HomeMy WebLinkAboutBuilding Permit 99-1328
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:~_I Owner of Building . . Site Address 101>0 KNOT.T.RTDGE DRTVE
t'~ I ContraclOr' r' ~. ~ "." Kl.n~sborQ!.1~h Homes, 8750 90th St., Cotta~e Grove, MN 55016
~~~u I ROBERT D. HUTCHINS m I rilyPlanner JENNI TOVAR
, - idin~ q'ficiaJ
~ . I Date:
... I Date. / I / {J-vl ! .
:~ I _ ' ~OST IN A CONSPICUOUS ~L:~ . m __ __ _ _ ~ ~
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CITY OF PRIOR LAKE
Jlepartment of Jhilbing 3Jn~pettion
~Final Permitted D 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:
Use Classificatio,"
SINGLE FAMILY
VN
Bldg. Permit No 99-1328
N/A
Zoning District
R1SD
Occupancy Type
R3
Type Construction
Fire Zone
...."""..n...........
L3, B2, NORTHWOOD OAKS ESTATES 1ST ADDN.
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATI~ 0 SEWER HOOKUP
F FINAL 0 PLUMBING FINAL
o SITE INSP ION 0 MECH FINAL
COMMENTS: ~ +/
(!j:L-{ {
,c:;+ eu E....
DATE TIME
99- (3 d.-?5'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
, /1'"-'
---.....--".
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;:BJWORK 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.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
1~/"fr'
3oroO ICNO(.)...,R-IOGE; Of.<!....
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
11.. ~ECH RI
(4 .HER HOOKUP
, EWER HOOKUP
I{ 0 PLUMBING FINAL
o MECH FINAL
COIVIMJN1l5:/l ,I
Lfij 'OCW1:tt.. {It -40
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(<ivY,.. .. "0 .
r'lt\ ,
OATE
TIME
1:00-
L!oo
?q -132-Y
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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- No
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o 6K SATISfi Y, PROCEED
~ORRECT A 10 A D PROCEED
o CORRECT 'of C LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447<9860 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ'kREJJENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ,'SO h 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~ 3' 30
KQD II ~.cf..JP' D n ve.
CONTR.
PERMIT NO. 91- f~;)5(
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
A 'i'"PLUMBING FINAL
/iJ'MECH FINAL
COMMENTS:
~Lf'_ t.A..u...M r:. .k,...~ c
(~ <2.6 ~. g.k. t<'ktl.uw;-
. - ~I
Y lA..O !/ r~nfJ rl A l'
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.
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~~
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-------
RY. PROCEED
ON A PROCEED
LL FOR REINSPECTION BEFORE COVERING
o CO
I nspec or:
Owner/Contr:
( LL 447.9850 'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
io,y"
ADDRESS 5CJlaD K. "",,/1 {(tdl'4 D DJ--
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
:I(lFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Jl'MECH FINAL
COMMENTS:
[. M,,;...\"iV\. 5:",-.,c..t"""-~~
'2. s...c\ ~ -n-e..,.... ~.
DATE TIME
5-"5I-?IIo1 ":'30
0Gl- 1~7A
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
I~ (\oFQ -1.0
,
8 -1- '2txXJ
fIo.d.A '-D_ Q (')t sa. k-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTI AND PROCEED
X CORR , CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
"
SCHEDULED
sj1.s/fJO
ADDRESS 3OVo _ KA1oLL/('b&~ J)1l"J~
PHONE NO.
CONTR. K.J,~A"""lJwI J.lo"tF~
PERMIT NO. !iJ - ItZ9
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)l{ EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~I!:
1<; AcI'.El'r1481 .~
CoIlMooIC. OPInATll!J.utk.
~lAmtlAJ <;t..r fE~ 0AnJL. ~~
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CAll FOR REINSPECTION BEFORE COVERING
Inspector: to !Au.., ~
tlwner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
rn @,'f~/if~~D.i.; I CITY OF PRIOR LAKE
- -.!
I BUILDING PERMIT,
NOV I 0 ~ i !TEMPORARY CERTIFICATE OF
') ZONING COMPLIANCE
U1D 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
3oGO \J,.l'\DiI,..:~~ \)r.
1. White F<-
2. Pink CitJ
3. Yellow Appl.
1. DATE
Permit No._99-I.32..t2..
Signature
1 HD : 99
R./SD
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(He~ht' 30 I (W<Ith'72.' (De..hl.3t.'
12. NO. OF STORIES
"2-
13. TYPE OF CONSTRUCTION
rn.......e....
