HomeMy WebLinkAboutBuilding Permit #99-1423
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CITY OF PRIOR LAKE l,~;4;
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jltpartmtnt of ~uilbin!.l Jmiptttion
fpinal Permitted 0 Conditional C,Q. Expires
" This Cenificate 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 tlie following:
Use Classificatio"
SINGLE FAMILY
VN
Zoning District
Bldg. Permit N/"
N/A
99-1423
RISD
Occupancy Type
R3
Type Construction
Fire Zone
Legal Description
L4. B2, KNOB HILL
Owner o~ilding _ C;Oile Address
Contraclor'sNamc&Add'...Homes By ChlJse, 1668 E Cliff
~ I t"'ity Planner
14712 ROSEWOOD ROAD
Rd.. Burnsvllle, MN 55337
JENNI TOVAR
Date:
ROBERT D. HUTCHINS
Building Official
(~/~~{/!rro
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
(,/;100
ADDRESS 11./11 Z. Ro.€wooi\ f< 0 IW'>
OWNER CONTR, j...IOM€-3 l~.... C ':itl}1'
PHONE NO, PERMIT NO. q, -1-+7. ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
')( FINAL
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(EXlGRADfFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Qu~j} ~. U,-",.hl'\P, ,':-
<.'-IGr1""::A"'\
1$
IN'; V71u... f:"!,
Cun~C\~i<... Ok'
(v'I""Ain'l,^1 "iL"'- i='!:..ruo: I }I,I,!",,- ~1'l1i:J'.
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Ill. ~JA ~ Cl "wner/Contr:
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYf
INSNOTl
DATE TIME
SCHEDULED #.3: 0 C)
~ f/t/(j?
JjCOII.'IMENTS: ,
(1.. C liC'" :')ty-uK
- .
y<;; ! II ~ ~<.J 'rVe.-
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/4-7/7
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
Po 0 MECH RI
~ATER HOOKUP
A EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1001'
~
Ok..--
/'
I
(,..
99-/42..3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/I,
tl<trv\'
brr.......d, ,
SFACTORY, PROCEED
ROCEED
OR REINSPECTION BEFORE COVERING
Owner/Contr:
INSNOTl
EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \47 12.. RoseJ..VCl":t:i l<A
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
^ 0 MECHRI
o WATER HOOKUP
~EWER HOOKUP
UMBING FINAL
MECH FINAL
~OMI\.\ENTS:
(\) ~a '[:,
(;J
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fwi Jw~ 1~'u1/)
r I~
LA AJ !h,,/h---
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I
DJ.TE TIME
m.. ~ l h::o
ot9 - 1423
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
'S,bD UY\ ~
\r:>-r, ~
.:.>
.Y\
..-1/ ,
UI'-----'
NSPECTION BEFORE COVERING
Inspector:
CAL/447-9850 FOR THE
Owner/Contr:
EXT INSPECTION 24 HOURS IN ADVANCE,
lNSNOTl
COD REQUIREMENTS A E FOR YOUR PERSONAL HEALTH & SAFETY!
_...,_._----,.._--~_."_._._- _._-_._-'-----~-"-_._----..._-----,--_. ,
~
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ z:3()
J47/,?-- et;.S6fVOOP !eO
SCHEDULED
ADDRESS
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT10/'Yl.
'bi(FINAL {VrJ
("b 'SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
_ 0 ,,"UMBING FINAL
~ECH FINAL A
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Job Address
Heating Contractor J Controlled Air
Name of Testerh -
Date ~/Ov
'~ C,?
7
o
'? If,
~J.~~~
OWNER
CONTR,
PHONE NO.
PERMIT NO,
qq-/423
Percent O2
Percent CO2
Percent CO
Stack Temp,
~e;,+-zJA c.
+,/~
C L 4479850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
COfE REtIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V ua~,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
14712.
KoselAJood
OWNER
CONTR,
PHONE NO,
PERMIT NO,
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Socl .... Iv-ccc;
o FOOTING
o FOUNDATION
o FRAMING ~
o ~ULATION
"':li4'INAL
o SITE INSPECTION
~/ti:~
fLd.
qq- 14Z3
TIME
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(.J) ~ .~ ,0.L/ ~ ~
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~ _ _ ~.~...J
~~ ..f..c (l.l~ -~ --......
(~~ ~~-
-- ~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~I OWner/Contr:
,
gALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
_.~.._---~._----"_.._~_._-_._-....-'_...-
~'%
DA T~ RECEIVED
OEe I 7 1999
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,
QC;-/42 ~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
I ~;h7/q7
RIEl)
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height; ( (Wi~~ (De~ ~
12. NO. OF STORIES 2---
2, SITEA7~71 ~
A05f?//JrJd RcL
-z..---
flLL
,<Ad~SS)
dy /' ..",t4fP
(Name) - j.,ddje,SS) / L LJ /
!&vf' 1[. V~ cr7 ftc!.-
If. {/ / I /e.. {Add~ rl-- (TeL No.)
