HomeMy WebLinkAboutBuilding Permit 99-1433
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I 44 '2. '2.
~1o.~J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION~ 0 MECH RI
o FRAMING 0 WATER HOOKUP
Q..JHSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: 5 +- 1"
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C)q... t4"33
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-.fJ-~~
1/ -'
-
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ' Owner/Contr:
,
!;ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Dr"! TIME
Go,ill<.D 4~ 0,::)
ADDRESS
\ 4 4- 1-1- bLvC 12, /I'L{)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'\'1 - 14-33>
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
/."\\ 0 SEWER HOOKUP
I1S/ )!(PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS~ r~~~ ~
~'~~
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~~ ~ ~ f;~,
,~
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~~
o WORK SATISFACTORY, PROCEED
)<Q; CORRECT ACTION AND PROCEED
( 0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector:~ Owner/Contr:
.r 'C
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
,//
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
?bk
1\:=
TIME
SCHEDULED
ADDRESS \ 4 '4 l.z.
B.L...J", v d. .,... l<...
OWNER
CONTR.
PHONE NO.
qq- 14~3
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
ANSULATIO~ It\
INAL AJ ,..
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
1'1 0 PLUMBING FINAL
~MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED tt:
o CORRECT ACT tiN AND PEED
."CORRECT WO L FOR REINSPECTION B FORE COVERING
Inspector: - - ner/Contr:
CALL 447-Jado FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQJla.EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND-UTILITY CONNECTION PERMIT
File
City
Applicant
1. White
2. Pink
3. Yellow
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0fC - S I8l
Permit NO._~:b
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1. DATE
DIRECTIONS .~ ~"'. ~"'--
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SIJ~4~~ ISb tdttt:.R
3. LEGAL DESCRIPTION
IJ-e>-qq
1<(
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(He'!jp" (WI~ (DePI~l;:::l
12. NO. OF ~RIES
13. TYPE OF CONSTRUCTION
31Y'fl>. ~J &.I"(\~ \'1
14. Ft:OOR AREA APpoFlTIONMENT USE
roO II r;)
2g"- SloL.-aY'_ ~
~
~o'=
,
PID
BLOCK
~\\ },.~
LOT
ADDITION
4, OWNER
(Tel. No.)
(Address)
(Name)
(Tel. No.)
15. ARCHITECT
6, BUILDER
(Address)
(Name)
15, NUMBER OF OCCUPANTS OR SEATS
(Tel. No.)
l.\;:) 'l\'-\C-~"::>O::,
~m:o'" ~\\.' ~!'^t~ ~1..R\'CL'M1l.~'(\t>,1.l1' ~t, W\~V" \ U.\.ii
7. TYPE OF WORK F~ beplic 0 Deck 0 Re-roofing 0 Porch 0
New construction)( Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 MIsc, / :)0 \ 000
la. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. IQ,\oB Width€n.\ODepth '~lo,;n Yes No '<<'o.1th \'S""' "qC\C\,
I hereby certify that I 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 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;an revoke this permit for just cause. Furthermore, I hereby agree that the City officialfr a designee may enter upon the property to perform needed inspections.
x~. Cl>\..... ~\..f'C'.'-Y.'" ,..jf\OU:,>n4a 1~-8.-CA
Signature l' License No. Date
(Address)
(Name)
OCCUPANTS
SEATS
1
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS c:J ENERGY DATA c:J
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
Side
Side
Back
Front
- BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION J<:::;(j ,~.1S'Cl
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
6~D
USE OF BUILDING
Amount Brought Forward .................. $
Park Support Fee ................~. $ ?l ~ . C("')
SAC ........".......,.....................~ I'J <:;'Q.~
..c,"T81i 0 ~l~--+ ~M ..;::fiIj~...... <\'. ~~O. /) ()
Sewer Tap ...........~.....:..........,....: ~
::t::u~::~~~~~,r..::::~. ~ ~ 45. C,6'
Water Meter ...........""........."......' $ '. 1 ~."'(j
Sewer & Water Connection Fee ........... $ J _ ~C>~ ~
WaterTowerFee ........................... $ . r]()I). ri'\
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... <\'.
City.