14. FLOOR AREA APPORTIONMENT USE
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
3. LEGAL DESCRIPTION
LOT 3 BLOCK "2... PID :25-3&10 -OO(P-O
ADDITION NOI'-\-hwno ~ Oc:..lLs F-~tc:..-f~s / ~ Ace._
4. OWNER (Name) (Address) S"SOI b (Tel. No.) b ,./-
ll.:l"IO,'!.\.,,(O~\--. H.,jO\-e~ '1r7S0 -90~ Sf. eq,1-h&.-e. Groll-e.. I/ro-/?'i'J
5. ARCH-ITECT l'Nhme) (Address) 'Ec...~f"'\ (Tel. No.) I
"?\::..."'-l..O, :r.., c.... ~~ W::-S,,;,,~ Pr-SSI''2.:Z. bs/.152-- 072/1.1
6. BUILDER (Name) (kidr;,,) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
1.(.;k.~-.s6bY"O'-~\.... 1...\.6......c~ 65"/- '/1ID -/'8"&"\ ("SI-769-Z'/75
875tr ,?ot!c- .,.k 5:...<;." H~ Grove, 1'\-"-' 5"56/ '" (n
7. TYPE OF WORK FirefJli::lt.:........ septic Cl Dec~ Re-roofing Cl Porch Cl
New Constructiorgi( Alterations Cl Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE
ChlmneyO MI'c.. 2. 3 b/ 000
la. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. Ih.17S Widlhl/b'DePlh 140' Yes No.--- 3-00
I hereby certify that I have furnished information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mention roperty 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
bU~fficiaJ can YOke this p~rmit for just cause. Furthermore, r hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X -, ___ - _ ~S'i{S30 _ 11-/ ()- 99
license No. Date
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS [']
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2~":OClCl.~G
Other ......................................... $
Total Due .............................. $ 8#'1. t,tb
Paid ~ <./<19. <lG Receipt Na. . ~ (0 .s (p 1-
I~ed ) .
Date .~ By /2.:// 91 .
This is to certify that the request in the above application and accompanying documents is in accordance with the City zonig(';rdinance and may proceed as requested. This document when
"~City nner constitutes a temporary ce~t:te of :oJlJ~ compliance and allows con~truction to com",-nr,r. BefOre~. ~c _ .lC8te Of~. upancy ~~ is:>u6.d."",
A ~ L l 'L<B '"M. ("' "'... _ 11'v>J'I;[L ( ~ ( , ."M/.JL-l\ t-eVIf:..
- Cil Planner Dale ----:c.--> ,~ Special Conditions if any - -
USE OF BUILDING
::sED
TYPE OF CONSTRUCTION: I II III IV V
Occupancy-Group A B E F HIM R
Division 1 2 3 4
S U
City,
Permit Fee ................................... $
II "1....7.?~
( ,., I P, . 7/
J IA. "f'J
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ~. ::. ./$..f!a. $ 100. 0 0
Mechanical Pennit Fee 1'J.~./'jz..'O.. $ /no. 00
sewer&wa,erpennitrl.::'.I.-?'.?,;B. $ 3q .SO
Gas Fireplace Penni! f:1..::'I.~7.:8... $ '-10.06
Thi, /r4cam/lcof;te aur Bu;tding Penn;' W~en AoJ!.~
BY~~_ Date IL-U~
Certificate of Occu cy
~1.;
II/JJJ/C{1
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ~
Sewer Tap ...................................!t
$
Pressure Reducer ...~~..".............. $
MeIer Hom ........<Z:....................... $
Water MeIer ......'tD....................... $-
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
24 hour notice for all inspections 447-9850
SETS
COPIES
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111 ">f') . C'lr'1
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: '?#It..-t--/ PS "Pt../"1 13(3. Phon'"
Address: <p.O. 6~OXl 32.2-.5",' ]?/II/C...L6
Signature: J1),~ - ~. n. -,
Legal Description: Lot. \ Block 2. Subl N440 ()1tk'.S
Site Address: ..30fAO KA/tJUIGI.o66 Dte NW Je/-SO
Building Permit # PID #_.2S~ 3r,O - oM,,-O
NOTE: This permit will not be processed without complete information.
~~
Thr ("tntt'r of Ih.. 1..11... Count..,.
I. Blue
2. Gold
3. Yellow
Fik
City
Applic<.
PPNo.
19-13Z,
FIXTURE UNITS
Quantity Type of Fixture
"2- Bath Tub with or without shower
I Dishwasher
4- Floor Drain
Lavatory (bathroom sink)
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
Bar Sink
3 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
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Sollner
I Stand Pipe (washing machine)
\ Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$99.50
$39.50
$
$
$
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall cOll!p!y in a!l f9{lects with the ordinances
of the State Plumb;J~nJ{ttk amendmepts thereof.
