HomeMy WebLinkAboutBuilding Permit 99-1332
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
44tJ"7
I
SCHEDULED 1z//<Ij'i1
PONOV/SW
~:O(J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq -/332-
o FOOTING (!)
){"FOUNDATION
/'0- FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXlGRAD/FILLlNG
o MECH RI ~ 0 COMPLAINT
)( WATER HOOKU 0 FIREPLACE RI
~ SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
~ 1!:JF1NAtJ<t:, ~
, S:q-- Iff fl-' ~}
~ 'fJ F-NjI WtJ;:klfVJ
GtVL Ul/ L.-e.o &b"
o WORK SATISFACTORY, PROCEED
tJl!l... CORRECT ACTION fPROCEED
I' 0 ClbRRECT WOfj~ ;. OR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 !OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS MOl
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.c ,JI
/' 0 SirE INSPECTION
COMMENTS:
\U~k
v
{w_
')
/
/
o CORREC
Inspector: _
SCHEDULED
~t-J"1I1 E...v
~
Z<"ll'Cl
TIME
CONTR.
PERMIT NO.
1c:j - 1112-
o PLUMBING RI
o MECH RI
WD WATER HOOKUP
o EWER HOOKUP
LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(' ~
~~
u~
JI) A
{,....{rV' (,
f9/
~
,
Owner/Contr:
CALL 447- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
COMMENTS:
li} r.'wll ~dJ IXA &(,Cd'n~V'"I~ ~
if( ~ ~c9. kvU( v~ r~~
(Z)~~O;>~~~ ~V~~l
- ------
------
0'1' C.O
t1\/~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
K:NSULATIOfl/ 1/4
, ~I~ IV
o SITE INSPECTION
44-07
DATE
SCHEDULEP ~
.A:;/l/DVI6pV
+:CJCJ
TIME
CONTR.
PERMIT NO.
qq- /332-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
tI.\..~ ~_':.':~.BING FINAL
. ~FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-.
-\v
.~
~
--, --\
Y> I -- 9-E:1 :
/' .-/
-
ok
----
Inspector:
COVERING
COD
CAL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IfENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
440?
Po(\d V~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @)
.0 "SULA TION
~~INAL
o SITE INSPECTION
COMMENTS: SOD
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
---
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(~)
--2'h /I (itJ,
(J I {J,
j~~~
~,
V> /:..1.0-'
/-
\..
-
.
(~
&.;.(A L-. E'
-
","11
~
TIME
A1"
q~-rs3Z
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~{~[;~~c;:' :,1 ~EM~~;i:~~~~~:E OF
~ \ \ ': [' ZONING COMPLIANCE
l\ --.-..-~--____AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
t:J::l.1332-
Permit No.
1. DATE
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
4"'''', i;>"",-"",,,,-...~...,.,,,
3. LEGAL DESCRIPTION
\"''''I<Jo,,~
BUilDING INFORMATION
". SIZE OF STRUCTURE
(Hei~hl) (Width) (Depth)
<!><'>' "''i!: "'.......
12. NO. OF STORIES
\
I2.J
PID ~-~~Io-~,:--a
~
~
BLOCK
lOT
13. TYPE OF CONSTRUCTION
~Ob~ ~c-~.__Cl-
14. FLOOR AREA APPORTIONMENT USE
\~~\:l
~-,~~.... "-<-,
ADDITION
4. OWNER
(T.L No.)
\nS' - ""-C>\O - "" '-\.<::>0
(Tel. No.)
(Address)
O:.c...__ Co..___
(Address)
(Nam.)
W<-_~~c.""""'---
"'" ~ '"
(Name)
5. ARCHITECT
~ ~ "'^- "C
(Address)
,eqS PI..I\2A; oe..'j e:-A€jAN
"::,.\J>...'''', \:::
(Tel. No.)
55/2.. 2-
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT.o
6. BUilDER
(Name)
SEATS
7. TYPE OF WORK Fireplace)'l Septic 0 Deck 0 Re-roofing 0 Porch 0
New construction"eJ<. Alterations 0 Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. \<\.(:)~ ~O
16. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0 CULVERT SIZE 17. COMPLETION DATE
Sq. Ft.::.~ S'E;" ~ Width?:,O D.pth '3>S<.::> Y.s No - \1>.."". c r- ~/,S. ( 00
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. J also certify the't 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
building official can revoke Jtlis permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X \.'\<.~ \::>'-'-'-"'--<<-<C" '\""'S.K ,-,{,~lo..."I.