S U
l. I 3'7. 25"
'1 ;?'L :ll
1']5.00
Plan Check Fee ............................. <t
State Surcharge ............................. I\'
Penalty. ...................................... $
Plumbing Permit Fee ....................... $
IOO.DO
!(')D. r!'JO
~5'. ,"IT)
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit .......................t
~:::;~:;;.:,"_:::- =-
B Date /7-/3-1"1
Certificate of pancy
Water Tap ................................... $
Builders Deposit "..........".............. $/1 Fi ('J t") . ~d
Other ......................................... $
Total Due .7,..7..~..9:.b.. $ 4fh)-'~
Paid ..,., +<,... 'll.. Receipt No, "3'-'11.1
Date t \ '" \~ By (l-C*",
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 as requested. This document when
s~. the C' Planner constitutes a temporary Certificate of Zoning compliance and allow,," cons!'2:ction to ~ommen~. . Be~. re occ~.n nc'.y y" a a Certificate of Occupancy must be issued.
A. ..., l'2.-2-1J..'''F\. S,.,o....., ,~('~ ~('A~"fNeMC
- V city Planner Date ~ , SpeCial Conditions -~ any -
ls.sued
24 hour notice for aU inspections 447-9850
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1'-1 'f.J- 2- 1J1~/"4-
"H.,'ng Contract'" METRO AIR
/7~'
..
"Permit#
'"Job Address
.
'"Testers/Signalure
ftGas Une
Pressurized
Inspected
.Percent C02 -:-
.Percent 02
Finallnspe<:tion
Q!!!
TI!!!!
Pounds
Pressure
PERFORMANCE TEST
~ ,sl'1i1
') ,c/?IJ
f?7/7
22-<;-""
.
.Percent co
.Slack Temp.
Date
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E, Pormil No.
Prior Lake, MN 55312
QCj-/433
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HEATING APPLICATION I PERMIT
..!i/:J.<i Joo PID.:?5 -,3h2..- ()02-0
~. L5uY 12-1
Address
Healing Contractor ALLIED FIRESIDE dba PIRESIDl! CORNER
Addross 27GO N. FAIRVlEW. ROSEVILLE, Mil 55113
ToIephono' 651- 63 3-2 5 61
FI REPLACE
~tIII Mako & Mod.. ,L, AJ GL>
::;
"-
III
N
N
S~e Mllless i Vl./.:u.
Lo' '?- Block 1 Acldlion
Owner's Namo f}"'})'A"-"O..
!'\
~I~-;'
()
o
o
m
N
L
.,
::;
... t.A<Jdel Size. dL ~,~W
III
III
III
'" Com. Load
'" fr-rd
'" fLJel Flue Size
~
111
'" Supplyaponings
Relurn Openings
Input O<JlpUl ;:1.'? rn"
Edr.
Clm.
KNOtS tI/CA.- --1-7lf
TYPE OF SYSTEM
Warm Air Plaol.
Gravity
Mechanical
Air Condlioning
Venl System
HEATING OR POWER PLANT
Steam
Hot Waler
Radiation
Special Devices
Olh8f Dovk:es
Replacomon:
TYPE OF WORK
Now Con sl rueli""
)a,..
L
"
c A/teralions
L
0
U
" Repair
u
.... //00 CD
CIl Est. COOl $
"
L
.... HEATING PERMIT FEE S
u.
..
,., STATE SURCHARGE $
'"
.... TOTAlPERMJTFEE5 $
c
"
en
Est. Comp. Oat..
U.v. 00
9'1-/433
'\~t:~t\~i::.,.,n:
Building Permij .
.50
Receipl f
TYPE OF STRUCTURI;
1.l'Id
, ...."
].\Clio.
File:
C1<,
Co_..
Single Family
Two-Family
Induslrial
M~ti.Ftmily
Olh-
Commercial.
PWlic
Foe Schodule
Industrial, Commercial & Multi-Family
ReskJer~iaI, Heating & IV:;
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions!. Alerations
ResidenliaL AC Only
1% of job cos, ($39,50 minimum)
$99.50
$64.50
$39.50
$39.50
539.50 MAR 3,0.
Remember 10 add the Slate Surcharge on the bollom ollhis opplicatlon.
