HomeMy WebLinkAboutBuilding Permit 99-0220
~:..,~~"1:;;t~;r'7.~""f::;~~~:",,;?',tt '5'~~f-'- -";'>-'}r~r:-~"'"'<'",'~;""" ;~;~r~ -~"""'llV~~{" '~~5"t~:;',:_-,:~:. _":':l._.::".::~ '",;JJ:,"'",?: ,~~,-~.':::>::.
~--'~~--------:~~ ----- - .._-----~_._-_.._----
(""':\\!ldIIr.~..~.~...lIIIldJit;"'9~...l(,dlk~~_ ~~.....,..~~~*... ~_....... ....."...&;.
',"J. .~~. ;'-, ...,~.,..,:,;.. '~~.-.:~:...!'.:._.,....:~1!;. ~~~~.'~'t:~:i1.:S;;,."'" "".'..'~."~"~.~ ~.:.", j>O...t.~'.~&.. ...:tI;
" .,. - .~,~_t_"""_r_"~'..~+_-'~ r.,....., r ~~ '~' , -..~~ ..~ .'~."~."'~~: -~'~'~ ~>.~:.:~~.; 'i,~' ~'~~ ;" - ~ 7 ;.
;',:' ,~. - ... . 'uun'.'__'" ._, ,,'-. _ _'. _' I_~:
~:~:~. -. !I Qrtrtiftcau at (lDCmpanry I {.'.~
I, :-:. CITY OF PRIOR LAKE~4:
.~~ J / J)tpartmtnt of ~uilbing 3Jn~ptttion-'
r:~ r: ~inal Permitted 0 Conditional CO. Expires
r.-:L~ This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
~ ~:fJl" 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 Classificatil1" Single Familv Bldg. Permit No ')9-220
Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District Rl
Legal Description L8, B3. Knob Hill Third Addn
Owner of Building
C\ite Address
4')')6 Hl1mminghir,-l 'f'..I.ai1
Contractor's Name & Address Windwood HOlnes, P.O. Box 24329. Apple Valley 55124
Robert D. Hutchins
City Planner
Date:
Jenni Tovar
Date:
.oO..;;,i~:
"."";: tlJ;,,;.;,-..l,~"- - . ;:...,~ :...J;,~'A-'.
. '1iiiIiIf.. ~''"'''-;';i.-'"s \. ...;J.;..:.;:\;....J.-,~t.""..:.: .~. ,:"~:,;,,o;;.; ~U~~~....if.::.;~'~J'~~~:.~J. :~:ai-~' ~ ',.~}(:'~ '.':i.; ~ ;~l,~ ,"",,'-i ..:,,i;.' ~" ':.;k'~:-
:i:ilI~
'permit # _ - -
"Job ",;'" ~",/ MlI.,'rJ
_e::::r- ~ 'tI/r .~
*Testers/Signature ~ i!:I -8 -
pounds
~ ~ ~
'Gas Line
pressurized - -
Inspected - -
ef,RFORMANCE Till
'percent C02 ~,l ~ 'percent CO ~
'Percent 02 ~ .Stack Temp. ~ 1
_ Date _
Final Inspection
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ Z:30
ADDRESS
~~ h'l/n/'?/N6L>/;€Z)
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q9-~Z,O
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION l\ 0 SEWER HOOKUP 0 FIREPLACE FINAL
~FINAL "St,(/ ~ 0 PLUMBING FINAL 0 GASLlNE AIR TST
/D- SITE INSPECTIO' YMECH FINAL 0
COMMEN]'S: ((iY ~ k~ ~ lA-O.
r12T7'~'~~~tfr' Ll~ -'11'
~ ~ ~r~_C/'-'-1 lop ~
t>a ~.... . .
~' ..derI2. ..~ ,~eM;fV-^ ~J
~ (1~ "f! (1~ ~
b; ~. ~ .
