HomeMy WebLinkAboutBuilding Permit #99-1150
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~;~: CITY OF PRIOR LAKE fl!
'li, t *'. :l1lepartment of ~uilbing .Jnspettion
':~ [ .. Final Permitted 0 Conditional C. O. Expires
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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 Classificatil"'~
Sincrle Familv
~ldg. Pennit Nn
99-] I ~o
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
SFD
Legal Descriptio"
Lot 4, Block 5, Knob Hill 2nd Addition
]4326 Robin Road
~ite Address
Owner of Building
Contractor's Name &. Address Ra t z la f f
20730 Holyoke. Lakeville. MN 55024
rity Planner
Jenni Tovar
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 143ZL..
~'h Rd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
P)NSULATION
-Jt'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(,,~~
TIME
tl-7()
Cli-/(50
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ?;A. dvd tr<tS
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(Jnh CA~@LL'kA ')
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C'ALL 44 :.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~E RE.IUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSJVOTl
T---
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/4320
SCHEDULEO /'?~~1
K.tJ8/ AI RLJ
jJ3LJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-1150
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ ~WATER HOOKUP
SEWER HOOKUP
f"( PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMME!J1 .
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Inspect .r:
Owner/Contr:
C ~L 4 17-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
co E QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
o .TE TIME
CITY OF PRIOR LAKE l.kt
INSPECTION NOTICE SCHEDULED 3~Dr>
ADDRESS l4 S z..~ K.J,.~ gel
OWNER CONTR.
PHONE NO. PERMIT NO. QQ-Il50
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
J\ 0 SEWER HOOKUP
,.. ~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,...((OMMENTS:
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dWORK S~fsFAC RY. PROCEED
j CORREC'\ICTION NO PROCEED
o CORRECT , C FOR REINSPECTION BEFORE COVERING
InspectoT~ Owner/Contr:
CAb'FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
SCHEDULED . ~ 2.: 3.0
Je06/N /2.0
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/43Zh
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~I~
FINAL r
~ SITE INSPE ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~L
e..:.~.II:CH FINAL,..
DATE TIME
9Q-//S;O
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
.filE~?\1 C~ ,_ pfA Gr<kJY\lI..Y'Y\e>" ~
a-.5-,A tW\ was f~ ~ '0 ~
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\--tOV cA 5uA.. + ~ c.€..- MNtuJ all
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OCEED
RO EED
EINSPf,CTION BEFORE COVERING
Owner/Contr:
~
. C _ f'). -fc;;'\-t/!
--
CALL -9850 FOR THE N XT INSPECTION 24 HOURS IN ADVANCE.
~ODE RE~ FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
--,--
-I
(Address)
un!>.:> ~l'i "1Lf'
~~Al='F HoM~"" 1~,U.e' H", 5"DV1
7. TYPE OF WORK Fireplace LI Septic (] Dec~ Rs-roofing LI Porch 0
New Construction); Alterations 0 Addition 0 Finish Attic LI Re-siding 0 Finish Basement 0 16~ROJECT COSTNALUE
Chimney 0 Mise, . ! 7 t?, QP.O
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft Width 88 Depth J5C;- Yes No 1- 1- 'l;c>Oo.... ./J
I hereby certify that t 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 nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin official n revok is rmit for j cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlonn needed inJPectio~ ___
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97;~7~9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
14;U ~bl1.1 ~A-P
1. DATE
q /1t'{ q1
1<./
3, LEGAL DESCRIPTION
LOT 4-
PID
2..5-33<::;-{)Z(" -D
5
- f\cI
,I _ -
BLOCK
A-d d. fl
ADDITION /[tJo (;; U-. IL-
4,OWNEf}1 (Name) ,/\/1
lL).Pnc::.. At I r 1Pl/Wj
5. ARCHITECT /7 (N~"}e) ('/1 (Address)
~ t[~ tr c'tn S1lL.
(Name)
'Address)
Mol S()~
;; (T~ NO;!t ,.
t tl1q) '(II{~-
fl'el. No.)
6, BUILDER
(Tel. No.)
