HomeMy WebLinkAboutBuilding Permit 00-0003
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~trtificau of <mcrnpanry
CITY OF PRIOR LAKE
1!lepartment of Jiuilbing 3Jn~ptction
~Final 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:
Use Classification.
Single Family
Occupancy Type
R3
Type Construction
VN
Bldg. Permit No. 00-0003
Fire Zone N / A Zoning District R I SD
Third Addition
Legal Description.
L9. BI. Raspberry Ridge
Owner of Building
Site Address 14987 Appaloosa Trail NE
Contractor's Name & Address Ratzlaff Homes. 20730 Holyoke. #48. Lakeville. MN 55044
Date:
Robert D Hutchins
I. BJi:r Official
I~U
_ City Planner
Jenni Tovar
,Il-lf'DO
POST IN A CONSPICUOUS PLACE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ J/r~
OWNER
AFrl~ IlL-
CONTR.
ADDRESS ~~ 7
PHONE NO.
_ O)=OOTING ,
~FOUNDA TION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
0-03
AD PLUMBING RI
.....g...MECH RI
~ATER HOOKUP
~ ~~R HOOKUP
f'. 0 PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:!) .. ..
Sl'~
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Inspector: Owner/Contr:
CALL 47-9850!OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
#
A-prn. }rmo
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/Lj 9?jf7
OWNER
PHONE NO.
PERMIT NO.
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
~ ~_LUMBING FINAL
ff )i!!'MECH FINAL
COMMENTS:
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Lu~
Yw.,e
Ok-
/l
(~
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~~~
o~
--
-/'
TIME
3.'0()
()() - OuO.::s
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
0Vt--
CTORY, PROCEED
ON AND PROCEED
LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CA L 447-9lso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~E REQPIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10-31 -tJI)
ADDRESS i498 7 ~) ~ IJrtM" J
OWNER CONTR.
PHONE NO.
PERMIT NO.
00 -()C)3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,ai( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(EX/GRAD/FILLlNG
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
D
COMMENTS:
AJ~ -fp f)(.lJrJes:: /JJ/nor 3ra~ a/OTta
-o,,,-.,~~~ Jib<', h112d-;'eeJ f5,
tfYcur _ 'e_ POf?Fr1f' tv tJ,{ 50/{fi In
M"k.t:n je -t LA Kiter in A.14-tY\ ~ ~ ()~
lot -h:; tJ, e.. -frtffi-c..
AJL,
{J ~ /
{
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ ~ OwnerlCon'r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
jTEj
~
I if 87 NPAL0Q5"q
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
~NSUlA~1
FINAL
SITE I CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
r10 - 0003
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ a- ,t:2!!!> 4
c.o.
/nA-1 L CN T
J/WORK SATISFACTORY. PROCEED
o CORRECT~CTI N &ND PROCEED
o CORRECT . ~~L FOR REINSPECTION BEFORE COVERING
Inspector:" Owner/Contr:
II
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
MWlfCE'VEn CITY OF PRIOR ~
1/'-1- /ZOOD BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00 - () () D-3
1,DATE
(7..l30 /~-=?
,e ISO
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~f(1 A-Pf'AG-,o'..A '~L- ,J ~~.
3, LEGAL DESCRIPTION
LOT q BLOCK /
ADDITION RAsp b~'1 e.iJ"f-t.. ~.~
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Heighl)'l'l.. (Width)~ (Depth)51.
12. NO/~ORIES
13, TYPE O,X CONSTRUCTION
lrbtJiJ 'fiUl m ~
14, FLOOR AREA APPORTIONMENT USE
PID _25-342.- OO~
(Tel. No.)
(Address)
(Name)
4, OWNER
(Tel. No.)