. z.//&/OO DATE
/f~ ATIEST
Call for ~~spections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-98501 FAX (612) 447-4245
An Equal Opportunity Employer
~
99~/3Cig
\~~
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Perm~ No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date /- /3-,~ PID' 2.5-300-00~-O
S~eAddress .30100 I<mollK\ f')(...,>. PI2.IIJl;
Lot ~ Block Ol Add~ion Ibt'RT"J-I r';~k<. / sf s::: <;r ~ -r-c :;;
OwnefsName /(;/lJhSBtJPtJUibh' ~mE.S
Address/J:38J 10Nh<;RnOnl'&.r1 ue. (1"'7TA?" C;:;PrJfjj:: "SI"'I/_
Heating Contractor A )J;/lJ/)~R'/ v.-;::;"/[) Z71J<Z
Address..~~ J!ARLJI'J1~/D hp /I) .s.ST~f.L( ff},() .5"S-6?S-
Telephone' . ~S-/ ijS? F-?s>/
~,eft/V E.
Furnace Make & Model -ru)( I"11{""1D
Model Size
/OO,;"'YltJ /?ru ',<;
Conn. Load
Fuel /I) k...,
I
Supply Openings
Return Openings
Flue Size71/e -,"3 //
/~
5?
Input / /JtJ, /'Jot) Output,
Edr. ,
Cfm. /~ (PF/J1
TYPE OF SYSTEM
Warm Air Plants X'
Gravity
Mechanical
Air Cond~ioning
Vent. System.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
x
Other Devices
Atterations
TYPE OF WORK X
Replacement New Construction ,
Est. Comp. Date
Repair
Est. Cost $
Building Perm~ # .
qq-/32K
HEATING PERMIT FEE $ --7-'=i, oS" ~.
STATE SURCHARGE $ -:56
TOTAL PERMIT FEES $ /Uf -;.-9Q..
_ /!JeW .
{!o/I.J5T..R.u..<? no,ri)
Receipt. r~. PAID Wi ,".J
1--.,11I f"'! II
. - ~. -~_NG-;':,~:
TYPE OF STRUCTURE
I. Pink
2. G=n
3. Yellow
File
City
Contractor
Single Family
x
Mutti-Family
Other
Two-Family
Industrial
Commerci:.1
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Add~ions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50 JAM , 9 2000
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating perm~ 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 !1l!lllIirJg J1mIIltt ~ before build-
ing certificate of occupancy will be issued.
!::IEAI C:AI C:UI ATION~ REQUIRED w~h number of supply and return openings listed per
room w~h CFM's per opening. New structures or add~ions 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
447-4230
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
w~h 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
case of all work which requires review and approval of plans.
:11-
~jk ~,.;., cLvL)
~ ----- Applic;lqfs Signature"
p<~ \
I tiBonding Offical's Signature -~
/-/J-,;;;ccc
Date
l/z 7/00
I DIII6
11/24/99 16:12 FAX 480 8348
DLO EXCAVATING
-.- . .....
~.~wr
-... CIT"
CITY OF PRIOR LAKE
SEWER AND WATD PERMI'I'
NO. 99-/328
NOTE: Sewer an~ Water
c:ontrac:tgra must
,10. reg isterad
'io/ith the C~ty.
APPX.ICMI'l'1 ,i)LO Z>rCaV4.)IOt/. I~e,
AODRESS:-Ej. r7 - /;)/}./.A, ~~, ~a-.".ih
S!GNA'l'UREi: JltlJf/1jS, t1'I# .5'J(?3,3 ';:/ J:-J
SITE: ADDRESS:, ~Ih/J kY7lJJ/n~ D/it/e
F~LL IN THE BLANK~
~S-r
PHONE,/arl-?/fI'J- ~7
DATE: //-2~-?
BLDG. P~RKrT , qq-/328
PIO' 2.5-3foO- 00(0-9
1.
Estimated 1en9th
or ~atQr Berv!~e '
/
feet.
2.
Size of wa~er service
inchCs.).
J. Leeation of any coup11n9B rro~ structure feet.
4. Type at sewer pipe. ASS PVC~ Cast Ir~n
5. E.timate~ lenqth of .ewer line .~~r _feet.
6. Clean out (if required), located at
structure.
f"eet
frOIn
.-"D"~=r.;;;::31. __
-----~=-_:==- - - ~--iIIII..=._=...__~.__~_=_c=._
.11I your permit
when approved. h-
DA'l'E I /2-/2...; q e::;
8~
. ,
"'=_c=::;;:-III::":a..L~~__~..:-::c._~.=.==s.._ .__ _ H
-=::;z_=.__~.,_=. _ .,_, _ _aI'_15i=-_==-___ ___.