Signature Lice1se No. Date
"
,
FOR ADMINISTRATIVE USE _
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
SOIL TESTS
o ENERGY DATA
o
Side
Side
..ok
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ---t:l..O.: ("y"'y). r-r:J
<--.....
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
51=0
USE OF BUilDING
PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ............. .............. $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
S U
r:? <:;O..(!!P
, OSL?90
1,337."'2"
~Yi.21
Cj')-. 0/,
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .................. ..................... $
t
45. lY'6
Pressure Reducer .......................... $
Meter Horn .................... ............... !t
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $1
Water Tower Fee ........................... $
100.0-6
Plumbing Permit Fee ....................... $
J :LK.~O
2.CYb _ ""'"
7(')O.(9r!J
1<91:l~
?s . ~CJ
qO .00
Mechanical Permit Fee ..................... It
V
lPlt]1 qq
IV
Sewer & Water Permit ...................... <I:
Gas Fireplace Permit ....................... It
;is~~~ing~:t';"7/e::tPf~~~
Certificate of Occuptcy -
Water Tap ................................... $
Builder's Deposit ............................ $ I. ~ ....~
Other ......................................... $
Total Du. .............................. $ ACJt/-b.9'"
Paid 'OtflI~ .t:Jr, R.C.iPtJ,~v.57P1
Dat.,zj3!t;9 By 1fCL--
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may prOCeed/, requested. This document when
constitutes a temporary certilicate of Zoninl].Ji%"pliance ~d allows const~ion to commence 8elo. re ccu. pancy. ,a rtificate of Occupancy m~st be iSSUed,.
""'A _..v'\- 1- ?IS>--r::t <.. __" I r "'" _ (' (}'v1b~.<'
fier - Date '------J - -' SpeCial Condllons d any - -
Issued
This is to certify that the r
~.theCityPI ,
.:/A. "
CilyPI
24 hour notice for all inspections 447-9850
DEC. 3.1999 10:35AM
GENZ RYAN 6513226147
NO. 844
P.3/6
DI'CN...,.....Lalllc:....".
Quantity
Z-
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1. B_ m.
... Oold Cl)'
l.Y_ ~
QCj-/332-
CITY OF PRIOR LAKE
. PLUMBING PERMIT
APprlCant-F.~"""~' - fl.'LX'_J/)
Address: hl ""1 U c; 1In ~f .....,.. t'2-I-
signature:~. ./'- -
Legal oesCrlpti-;'n;'t,.. J .'~ 81001< '2.. Sub-LDI ro..ID:.LrP\'1'l...
Site Address: t.ft-Ib-' P~D~i~"'\ ,012- 12...1
BuildingPermit# q - /332- PIO.. 2.f';"- 3'3'='-013-0
NOTE: This permit ~II not be processed without complete inf~", ....;~n.
r....... ..IRE UNITS
#
Phone: lDS\-Ll-'"l.~-(NU
:':,'
Type of Fbllure
Bath Tub with or without shower
Dishwasher
RODr Drain
Quantity
Type of FildUl'II
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
3
\
~(
I
Rough-Ins
Water Heater
Water Sollner
Stand Pipe (washing machine) 1
Sewage Ejector I
BackIIow Assembly (RPZ. Double Check, PVB) 1
Backflow Assembly Test
Lawn Sprinkler
Other
..
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job coSt, 539.50 minimum)
Residential, New One & Two Family
Re&idential, Additions & Alteratioll!l
State Surcharge
$99.50
$39.50
$
$
$
$ .50
V~O~~P.M\'\'
\ eu\\,.\.J.HI:a .
GRAND TOTAL
This pet1Ilil is IfUlted upon the exprelS condition thaI said
coll/l1lClor. shall comply in all r..pects with lhe ordinOllC..
orlh. Stare P1wnb]n fjEo and tho emendm,qu thorouf.
. NO. r~/3 "! DATE
/ .
. AI..l~.l
Call for all ~CClions 24 hours in advance.
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372 1 Ph. (612) 447-4230 1 FAX (612) 447--4245
Jut Equal Opportllnity Employer
. CITY OF PRIOR LAKE
. 18200 E.... Cleek Av. S.E. Permit No.