~~337
7. TYPE OF WORK FireplaceD'" Septic 0
New Construction~ Alterations 0 Addition 0
Chimney 0 Misc.
8. PROPER17'/REA OR ACRES 19. PROPERTY DIMENSIONS 1100 CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. A..{.1 (J..( ~ I Width Depth Yes No l.--' <1'0 At? Jt.y .5
lliefe:bycartify that I have "~d 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 m ned property and that all . truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware tl1aLU:le--
building 0 . ial n revok )e~r'. cause. Furthermore, I hereby agree that the city official or a designee may enler upon the property 10 perform needed inspections.
X / ../A//'.4.-/~/f' j.2y'/.., -..;?~
Signature License No. Date -
3. LEGAL DES9RIPTION
LOT J..f
/' BLOCK
/<r J1ttJ h
ADDITION
4. OWNER
6. BUILDER
(Name)
PID 2-5-3/0 - 6r7-0
13. TYPE O~NSTRUCTION
k~
14. FLO~ AREA APPOFmONMENT USE
(Tel. No.)
c:,/;2 "f~{;-6?!77
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Dec~
Finish Attic 0
SEATS
Re-roofing 0 Porch 0
Re.siding 0 Finish Basement 0
16, PROJECT COSTNALUE
Water Tap ................................... $
Builders Deposit ..............,............, $ ,. &)t)C) ~
Other ......................................... $
Total Due ............................., $-z. hIS. 7..1-
Paid 7&/5. 7 J ReceiptNp. ,3& 71-S-
Date ilzb/rrr By t!tG
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~s requested. This document when
19~1annerconstitutes a temporary Certr.cate of Zon.wQ..QOmpliance and allow~struction to compnce. jlefor~ occupa~ a Certificate of Occupancy must be issued.
,o.., -2-e-&<.J .:S"'<L ('~JI(~ ..tt~C~~.'1l
iIy Planner Date Special Conditions if any -
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.~Fn
TYPE OF CONSlRUCTlON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty.............. ............ ............. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPliCATiON
S,ok Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATiON TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION I ~s .1./4/. f'JD PLOT PLAN 0
S U
City:
Amount Brought Forward .................. $
Park Support Fee ................. .......... $
SAC ......,................................., $
,...^lIn^.i'.^~1'881ree .~........... $
a,so.C>Cl
, II ,-0 .<:ge;'
. Sh. f')f)
Ullp'2. . LC::;
'(p '1(').4. 1-,
fa7 So
Sewer Tap ................................... $
~I $
Pressure Reducer .......................... $
Meter Ham .....~J~'1'............... ....... $
WalerMeter ....7.~......................... $
Sewer & Water Connection Fee ........... ~
WaterTowerFee ........................... $
I dS.6J6
I, 20tJJ .C9C:>
7rY'.l . C$7
~.en
I f>C).C)C)
IOf).OO
25.50
'10 . ($lz:s
~
our Building Permit When Ag,g.roved. G a.
Date J ") .: L '3,. L.'
Issued
.'-r-----...--....
24 hour notice for all inspections 447-9850
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CITY OF PRIOR LAKE Me
18200 Eallll ereell Av. S.L P.rmll No. qq -/4- z3
Prior l.8ke, MN 55372 '
HEATING APPUCAnON I PERMIT
D,~,-:?-~/-(")("j PID,2.5-310- ()17-{)
111
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5ft.MIl,.., . jJI7/~ 1?nS..pIL~ ill
LDI +- lllat:k Z Addition KNOI!3 /-11&(...
- "
Own.... Nam. t/,..#'7?p.r:. 13..IJ C~~
AlIdreu. ~1J"'dr::IlJ/It!- J
Huling Conl.lll:lOr /~..... Jk/~,C) o..,'/"
Addr.....:J/:J/(') Glh...A.J All"', ,h;';", M.. r~~'-/
T'lephone.~0) ~._~; 0
Fllln_ Mak. & Mad.I~.'" :;r,1J.<;lO,~PE OF SYSTEM ./"
. """m Air Pllnll V
Gravlt, .
Mech.nIcIIl ,
A~ Co .di1lll.il1ll
V,nl. S,lllem
/<! ISO
Modet 511. An. 000
~
CoIll1, laed
Fuel AMI-
FhHI Size r~~1
HEATING OA POWEll PUNT
Slum
HolWelar
Radiallan
SpecI.1 Dwletl
Supply Openlllgl. /5?
AelUln Openi... g
Inpul OUlput
Edr, _
011\8' 08Vlc1t
ClII\.
llPE OF WORK
,/
...