(Address)
5, ARCHITECT
(Name)
(Address) (Tel. No,)
20730 ffOt-yO/C8 #/f8
L/I~6VIUt: 550#
15, NUMBER OF OCCUPANTS OR SEATS
(Name)
6, BUILDER
tJ,~
985-
4/~~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction t Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 1 o/}'~9JjCT ~()TN ALUE
Chimney 0 Misc, " I/J(., v v
8. PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10, CULVERT SIZE 17. COMPL~TioN DATE
Sq, Ft. I 0, ~ro Width StJ Depth I~';; Yes No 1.... -:? o-tl"
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
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
bu" official can revoke_thiJIP.e erryrmi" for just cause, urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
X ./ ./ J..---t.. ""'" "" l-:, '7,0-' ~ '3 0- ~
Signature - - , License No. Date ~
OCCUPANTS
t<kT~FF
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION I Sf 0 I (')DI'). l' 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
s-Pf)
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $~ . ::2C;-
Plan Check Fee ............................. $ I~. 11
,--
lB.o{)
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
~sn.oo
I. T O() .~[}
Collective Street Fee ....................... $
Sewer Tap ................................... $
~ .. $
Pressure Reducer ...re;.................. $
Meter Horn ......... .',................. ....... $
Water Meter ...~....:.................... $ rl ~,C). (')(1
Sewer & Water Connection Fee ........... $J, 00 ~ 06
WaterTowerFee ........................... $ 'f"} ()() . 00
Water Tap ................................... $
Builder's Deposit ............................ $JSDo . tJO
Other ......................................... $
Total Due .............................. $ ~ '799. lito
Paid 7. 79Q. ~~ Receipt A;sfO 770
Date '/ /z ~/ ()V By ,.-
at the request in the above application and accompanying documents is in accordance with the City zon~ Ordin/nce and may proceed s requested, This document when
Planner constitutes a temporary Certificate of Zoning complian<7fnd allows ~ commence, Before occupancy. a Certifical of Occupancy must be issued,
~---Ie-~ ~ ~ C.,.ki~. \....!.......-- (' ~.~~.t_c $
ity anner Date Specia onditions\ a~~ -
State Surcharge............................. $
4h.ro
Penalty....................................... $
, OrJI1-~
Plumbing Permit Fee OO.........~.. $
Mechanical Permit FeeOt).:.Q.r!.~.. $
, to. 0 n... -::< 3S' C'7"...
Sewer & Water Permit ...........~.. $ . JLJ
Gas Fireplace Permit (){}:.{)()!.iJ... $ 4 () . DO
Th~n Be,j.,Q~r Building Permit VYhe!L.ApP.IB~
By\$J!~~'uu Date~_
Certificat: ~f actancy
ICO.on
1.00.60
~
Issued
24 hour notice for all inspections 447-9850
03-17-00 09:50 AM FROM FGTN PLG HTG
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Quantity
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TO 6124474245
PO 1
CITY OF PRIOR LAKE
PLUMBING PERMIT # OO~OOO::l
Applicam: "FQrrw"\;"UI'4.,,,, ~l~ Q.~"-la _Phone: hSf-4lci'3.-78?(/.
Address: .:1..1 031.4 I c;..h..; r ~~r".aQ. ~ __ A!J.~ .
Signature~ C:JI",.. ;..0 ..1- ~
Legal Description: Lot q _Block - I Sub. kWe ,~J06t? _..3~
Site Address: 1 '-\9 ce.., ~~Q-\.o.o-o... '\1'\ ~/:SD .,
Building Permit' 00-0003 PID,2S-3L/-Z-OOq-O
NOTE: This permit will not be processed without complete Information.
I. Blue
7, Gold
l Y.II....
Ale
CilY
A''Plic:an1
FIXTURE UNITS
Type of Fixture
Quantity
Type of FIxTure
Bath Tub with or without shower
Dishwa.sher
Floor Drain
Lava.tory (bathroom sink)
laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
.3
1
Rough-ins
Water Heater
Water $oftner
1
Stand Pipe (washing machine)
I Sewage Ejector
I
I
J
I
BacIdIow Assembly (AP2, Double Check, PVB)
Backflow Assembly Test
lawn Sprinkler
l
Other Sa\..l~"
,- Plj"" F
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1'% of job cost, $39.50 minimum)
Residential. New One & Two Family
$99.50
$39.50
)..
$ .. ~~.
$, ~/4-~
II\. q~cI
{)~'A .~
-/ol.
B ,"',
$ ~C-">-, I)
Residential, Additions & Alterations
Stale Surcharge
GRAND TOTAL
_'1.
This pc.:rmil i~ J!,rilJlt"d upun the e)l.v"e~~ cUllditiun tho I said
contractor, shall comply in all respects with tile ordinances
of the Stale: l'lumbing <..: and tile: ame:?dme:ry-; lhereof.
RR. ,1 3/21/dO DAm
,
. . . _ AlTEST
CaJ) fol' all in pections 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponunily Emplnyer
.....
lS)
~
CITY, OF,'PRIOR LAKE Me
16200 Eagle Creek.Av. S.E. Permll No, 00 "'0003
Prior Lak., MN 55312
C'-
~
~
o
z
'HEATlNG APPLICATION I PERMIT
Dale / - /r1- r"l01 PID. 25-34-'2.- 009-0
SlleAddf.sl, .j~q'l7 o.~fn~""~a //'. AJ,l;-. ;eIS,O
Lol q Block J AddilloR kASP66,€12?.1/ R-/Ot5r6 31e.()
~n8r'1Name ~/:zkt~ r;~ 1~-I~'
Address, j~ I
H.~ing Contr8C\OI . ~ -t;;- ~JJ
AddrelS ,t9k:;1/C G A,., ~ ^ I~ M:t;.., /??rJ. - ~~~ ~
TeI8phIJne,(t:.s1j ~c.c - G;:;J;;;'u
Furflsoe Make 6 Model~ A..)e.. TYPE OF SYSTEM
Warm Air Plant5
Gravily ,
Mechamcal
Air Cond~\ioning
Venl. System.