PItlit' ....u. UN 65372
'. )
qq-/~32-
HEATING APPLICATION / PERMIT
Dale "\'2.",lqQ _ PID. LS-33('o- 01'3-0
SMa Addre... t../LIO., Ch"-.lrY\ iiel. i JI72. /2...1
lot 3 Block 2... . Add.1on ()..)I f'..)'D~ r~
OWnefaNBl1Ie. 11 "'~ VUf" Lbvv1P~
Acldr... 1Q.q(" 'P \0... ?..- A- lv- EO t">~1\J
HllIIIng Contrar ~e-VY)_ - t 1 IA ~
Address. IU'\UC:::: <;.n " ~ Dr TrzL fJu vYrt71 In""
I tC'l - Llz..3- 1\LlL+
Telephone'
FIlI~ ....ke & Model t (I J.M\fif-
ModllSlte C:.2~?>\~-\Nr)
CoM. lolli
t--lM'
fuel o.H<-
SUJIIlIy Open~
RIIIIIII OpInln;s .
InplJ1lOO,atIO
Edr.
CIm.
Mllallona
TYPE OF SYSTEM
Warm Air Planls c..
Gravity
Mecllanlcal .
11'1 Conditioning II
Flue SIze C:;" p.""fK\-r-venl. Sya'llm
14 HEAnNGOR POWER PLANT
Steam
l.p HoI W.ler
Rlllla1Ion
Special Devices
Output ~O,OllO
Other Devices
TYPE OF WORK
~
r" ,~r,! .. . -nenl,
New Conslrucllon
Est Comp. Dale
Repab
Eel. CosI ,
HEATlNG PERNIT FEE $
STATE SURCHAAGE ,
ll>TAl PERMIT FEES $
. Buldlng PermJI' qC; ~ /33 Z--
".,... PAID WITH
.50 I BUILDING PERMIT
Receipt.
TYPE 0-= STRUCTURE.
I.... -". .n.
2.lIIo ,a.,
1 Yell,. _ j c..Indar
Slng1e Family
J(
t:l
1"1
n
lirIo-FamIy
Mulll-Famly
Olher
...
U)
U)
U)
w
COIMl8l..to'
.lndullltlel
PI '.'.-
Fee Schedule
Indus"'al, Commerolal & Mull-FamDy
RllIldenllal. Healbg & At;
RIl8Id1n1aI. Heattlg Only.
Reeldenlal, Gal Flreplel:e
R8IIdenIIaI, AdtifUons & '111'1 , I ~. 11
RIl8IdenIaI. At; Only
...
CiI
W
(J1
D
3:
1% ol lob _t ($39.50 mlnlmum)
'99.60
'84.50
539.50
539.50
139.50
G)
1"1
:z
N
;u
-<
D
:z
lTl
(J1
...
W
N
N
lTl
...
J>
--J
R8lIIemberto add the Stale Suroharge on the bottom of this appllcatlon.
Tha.prlce 01 your healing permit Ir .'. ". Olllt rough-In and one nn81lnepecllon.
AddlIlonel ~ wi! be blUed at $85.00 llICh.
HOIIlIe Healing Test Record IlIII8I be aubndlled wIIh 1ItilIlllDg!llflD1l number k!ole buld.
ing certlIlcale ol occupancy wi be Iuued.
uc 8'1' ~., ~'" .,.'n....~ ",c"H~",n wIIh numbll olauppl, and retum openings lilted per
room wHh CFM'a per opering. NlIW.1IUclur8I Of eddiIloll8l11Nld __ pIen witI1 ~
8I'Id r&lum locallon8 ahown. HEIU' lOSS CAlC~TlONS. PAYMENT AND
IIPPUCIJIONS MAY BE MAIlED TO THE CITY OF PRIOR lAKE, 16200 c..,.. c
CREEK AVE. 5.E. PRIOR LAKE, IAN 56372.
CIIy Haa buslne. hours lIRI 8 ..m. . 4,30 p.m.
ALL WORK MUST BE INSPECTED (ROUGIf.IN AND FINAL) . CALL CITY HAU
447-4liD
I hereby apply for a mechanical ayslema pelmlt and I acknowladga that the
inlorm.lon above Ie complete and accurate; Ihallha wolle wln be In conformanClfl
whh the ordlnancaa and code. 01 the ctly and whh the atela bulldlnglmachanlcal i3
codaa; that thle form doaa not become a permit until e1gnad by Ihe BUILDING ~
OFFICIAL; th.t the wolle will be In accordance wMh the approved plan In the J>
ca8~. of a\ W~k whlC~ :~Ir... review and a,pproval 01 plana.
~O . )\\'l.o,\~~
<.... Appllca~ur. Dal81
~,~ I~/~/qq
BulldIn~aI'. Signature . Datlt
-u
J>
"
lTl
DEC. 3.1999 10:34RM
GENZ RYRN 6513226147
NO.B44
P.2/6
_....
.,1lolAW.-.,...
ema.CIT'I'
CITY OF PRIOR LAKE
Sl'w=, AND WATER PEmUT
NO. QCj-/332-
.
