HomeMy WebLinkAboutBuilding Permit 99-0141
,'~~~;''''l~'l'~~;.i~.~'{''''~.)\' ',,};(?1..';,~!.,..~.;t!,,1p':,~,:-<~,;~~'~.;,.\-~,~ '~'J~--" """l"""""" j
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:
UseClassificatiol' SINGLE FAMILY
:1'"
: ~.
J ~,
Owner of Building 'C:hAddress 17120 PHEASANT MEADOW LANE ~ ~.
...~ ~ _', N_" w_. WILLIAMS DEV. 80 W. 78TH ST, CHANHASSEN MN 5531 7 ~,I
5.!= //\ , M~
(/1;-;" lUYRH"I1'l' n. lHT'l'f'HTN<:i City Planner TRNNT 'l'mTAR ;.-n...-- ~".:.'.'
('-~~ Building OffiCIal - ~;'
'>~~ Dale' II. ) J1 II lr - uV Dale: !l" ~
1~'V - . 'I 4-\'
~:;, . ~ ;e:; .,:.:~,~,-~ POST~~AC~:~PI~~OUS:~~____~_____~ !~i
<<. .., ...,l....... ,., ., ,. "--' ,~, .._~ """"" "...... '. ~ .".....1.+ ..~,' .....', ..._ ......--. low,,;! · ...... ......'...,r,
(~ ~ . - , . ,~., ..~'. -:.~a1~ ~.~ .~. .'~. ~ · 'A~ · ,:,Ji:~.b . ;. · . . ~L .~il.~. . '.:..:. r
~ ''''~iOl~' ~~'iol'~'~'" '.~',~""/f . ;II '" ".~"
...... -- ----" --~....-...---~ ~-----~~"'-='
Type Construction
VN
Bldg. Permit No 99-0141
N/A Z . R1
omng District
Occupancy Type
R3
Fire Zone
Legal Description L 7, B2 PHEASANT MEADOW 2ND
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED /P~ 3,' 3Q
?/le7J5///VT nC71Z/d~
ADDRESS
/7/20
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
)c( FINAL ~
/D SITE INSPECTION
CONTR.
PERMIT NO.
qq- / t../- I
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
-p1- MECH FINAL A
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
F~
(f~ D.-dJ ;:'_0
--------
i- (-Gm;i::) \'
--------
D WORK SATISFACTORY, PROCEED
A ~ lRRECT AC AND PROCEED
FORR CT ~NSPECTION BEFORE COVERING
Inspector: Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'NTS ARE FOR YOUR PERSO'NAL HEALTH & SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1?/zO
SCHEDULED lo/ze.!99 3 ~c:> 0
Pllf57IS/J1V/I'1E7tOo0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99'-/c..f I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOK~U 0 FIREPLACE FINAL
X PLUMBING FIN L; 0 GASLINE AIR TST
I' 0 ' MECH FINAL 0
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION.AN~ROCEED
o CORRECT~', :AL F~ 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
, CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
TIME
idJ!J/".
ADDRESS ", 2.0 ~ ~o.... L...",E.
OWNER CONTR. ~M~
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
E Nt.. \l.J~'Nc..
ISI"'~ "'/hJ~ ~,J
91... IY!
X EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
AbMtssm
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: JJ;iif:j~
('\~ontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO.3{.tJO
ADDRESS
/1 I ZO FHEA SA N/ nC/1J)~tA..l
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q1-14-/
o FOOTING
o FOUNDATION
o FRAfmlNG
o NSULA
FIN
'*ITr& I TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
r?"tVORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PR CEED
o CORRECT wo~.f F R REINSPECTION BEFORE COVERING
Inspector: I (j Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
-"T' ,-~,-_. ..
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Tel. No.)
/fq?,- ~7(j7
f\.s . (Tel. No.)
