HomeMy WebLinkAboutBuilding Permit 99-1171
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~-1, i QLtdifiralt of ~rmpanry ~~4
~,1~ CITY OF PRIOR LAKE ~
" J)epartment of Jiuilbing 3Jn~pection ~4'
~~~ ~inal Permitted 0 Conditional C.O. 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:
Singl~ Family
Use Classificati"'"
~Idg. Pennit N",
99-1171
Occupancy Type
R3
Type Construction
VN
Fire Zone
~/A
Zoning District
R1
,
~
,
I
!
Legal Description
L5, B2, Maple Hill 2nd Addn.
Owner of Building
Site Address
14034 Bluebird Trail
Contractor's Name &. Address Sunset Ho~s.
Robert D. Hutchins V:t-,
9//~7J;cial
9678 63rd Ave. N.. Maole Grove. 55369
rity Planner
Jennl Tovar
Date:
Dare:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
r TE TIME
t..('L-;/OQ ~ t ~O
ADDRESS
~4.o~+- 'tSt..uE:-e>ljLoQ- he....
OWNER
CONTR.
PHONE NO.
PERMIT NO,
'\"1...\\1\
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATI91t A ~EWER HOOKUP 0 FIREPLACE FINAL
)B-FINAL /'J f\ PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION A ECH FINAL 0
COMMENTS: t3.-h-o d-.,... ~:--s c:;1Z-.
G:l EY\2>~ r.eA E.nc.,,'naY(V'l0 ~
W &:0.. aV\& fv-thPn~ r1LddJ:.A r Vhrj
(,3) ~dv-tJ.. ~ ~( r ~ y-Art lA \ ~ll
~Bm..<;;[{fVI ~ .
frotJ- Skv ~ Yl d ~ A!(-V . ~~
() R~~ ("",,<-tr,. r frTl",", de...l!o,..til:,
------- --~
(( T~ C_O +v li-l-~ ~
'- <\ (~
JbJ:>. 'hA ( J ........_ C,UL
(Jkr.t ~f- Ok..
o WORK SAT
FORE COVERING
o CORRECT
~RRECT OR
Inspector: ner/Contr:
CALL 44~98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ't,JEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~9 ~:O Cl
ADDRESS
/-4034- 73L(J6t3/~ '7'7?...
OWNER
CONTR,
PHONE NO,
PERMIT NO.
?9-/17/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A. 0 MECH RI
[J)!:(WATER HOOKUP
~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
_ COMMENT~ 4-0
A-C;' ~ r t c... ~1
I ~ ~~tc LA~l_ ~
ND ~ f\' y.. oVL
(U Cq'\f'~_ ~JlG~/~
G 1LtL-<< Wh ~6()c' { .
+ IIItvJA-- t1, (\Vu..~
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
co
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTJON NOTICE
OATE TIME
SCHEDULED
{/J,,/oo
ADDRESS
No 3 'f Bc.....E.zlA. 0 7A41 L
CONTR. S<MJstrr JI....g
OWNER
PHONE NO.
PERMIT NO.
99-lrV
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)l EX/GRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
A2~ ... Aaf1Jnl./kE.
(!.V4lM,,,, DI<
J!ft4.AIr,A..A' -511.1" Fi..Ja:. '-lVrrL. ....QoDl
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: t?t4;..o-..::- jIJ/....
"':'o1.lDQrlf"nru:r:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
-~'-~'---_._-"_.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
rl8 (JD AT"
:BLueR leD
SCHEDULED
ADDRESS
/4rJ.~4-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
INAL
~ITE INSPECTI
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,
SOD
~q-//71
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.::
TE..F.-f;
\)/1' I m
~ (/7 l,~ r<A.-."'12.
t1~. p4~
~
/ /J (1 () ~
+nLLd k /
~Qf~ I J
-
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~LL FOR REINSPECTION BEFORE COVERING
Inspector: \f7 ;1 Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
6~~
QAT. ~.r..'VEJl . CITY OF PRIOR LAKE
BUILDING PERMIT,
... TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-/nl
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUEO (Please Print or Type and sign at bottom)
12. SITE ADDRESS /J" I' f
/L(()31f I~
3. LEGAL DESCRIPTION
LDT _ c;- BLOCK ::J..