N
, Replacement He", Can&1Iuc1lan
, &1. Camp. D.I.
....
....
AllII.lions
IS)
IS)
"-
....
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IS)
"'pall
Ell. eo,l S
HEA llHG PERMIT FEE S
Suldlng P.nn!' .
99-/423
( PAID WiT:-I
\ BUILDING ps..~;,.,T
.50
ST^TESUIICH~GE t
TOTAl PERMIT FEES .
Recefll'
TYPE OF STRUCTURE
~ Tw..f8mIlv
Single Falfil,
CornmeJCblI
IndIIlIllI&l
F.e Schedule
Intlullrlat. Commen:lal & MUlI.FemI1
RMlllanliel, Hltal1tlg & AC
Rutclen..~ Healing ON,
R.eIdenllal, GII Flrwplec:e
Ruldanllel, Addltlotie & AIlerellane
Realde nll.~ PI:. Onl,
lo... - Dr
..,- - '
M..u.FId,
Pubic Oller
1"" 01 lob COIl (S1Ua ....-4
$911.50
$84.50
$39.50
$311.50
$39.50
Rlmlmber 10 .dd lhe 51all surdwge on ... bal10m 01111I. appll:lllon.
Tha priCI 01 your h.a*, penn. lnaMl.. one lOugh-in 1Irl' onl rlllll' .. , .' . ' ~
Additlona' lnsplc\1ons will be. bUild al $35.00 aecl1.
HOIII. Heeling Tesl Reco,d must be ,uIlmlned wlUt IIIIIIdIlIa UJd~ ....wlld-
Ing c.,Ullcal. 01 occupll/lCY wIlll9 Rued.
I-'F4T r.., r" n4T'(lt,/~ ~"(\' ''''FI) wllh number 01 I~ end noIlm .......... Isted pv
.oom wllh CFM'a per opening, N.... lilUclur.. or eddlllDIII .nd n.r pIm IIIiIIlIllpplv
end .alum locallona Ih....n. HEAT LOSS CALCULATIONS. PAYMEIlT AND
APPLICATIONS MAY BE MAILED TO TliE CITY OF PRIOR lAKE, ,.. EAGlE
CREEK AVE. S.E, PRIOR LAKE. MH 65372-
CIIy H.ft lJualnel. houll ..e . I.m. . 4:30 p.m.
ALL WORK MUST BE IHSPECTED (ROUGH.IN AHD FINAL) . c.w. CllYHALL
441-4130
I heraby epply lor. mechanlcelly.teml p.rmll.nd '.dm_I............
Inlannallan ebove II camplll. .nd .C1lurele; thel th. work wq b.Iil_...._n..
wllh Ihl Olllinen..1 anll cad.. ollha clly end with Ihl Ilal. ~at
cadel; Ihallhls 101m doe. nol became e permll unlllllllnadbJ..BUaD1NG
. OFFICIAL; Ihat Ihe work w," be In eccordenee wllh the ,ppnlved pIMa. Ihe
. cas. al all work which requl... revl.w end appraval 01 pll/ll.
.i!~ Z~~-;;$
^T~
Bull,.. Olllcel'. SlgMI_
r~ -,!;)/-Ot!J
3/2-0:/00
0.11I
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicantJ~/IAi {J//~/,,~:, //l Phone'
Address: ~''/~;;.d /1/7 O/~ volWl'/N. 5.5$5'7.-
Signature: '(Yf /7;'--' M/'"/7...L2!:)
Legal Description: Lot 4- Block Z- ~ub /CNOB Hlf..,l-
Site Address: J~/ ;//? /1'//Jp / I/VV/ A06d lel6D
Building Permit #CI q ~ /4 z.3 PID # 25 - :3 10 - 017-0
I. .
NOTE: This permit will not be processed without complete information,
10/21/99 THU 13:14 FAX 6124474245
CITY OF PRIOR LAKE
1hr ("nll..r ,., ,'''' I..... C'O\lfllr~
FIXTURE UNITS
Quantity "
Type of Fixture Quantity
~ Bath Tub with or without shower .~
J Di$washer /
'l Floor Drain
C? Lavatory (bathroom sink) /
) Laundry Tray (1 or 2 compartment sink)
! Shower Stall
/ Sinks
Bar Sink
~ Water Closet (toilet)
FEE SCHEDULE
Industrial. Commercial & Multi'Famlly
(1 % of job cost. $39,50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99,50
$39.50
GRAND TOTAL
l&:':J VU.
I. Blue-
2. Gold
3. Yellow
11Is.
0'1
^rr1iwu
#
QCJ-14:z.3
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check. PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50 ~
\N\"'\'\" .,1'
/ ~P.\O p,::.....,'"
~\\..OW~G '-
$
\)t.C 'l. \) \~
This permit is granted upon lhc cxpres~ condition that said
conlrl\ctor. shall comply in all re.'ipccts wilh the ordinances
of the St~tc Plumbil e and the amcndmen~c; thereof.