'"'F - ~7~- 350\
(Address) (Tel. No.)
l't? It/$.si- '7 r 'fL ~ f. c/~,} - 4551
tYh4~ 1HI-<5 fju 5" $" 3/7
7. TYPE OF WORK Fireplace a Septic a Deck a Re-roofing a Porch a
New Construction a Alterations a Addition a Finish Attic a Re-siding a Finish Basement a 16, PROJECT COSTNALUE
Chimney a Misc. / t? ~ jJ'tJo
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COM~ETION DATE
Sq. Ft. ,3 (J.J.- c.f Width J.-b Depth ~ If Yes ~ /"7?C~/f', r, /ti99
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can rev~ermit for j~cause. F~~ermore, I hereb~the city official or a designee may enter upon the property to perform needed inspections.
X (J .#/// ~ 4ooJ,,$/1,L/ ~/2-/~t;
'----\ / ~""!f' 1/'./ License No, ,. /' Date
DATE RECEIVED
_2~
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
--L:1I dO P;' '- A~ n,Lr r11 f..A--/JtJ tc.->
3. LEGAL DESCRIPTION
-;
ADDITION 'VA J Q..v..A
LOT
BLOCK "2.-
fl"v M J~~I
) /'V~
4. OWNER (Name)
..JV I LUA.-M <
5. ARCHITECT (Name)
J~ J/LL/Jl--M5
6. BUILDER (Name)
t.l)IL,}-/4--MS ))fV J4f/t:!---
(Address)
f) ~_II
(Address)
r.J fAI
/ t/L/
SETBACKS: Requi~
Actual d--> ,. tf
Front
/~-
Back
BUILDING DEPARTMENT VALUATION
1. DATE
!ANY- k /
PID c15 - 3 (/1- D l<'l-()
FOR ADMINISTRATIVE USE
/s-
Side
Side
USE OF BUILDING
'S~A
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION --.-lJ3;f'\t'V'I.r<l r'\
Water Tap ................................... $
Builder's Deposit ............................ $ 'I 5 ()~ . co.
Other ......................................... $
.7.~-[~ L.~
Total Due .............................. $ :J ~.
Paid "1-:,/3,2--L Receipt No. 341t'o
Date 3( I (,.. { ~'t By tt-.D {<t-
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
r constitutes a temporary Certificate o!]oning compliance ~ allows construction to commence, fore occ pancy, a rtificate of Occupancy must be issued.
3-tAvOt{.~..e- ~ '-
anner Date Special Conditions ~ any
TYPE OF CONSTRUcnoN: I II III IV ill
Occupancy Group A B E F HIM C;;{ S U
Division 1 2 tY 4
Permit Fee ................................... $ q 5;;;l. . ~
G, IF;. '1'7
5(,..50
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
I Co .eO
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $ l 00 . on
15.50
Gas Fireplace PermR ....................... $ t..l 0 .on
This .<P;i?~Jtbecom~Uilding PermR When AePrOVed.
By (~.....~ Date 3-S-i'i
Certificate of Occup~cry
Issued
Sewer & Water Permit ...................... $
This is to certify that the
s~~~P
City
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. ... .... .... ...... $
Sewer Tap ................................... $
" $
Pressure Reducer .'?(~................... $
Meter Horn... ..;;r.......................... $
Water Meter ..../8-.......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
City:
U-tQ4
1)fd
24 hour notice for all inspections 447-4230
.... -r- ,..
L White
2, Pink
3. Yellow
File
City
Applicant
Permit No. qq -i4'
BUILDING INFORMATION
11. SIZE OF STRUCTURE
~t) ~)
12. NO. OF STORIES
J
13. TYI6E OF CONSTRUCTION
-rOLVU Hc--'~L-
14. FLOOR AREA APPORTIONMENT USE
/ ~~ /!/lA-l"c./ Lt-tlf,L
~fI t1o~N'.s fl'f-US"
~iJh)
15. NUMBER OFOCCUPf}TS OR SEATS
OCCUPANTS r
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS a SETS
SURVEY
PLOT PLAN
a COPIES
a
?ISh .C)()
I r) 50. <:> ('")
45 . f) f:-.
t '2S' .C)Q
I ~ 'J.. OO.O(:L
t"t.or? . OD..-
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permi' No. 9t;- / ~I
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Plo. 2.5' a~7- 016-0
I, , ~O \)~,x;; ~~ +fY)~C,.~o~ L",C\-t R..I"
If)
0'1
t.D
(\J
I'-
0'1
""
(\J
.-l
t.D
TYPE OF SYSTEM
Wa,m Air Planls
GrDl\y .