,-/~ ~,(), -r~ 8~{-91
,
~ ~~. -trh- ,
4~~j ~--;f;;-;wf-
f'lll-"~ - In-fp-97
o ~RKSATISFACTORY, PROCEED
1!1" CORRECT ACTION AND PROCEED
o CORRECT WORt? CALL FOR REINSPECTION BEFORE COVERING
Inspector: t:J:+( Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INIiNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ..!:L.s l)~
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
€iINAL
FOUNDATION
DEMOLITION
o FIRE PREVo
DATE
TIME
ft:Ob
SCHEDULED 1-2- tj9
Hwr:::ttt1'd U
PERMIT NO.
4 0 PLUMBING RI
~ECHANICAL
~ATER HOOKUP
SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
q q -'t--t"
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
C~~iNiS: irk ~
~\L
III
IJo
5~ Avv
cD C 1/l'Mw4 riff }\(( ~
(2) r~~ ~ A/lruttc (AA~
CJv~ L1VJ
Inspector:
40
}?V(
tJu
~
-
( Drff^-
O~
I
~x
. /'
h L:YC<.c,~
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DAT.~E/ . I
~~q~
7. TYPE OF WO~ Fireplace 0 Septic 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 COSTN ALUE
Chimney 0 Mis. 130, tJt)e)
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLET~~A."1 T
Sq. Ft. / J,.~ Width 40 Depth So Yes No 7";''5// tf ?
I hereby ce 'JY that I : ,.. . _);, au "oOUO', ,,,,,"un OninlS a lication 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 me . ned prope and all c structi ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a:~at the
:uilding official can r is ermit for st . Furthermore, I hereby agree that the city official or a des~qa7nter upon the property to perform n1~fi '4
r Signature ~ ) License No. %: ,,.
1./
SETBACKS: Required
Actual
DATE RECEIVED
_li.
- DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.SIT4S-~b ~MMf~(Uj
IMtL
3
~
3. LEGAL DESCRIPTION
f3
LOT
BLOCK
KtJoa t-hl{
ADDITION
W~N~~oOA ~.~
5. ARCHITECT (Name) ,
C\ .1:>__/ (Address)
t'ODC';X 243~#
(Address) r
6. BUILDER
[ I
(Name)
~l
(Address)
,.r
-
Front
Back
BUILDING DEPARTMENT VALUATION
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq -ZZO
~I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
PID c9":} - 3LA -nJ-:z..-{)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
~
(Tel. No.)
tft, ~~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
o
Side
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
,)H)
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
\'3';i. 000. ~ 0
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV M
Occupancy Group A B E F H I M~ S U
Division 1 26)4
Permit Fee ................................... $
Plan Check Fee ............................. $
I. () qry . '2';-
(pee.'l"Z-
(PI.., .00
State Surcharge ............................. $
Penalty ....................................... $
loC) .00
C~,06
~S .So
Gas Fire lace Perm~ ....................... $ 40 ,cO'
Th' I Bec~Uilding Permit When Approved.
By ~ n - Date ,1 - ~ t.::'D
Certificate of Occu(ancy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
Amount Brought Forward .................. ~
Park Support Fee ........................... $ AC:;-O. (":)0
SAC ......................................... $/0 ~ . DO
Collective Street Fee .......................~.
Sewer Tap ................................... $
'~A~
0&\
~(( $
Pressure Reducer .......................... $
Meter Hom .....?J.. ........................ $
Water Meter ....i'O......................... $
Sewer & Water Connection Fee ........... $ J.