0, J'Z-/;z.O~D^TE.
ArrEST
Call for al inspections 24 hours in advance.
16200 Eagle Creek Av. S.E,. Prior Lake, Minnesota 55372/ Ph, (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
GREEN - fILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S,w. No,!1q -I t.f...Z3
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:. S'r'a",t; 'Y1~ S"' [. ')(L 5.fI'VI'USPHONE:51J7~'l'fr-!26;2r:
ADDRESS: t:J''J20 fh..;7"I<' ,.4-r-{h...</~6 DATE: tl/,/ ~t:?'dtJ
SIGNATURE:, cfZ-!.,Ii~";;"" BLDG. PERMIT # qq-/4-23
SITE ADDRESS: /L/?/'2I'- - ".".....jJ f. PID# 25-3/0- OI1-n
.
FILL IN THE BLANKS
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
s your permit when approved. /
DATE: zit 0/ 00
I
This
-------------
------------
====================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $7~.~ 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 PAID , ~:n~~t.~.'.~\"t
REC'D BY \~\\\\.O\t~
RECEIPT #
16200 Eagle Creek Av, S,E., Prior Lake, Minnesota 55372/ Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
.."........- ..-........-..-'.-...r -..........-... ...........'---- ~-~,. ~ ..-
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White - Building
Canary - Engineering
Pink - Planning
Tht Ctnltr of lhf L.kt Country
,BUILDING PERMIT APPLICATION DEPARTMENT CHECIq,JSI
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:
/ ~' ) /7 r.. ,;,' (" I I, l i
./ ':r~- ,/ I ,:::..__ /' '., ......,'" I"~' " '~/ 1--/ / . L._..,....
Accepted
~
Accepted With, Corrections
Denied
Reviewed By:
~!J,~
v ....
Date:
1- ?{)- c9C)
Comments: ,
A/L~~~~'~~vwr
6Nj/~ I\^~e""'~ "S'u-Q.u ~/J. ~.
J L( P\ :M Mi\AM..911\
lfiw, /~ ~htM
r:v~~ w\-JJA- cl- (;vl~
~ _ () _ cU' ~ ' V T or-
"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,"
~~
(/Q-It/Z3
White - Building
Canary - Engineering
Pink - Planning
Tblf Cfnlrr of lhr L.kI' Counlry
BUl1.DING PERMIT APPLICATION DEfARTM~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/lz)IVJf3..5 /5// fJlI/JSb
12//7 :/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-712- ;e05EIIl/ OOD /GO
Accepted
Accepted With Corrections
?<
Denied - 12 ),
Reviewed BY:( ri:,J) ~
Date: /2. -2'3 _9'7
Comments:
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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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White . Building
Canary - Engineering
Pink . Planning
Th~ CtnllL'r of lhf hkt Counlry ~c. e:. ) 0 F 2-
flUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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:
/c!OSEIVOOLJ /GU
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Accepted
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Accepted With Corrections
Denied
Reviewed By: .W"" ...~" F..."E'........I
Date: I?Jzrj'rl
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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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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT !-J,...."" EC:: R",
APPLICATION RECEIVED /2/ 17 /99
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The Buildin~ Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/l.f 7/ Z. z,<:E:/..L.V'n/\ :t;nJ4f1
Accepted ./ Accepted With Corrections
Denied
Reviewed By: 1.I..L:'-g2 tlol(lE'~"'04NAJ Date: /7../ ZJj/n
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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 provisicrlis of this code or other
ordinaAces of the jurisdiction shall not be valid,"
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 141'7 \jt R~n-Q IW.
NATURE OF WORK '" )p", f""'AC;~'~-" ( \-:ffi/\.
USE OF BUILDING St:"r--.
PERMIT NO, 99 - IL/?. -c:. DATE ISSUED 1'2 -;;}~-"l7
CONTRACTOR l~tTWI;.... ~'\ ~, .
NOTE: THIS IS NOT A PEltMlT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~~.~ R ) I DATE
I FOOTING /1"l I z. I jffi
I FOUNDATION (Prior to Backfill) I (' JJ k../1/6 0 I
PLACE NO CONCRETE UNTIL doVE HAS BEEN SIGNED
ROUGH -=..INS
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SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
";5 -?/
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS J
IYt ~/1((fl)
GRADING (Prior to Sodding)
BUILDING rW-rv ,(,1",;
ELECTRICAL
PLUMBING (::J cd? kJ
HEATING {JJ, 5/t~o, c;;jj:;.. 6ltifif>O
DO NOT OCCUP{ 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 rrfainl1\ihed until all inspections have been approved, On buildings and addition!!' "
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
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