Mecl1anlcel
Air Condltlonln;
Vent. System
HEA TING OR POWER PLANT
S'eam' .
Hot Waler .
RadIation
Special Device.
_Au. Silt
4'
o
z
w Supply Openings 9
z
~ Return Openings. t-J
lnpul ~ cx::o ou.tpll' 55: 2C()
Edr.
Clm..
Other Devices
TYPE OF WORK
x
Aller .tio~9
Replaeemenl
Esl. Comp. Date .
New ConslrocliDn
~ Repair.
....
f-
er
w
I
UJ
I-;
o
qq - It/- /
Eat. Cosl $. Building Permll' ,
HEAnNG PERMIT FEE $ 60 ~ "PAID WITH
.50 BUILDING PERMIT
E TOTAL PERMIT FEES Sc b5 ~ Rece!p1' .
o
ct:
LL
STATE SURCHARGE $,
TYPE OF STRUCTURE
1. 0.-
J. YsIIuor .
Cl'1
o.hdDr
Single Family
Ccmmerclal
Two. Family .
. Induslrial
'X
Multi-Family
Olher
Public
Fe. Schedule
InduslnBl, Comnwroial & Mulli-Family
Residential, Healing & AC
Residential, Healing Only
Residential, Oas Fireplace
Residential, Addilion. & A1ler.Uons
Resldenlial, AC Only
1 % of job COlt (139.60 minimum)
S99.50
164.50
$39.10
$39.50
139.50
~-Al999
Rememb9r to add Ihe State SufCharge on the bonom of this epplk:ation.
The price of your heating permit lncludea one ,ough-tn IUld one f1N1lln1peccron.
Addltlonal inspeclioll$ will bit bnled 81 $35.00 each.
House Heeling Tesl Aecom must be submllted wllh buDIIlwIlWDIIlmunbIL before buDd-
ing cerUneate of occupancy will b. issued.
~EAT r.., rolll. ,~Tln~,~ ~J;nl 'IA'::~ wllh numbe. of IUpply and rel.... openlf911sted per
room wilh CFM'1I per openTng. New strllclures ctt additIons Bind noar plan wilh tUppIy
Bud reMn loeatlons shown. HEAT LOSS CALCU~TIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. 6.E. PRIOR LAKE, MN 55312.
Cily Hall business hours 8r8 8 I.m. - 4:30 p.m.
AU WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4UO
I hereby apply for a me~ha"icallyslem. permll and I acknowledge 'hat the
informalion above is complele and acwr.'.; Ihal the work will b. In conformBnett
wilh the ordinanen Bnd code8 or the elly and with 'he .I.lI building/mechanical
codes; thBt 'his torm does not become a permit unl1l sloned by Ihe BUILDING
OFFICIAL; that the work will be In accordance with 'he approved plan '" 'hi
't\,e ~ all :.ork which require. revlew and approval 01 ptane.
~~ ~ c,-L/-'1C?
~YAuP"~lgn . ~' Dale
~ &/~/tfq
-- - BUildinw Offical'. Si(inature . Dal.
CITY OF PRIOR LAKE Me
18200 elg'e Cre... Av. 8.E. Perml, No. qe;-/c./!
Prlar Lak., MN 553n
IJ)
[L
E
~ ~ HEATING APPLICATION I PERMIT
~ Olte . PIO' 2~- 347- 0/8-0
~ Silt Addr... ,Ii I ~o \) ~<<^ ~~ + (Y).,~,.) o~ L",f"\.(
.-I
/Z.-J
"" La1 Block Addlllotl
IS) <
c Own.,..Nlm.,LJ. HitAm'< De.uL\OOmU"'\\- I 'lLC
:j . .
f-; Adm..., J.t;~~ ~Qvo.("'if""''' ,~o{"," Qr\VL.
Hlatlng Canlr8Ctar \) :s '-) \-\tA -\-; ('\CJ...f \\. L-
Add,... wfO ~Dtl.>)(. ~ve..... ~\~r\V.l \~, Mt\) ~:<~ \
PJ Tetephone' ',.J..I&:II- ~'=k \ .