. (
Water Tower Fee ........................... $
I :ZS. 0 (j
200 .00
ja0 ~06
t.(c:; . 0 C
Water Tap ................................... $
Builder's Deposit ............................ $ ~# ~-CJc) . 00
Other ......................................... $
Total Due .............................. $ 15b4. 4/
Paid LS()t../. 4- ( Receipt No. ~ Ej5;"'(}7 r-
Date J '-I. 1 By {fIl'---'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin nce and may proceed r4 requested. This document when
s~ I nner const~utes a temporary Certi~r..~l Z~~omPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner - Date Special Conditions ij any -
Issued
24 hour notice for all inspections 447-9850
~~~. "t... YI' ur rill"" .......,.. Me
$ _ ~ '.200 EI'" CreItI Av, S.&.. Permit Net. CJq - 2 20
__ PrlDf Lake, . 55312
HEATING APPLlCAnON I PERMIT
Date 1--/.3 - erg ~. 2..5- 3L/t:; - ~Z3-()
Sile Addllu . -4f55/~ ..tJU IrnfYIIYV,1/,'AnI..... JIV, /liE,
..., Jr'" "Y ,
Lot L Blodl 3 .\ddilion tntfb Iltl1, drcl- Industrial, Commer~ial & Multi-Family
/1' 'A J. ~ J.4 . Resldenlial, Heating &' AC
OWr..,'s "am.. ~ I YJOJ.) J1J1JTA./ NtJrTJI A . I Res:del\fial. Hea.nn~ Only
AddrlJu ~ 1? r1Y ~? (){)()U _ W J.LJA, /l)J 5~ Res:dent1a1. Gas Fi,ep!ace
a d/,.,. (J' J /' I -'- y- /1 -.D ,,/ Residential. Addi\lonsl AJleratlOM
Healing Contrat. 1.,. LI.n / rrf"LLL ( /J/L _ Resldenlial, AC Only
Add,...)57 k/5 .liA.Aj)IWI._l b !tuJ., Rarrr/l/l}(/1-(~'
u -
Telephon.' &5/-tfr:J3 -.5"75'7
Furnace Mak.1 Mvd~ lli~jll;Y-.l::Jdj3ri:l'~F SYSTEM
rtC' ~ ' Wum Air Planll
Model Sll' _ I-J! 00 V Grevlly' \
Mechri:lll ~ etflll/l ",
All Condftloflint . ,4... ')~ tirrl--
VInl Sy..". ,
HEAMQ OR POWER PlANT
Steam,
Hal Wafer
Radiation .
Special D.YIceI ,
Com. load
Fu..NllJ~ r F\Ie SiLt ,')'1
/;
RelUm Open!. . 0/
Input /11/ D1C ()utpi 11 If'?)
, J
Supplr Oplfl[np .
Ed,_
elm.
Olh.r Oevice.
Mtf.&'"
"PE Of WORK
N.. Consb\ldloft
~
AtpIactme'"
Est. eo.... Dale .
Buikli-. Pemll, .
HEA TlNG PERMIT FEE' qL/, ~O
.50
TC ~.JL FEF.J.IT FEE 5 I I tJ7) . 6i)
Repair
Ell Colt .
STAll SURCHARGE .
q tj -010<{)
~PA'D-wrrH~'
L BUILDING PERMIT
..
P.ea~ . .
"'''~Ioi .... :"..", Iff, I w.....
5ing~. funty
CommBlClII
/ r-.FM\If
M...ramlf
_ Oll\tr
o
-1
......
....
c.o
......
cg
cg
lndusl,iaa
Pubic
Foe Scl\flful.
NI
o
en
en
,.", 01 job cDtl (139,50 minimum'
U9.50
'64.~
1:19.50
$39.50 .
~9.5O
't1
>
l><l
Rememb.. 10 add lhe Sla\e Surthanp an ... bollom of lhi, IpIJCIcltlan.
The Pfic. 01 your heating permillndud.. one 'lM.Igh-ln and one r....lIlsplldlcn
AddiUoRBI inspections wiI bt bilktd II I~r ,''''1 elldL
HousI HeaUng Tnl Record must be ...... wIlli b\iIIIlDI ~ IDII*tIr be.... tJu~
Ing cerlitlcatt 01 occuPMeJ lIIiI be I....... .
HF..AT "A~ r,," ATlnNiII "Ff" ',QFn wIh tutlber or s'-WlY ... return ......... .... pII
rOOfl'l with CFM"w p" openi~ New IINtUft ar additiON .... IIoor pIIIt wih tuppIJ
and filUm Ioc:aHone shcnIn. HEAt' lOSS CALCUlAl\ON5. IWfMENI' ANI)
APPUCATIONS MAY BE MAILED 10 THE an OF PRIOR UICE. 18200 EAGlE
CREEk AVE. S.E. PRIOR lME. MN 5StJl.
