HomeMy WebLinkAboutBuilding Permit #99-0309
OJ'S HEATING' AIR CONDITIONING, INC.
HOUSE HEATING TEST RECORD
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.permi t No. "
Owner Wd L it r'\_~' () ~I e.1(;;),f) n'\(.;~n'\
Address J! I ";l(~ Phl e.J:;~ ~ .;:~ h-LaJ",,-,-:;
Installed By () Tj
GAS DESIGNED UNIT
Make A,."."..".)., '" ""
Model C~C i C (~ l.-/ S c..: ~i( '3, C)
Serial CjC(n c, l ''d-.../-i L .;(
Rated Input /.--; '"')
TEST
f";~' ,,'
pilot Timing ''''l, ;"., rc'
. ...~, <"""J
Limi t Sett~ng..i.oI.,
Percent CO Cl
2 .
...., c,...'"
Pressure') :., 'N,'
Input CFH 1--jc; ocr:"
- /. (,',
Stack Temp~'~()
(~'
Percent O2 ':;
...
Percent CO (} ,Cot,
Heat Anticipator Settina I is
Date Tested J. 10 -.,OC
Name of Tester_,/) ~J<
~
~. ~,..~,I"W.i""r"'A::~'
.Lfi'..
-,":?'}V: :,~",-..:.~_:,-_;: "" -..;
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9bh9
z :00
ADDRESS
/ 'i /2 9 ?/I'6J7S/fA/T Me;:ra;W
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-.3() 9
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ MECH RI
o FRAMING WATER HOOKUP
o INSULATION ~SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 1:(1' T;tyJU- ,,/-1'" I rr ~ ~~
.2' Jt, JJL.# W/"jbr" ~. ~
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1..tJ"'rJ...t:J ~ r-fJ ~,
1./)( ~ ~.-. '-A:> ~-
\~~~
~ .A:I- ..r~~ ~ ~
~ AU' tliMjA..bI.- ~ - rrk. I
A~ ..Dt1~ ~~
~ 0 !Ill
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~I
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
T--.-..------------
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/-2$" ~ I~~
ADDRESS \ 11 2.q f'h~ M~}
OWNER CONTR.
PHONE NO. PERMIT NO. qq... $01
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION ~EWER HOOKUP o FIREPLACE FINAL
o FINAL It PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
~O;rTS:
/( bl v. ).U..,QA
GL~(~)V" ~ L;n('l
~ Tt\S1-~ N~~ Lo.v
fu OJ. ~l- \{ AJU{)
~ I
j,JUi.. l- ~/~ ("'~
_ \D~ORKS
~RREC
o CORREC
F RY, PROCEED
TION A D PROCEED
LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL lt7-985) FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
\-lS~ L~~
ADDRESS l1t~q
~~
OWNER
CONTR.
PERMIT NO. '1'1. - ~
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~SULATIO~IA 0 SEWER HOOKUP
INAL 1'1 It 0 PLUMBING FINAL
o SITE INSPECTION ~CH FINAL
COMMENT~: r
~ ~VrwrA_O -\v-~ ~.. ~<e.viV1~ ~~
Rem-oV-L- ~~h-1 ri.'.bYI~ U .
I r" 'hYe v..xJi2 ::' h ~ rnrn-
-FN'f'"~ ("Jl~-\-~V.t- t ~)
~O$bV' ~ I
~~
{,II ___________
-~ "-
I J
I I
\\ I
\j
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORKS ISF C
t:REC" AC N
REC' . R EFORE COVERING
Inspector: \:
CALL 44~9850 ~::OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQVENTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
"
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1. White File
2. Pink City
5CG- /!JA/,.J /;o~ 7;:an~8
Permit No. C;c; -301
..,-
~;;:n
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
'~r1'(r
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS
/7 /~r fJ~A--'$AW.Y' J....l.€'/t.OfJc,O
3. LEGAL DESCRIPTION "-
LOT + BLOCK --.L, )
ADDITION JU-P~t:f( ~ pfDtJ ~
u.~
~ .tv ~
,
12. NO. OF STORIES
PID d5"" -3Lf7 - 0 () q-O
/!.H.A..~e. ;J-.