Of6CJ-'/I1S-
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Fronl
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION l/tl.f'l6l'>. r')O
USE OF BUILDING
SFO
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2. 3 4
Permit Fee ................................... $
~-
1. White
2. Pink
3, Yellow
File
City
Applicant
Permit No. QQ-/!50
-,-,.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(i?Jfl) bd~
12, NO. O/STORIES
13. TYPE OF CONSTRUCTION
WOO]) ~.uf
14. FLOOR AREA APPORTIONMENT USE
I('~..,
2:b
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
l
SEATS
MATERIAL FILED WITH AfPLICAllON
SOIL TESTS [} ENERGY.~TA [}
PILING LOGS [} PERCOLATION TESTS [}
PLANS & SPECS [}
SURVEY [}
SETS
COPIES
PLOT PLAN
o
Plan Check Fee ..................... .... .... $
State Surcharge ............................. $
'I '23'7.2"
fi04. "21
81:) .fl7J
Amount Brought Forward .................. $
Park Support Fee ........................... $~ f::t:). de
SAC ......................................... $ I nSO .l'JC
Collective Street Fee .... ................... $
Sewer Tap ................................... $
~f' 4:
Pressure Reducer .....~.................. 4'
S U
City:
Penalty ...................... ................. $
Plumbing Pennit Fee '1..9:::/1. $J?.... $
Mechanical Permit Fee ~::!.!~.. $
Sewer&WaterPennit .f..?:::!fSJ?... $
ee Pe it 9..9:~/t.?:P.... $
I DC) .nr>
/ t'J1') . 06
55. S-O
~O.oC
MeterHom....~........................... $
Water Meter ..:TeL........................ $ /25.00.
Sewer & Water Connection Fee ........... $ I" 20{:::> .t!)~
WaterTowerFee ........................... $~7 (J(f) .O?J
Water Tap ................................... 4'
Builder's Deposit ............................ $ I.~ '5"/)D . 0tJ
Other .........................................4:
Total Due .............................. $~7 /. 9~
Paid I~" \. '1(, Receipt No, ~t:-> ~~
Datelo!,t)R"I By (2..JH+
THft}' ,ce ,. lh at th request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
s' ned Ity P er constit s a temporary Certifi te of ning compliance an lIows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. - , ' h
t/ -, ~ity Planner Date Special Conditions ~ any U
ermi. llh~ APproVj"dQ
Date - ...J..-~-,_
By
Certificate of Occu
Issued
24 hour notice for all inspections 447.9850
___n"<<_'"~".._~'-,-___..~_........".__.
.-"_,,_.,_~_.~.._..__._.-___._... ... _.__n .._.._. ._..__".
t/.5.VO
Job Address /L/~,l, ~6/'"
"-
Controlled Air
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.
Heating Contractor
Name of Tester
Date
Percent O2
Percent CO2
Percent CO
Stack Temp.
--------
,
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo._qq-/lS()
Applicant La(,N1('~~ P~lr. . ~O Ula Phone:j,.51-4i,Q"'\~In.l/
Address:~1..{ -Pt"'!!'_-~
slgnature~ ClJ\A ,'. .
Legal Oescriplion: Lot 4. BIClCk--5' sub_KI\JOB HIlA_ 2ND
Site Address: 14 '3> ~ LD 'R 0 ~ ~ !'" P.. c.2.- 12. I
BuildingPermiU QQ-//50 PIC j.2.";-"'f3~- /)?6-D
NOTE: This pennit wlll not be proceSlled wIll1aut complere infolTT1lltion. '
FIXTURE UNITS
12-07-99 09:48 AM FROM FGTN PLG RTG
TO 5124474245
...... e...l... ~... UM C_l"!'
Quantity Type of FiX'lure
;J... Bath Tub WIth or wtttx>Ul sr._er
\ Dishwasher
:1 Floor Drain
'3 Lavatory (bathroom sink)
1 Laundry Tray (1 or 2 compartment sink)
\ Shower Stall
I Sinks
ear Sink
J-. Water Closet (toilet)
auanllly
.3
\
I
\
\
FEE SCHEDULE
Industrial, CommerCial & Multi-Family
(1% of job cost, S3".50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
POI
..8_
Z. GoIII
l. Y'"
AIo
Clcr
""'-
Type of FlXIUre
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Bacldlow Assembly (RPZ, ~ Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
""-
So...L"C 4..rcl.
s ; -_ ~
,
&) 1.-.1 ,'-
S ~' <--PP...." - ~ stl'
~" j' ~wt~
s
175' rn!? T fl 'i\I7 r2 :'-. I
IllIf . .~'"'-:- w_.lS /'1
!i/X DfC--llMn lL' I
'IIU - 'Y
,j J I
U , I
I I
I
I
'c. :nus ptrmi' is pamaI upun .... ..p.... Cllndidan chat said
COI1trXlOI'. ,hall comply' in all rapectS with the ordiflance.s
af IIlc S..... P1U111biDl and "'" ;;:;;m,n... 1II._f.