FE;ES :
~
$
$
35.00
,SO
JS.5o
Sewer and waeer 11ne donneet1on permit.
Surchar9tl
TOTAL
· Fee for either sewer or wQter lnd1v1~ually 1s $~.50 plUS
S .50 $ureharqa.
.
SeVer and water p.~1t. issued for ne~ construCtion must be
recorded on the bUl1dl1'1q perlllit card At the tim:~ or issuance
to insure that no duplicate sever and vater permits are
issued.
DATE PAID
RECEIPT 11
AMOUNT PAID
REC~D BY
~~#\'f\)
(~\~?J-~
4629 0.1001. 51. S_E.. Prior Lelce. Mlnn....t8 55372 I Ph. 1612) 447.4230 ,I Fa.. (612) 447.4245
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99- /32-8
Thr("rlllrrof lht' l..... Counlry
White - Building
Canary - Engineering
Pink - Planning
B.U1LDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT k/ N g S~ 8 Q K:-.. 0 U Gj t-/ J--fo 17 E$
APPLICATION RECEIVED /1110 jqq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30 c'c 0 1::/\/ OLLI;;:.I06; & DR-.
Accepted
/
Accepted With Corrections
Denied
Reviewed By: iJ.&.r.m E"!lLSJw.4^'^1
. Date: lIiNi9q
I ,
Comments: S"l. INFolt"''''T"on.i 6,..) -rHt (<'''''EIl.S,''' -",,,....
.SE€- A-rrA(-14""'CfJ'T'S::' I. FiAJf:tL (;RAOE.. IN'SPf:c.llel\J II'JFottf41.a-nOAI /^ all.4DINC Pt-A-N
:5 EaO..tn...l LCNrl1....ol_ y\I\~E"(;'>
!j. F:Ro!t,....., C.c......n-n..OL- ,P~
"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- /32-8
Thf ('rolu of lhf La", Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT K/ N (3jS 8()~O U Glt-/ )-/tJ1165
APPLICATION RECEIVED / (//0 jqq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3000 K!\/OLL.J2-1D6;6 Df?-.
Accepted
Accepted With Corrections Y
Denied
Reviewed By: Ii Q~A--
I
Comments:
Date: /1-1.7 -'L q
y
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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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.". ,.~",...,';"v ....1.iI;! ~~"""_,,,,_~___ ""'"' 111111 ""''''''II'''_~ .~.,.,.........,.:o'U 11,.'_"11,11 I~
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White - Building
Canary - Engineering
Pink - Planning
Tht Crnlrr of lhr L.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,/ I ,: '-':::, ' -' /", ..
f-. .. / '..J \.,/ ..) L~' ( .. ,k...,_
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-, -7 f I C" 1/ I .. '" I ' '-' II .. /'"' c-- {' : j--- ..
....._~: \___..' .f".' ....~ : \:' t. L. C..- /<-, ..__..J (::J~' c::;::.....- t../',"'"-'
Accepted
v
Accepted With Corrections
Denied
Reviewed By: c;::fA, b4t u ~_ Date: /, 1- L )5 -L7C7
Comments: ,
AJL--!~/D_~'1fj~ /'_P~, ,UA~
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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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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS <,r,(,.,(J kIN'> IIHr<l~ Dr-.
NATURE OF WORK t-..) "..... \ (lciVl.4.J,"'-,~
USE OF BUILDING S FI)
PERMIT NO. q '7 -I<~? ~ DATE ISSUED 11- t'l- 'fCJ
CONTRACTOR t""~< k:>or-o"c,l..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I INspNtj I 1'2.; ~ OiEq l'
I FOUNDATION (Prior to Backfill)f~ 0/~i4/", (E ~~~
PLACE NO CONCRETE UNTIL KBOV~ HAS El.:.rEN SIGNED
ROUGH -INS
~::~~~ WATER I SEPTIC ~J;:i1fj
INSULATION ,(ffJ 3/";:;)'
ELECTRICAL I>>
PLUMBING ;uB,':vI7/U,,_ ~)kft/f1()
HEATING (if required) (h- ( !J ( ,3IJIf.ftw
FIREPLACE l(f ':1/~<lt.-V v I.
GAS LINE AIR TEST ~.~, ~. Lj-llHo lih Z;/;q/1llJ lTla;n
COVER NO WORK UNTIL ABOVE HAS BEEf'N SI~N~D'
, ~I!1B.e.~ Rn-- I I
FINALS
GRADING (Prior to Sodding) lIJr, 5/4..doo
BUILDING,\~Jl' -t.~\\loO f.f1, ~)(IDO er-n
ELECTRICAL
PLUMBING o<J <J7b>-,k ,
HEATING r. V:" 5l3//~
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DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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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 gervice 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