NOTE: Sewer and Water
contractors must.
be reqistered
with the city.
APPLICANT: Geviz. - ~~
ADDRESS: 1L..11UC:; M ~i/-r- '1'Y/..L
1.
2.
3.
...-" 4 .
5.
6.
" ,"j
".'-~
PHONE:J nC::::l- U"Z.. ~ -jj ULj
ismr'DATE: I Z - 3-~
BLDG. PERMIT # qq-/332-
PID# zts-330- 0/:=<;-0
SIGNATURE:
SITE ADDRESS:
44F)"'1 ~..Ji)tJi,1O Tr2-
FILL IN THE BLANKS
,)", I
Estimated lenqth of vater service ~)
feet.
Size of water service
" .
inch(es).
Location of any couplinqs from s~ructure feet.
Type of sewer pipe. ABS PVC)< Cast Iron
Estimated length of sewer line ~() I gfeet.
Clean out (if required), located at
structure.
feet
from
.....======~
..------~-.--..m-.....-.... -,.---=-------;--- -----
'l'hi~ applicati {!Jie4t!mes your permi~~nen approved. / .
BY 1{)i.Jf.L- D~TE: 12-/3 qq
____________J___
---~--------r=------
-'==::!_-----_.========----------~~=======
FEES:
$
$
$
Sewer and water line connection permit.
Surcharg'e
TOTAL
35.00
.50
35.50
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
*
Sewer and water permits issued for new construction must be
recorded on the buildin9 permit card at the time of issuance
to insure that no dupllcate sewer and water permits are
issued.
. ,"I~~ ~\~
AMOUNT PAID~'O'!'O~?I
9\~""-
REC'O BY ~\~
DATE PAID
RECEIPT #
. 4629 Dakota St. 5.E., Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fall. (612) 447.4245
Nl EQUAl OI'POIl'11.lNllY EMPlDYEll
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. eV1-/332-
Prior Lake, MN5537:l
HEATING APPLICATION I PERMIT
Date /-/rJ-no PID,_2.5- 33<0-013-0
SUe Address l/"AJ 7 Ib.-r/~I'h.) /7'/'J,.ff f2.. r
lot L Block.:2 AddBion. WiNDSTAR
Owner's Name /;,)~...r",~ /-1.",--,--
Address
Healing Centraclor .~LLIED FIRESIDE dba FIRESIDE CORNER
Address. 2700 N. FAIRVIEW, ROSllVILLR. MN 55113
Telephonel. 651-633-2561
FIREPLACll
ffmttlQ> Make & Model JJed /oJ
(;;0
TYPE OF SYSTEM
Warm Air Planls
Gravily
Mechanical
Air Cend~lonino
Venl. Syslom
HEATING OR POWER PLANT
Sleam
Hol Wale'
Radiation
Spacial Devices.
Model Size,
fJ,' r." -ref.-
COM. lo ad
Fuel
Supply Openings
Return Openings
InpUI
EdT.
Flue Size
OU!put L/i1r=
Clller Devicos
elm.
TYPE OF WORK
Alteralions
New CDnstwcllon 'y
Replacement
RepaIr _
Est. Cosl $
/_ /u
17-(Xj
qq - 1332
~
Est. Cemp. Oalo
1100_ ()J Bulk/fng PermU
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTALPERMITFEES $_
.50
Recelpl /I
TYPE OF STRUCTURE,
I.Pfllk.
2. Vtft:tl
:J. Yellow
m. -..J
011 I
Coft'-ec I\)
IS)
I
(0
(0
U1
I\J
""
j;
::::
Single Family
C<>mmercial
Two-Family.
Induslrial
Public
MulU.FamIly
Other
Fee Schedule
Induslrlal, Commercial & Mulli-Family
Residential. Heating & A.C
Reskl.nlial, Heating Only
Residenlial, Gas Fireplace
Residenlial, AddKi()lls & AIteralions
ResidenLlal, A.C Only
1 % or Job cost ($39.50 minimum,
$99.50 'Tl
$ ! . ;0
64.5/1 i 0
S39.~~'{' ..IAN I I 2000 " ::::
$39.50,\ \ . V
$39.50i \', '._..~L/
..JU-
i
Remember ID add Ihe Stale Surcharge oolhe botlom D! this eppllcalion.
The price 01 your heating permil ;ncludes ,me ",ugh-in and one llnal inspecllon.
AddilionallnspecliDns will be billed al $35.00 each.
Hoose Heating Tesl Record musl be slIbmilled wilh buildino 1!lllllIiJ......,,"", be1o1e bull
ing cerlilicale Dr occupancy wi. be issued.