. /"'., DATE
ATTEST
Call for aU i ctions 2.4 hours in ad VllDce.
16200 Eagle CreekAv. S.E..oPrior Lake, Mlnnesola 5537UPh. (612) 447-4230 I FAX (612) 447-4245
: .'-' ':,'Ai. Equal Opponunity Employer
.....,.
";0
GREEN - fILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE NO. ~r-//~
SEWER AND WATER PERMIT (-
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: Oa~r/.lUl &XC.
ADDRESS: "liP JOf'LLrJ wAc/
SIGNATURE: ~1v--- D_L_
SITE ADDRESS: )'(J;).' r2 O~~N
PHONE: ~ 7-2 - (. 9tJ "
LIt UL J.l-oLI</DATE: /0/">/'79
BLDG. PERMIT # 9'l-//~C>
12-0. PID#_2-.'5 <33'7 - 02.-(,-0
FILL IN THE BLANKS
1. Estimated length of water service
. ,
</0
feet.
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure ~
feet.
4. Type of sewer pipe. ABS PVC X
5. Estimated length of sewer line Vo
Cast Iron
feet.
6. Clean out (if required), located at
structure.
......,
feet
from
==================================================================
This apPlica~~~s your permit when approved.
BY ......~t/:. - DATE: /6?o/9Q
=========~=======================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $".60 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.
AMOUNT p-:~:~?-Wl\1
REC'D BY\~~ '
TE PAID
R"IPT #
16200 Eal., . .
reek Av. S.E., Pnor Lake, Mmnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
An Equa] Opportunity Employer
...
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CITY OF PRIOR LAKE
96200 Eagle Creek Av. S.E. Permll No. q,,?- 1150
Prior La., MN 55372
<D
\D
N
o
Z
HEAliNG APPUCATION I PERMIT
Dele // - ~ ~ qq PID. 2.5-33'1- 02.G:.-O
SileAdd.esa ./?';\'~ G ;e,b/iV PSJ R J
LoI 4- Block 5 Add~lon I<NDB HIL.L.. 2~
Owner'. Name ~A /-"2 I ~ ~ P {-", . 'l.C'1-.
Address J~.L(~c.., ;e,..,h/Jo.I ??D,
HHlinoConlraL1llf ~A~.fr,n/t..fJ ('},',..
Addrlsa ,;) /;:;) / (', tEa/;. ~ I All'" _ljA I Jo?" L ~4
Tslephone'0~/) ~ - CrGa. -, ,
Furn_MakBlModev.;Y...,,. T..n/(J() TYPEOFSYSTEM
. Wlrm AIr Planls
Model Size /c~t"\; ("'("Il'l Gravity _
Mechanical JIll' _
Air Condjlioning ,V
Vent. Syst.,., I/
HEAnNG OR POWEA PLANT
Sleam
Hol Waler
Radlelion
Special Devices
OJ
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N
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C'-
"
"
N
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.
U
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Q
z
a:
t'l
z
t-
a:
w
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(t:
-
a:
Q
w
-'
5
(t:
t-
Z
o
u
Conn. Load
FUll )\ lA-I-
Flue Sizl
_~/f
Supply Openings
/ij
C
Retum Opening.
Inpul/l'V\-'\ Outpul
, I
Ed..
r<n> ("f<'D
I
Olher DeVicel
elm.
TYPE OF WORK
v
N
1'1
\D
...
Replacemenl New Con!\ructicn
Est. Comp. Dati
AIIerallons
Repair
Esl. Cost S
HEATING PERMIT FEE $
0'
0'
"
1'1
<SI
"
...
...
STATE SURCHARGE $
TOTAL PERMIT FEES S
.50
qq-I/SO
~"
/~~~~~~~
U\\.O\~
Receipt. '€I
, BuDding PlrmU
rvPE OF STRUt;TURE
I. link
2. a....
3. "Dow
"""
City
c.a......
Single Family .
Commetclal
v
. Mufti.Family
Two-Family
Induslrial
Public
Olher
Fee Schedule
Industrial, Commen:ial & Mulll-Famll\l
Residentia~ Heating & AC
Residential. Heat..g Only
Residential. Ges FlI8placl
Residential, Additions & Allarations
Residential, AC Only
1% 01 job 0011 ($a9.S0 minimum)
$99.50
$84.50
$39.50
$39.50
$39.50
Remember 10 add lIle Slate Su rchl'lle on the bottom of this application.