ADDITION ~ ~ J.,...J.
1. DATE
1-J.3-ff
R./
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
4, OWNER
(Name)
(Address)
(Tel. No,)
12, NO, OF ST~RIES
IV-v
13. TYPE OF CONSTRUCTION
;';-i;;>
14, FLOOR AREA APPORTIONMENT USE
1240
PID ffi-3t.1-3 - 0/4--{')
5. ARCHITECT
(Name)
(Address)
I (Tel. No.)
22LA-('Z..~~
(Tel. No.) L/
f,J1--53/-t>7I/
15. NUMBER OF OCCUPANTS OR SEATS
(Address)
9 t.. n (, ,'t'^ Ciw. Jlu
~/'~I~SSJ'r
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Ae-roofing 0 Porch 0
New construction)( Alterations 0 Addition 0 Finish Attic D Ae-siding 0 Finish Basement D 16. PROJECT COSTNALUE
Chimney {'l MiS" I tJ 3 I (J't) 0
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETjIO_N PI A/T~4
Sq. Ft. Width Depth Yes No 2f I (I
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
nd thatmll co ,ction will conform to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
is ]jIIm!>J7r ju u e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ,!eJded inspections.
X ~'-' - -, qOb "t.2'5/~9
SlQIIlatur6 {/ LICense No. Date .
6S~~
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS {'l ENERGY DATA {'l
PILING LOGS {'l PERCOLATION TESTS {'l
PLANS & SPECS {'l SETS
SURVEY {'l COPIES
~LOT PLAN ('l
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SPD
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ----P~ ~
10't
I oc:::t::). 00
d~~O
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H , M R S U
City:
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... S
est'). 00
I " ..0 . 00
-------------
. ._---
Division 1 2 3 4
Permit Fee ................................... $
'l~:;Z. ~"\
Coc>5" . it,,-
-sq . 50
Collective Street Fee ....................... $
Sewer Tap ................................... CI:~
P,essu,e Reduce, ..~.~:......~~
qs'.oo
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $--l-t:-O" t.> 6
C;:;.t'.l 0
"3'S"'".9?
Meter Hom ................ .... .... ........... <t
Sewer & Water Permit ...................... $
~
I ;LS".OO
Sewer & Water Connection Fee ........... si.? l!1e) . ~
',,,O.e>O
Mechanical Permit Fee ..................... $
Water Meter ................................. ~
WaterTowerFee ........................... .<t,
Gas Fireplace Permit ....................... $
Thls~m.t.our BUilding Penni! When AQlLrov~O
BY~/'J Date .Ja..-r. ~ 7 t
Certificate of occJancy
Water Tap ................................... $
Builder's Deposit ............................ $--1,~ ~
Other ..........................................t
Total Due .............................. $ '72. ~3. Z,I
Pald -/? r '? z- t Receipt toIP, ~(" if? '2..--
Date : ;1/0 / if 1 By '"j)7( ~
~hi ' , t th, e uest In the above apphc"on and accompany"'9 documents IS In accmdance With the City Zom~g lS'dlnarte and may p",ceed ~U:":;;This document when
s: ned . ~ Pia r c stitutes a temporary c~e 2! frir:3!fJPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City f.!.a Date Special Conditions n any
Issued
24 hour notice for all inspections 447.9850
,.
..,
,
Job Address
Name of Tester
Date
Percent O2
Percent t::d~
, -Percent CO
Stack Temp.
81.liUll!Z>
/kJtYL LAlcf .
/J,fN SrOi",(."c
/..1'4-'19
Kcr,
7,5~
o~
JtG"
~~
Division of Plymouth Plumbing, Iflc.
',<
Sent By: PLYMOUTH PLUMBING AND HEATING; 612 5331121;
Dec-l0-99 10:52AM;
Page 2/4
~r1Ce.I..,..r lito: L.lr.t C...nlf7
1. Blua . PUc
CITY OF PRIOR LAKE ;: ~:~ ~~....