City Hal IMinelS hours a~ . a.m. - 4:311 p.IlL
ALL WORK MUST BE 1NSPECfED (ROOOI,"," AND FINALI' CAli. artHw'
44J -4230
I hereby .pply for a mechanical .ystem. permit and' Klmow1edge1hll fle
lnlo.mallon above I. cGm$"et. and ICI:UrII'; Ihlt "'. WId wII be In conlonnlnC8
with 'he ordlnanell and coda. .. .. dIJ end with lhe ..... bulldlngfmechlnlcll
cod..; 'hat Ihle 'orm dG.e not become a permit un" tJg""'" the BUft.DING
Opl61j: "'. at th. work WIR. be In HCGRIanCl with .. .ppraved pfan In the
a58 01 8 ,,!ork whl ulr .~."d approval .. ptMlI..
It 4if/" -- , 113?r
Allpl . 'Dale
'1/3}rl
CIII
~
o
....
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:jA //(J'/ij~??Z~/rJ/f (('cJ
Address: ,%V) (r"%r2/~'l' n/(_.
Signature: a 9,;/) ~'7 /Zt"~
Legal Description: Lot P> Block....3 Sub KAlaS II/L-t- 3;<Q
Site Address: .//5-:5/;' /-t-//7?/-n2j:?l/"~''7r'/ /I~ /2 c3~ R(
Building Permit # en - z Z C) U PID # zS -.3 4-9 - 0 z.3 - 0
,
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th, C,n'.. of lh, Lok, Counlry
J\JL ,5 \939
Quantity Type of Fixture Quantity
C. Bath Tub with or without shower _~1
/ Dishwasher I
I Floor Drain
:3 Lavatory (bathroom sink) /
/ Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
I Sinks
Bar Sink
.1 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
I. Blue
2. Gold
3. Yellow
File
City
Applicant
# 99-2Z0
,.- /7',"/ ~;;:;> ')
Phone: h'-/c. "e-./c !
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\\i-\ ~"-t"
pp--\O pE.'I';\'p\ \
\.l\\..O\\~G
l~~
This permit is granted upon the express condition that said
contractor, shall comply in all respe with the ordinances
of the State PlU~bing me?t's thereof.
'. '/5/'N DATE
/ / ATfEST
Call for allJspections 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
NOTE: Sewer and Water
contractors must
be registered
with the City.
! 5 '
APPLICANT: ()/Lc-Sll~ ~ XC .
ADDRESS: J' // K .r tJ P L ~ wVt~( tIt. i.Jl .
SIGNATURE: (b ~L D~
SITE ADDRESS: 'Is (' to JI'iM..," J;...JC,4 ~ T/!.. .
FILL IN THE BLANKS
1. Estimated length of water service
I'
2. Size of water service
)
inch(es) .
3. Location of any couplings from structure
4. Type of sewer pipe. ABS
PVC )(
5. Estimated length of sewer line l./ S
6. Clean out (if required), located at
structure.
NO. qq,. 22-U
PHONE: e- '-2. '4 b "'-
DATE: s- JrJttc;
BLDG. P~RM~T # 9q~()
PID#r2~-31Cf-{)d3 -0
ifS
feet.
feet.
Cast Iron
feet.
-
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This R~Plicat~on beco:~s your permit when approved.
BY ..I~tV ,~ i~-"~P~ DATE: (p~o/qi
~- -......J .
FEES:
------------------------------------------------------------------
------------------------------------------------------------------
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 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. ( PAID WITH
DATE PAID BUILDING PERMIT
AMOUNT PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
qq -Zea
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.r of lh. Lok. Coonlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT lA ll~ ~
APPLICATION RECEIVED '6/7 i:, I qp/
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
%<., <i./,,~b~at I~
Accepted
Accepted With Corrections Y-
Denied
(J~
Date:
s - 5 L -9 '7
Reviewed By:
Comments:
I. Soci ~ +11.JU..b pm- &.eu-e-~o~ f f~
2, M~,'\A.\-~\l.A.. ~'St~ Qov:::t--.J
3. ~ tJ.l q,~ ~cn::L.
'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."
. f
, .
r.