The price 01 y<>ur heating p"rmlllncludes one rough.in and ooe loa! inspecliOll,
Addilional insp&ctlons wil be baled al $35.00 each.
House Healing Tes! Record roost be submitl8d wilh WiI!!i!:uII!mIIilIllllllllm belote buil<f-
ing cerlilical. of occupancy will be Issued.
HEAT CAlCln ATION!,; ~FOInRFn with number or supply and return openings isled pe
roDm with CFM's per opening. New structures Of add~ions send Ioor plan wilh supply
and return locations ooown. HEAT lOSS CALC\ll.ATIONS, PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR lAKE, 152110 EAGLE
CREEK AVE. 5.E, PRIOR LAKE, MN 553n.
eitl' Hall blJsiness hOlJrs are 8 a,m.. 4:3() p,m.
,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) . CALL CITY HALL
447-4ZJO
I hereby apply lor a mechanical systoms permit and I acknowl"dge that the
inlcrmaUon above is complete and acctJrale; that Ihe work will be in conformance
wilh lhe ordInance" and codes 01 the cily and wilh the stel. buildlng/mechanlcel
cDdes; Ihallhis form does not become a permit unlil signed by the BUilDING
OFFICIAL: Ihal the work will be in accord8nce with the approved plan in the
case 01 all work which requires review and approval 01 plans.
L7 /')/ ;> .
r.eM,,^,.'J 1-1,.,1"., , ~ ~5h.o(J...
AW7l1l1lre ~i3~iocJ
BUil~Onlcal'o Signature Dhte ,
'~
~e~
1. Blue
2, Gold
3. Yellow
File
City
Aoolicant
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo, 11-/433
Applicant: (' if';1 'V1A rrrh'A/ 7> I ~ +. ttry Phonf" L/I-./7- r'1 30
Address: If,;,?" Ii 1h,J-,.h/P'f)"cJ A-v<: PnOo/Lcu'O q:;37J.--
Signature: , A/ ,f/?('l.~.J .--r?"fr:~4
Legal Description: Lot 2--- Block / ,C::"h t::AJOI3 HI L.<-- 4-77-1
Site Address: !l/t/'),;), fZ>/u/A;/rt /&/
Building Permit# t7tj-/433 PID# ?5-:;;(,,2..- ooz.-O
NOTE: This permit will not be processed without complete information.
Thf' Cf'nter of lhe L.kf Country
Quantity
~
I
(
4
I
I
J
'~
FIXTURE UNITS
Type of Fixture
Quantity
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
Bath Tub with or without shower
Dishwasher
Floor Drain
.~
/
GRAND TOTAL ($' , .
t"'" . ~", ,,0
This permit is granted upon the express condition that said
contractor, shall CO~~~ ~~~~~es eets with the ordinances
of the State Plumbir:Jl1l1:J.jj; amyndmepts thereof.
- , 3/3 /tJO DATE
" ' , ATTEST
Call for all i
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opponunity Employer
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99,50
$39,50
STOCKER EXCAVATING
1i!J001
. ".<.";.:"",I!..~,
01/05/00
WED 14:47 FAX 6128902753
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'rt:L:..~:W . Arn.Ic....n
GOLD a err.,
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----
CITY OF PRIOR LAKE,
SEWER AND WATER PERMIT'
No.1tj-I'f33
NOTE:
Sewer and Water
contractors must
be registere~
with the City.
APPLICANT: DC Heehap.iea1/Stoel<er Exeavating
PHONE:
890-4241
824?1W..st 125th St._ ~avah~')o{N ~~37R DATE: 1-05-00
SIGNATURE: j /~J:( ~" BLDG. PERMIT '#
I~Jl14.z.z... '. <-
SITE ADDRESS: Bluebird '1'r~i1 (T,? 'R' 1<n.>h........PID#
FILL IN THE ~iJu.I~g)
ADDRESS:
79-/133
25-30Z- ooz.-O
feet'.
1. Estimated length of water service
inch(esl.
2. Size of water service
feet.
3. Location of any couplings from structure
pVC 1f
Cast Iron
4. Type of sewer pipe: ABS
feet.
5. Estimated length of Sewer line
feet
from
6. clean out (if requiredl, located at
structure.