PLUMBING PERMIT
APPlicant:..D 1<1 oMJll.L~ ~Iu '
Address: L1B'fl~ j .\ lU. r:n,
. Signature:
legal Descripti : Lot 5 _Block ~ Sub-.l11lPc...E H/I..-l-S, 2" ,?
Site Address: '4 n :-:Y-L_~..b..l.u..J.. h i t7U -'\ ~ \ Iv
BUilding Permit # Cl9-//7/ PID # 25-.'N,3- 6/4--Q
NOTE: This permit will not be processed without complete information,
FIXTURE UNITS
q~antity Type of Fixture
il Bath Tub with Or without showet
I Dishwasher
I Floor Drain
!rl., Lavatory (bathroom sink)
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
Bar Sink
I 'd.. Waler Closet (toilet)
Quantity
\
\
Type of Fbcture
Rough-ins (J/,~ 6a~ ~;c... UoO\'\)
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Chll!:k, P'IB)
Backflow Assembly Test
lawn Sprinkler
~
Other
~ilko~
FEE SCHI!!DUlE
," '
Industrial, Commercial & Multi-Family
(1% of job cost, $39,50 minimum)
Residential, New 9ne & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39,50
$
$
$
$
.50
GRAND TOTAL
$ / fl'.'O VJ~p.l1I\i
\ f,\l\\.O\NG
Thi$ permit is gIVltw upon the express condition that Slid
eonlt'OI.ctaf. shan eow, flall 5~tS wi~h the: ordinanccs
of lb. Stat. PI.mbln I. t amtittlS thoroof.
. . /7-. 0 qq DAT!;
.
A TTBST
Call for all jns~tions 24 hours ,in advance_
16200 Eagle Creek Av, S.E" Prior Lake. Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opponunity Employer
Sent By: PLYMOUTH PLUMBING AND HEATING;
612 5331121;
Nov-3-99 3:32PM;
Page 2/4
0.&&:. ~ ....
YILLOW - ap"LIC..'
GOLD . ClT1'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NoTE: Sewer and Water
contractors must
be registered
with the city.
S.W.No.
qq-/I"1!
PHONE: fi!J."l-~'{0'S L
II-?rqcr
BLDG. PERMIT # qq -/17 I
Ti"~( PID# z5-3+3- 01.4::-0
DATE:
FILL IN THE BlANKS
1. Estimated length of water service 4n
If
feet.
2.
Size of water service
inch(es).
4()
feet.
3 .
Location of any couplings from structure
4. Type of sewer pipe. ABS PVC ~ Ca~t Iron
5. Estimated length of sewer line ~() feet.
6_ Clean out (if required), located at ~)/)t feet
structure. ---'-"'1
from
===--=================~-----~==============:======~===========~===
This apPlicati~~~~~ur permit when approved.
BY F~ - DATE: /1/'-I/9tCJ
==~~~==~~~~~~=~======-=====~~========~=======:========-===========
FEES:
~
$
~
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fcc for either sewer ,or water individually is $20.00 plUS
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dUpl~cate sewer and water permits are
issued. ~_ ~\~ ~~
DATE PAID AMOUNT PAr; ~~~B(.\ ~~\'-~'
~\\.vr.
RECEIPT # REC' D BY ~
16200 Eagle Creek All. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
~.~.-.:~::'~:"-'-:":',-:-:.'::':';~:':", ,-
:...-.--".,-'-:.;-~~.':
-~-:-..' -; --. -.....
.'" .
'." :'. .;-:...,.:,,,~ .'
.. ~.:'::;','
TYPE Of SYSTEM
W..m Air P-.nls
Gravity
Mechanical House Heating Tesl Record ITI\JSt bo submilled wRh ..,.''''1~~ IlWIliIIJlIIIlIltr bofor. buld-
A~ Conditioning I ."~..,., 1r-,k"P.2,f'\ ~?~ng cermical. of occu"ancy wltl bo issued.