~ FumllDl Makt&Mod.1 ~G\+~N-6Jo
~ Model saSL ~60 =-T ~
N
.-I
I.D
Conn. Load .
TYPE. OF SYSTEM
WIIIm Air PlBnlJ
GnrvIIy
Mechanical
Air CondlllDning
Veil" Syilem .
HEAnNG OR POWEA PLANT
SlNm'
Hot Walel
Radla'llon .
Sped.l Device!
o Fuel
z
ill
Z
o
I
[L
Flue Sill
SupplV Openl111l1
Relum Openings
Inpul
Edr. .
elm.,
Ou1put
OIlwr OevlcN
TVPE OF WORK
Alteration.
Replacement
Est. Comp. Dal.
New Conatruction
x
~ Repair
z
.....
I-
IT
ill
I
1J}
f-;
Q
Building Plrmil. .
'3'1 $-
.50
J-fo ~ Receipt .
91- /t./.-/
E
o
IX
LL
EIt. Cost S .
HEATING PERMIT FEE $
STATE SURCHARGE .
TOTAl PERMIT FEES .
PAID WITH
l BUILDING PERMIT
TYPE OF STRUcnJRE
I, ."... . Flk
1. 0... . at,
J. \lea- . CGIIINIar
Single Femlly
Commerclal.
lWo-Famlly
Industrial
)(
Mull1-f8l1'li1y ,
Olh.r
PubIc
Fe. Schedulv
Industrial, CommelClll & Mulli.Flmlly
R~den"III, Healln; & At
Ruiden1111, HeaUno Only
ResidenUal, Ga. FI..pllCe
Residenllll. AddlUons & Alleratlo..
RlI4denUII. At:, Only
1 % or Job COlt (1311.60 mlnlmum)
S99.50
164.50
$38.&0 ~ - '91)
$3&.50
139.50
Remember to add 'h. Stale Surchargl on the boUam 01 'hle appllceUon.
The pllce of your h8llllng permh Include. one rough-In and one tinlllll1lpecllon.
Addltionallnspec:1lona wlA be bMlecl at $35.00 each.
House Healing Tilt Record must be wbmllted wllh bulldIDg IIUI1II muDIIIl bero" build-
Ing cerlil1c8le 01 occupancy wlll be Juuecl. .
J-tE:4T r.41 r,! '1 .T~n~~,c: ~c-~ 'I~c-~ wllh number at aupply and Nlum openl... litH pit'
room wIth CfM', per opening. New .Iruclures or addnlon8 .end noo. prllt wflh lNPP'Y
Ind relum locations .hown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 56372.
Cily Hall bUlineu houl1 are 8 a.m. - 4:30 p.m. .
ALL WORK MUST BE INSPECTED (ROUGH.JN AND FINAL). CALL CITY HALL
447-4230
I hereby apply to. I mechanical .y.'tml perm" and I aoknowledge thlt the
InlormaUull above le complete Ind Iccurate; that the wa.k wlll b. In confo.mance
wit" the ordinances Ind cod.. of thl city and with th. I'Ille building/mechanical
codes; that this form doe. not become a permU until elgntd by the BUILDING
OFFI~.AL; thai the wolk will be In accordance wllh the approved plan In the
..e 01 all work which lequl". review and approval 0' pllnl.
...........
C-.-L/-qq
tP / :,h~
[}eta
L'-Builcinv OtrIC8'" SIgilalUf8
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~ /4 rz t:J4 V" /1f~1':! t.tfUlI C,." c...
Address: 5V" W/~kb'! ,o/7r~
Signature: '/~~ ~ '
Legal Description: Lot 7 Block Z- Sub PII~NI MEADoW z...,Jp
SiteAddress:/7/~ PAbl5'th-l ftf(lo...olo...v LA.Yl ~
Building Permit # qq... /4-/ PID # 2.5"'34-1.61/;"'0
NOTE: This permit will not be processed without complete information.