~=~~=====~==~==~===~=~~========#~====~==~==~===~=====~~==----
This applicat~~~;3 your permit when approved. / /
BY ~ ..e.-... ,DATE: / /2.() 00
/' ' I
====~===========~==============~=;==~~--~-==~=========~-----===
FEES:
S
$
$
35.0D
_50
)5.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water in~ividually is $20.00 plus
$ .50 surcharge.
* Sewer an~ water permits issue~ 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 AMOUN~ PAID el1ll1,,"{~t1J!~
RECEIPT '# REC'D BY ~A~ur
16200 Eagle CreekAv. S.E.. Prior Lake. Minnesota 55372IPh.,(6!2) 447-4230 I FAX (612) 447-4245.
M 5tjualopponilni<y ,Employer
....
CITYQFPRIORLAKE . "~-\~~.3
16200 Eagle Creek Av. S.E. Pe""i1NQ. X
Prior Lake, UN 55372 Single Family
CL
IS)
OJ
(T)
o
z:
~
H
a:
o
~
f-
W
L
Ib
Retum Openings 'b
Input "f., 'b, ~ 0uIput '\ \. ~
Supply Openings
Edr.
Clm.
\''-\'0
TYPE OF SVSlEM
Warm Air Planls .x'
Gravity.
MechaniQJ ..
. Air Condftioning .....
Vent. Syatem -
HEAnNGORPOWERP~
StQIII
HoI WlII8r
Radiation ,
Special Devices
Other Device.
L
CL
OJ
If)
Replacement
TYPE OF WORK
NllW Cons\rucllon
'~.
AIllralions
.... . Repair - , E5I. Comp. Da18
.' 5 c-. cfO
est. Cosl $ J b () -
Building Pennft I
~~- /4-33
IS)
IS)
IS)
OJ
OJ
....
HEAnNG PEAM[f FEE $
. 'sTAlE SURCHARGE $
Z :':":;',-
~ '., TOTAL PERMlTfEES $
.:;:~i;.;::::, '
...n......'.,~ -., .
~i.'''..':.......~.:.....
~ ...,(....~tc,:o(.;...:".
~--_.y~..:.;;:'.~~:-~ ,-.
.50
J.l'mk
1.0-
]. Yellow
FIle
Cloy
"""""""
TYPE OF STRUCTUI\E.
Pubfi"
MtJIti.Famlly
OIhe/
HEATING APPUCATION J PERMIT
Dale \-\~,~ PIO'
Sfte Acldress \ ,,'\ ~ ~ '6\ \M.. \-:,~ ~
' .
Lat '";)... Block \ Ad~.iDn _ "" ",...\~ \\, \ \ \.\ \-~
Owne(s Name. A l"\ ~ l......S\.'I'..... ~ "'~'\ '\ I
Address \ \0 \ ~ \, f\ \0\:" ~t- r 1";0- \'" It\.
Hellling Co~r ,~"\.,~ )\,,... -.:::s=", \..
Address \ \n ~ ~ \\ \,.l '-, l Ofl.u.. ~ Y'l V ('; v.... ~ It )(.C
Telephone tI , ~ \\1- ~ \ :::l '\
Furnace Make & Model C l.,v r: ~-
Model Size e 'A" - () '\ ~
Conn, 1.oad . 5 () ") \i, -,
Fuel N ~ Flue Size S IJ
R_\:lI1I
,-
Commercial
TWO-FamUy
IndU$lrial_
1% of rob COS1 (SS9.50 minimum)
$i9.50
$54.50
$39.50
$39,50
$39.50
Remember to add lhe Statl> Sun:harge "" lhe b<ltIom ollhis lIppiicatiDn.
The price of your heating permit includes one rough-in and one final insp~on.
AddItional inspedions witl b& bIlled aI 535.00 I>ach.
House Hellting Teal Record mUSl be submitted witn llWIlliJ!g I!JIIl!il numh.., botfore bUll!-
ing cerlillcate of OOCUpllllCV will be issued.
flFAT r.AI r.1 " II'I"Inlll,<; RI=I"I' " R~ wiIh number cI supply and return. openings rl8led per
room wiIh CFM's'per opening. New strucluRlS Dr additions send 11001 plan wIlltaupp/y
ond return locations shown. HEAT lOSS "At ,., 'LATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. 5.E. PRIOR LAKE, MN 55372.