Vent SyslRm ..,p..,,,H, ,....-k. I nnut-oPf
, - () /-lFA.T roM POW ATIONll <lFO! IIJlFn with oombet 01 Bupply and relurn o"Rningslisled per
H EA llN G OR POWER PLANT room with CFM'. per opening. New S1ructums or addlllons send Roor plan willi supply
SlRam and ",lum locations shown, HEAT LOSS CAlCULATIONS, PAYMENT AND
Hot WatRr APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
Radiallon CREEK AVE. S,E, PRIOR lAKE, MN 55372-
Special ORvicas
~-
"
-
'"
QC/-117 /
CITY OF PRIOR LAKE Me
111200 Eagle ereek Av; S;E. PRrmR No.
Prior lake, MN 55372
"
0>
..
"-
HEATING APPLICATION I PERMIT
Dale 11-/()-qq PID. ?J=;-3<1-3 - 0/4-0
Sh Addr.ss , I.L.I O~ ~ \ 11 ~V1 i r-rlJ \' ,eM \ IV
lot ~ Block 2- AddilklR. I'1AP/.F: HfL-l- ''2.ND
Owner'sName.A.ll,^4~t ~~
illJdresa q to '?>I l D?! t::i A.,.., M 'NlloQ. (0('00( ~ki ~!"i '31t,q
l1eatil1lJ ~nlroctot DI.. .,4Ar,u.HA Plu.INl~1 "" .. ~,J.;oUII .
Ad~esslna()Q \Ar(", fAll4-+~ &~ flrrtlfhl"" ~~. ~5~
Telephon.' lui;D 5 ~~-;.s:0..~f
'- /....c.lA.~
Fur nace Make & Model r., ~?J.) ~ 71, - ?1
::E
...
N
"'
o
Ol
Ol
,
o
o
"
o
ModelSiu '1"i.CPO hTl)
N
~
;;;
'"
"'
N
co
COM_ load,
Fuel N~11rJ ~IU. Size
supply Op.nlngs
Relllrn Openings
InpU! 't~: rrn Output (Ill) fYOr.....
Cl
Z
H
f-
...
w
OJ:
o
z
...
Cl
Z
H
'"
::E
::>
--'
"-
OJ:
f-
::>
o
::E
>-
--'
"-
Ed" ,
O\l'o8tUevices (O~ li,u..v.
til'ui~r. ~af"tltr
'. u
elm_
TYPE OF WORK
Ahrallons
Replacement New Construction
. Est. Comp. Dale
)(
RopaiI
'qtf-I/7/
5 / 1'1>-\0 \f'Irn.'
. , 0 \~\)\\.O\~G pERM"
HR8C.~U ,.
Esl. CoslI ,?, '7 rf) .Ff)
I1EATING PERMIT FEH
Buildll1lJ Perm~'
;;, STAlE SURCHARGE $
CD .. .........-.-----.-.--.--...'
'i:: torAU'ERMllFEES . S '
"
'"
I,....k
RIe
.. ..._~ ....-.
TYPE OF STRUCTURE
l. Yell..
ConINelor
Single Family
y
_ Two-Famly
Induslrial
Public
MuII~Famlly
Olher
Commercia'
Fee Schedule
Industrial, Commercial & Mulli-Family
Residential, Heating & M;
Residenliel, Healing Only
ReBidential, GaB Fit8!'lace
Resldential, Additions & Allamllons
ResiOential, AC Only
1 % 01 Job cosll$39.5O minimum)
199.50
164.50
$39.50
$39.5ll
139.50
Remember 10 add Ihe State Sun:harge on the boltom oItllis application.
The prIce of yo", healing permll includes on. rough-in and one Ilnal inspection.
Additional iMpecUons will be billed al $35.00 each.
Cly Haft business hOUIll al8 8 a.m. .4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGK-IN AND RNAL) " CALL CITY HALL
447-4230
I hereby apply lor a mechanical Bystems permll and I acknowledge lhallhe
inlormalion obove is complele and accurate; Ihallhe work wlll be in conlormance
wilh tha otdinances and COdBS of lhe clly and with the slale buRdinllimechanlcal
codes; lhalthls fOlm does nol become a permll unlll si1!ned by lIIe BUilDING
OFFICIAL; that the work will be In accordance with the approved pllln In Ihe
case 01 ell work which raquires review and approval 01 pi tIIlS_
9,09~Ap~UJJOO1u.