Tho Conlor of tho Loke Counlry
JUN -- 2 1999
FIXTURE UNITS
Quantity Type of Fixture Quantity
I Bath Tub with or without shower 3
I Dishwasher I
I Floor Drain
:?- Lavatory (bathroom sink) I
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
/ Sinks
Bar Sink
7- 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
$99.50
$39.50
GRAND TOTAL
L Blue
2, Gold
3. Yellow
File
City
Applicant
PPNo. qq-/t.//
Phone: ~1/5= f/t 7J-
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
$
$ 99SO
$
$ .50
$ /CJIf' ~
1\'\\"\ ..' '
~j).\O ~ '('2;.\;,,;\\\
U\\..O\N
\.e
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
- RE9l~oLP.h./~~ DATE
/Y.Jt;ZU - ATIEST
Call for all ~ections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
T
99 -Ii/I
Th. e.ft'or of Ih. Lab COUftl1}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTI\M:NT CHECKLIST
f JT,/t "1
NAME OF APPLICANT lUt /11{IIJ15 LJeU.
APPLICATION RECEIVED 3 - ') -'11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/ 12{) I)jl{t/~ou--f 1(1-rC/cI~m JAJ
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJIILTE-If. E4IA~~NIV Date: 3/1I/9'l
I ,
Comments: SEE. ?€i'lI!ld'=I#=. 99*'/'/0 ( 171ft, ~N'r 1I1€,qb.'Jo..~ ~A.J) ro~
,
~1=otl.MATION th.r.lllilt\ffE:~ ~ C.MI'C.~Io.1Y'.s
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."
94-/[//
The ('enlrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT IJr(/I/Clln5 f)~U.
APPLICATION RECEIVED 3 - d -11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/ dtJ jJka5.~ /l/&dt1-aJ td.
Accepted
Accepted With Corrections ~
Denied
Reviewed By: (j~;jJ-,-<//t..
Comments:
Date: :5 -~-?r
3.
LI. <3pp
c4~~ ~
, .
~
~o.ce a{{cdk,~ ~~
-:BP 4t 1'1- 0 I <-Ie -k>. p(~c; Sfk-c<>.. S(Jt~. r'(lJAALvt ~:_
I. ~oJ. ~ +ru.tA ~
2. M~(.'~ ~3(OM
e-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."
/(/1
The ('entrr of the- L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLlCATIOfi DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.'/"-/i/ // ,. "
, . ~., ,
.
/11'/
! ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.
J
,
/ .,'. . ,/
,(i(j /lli t
/
/:.~"'>' / , / / f
,. ,/i.".-'
Accepted
v--
Accepted With Corrections
Denied
Reviewed By:
4-e-v.- ~~
- _. ..
Date:
'3 - ~ - ''It::J
Comments: ,
Jf/680
\~
o,,~~ ~~'t~4Jv.1d ~
'r~~Vvv\~ b
2- tfr-r:- 1~1( c9vM:"~ I>>\~ AA ~C
"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 11\:1.0 ?~()..sc...J t\€CJ-&ow L-~
NATURE OF WORK A)-pl.0 (\Cf)A 9-.tr-uv+c'm1,
USE OF BUILDING ~ FA-
PERMIT NO. qCj - 1'-1/ DATE ISSUED s - "< -9 ~ ,
CONTRACTOR W/'f(,'V\...A..<;. D...Q~ .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/AJ INSPE~TOR.
rM-~ ~P-t(?1
J FOUNDATION (Prior to Backfill) I '''}(j) {/ ~ l, l' ~ I
PLACE NO CONCRETE UNTIL lABOVE HAS BEEN SIGNED
ROUGH INS
~) (5' ~ )~ (j 0/
(V. ,/
,.. 1 '- \ ...Pf\
~. ~ 1--\ -q~
(/)/) ~/if/qq
O(/U/ci) 4 q ~.I.. ()? I'}.r/,,'J
tJ -'1 p-
DATE
I FOOTING
SEWER I WATER I SEPTIC
FRAMING ~
INSULATION r.;
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
WE r,/ly/o1
GRADING (Prior to Sodding)
BUILDING -?lu -fTJ 7./.00
ELECTRICAL
PLUMBING
HEATING
DO NOT
If] J v )tJ (f / f) ^"--
CI If\)
OCCUPY UNTIL ABOVE H ~S
NOTICE v
\\~\S-'11
BEEN, SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850