ fJ/U{D,1J)
ALTA, LTD.
Ailet
7-/7 -t/lJ
/I~%
PJ 1"'P'h\
1. V%
~'no
Percent CO.
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
Dac-OB-99 l2:53P
P.Ol
CITY OF PRIOR LAKE t =.. ~
PLUMBING PERMIT ## qq~/2.70
Applicant: -1JJ -+&i. I..- -r D Phone, l{ '/0- ~ , 7 9
Address: I q ;,;l,w.D (l"-......sk.+Q-j....) 126:.. ,. r:-..r 1...Ic.r. ~o-)
SlgnaturB: ~ ~- ~c;....J / J )
Legal Descripdon: Lot -~. Block ;2.S~b ~p(~ ~~ ~.wtff..
SlteAdd18ss:J..:{O,;;l(.o K1I.......b;r-d-""t/"', ~I
BuildlngPennitll qq-Iz 70 PICII ;2S3't.:30bl C
NOTE: This permh will nol be plDCessed without complete Information.
FlXTURl: UNITS
T'" c....., or ... 1.aU (:..111,.,-
Quantity Type of Fixture auantity Type of FIllIUrtI
r Bath Tub with or withoul shower ...l Rough.lna
t Dishwasher { Water Heater
I Floor 0",10 / Water Sellner
( Lavatory (bathroom sink) ( Stand Pipe (washing machine)
I Laundry Tray (1 or 2 companment sink) Sewage Ejector
Shower Stall E!addlow Assembly (RPZ. CoWIe Chedl, PYa)
/ Sinks Backllow Assembly Tell
Bar Sink Lawn Sprinkler
~ Waler Closel (Ioilet) Other
FEE SCHEDULE
Industrial. Commercial & MuR'-Famlly
(1 % 01 job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Addhions & Alterations
State Surchergo
GRAND TOTAL
$
$ ,\q,O;;-O
s
S .50
A'~~~\O ~~?>~\'t .
( ~\}\\.O~
599.50
$39.50
This pcrmi" is cr_lc:d upon thl: "prell condition Ihal laid
COnrlKIOr, ,hall comply 6n all,respectl with Ihe ordinances
or tho Slale Pl.mbi~nl ~'(}nm I......'.
II . I e 91 DATE
. A~T
Crill for sll in~lions 24 hours in advance.
16200 Eagle Creek Av. S.l!.. Prior Lake, MinnesOta 55372 / Ph. (612) 447-4230 / FAX (612) 4474245
Aft 1Iq...1 OpP""unlly B",plo~er
., "'--~--~_:~-'-'~"-'~"-""~
II
CITY OF PRIOR LAKE MC
16200 EIIgle C....k Av. S.E. PermilNo. qq...("Z--16
Prior Lalal, MN 55372
HEATING APPUCATlON I PERMIT
DalII 1;;)-R.Q9 PLO,.Jf\"~l..{~OI;;}'o
Sh Address) 1../ t) ~ In R IIM1.- h: r:J Tr.
Lot --3- B~;J.. 'Add_ion 1T\orp1fl. 11;lls ~ ~ /},j,I;~,'r)f'\.
Own81's Name L t..- _.b-Lr O~ e... .
Addllss "P.O. ~ .~c;-. Cold ~r :f\.Cl l'Ilt"\ 5l,~.:u>
HealiIg Conlrn. If Ii-<<.. L'T b . '..r
Address lCUlAZ> rrw..sirl().03- ~. . 'l:1-;D( L...t..~. J\\~
.
TeIepbone' (Ol::l-- 440. .~77 9
. L-e"^o lC I
Furn..:e Make Hlodel /. .'U/';) ~"1. TYPE OF SYSTBI
...., ~ Warm Air Plants
Model Size L;:). 00 n GraYity
Mech anicaI
Ai. Conditioning
Vonl Syslom .
CoM. load
Fuollt l.f. G.:C; Flue Sizo ~~. I
Supply Openings II
RlIlum Oplllling. . ~
Inpul 1slo/J 0 Output. ( ~J. ,'Of)
Edr.
HEATING OR POWER PLAHT
Sloam
Hot Waler
Radiation
Sp8cial o.vk:e.
OIhor Devices
elm.
TYPE OF WORK
y
AIlerations .
Replacemenl
New Construction
Repair. EsL Comp. DalII
Esl. Coat $ Building Penn..
HFATlNG PERMIT FEE,
STAn: SURCHARGE , .50
lOTAlPEf\MlTFEES s.
JYPE OF STRUCTURE
I. IWI: Fill:
1 .... ....
1 YdIuIr ..,.."
t:l
11
n
I
o
Ol
I
\D
\D
Single FarMy ,X
Muhi.FamIy
Two-Family
Industrial
....
N
OlIIer
Pub1ie.
Commercilll
"
Fee Schedule
U1
W
il
Industrial, Commercialll Multi-Family
Residential, Heating Il M;
Residenlial, Heating Only
Residential, Ges Fir~
Residen~a1, AdditiOl1lll Ablatio""
Residential, AC. Only
t % at job 0081 ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
\
Remember 10 add the Stale Sun:harge on lhe bolIom at lhis application.
The prico of your healing permit inclu(jes OlIO rough-in and one finel inspaclion.
Additional inSfledions will be billed at $35.00 each.
House Healing Test Record must be slA:lmilled with t, ',"NO" IllIlIII! ,,,.,,...,, before buid.
ing certificale 0/ occupancy will be Iss~ed.
HFAT ~AI r.llI ATlnlll" ,,"'(If llllt=r'1 w~h number of supply and I1Ilum openings listed per
room willi CFM'. po< opening. New slructures or add~ions unci floo. plan wilh supply
and retum locations Shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 "A<!l '"
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hoo", al8 8 am. - 4:30 p.rn.