",P4'1f)~m
uBtiidi10ll1i:i1'aSI!)NItiim
J;4-1f)-qq-
Dale -
"."" mu/z;/M!qq
.....,-0B\i '
1';"~-'''',~~~' :'t";--'":;;
'-""'7'-""":'-';~..tl......"" ....".,>l!;""""'....~ ~"v_ ._.t......._...... ".,,"~...............j\'~...,.~.
'"
. / I
I
Thf Cfnlfror lhr Llkt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI.SI
NAME OF APPLICANT
APPLICATION RECEIVED.
I
I
t '/' l..-/
.'
I /' /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
." '/ ~,/
/ ~-7'". ---' '7-
f ///..:'/_,
',.~~ ~,_.~ - --
Denied
V
/Ji:lJ.~
fl'
Acceoted With Corrections
Accepted
Reviewed By:
Date:
10-11'77
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."
qc; - / I 7 I
Thr C"rnlrroflhrL.hC6unl.,.
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRI
NAME OF APPLICANT
APPLICATION RECEIVED
/l~/(,---~',! L/tHE6/,0./.-/ Su~r-r I-IOM.&"-
q/?tI/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/LJQ3sL BLUE-e/R/)
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: lJ~w"ll. E..{/Ir'5.-A.~,.jA1
Date: 10 in /99
I .
Comments: .,~...' INI'~n"'A'lt,^1 0..J ridE.__J<f'vER_'~~
.:f"<" A-mJOir>1EiJ13 : /. Fi..,A" ~"A,""" 'N<ClEC',.,.J / ,.;F'Dp,..l/r/Oo.l :;>. f.:A.I1IJ,,"". R",,,-,
.3 En<()<:,.,...J r:", ...)-rn61 vVl.€Ac::.UIl,,;"'C
t./-. EAO'>I<!JN t:" AJ "TltbL. ~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."
~1
QCJ-//7/
Thf' Ct'nll'r of lht Llkt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDINGHRMIT APPLICATION DI;PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/41034 /5LVb/3/12..D
q/?~/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/03sL BLU6/3IR-Q
Accepted
Accepted With Corrections ><
Denied /l
Reviewed B~
Comments:
l. DDIV'Jl aB cdi-~ ~~
Date: /0-/2 ~ ~ ;7
''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 ~Jl.fD~t/ 'R((1ob"t-cl -,;.
NATURE OF WORK l\JE",\ ~
USE OF BUILDING ~F(:) .
PERMIT NO, qq- -I ( 7 ( DATE ISSUED 10 - J 2. - C[ 9-
CONTRACTOR S~~ g.. h-cn~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1 ~DAT~
, FOOTING I PM I /0/ tlh-1
, FOUNDATION (Prior to Backfill) I (/':); 11/3/1)' I ' .
PLACE NO CONCRETE UNT{~BOVE HAS BEEN SIGNED
ROUGH -cdS
SEWER I WATER I SEPTIC ~13 /~"
FRAMING o..Jhl"'" 4 /)d. ~.'t.QU Ib l-'6 ~ 0-0
INSULATION ~~~~ ~4oG \l 1M. 1-10-60
ELECTRICAL I
PLUMBING _ I flJJ Itl7.-d~; I
HEATING (if required) ~,L.-,\LJ) zh/()() I r1/J 1;)..llsf(~ I
FIREPLACE U I V I
GAS LINE AIR TEST I~ /.2/1.-/,' I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
w6
~I
INSPECTOR
GRADING (Prior to Sodding)
BUILDING ~-ro r;{t{oiY
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
"It'-/! dO
elf ('1, I IT>>
'~l
V 'tJ
HAlS
~J23~
-z:j u/IJ()
BEEN SIGNED
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 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