The price of your healing permit includes one lough-in and one linal inspection.
Additional inspec1ions wi! be billed al $35.00 each.
House Heating Tlsl Record must be submilled with ~.;-'" IlllDlIil """""I'll before build.
ing cer1ilicate 01 occupancy wi. be issued.
I"CllT ro.' rot" .T.n...,.... '1"('1 I'll"". wfth number of supply and return openings bted per
room wlth CFM's per opening. New structures or addtlons send Iloor J>>lan will supply
and return locations shown. HEAT LOSS CALCUlMIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
CRy Hall businass hours are 8 e.m. - 4:30 J>>.m.
ALL WDAK MUST BE INSPECTED (ROUGH.IN AND FINAL) - CALL CITY HALL
447...230
I hereby apply for a mechanical systems permil and I acknowledge thallhe
information above is complete "nd accureta; thallhe work wHI be in conformance
with the ordinances and codlts of Ihe city and with Ihe stale building/mechanical
codes; that this form does not bacome a permit until signed by tne BUILDING
OFFICIAL; Ihallne work wnl bl in accordance with Iha approved plan in the
ca~/all work which requires review and aJ>>proval 01 plans.
/;;d -Zt.l;ji,.)/} 1/-3-qq
, ~~- 11/ :iiqq
IWOlIiI'(IJ OIllcal'lO Signature . Date
'~f".~~-~,if\'~ff"?~,+:./q'1t";~~;~'~~:":':""~
!,.~,~",.,,:,.-,......,,,",,.,''''!~'.-' <>".....:.,,>/<..;;.,;
....."'..~,,..,,..,-6J..,_:;~
'@~'~ PRIO,s><
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Thl' ('tnlrrof lht L.kr Counlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;.:./
"~ /'1,;"
/
"
l_'.,,;'
,/ ;' .;;::- "
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/'.,.,,/ .'
.__ " ",:_ V~.-
/ "
./ / j
.t:....-/' .
Accepted
/
Accepted With Corrections
Denied
(1fJ)~ Date: 1b'-f./~7
+!c, ()Y1/1 ~~ lie ~~OI Vn Sl(dtpr-d.~
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."
~1
99-//50
'fnlrroflhrubCounlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECJ.<L1ST
NAME OF APPLICANT
APPLICATION RECEIVED
/?r1rZL-rtFF h'ol'165
q/ZO/C?'t
/ ' .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4.:32(0 ,.eOL5/N /GO.
Accepted
Accepted With Corrections .x
Denied
Reviewed By: Q_ () 13, A.
Comments:
Date: cr - ;;( ~ -1i
I (2",,,,.1 ,., /I a. -I-kkui ~~ ~
"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."
----~'-".~---,..._.__._..._--_._._,-,_._---~-~--_._--,,---~._----------_.--
'19- //50
TII, ("rnlu of lh, uk, Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
A//-; rz L.r1I:;-:" //Ol?~
/ /
9/zc;/<:?c;
I .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4320
KC't:.::/N /2D.
----
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: ...IAclEil. f""""""'''NN
Date: 9/Z'fh?
Comments: Rv'-'.~" "'<.IS. ~F
Co.Jv~vE:"" 1'0 /:lAIn ALD...x., [)(lfJ-'I'JAGFC C U'O.!d..r:::C.
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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."
-,-
PRIOR LAKE
.
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS flj~&.(. R..6,'-'. ~~
NATURE OF WORK tJel..U ~sl~()cl,'c,,^-
USE OF BUILDING 3~D
PERMIT NO. 1't-11 so DATE ISSUED C1-;;t:::2 - q <J
CONTRACTOR ~a.hl~ \.'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOUNDATION (Prior to Backfill) 1)11/3/'1"1 I
PLACE NO CONCRETE UNTI ABOVE HAS BEEN SIGNED
ROUGH - INS
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COVER NO WORK UNTIL A OVE HAS BEEN SIGNED
I 1
FINALS~^
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V/ Zllti/4; . v
UNTIL ABOVE ffAS
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
whete no service cabinet is available, card shall be placed near main entrance.
FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION l/Pi"t:le- W /d2dA'J
ELECTRICAL {/
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
Cfl 'jl;j;;~
r ." -.- -,_ '" .,
- '. ".
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
INSPECTOR
DATE
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----r;nii;] ~
I ' t
I .
11-/' 5/ rf7)
BEEN 'SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850