ClIy Halll!usiness hours are e a.m. - 4:30 p.m.
AU WORK MUST BE INSPECTED (ROUG~N AND FINAL) . CAlL CITY HALL
447-4230
\ - \ \ ~D
, Dale _ " '
///;JdiJ
/ 061
.
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"::'. >:- ~;<-:~;~ffA~-~:j~~~~f4;'~':'ii.i~'~~lt~;~:.;.:;~_.:.:::;~~~!;~~~~?::i}~~ffi.;~:~iM~~~:,:;:h~t~?;~~~s~~:l@~~~~
Fee Schedule
InckJstrW, Commercial & Multi-Family
Residential, fleeting & M:.
Residential, fleeting Only
ResIdential, Gas Finoplace
Residential, Add~ions & A~erations
Residential. AC Only
~\
qq- H~
The Cenlt'rof lhe Like CounlrY
While - Building
Canary - Engineering
Pink . Planning
mnLPlNG PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/lNf)6~SON FA/'1/LV
/Z/9,/99 I
HoMFS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections ;(
Denied ") J.,
Reviewed BY( II f) ffL.... ~
... I
Date: 0- - I '3, ... ~ 7'
Comments:
I, ~ea& a,,\l a.~ ~~
"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,"
/"
..,0/
qq~ 1'-/-33
Tht' (:"nlrf of thl L.II" Country
White "Building
Canary "Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11;''/ f) Ej{! ..501"/ r:;J Ii / L \.I
/2/(1,/99 I
HON FS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I'-IL\'Z.'L D.uE.'iStfU:) IfZ.AIL
Accepted
./
Accepted With Corrections
Denied
Reviewed By:
,I .---
WAi...11""JL b-wlESMM-i..v
, I
Date: 12.{2'11 '19
I
Comments: --..J:U<" M"'''''"",vM D(h0~1'\'O'-' I ,c~,,",>.-1-I "" 'Sd.F Fnn..I, 81"omTY
1_I!'oJr \<..
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_~ _ ~O:>io."\l (:<-....~'.;-QOL_ IV!(:"A""')U,t.ES
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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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qtj-L433
Thr Crnlrr of Ihr L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED,
1//\.(../6;-/50'/V /",;,/// / L 1./
/' ;
/2/ '?/9?
liD/' I F5
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatio/~;~;~cti01IM ~:1t:
Accepted
Accepted With Corrections
v
Denied
Reviewed By:
~AAj~
--
Date:
1 L.- ~.'ZPt
Comments:
J-ct Pr Mb-)(..l~ AvkLuu1 wt.J.~ A- ~~
fV{~1S' ~ (Ilt~- ~ w~ ') e>
A-/ L /~ /~ !kl\O./.-/~~L..A Q e./hc!)~/)v1M.MT
~ l.tlt~ PAAil'~ ~t~~ ~~
"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 lSlue.\o\tct. +hl...\ \
NATURE OF WORK ~}Jp ,l. \ Q~,
USE OF BUILDING S~D
PERMIT NO. C/(Ht./-~? DATE ISSUED 1'2 -[3. - q J
CONTRACTOR .AI^&~,\ -tc.o--..: \.... ~^ .
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO;U~o~NT 1 IDATE
, FOOTING I (~' I 1111 (rt)
'FOUNDATION (Prior to Backfill)po<JrJ~ ~ vl<J10 (~/..6V~
PLACE NO CONCRETE UNTIL ABOVE' HAS~EEN SIGNED
ROUGH - INS
(N,Iln/cI~
(/'fl f
17) U
(J "
/m)ff5 Jij~J7)
'-yfj) sit q /010
./
GAS LINE AIR TEST ;/)) 3)U/mJ !',b ,<:;--/3j./17
COVER NO WORK UNTILzrBOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .
tj' s~
'~A>(i;1'a
GRADING (Prior to Sodding)
BUILDING ~ q./>.(}D
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
4.
c;,. C 8'/2'3',0"
?ll'l/ t1-O
'"
f&;r,
r;(;y~ \
11v M
,
AS BEEN SIGNtD
This card must be posted near an electrical service cabi t prior to rough-in inspections'
and ma[ntained 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