ALL WORK MUST BE INSPECTED (ROUGH-4N AND FINAl). CALL CITY HALL
441~
I
i
I
I
f
I hereby apply lor a mechanical systems permit and I acknowledge that the
in/ormation eb0v8 is complete and accurate: thaI tile work wig be In conformance
with the ordinances and codes ot tile city and with the slate buikling/machanical
codes: thai this 101m does nol become a permit until signed by the BUilDING
OFFICIAL: that the work will be in accoldance wllh the approyed plan in !he
cas". 01 ar work whl~ ~Ui~"View a~ approval 01 plans.
IjJ~~ 1.7;Ir117'
~:- /z-/;hq
DeI8 .
il
,
o
N
~ OIIIc:aI's SignalulW
_,~__~_.. ,.._..__.._ _._.,.__._.....L...~_..~.._."._."_..__._.___.____._~.___
OREEN . fILE
YELLOW . APPLICANT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
s.w. No. qq-I ~ f 0
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLI CANT: ..J....,CLt.,L';::;)\.c.......-
ADDRESS: ~l\~(l<t:p LGlt<.-L--
SIGNATURE: ~~~J/V.._/
SITE ADDRESS: \L-\b~loYt3l\}(' j:(ivd 1111"1 I'!
FILL IN THE BLANKS
PHONE: f);)o '1'-1.5' fo
11//o/qCJ
BLDG. PERMIT '# C{q--/J.iD
DATE:
PID# zs-343 - OIZ--O
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: 11/16. q9
I ,
This
--------------
--------------
==================================================
FEES:
$
$
$
'5.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $tsr~ 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 PAI/,~~'~.~.
REC'D BY _,\\;'.--'
~
"
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
~,~ ~ ~ ~
--~-....... - ". ..
..,.,..,
~.L~ . '~"'''"-'''''''c'"'_'~~~__'''''''':-'~'''-'''''_'-'-'''"->"- ---i,~r,,''''' ,~_,,___"_,__,_ ",.;_ ~~'.
---'.'. . -.~r,-..",...,,"
.:--.~.
~~-
~ze;.
.-
.
ThOI' Ctnltr or lhr L..kt Counlry
White - Building
Canary . Engineering
Pink - Planning
WILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _
APPLICATION RECEIVED _
(
i-
.'
./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'"
L./
C.._
/"
Accepted
/ Accepted With Corrections
illA ~ Date
JI/D97
.
Denied
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."
NOV 01 '99 10:57AM LUMBER ONE COLDSPRING
1
Lumber One, Co'd 'Spring 'nc.
P.O. BOX 395
COLD SPRING, MINNESOTA 56320
Telephone (320) 685-3631
FaX(320)68~6'9
License 10 #OOD1782
City of Prior Lake
RE: 14026 Bluebird Trail QQ-tZ70
In regards :to fUture deck:
Maximum deck width sball be no more than 6'0 wide, not to encroach into eas.......~;S-
Building permit requited from City for deck at future date.
Home Owner:
Is
.----,----
P.2/2
f"'-i-----
c;Vz 7c
Tht (fllln .of Iht lab COllnlf)'
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/
Lv/vlCEK u/VE/C(;CLJ .~PI<IIV6j
/t'/Z//'7c( .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4C20
c3cuC.eI/ZL,) T.k:'rll L /JC
Accepted
/
Accepted With Corrections
Denied
Reviewed By: W/h..:rr"J'l F:,.a r"\.-Io\AAJf\J
, I
Date: 101'9/91
,
Comments: SIl." r,...-" 1>_' .,-.-lE Rl'AIl PnA.,..,n-u o~ r-.JE.
t...or MV'Sr XE
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SrE ],JF'oR~nol\J OAJ
il.JF r'ZE:"f"Cl...f" _,,\ OF
Sf:F"_ t.::\1yACHMCA/'r<': J. -h"JAL CnAf1F JAl,pj;'--crJoJJ 1/lIftJ,(,MI117.-AJ /_4 t:'IJAOI'..H~ ~_AN
< r::'n..,~,;")~ Ct"IAJrf\.OL MkA5UI1E.S
<I Efi05.,aN f1.0AJT"l<.OL R",^,
"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
PRIOR LAKE
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /YO;;l...l D
NATURE OF WORK lJ-e.\..J
USE OF BUILDING
PERMIT NO. ",,/, - l-::<' '1n
CONTRACTOR lu",",-\a.u- 0l-uL_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
K\ue... \o~~ ~~ \
~S.~N,,,J,'(J'l..-.
SF!)
DATE ISSUED
1\ -I -"'if
I ~)1~'il ,~-" -&f1"d
,
,
, FOOTING I _ ,OJ-! I I/J.,- /.r 1
, FOUNDATION (Prior to Backfill) I 1;,/) 1//c2.fP? I
PLACE NO CONCRETE UNTIL M30VE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC (i?iJ ~(l0),A '1
FRAMING cJ
INSULATION V
ELECTRICAL
1'\_
PLUMBING VIS, M l)dldlJ I 'IV I \ I~ w
HEATING (if required) 1(1.7) Ilylo~ } I
FIREPLACE IV - I
GAS LINE AIR TEST ~ ;j..; 1&10 I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
C9JU \f: I, OU
INSPECTOR
DATE
I ,
I / / & J-ffl
I
GRADING (Prior to Sodding)
BUILDING ~ e;/lloo
ELECTRICAL
PLUMBING
HEATING
DO NOT
""' ~ '5\ 1JI (tb
GJJ 3/du111Z.) \ \' .\ \
OCCUPY UNTIL As'lOVE HAS 'BEEN SIGNED
NOTICE
,
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 PlO 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