In
oq-
(\/
oq-
C'-
oq-
oq-
(\/
.....
~
t
U
I
a:
o
z
a:
(!J
z
-
I-
a:
LU
I
0::
-
a:
Cl
LU
...J
...J
o
0::
I-
Z
o
u
(J~.4
Model Sill
~
~
Conn. Load.
Fuel A: JH-
Aue 5118 :.?' PUC-
/J
~
HEAllNG OR POWER PLANT
Slum .
Hol Welor
Radialion ,
Special Devices .
Supply Openings
Return OpenIngs
Input
Edr.
Cfm.,
OulpUt
011181 Devices
TYPE Of WORK
~'
oq-
1'1
1'1
.....
A1l8l8lions
Replacement
Est. Comp. Dell .
N~ ConslrucUon
Repair
lS). Eat. Ooll $ . Bulldln; Permll' , 00-0003
lS)
'\,
C'- HEATING PERMIT FEE S ' fA/
.....
'\,
..... f?~
lS) STATE SURCHARGE . .50
TOTAl. PERMIT FEES . Receipt f
1.~1I
). YellGw .
OIl,
CclnIIldor
Singhl Family
Commewal
TYPE OF STRUCTURE
t/- Two-Famiy Mud. family
Indusllial. Public, Ollwr
Fu Schedule
Inlfustrla~ Commerclll & Mulll.famUy
Residential. Healing & AC
RealdenUal, Heating Only
Resldenlial, GIS Fileplacl
ResidenUal, Addilions & Aftefallona
Residential, AC Only
1% 01 Job 1:oa' ($39.60 minimum)
$99.&0
$64.SO
$39.50
S39.50
$39.5{J
Remember '0 Iud ,he State Surcharge on llle boUom ollhla appDcalion.
Tnl price 01 yGur healing permlllncludes one rouglHn and one lina! inspection.
Addi\1onal inspeClions will be bllled a\ $35.00 each.
House Healmg Tesl Record mus' be submllled wflh ""llfrl\"''''' ""'Flit nwdm befo,e build-
ing cerlilicale of occupancy ,,111 be Issued.
HEAT CALCULATIONS 1\\=01 IIRI=O wnh number of supply and return openings tisled pe,
room wilh CFM's per openmg. New slrueNres or addilions send floor pIal with Ilupply
end relum locarlOns shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATiONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 162.00 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 65312.
Cl\y Hall business hours ar. B 8.rn. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HAU
447-4230
/
1 hereby apply lor B mechani1:st eye'ems permit and I acKnowledge thai Ihe
Inlofma"on above 15 eomplele and sCC\lrBI8~ thel Ihl work win be In conlormance
with lhe ordinances and codal or Ihe cll~ end wllh the stale bulldlng/mechanlcal
codes; 'hat Ihis lorm dOBS nol become a permn unlll .lgnad by tile BUILDING
OFF'CIAL~ thatlhe work wl\1 be tn accordance w1\h the approved plan In the
_ case of all work which requ!re. review Bnd approval of plans.
I!~ 4:?#'u--.dJ
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8ull~~~" ~
1-- 1;7, ~ r.C'\
Dal.
///BJ/(jD
0'18
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~NE:;9
GIIU. - I'ILE
YELLOW - APPLICA.T
GOLD. elT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
,NO. 00 -0003
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLI CANT: ..D R.. ES JJf.fl_. If; \( ( .
ADDRESS: I" II ~ J 0 f'L:z:.rJ w ft~/
SIGNATURE: ~LL ~ ~
o
SITE ADDRESS: )yq!) l4-f3fJ4(,o05A
PHON' & /1) e 'iJ ~ ,,~{) b
Lit cJL. J-~ol.fL/ DATE: J !"!>IJo tJ
BLDG. PERMIT # 00-3
PID# 2-5-34-2- 0(17-0
TIl-- '
FILL IN THE BLANKS
1. Estimated length of water service ~
feet.
Lc..
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
pvc x..
cast Iron
5. Estimated length of sewer line
,rt>
feet.