HEAT CALCULATIONS RFOUIIlFIl. wilh number 01 supply and relum openings Imlad I
"'om wilh CFM's per opening. New structures Dr additions send Iloor ptan with supply
and .alum locatiDns shown. HEAT lOSS CALCULATIONS, PAYMENT ANO
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Cily Hall business haurs 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 syslems permit and I scknowledg9 Illallhs
information above is complete and accurate; Ihalthe wDlk wtll be in conlormancl
wilh Ihe ordinances and codes Dr Ihe cily and wllh Ihe slate bulldlngfm..chanicl
codes; thallhis lorm does not becDme a permil unlll signed by Ihe BUllOIN(
OFFICIAL; Ihat the work will be in accordance wilh Ihe approved plan I" Ihe
case 01 all work which requires revIew a"d approval 01 pia"..
g~tL /J~ /~/o-())
Ap~~J'Walure Da,
~ /////CrV
Ing Ollical'_ Signature ' Dal..
'1l
/
~
.~
QQ./33Z--
/
While - Building
Canary - Engineering
Pink - Planning
'-.
Th~ C~"lu or lh~ L..... Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
IV e 1151'1 /-) /VN II {; Il165
/1///5/qq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
44(/1
7-1?N Q V ( 6 (/I/ 772-.
Accepted
Denied
./
Accepted With Corrections
Reviewed By: t.iA, ro. t:H"F~"'''',.JN
Date: lIi'Sh?
Comments: -r;;c.
Lo vJC.S"-
cpc.,J\,.y"... rAN,JtJI~ BE
A~ I.t,.'.r r.EL,.c)o,..,) 7Ht5:.
tL.F.'vIl:lTIO...J oF=' 9ftq~o.
J';Ic
L..o~t!'S'" FL.ot'JR..
t'.AN.-..}or
Sf.. BtLO-J"77-I1:..
.E...L.L:.1A.laAl oF'
q'.S.1"'\ _
Dllhl/;'....M:Y ~Io.r....,
l!."",
",.JL....... i3F'_ ,q J"V\.I:1~.....yM o~
20.1 FEF.,. . AT" .,-",,:: Mn""'- Pllol'EAn' <.-l,.J!':
L"\Ef ItJF",a.""'A1"lfhd 0,.,,) 1"'..,e
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tf. Ell..OSIl'I^' t'...,AJ'i'T1 OL Ra1\J
"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 ("tnltr of lht lib Counlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
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_/
NAME OF APPLICANT
APPLICATION RECEIVED
(" ,.
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/ ' ;' /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.. "/
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Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ (1.00 , ~
Comments:
Date: L l- JO-qq
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(' JJ.MM.JC}'\ ~A/\.rA"c.9LU~ A~ \to ~~ ~"'A/J
f~AL-k';~
"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."
9Cf -/332-
White - Building
Canary . Engineering
Pink . Planning
Thr Crnltr of Ihr L.kt Counlry
BUILDING PERMIT APPLICATION D.EEARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Wf5/V'.5I'1ANN IfOftfEO
/I//s/qq
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
44{)7
I
PtJfl/DVI6W 772-.
Accepted
Accepted With Corrections
Denied _
Reviewed By: V:JJ A_ L
Date: 11~(?-77
Comments:
ILjJJ~4-~~
"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 RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ 07 ~II/PU) lr=.
NATURE OF WORK klp,,\ 0trn,"'\tNJJ,ffiol
USE OF BUILDING SFD
PERMIT NO. '1'1 - 1332
CONTRACTOR \. 1 ',A"',,,,O,. ,~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I /itA;-, l'f If 1 I
, FOUNDATION (Prior to Backfill) v~...,.d. cjj /~.3/~"\' I t}5) I ZIP! (9.9
PLACE NO CONCRETE UNTIL ABOVE HAS BE~N SIGNED
ROUGH -..J~S
SEWER I WATER I SEPTIC (!Jf" liJJJ1/jt?1
FRAMING \/'p
INSULATION PIS 1/<HJ/dU
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DATE ISSUED
INSPECTOR
I
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Iii)
~/4/'1 p,~J
~IIII;'()
/1-17-1:19
DATE
t .. rt -20-bD
I
I
I / -Ier -2000
/Jjq/;-/?-2~
, II
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
l we. !>k.'flc() ~
~(fO, 11711
o ~~~4f>
(v 1/)
OCCUpy UNTIL ABOVE !~IAS
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 no service cabinet is available, card shall be placed near main entrance.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
7//1 jpo
I' I
I ,
13htw
,
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850