.,
Thr Crntrr of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
/..! ,/
I
it. r((~~i..,/
, ; I
Ii ll('
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/' {.'
',.
...
Accepted
v-
Accepted With Corrections
Denied
Reviewed By: ~ .-~~~
Date:
'< ~.sl-c,~
Comments:
"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."
( (rt - Z l(l
&w1J
Th. C.nl., of th. L.k. Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
l ( ) ( I ~ri '-.( ~(-{C/ .~ Ie I ( L u:)/
<~ /7 tr,. I q0
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, I ! -
1 !C7--7 JJ . , -- l
\) )lc (t. f ,l{! i Lll "J 1\.,1 {(( I( [( L__
Accepted
./
Accepted With Corrections
Denied
Reviewed By: yJAl-rt!R. td.&.ESMAAN\J
Date: 3/3/ 19lt
, .
Comments::r;. .<;,~oK: F:..........J...t l-r~
5-r~ FRoM ~oob ~~ 4N.b l'iISClJsEEb
W/1'l-J
JJ I tv!
ruE ~1t,ql:II.uu
I ".hJ cu. vEl) w ITJoI rH~ (.! ,q a. 4l;,E ON 'f";ff:, ,"ow
:s,1) ~
oF' 7""1"tf: /..01'. RUN oFF
t'1lf." 3.E
C.oIlJVEvr=o. '-0 ANo. A LONt!I OI?AINAC.E'
A~b I J'r, L IT'" EasE-ME'A.JT'S t.1" MlJc:.ll....-.AS ~,<ICTleAL.
T"'~ ~MEn('.EIoJr.'f' o\JEIt.Ft..ol.\.!
0.... T..tE.. I<€A-It. '?.,a-r, ON oF' -r>-/€ Lor 1M I,l.\T iEE: a~b6iO tAl A-r THE
('..oI'lRe:C.T Et..EI/ATION of 'tSf#. & _
SEe- J~Da.""A"",CW oJJ ~€uEIU;€. s/t::.E
~ A'rTAc.1:i!!1EAl'B: /. hAJA-(" Q.1't4-0ING. 1~S.~CTlDAJ l&~O/U."TIlIA1 l- taltaQII\!{., R..a,.J
3. CItDStDI\I /!ONT((CL ~Er4'S~~r;. \ ~ 'I. EI{()S~N (!fJ.tJTftDL H.t4..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 pf ~ny other ordinance of the jurisdiction. Permits
presuming to give authority to vi~tE;i 'or cancel the provisions of this code or other
ordinances of the jurisdiction shalt:rtlotbe v~id." ;_
.'f' :/ n .l_r
. J'W ',~ ",P;~
I... tl , "." ."-'
1..\ ').1 . \:. f,fJ"j1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS lIS 5(0 /-{uVv\(,<A.I'v.-.jlo\'~ 1;,'{
NATURE OF WORK /J~,0-J Qo-u.J. \
USE OF BUILDING 3F;J)
PERMIT NO. '1Cf - ')..)..0 DATE ISSUED <- 7/-? 7
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 'NSP~7R I (,..~t~~E
FOUNDATION (Prior to Backfill) ;JS. D 17- z -9'7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I'-~.
RqUGH - INS
?:!/ 7(. 19-1 ('~'
() /7f) 8/;'/11 Y .
V ~
/ ;:1) Ii'lt1'J
HEATING (if required) Q,\.~ 'V~, R-/~.q1 I
FIREPLACE~,~.~~\ ~ ~\ ~-\'~'~~ (p. (L. \ -@ fA, V/Z'/t~9
GAS LINE AIR TESTf\~-;f,o't-- ~, ~-13-?11
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
vtE: lOfc,!'1q
SEWER I WATER I SEPTIC
FRAMING
INSULATION~)
ELECTRICAL
PLUMBING
.-.
'6'('i4Q
R-Zo-71
GRADING (Prior to Sodding)
BUILDING TIQ.D I 'tjl9. 8"1-" ~, \O-4-9i
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
f/))
V::t5~
h:t,
I
, J 0 - 10 - f1
/()-i
I D - ~.. 99
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