6. Clean out (if required), located at
structure.
feet
from
===============~~~~=~============================================
This apPlica~i~~es your permit when approvecy I.
BY ~-iLWT' DATE: / /:3J1 /00
, I
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $tJ.50 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
RECEIPT #
AMOUNT PAID
REC'O BY
,~ .. '.
-'. "\\} ~: ~.' .
"'-:.,'-'"!, ., , ,
,>>,.0'''-'' .:;
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,-.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447.4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPlDYER
00-0003
Tho Cont.. of tho L.ko Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/<AT~L/lFF /Iof'1t5S
//4-/2000
/ ,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~967 /1?~/lLOOSA
Ik- .
Accepted Accepted With Corrections
/-
Denied
Reviewed By: (2f2 ~
Comments:
Date:
I - 7 - 'Z6C)E>
~ea.J. a..it Ll~Q
~, J~~
liThe 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.1I
/' I / (~. ("'\-:;;
l.~.,." -. :..._~ .~........I '. ...>~/
The' Crnfrr of thr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;< / .,(j 7 - -7 t..i /:.. I .J::-:' L // //,: i'. , J..'" .-.-
,/ . '--' 4,0 t. r' -' L/; :' 1_......" '''___:
. '
/1 4- /"'7 ,/' (/. C' j
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/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / / ,r:: ,I ' / . .., I
.-..... ',/ ," /... 'I' "" .,,',;..',' /' /' -. /.~"
/ ...- / 1'/ I '-- , ',,-.. /
.I k/
t .r..... ~
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ ',~ Date: I -- LD - eo
Comments: ~~\M.MM d-b~\ ~~I' k ~ s\v()~
"10 1r{~ Ar~1 L1Ae-.
~~ V\AJ.N'A. ;L ~ ~\ ldY\vet~ J/\~ ~ ~
Yi~ \Qr~\ I~ ~~ ~-C)-0,
'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."
(JQ- O{)LJ3
Th. Cnlr' of lhr lib Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
K/i 7' -c- L/-/ ,L:',?~ //() /1,/6::::;;
J/I ~ /// 20C:C)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~. 96 ';7 /-J//r /-/ L (:. C.~ /-l -7k-.
Accepted
./
Accepted With Corrections
Denied
Reviewed By: WAI.TUl..
.-
t:..HI\E~M.A NIU
Date:
, J
1110 I ()o
, .
Comments: .....$u"",P PuMP M.v~T" ar
CotJNfr.:fro '-0 LHF ~Isn~..
Dn.AIt.J T;'Lf" LINE IN T"-E HtoNT" R,c"H,- of- wA'r'.
SEE:. ',.,sF...a.M.ATl ON
(l1J Tl-\ (. R f" vldt <: e:. s, (\E:. '
SEE. IlTT~EJ-JT'S: I. f1..sAl. t')QAOE ItJSPE<!.TlOIIJ ItJFDa.MAnoAl Z. ~(MO'Alc. j;}, A/IJ
~_ (RD.S,o.v ~,.-ttOLr MfAsvrt.E.:~
1. -t.gO-.'ON Col..1"m.oc... Pc..A.A-l
"The issuance or granting of a permit or approval of plans, specifications and
computations shall no~ 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 _\4<1 <at'] ~s'\. II".
NATURE OF WORK Ne.w CtnA~\--rLJL ~l'rtv1
USE OF BUILDING ~ SF\')
PERMIT NO. 60 - 003
CONTRACTOR -Rn-t-z. \.p~~ CtM-st-.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I INSP~j I '\ 1-~' :;TE
FOUNDATION (Prior to Backfill) I ( \ 1.J41 ,I
PLACE NO CONCRETE UNTIL OV~HAS BEEN ~ED
ROUGH - NS ~ W
SEWER I WATER I SEPTIC .
FRAMING (' fJ l'l, .; (/'0
INSULATION \, '~\3D -, 6D
ELECTRICAL " ~ '"+ /<4- ) JiI7
PLUMBING [rff~ 1) ')~4(V1l ( / ( i ) LjlftJ j 'J
HEATING (if req~~d) (~ s I ~ 7
FIREPLACE . ~/J). ~!~l
GAS LINE AIR TEST If ~,h7~p
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD I I
FINALS
GRADING (Prior to Sodding) L-l-v
BUILDING 1, f. tJ T rJ) FIt /01) 1?r,. ~ ~ ?,;{,.o
1 J
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
DATE ISSUED 1- 7-d.D<:D
FOOTING
/0.3/- t) u
(~~~
1:X~~;W
UNTIL AMVEJ HAS BEEN
NO-nCE
5f; ?;;;cJ
SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and m?.Jntained 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