13. TYPE OF CONSTRUCTION
(Tel. No.)
(Address)
14. FLOOR AREA APPORTIONMENT USE
4. OWNER (Name)
S,4..N ~
(Tel. No.)
(Address)
(Name)
5. ARCHITECT
(Tel. No.)
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
6. BUILDER
WILL'/f-,,",~ D.(tll!...LO/~1 LL-C {wid 4-tt~-"t...-~~4--
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
7. TYPE OF WORK
New constructiO~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width Depth
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 m~ntio d 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
bui~di~~ial revoke this permit for just cause. Furthermore, I hereby agree that the city official or a d. esignee may enter upon the property to perf~ ::;~d inspections.
Xr~J ~ J;:-()A lu,LL,I\-MA" Dilv, t..-LG ()IJbD !3!lC!-- Q
Signature License No, ate
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Side
Back
Side
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
~ffl-
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
crs''V''1r? 0 0
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division", ;;",.3 4 ..n1"I t-7 r'I--:-
Permit Fee ..................o::?.W.,ro $ --rei , · tJ'oA ).
Plan Check Fee ............~?~~....Cfp$ ~ . ~ I,
State Surcharge ................~.?:SD$ -..bLt . 06
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
e~(). C6
ttJ1'i"O . Of)
i-........r"
......:"....
I",' '~."- ""'.,
\ ,\;""~"\'I
, II '\"'1- ~ \tw '.
\ \ ,', I '. <'
\. ',.\ :...~ ~ 1'1," I')' I
l\,' .<,1... , "
..., .. '.' :,' 1'"
llr..'. .';".. ~ ",' /.,,1
., ~ . ~
-
Collective Street Fee ....................... $
SewerTap ................................... $
Pressure Reducer .%:.'.................. :
Meter Horn ...~...1...1A....................... $
Water Meter...;o.......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
,
L./ S'.1"n
Pen.;.lty ....................................... $
loo .(9CL
l ~(l) .l9()
'S6.6'O
Gas FirePlaCipe it :F'" ............ ..... $ 4 () . c::>o
ThiS~ come uilding perm~w en ~~ed.
By W '}-~ Date -,f' -"11
Certificate of Occupa y
Paid rl ""'l~) ~ /0 Receipt No. ~ Co 0 II
Issued f dU~ . Y' , A
This is to certify that the request in the above application and accompanying documents is in accordance with the c~:~oning~::L~ Zay pr::ed ase. This document when
Si~~1 ner constitutes a temporary Certifi.cate of Zonin~ compliance ~ allo. ws construction to commence. Before occuparcyi'~ ~~ll}f of Occupa;Jt be issued.
_~AA.\j ~~ g-1-4t~ ~..r- ~~ f1 L\-,>.A'~W k:P-1' _ ~~'"
j Planner Date ~cial Conditions ~ any
Plumbing Permit Fee ....................... $
t,2.6. CJO
I, '2Dc) .... <:90
r ~ .<:90
t
ft j~ q
Vd!,
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $-4S0f') .~ ~
Other......................................... $
Total Due .............................. $/ ZO~-40
24 hour notice for all inspections 447.9850
'r
GREEN - FILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE NO. qq.. ,307
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: 17AlA1. k~ALJE :I A/c... PHONE:
ADDRESS:.&.J?OX Jo fl?J/)/J. ~If)(c /J!I\J DATE:~Ji'/?9
SIGNATURE: ~i//71lc~~ BLDG. PERM~T #33.-309
SITE ADDRESS: /7/~7 tJf/eIlSI?N-r l!J8/JOuJ LMlgPID# 25-34-7- OQ!:j- 0
FILL IN THE BLANKS,le1 .
1. Estimated length of water service
;?5'
feet.
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
o
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
------------------------------------------------------------------
------------------------------------------------------------------
This apPlicati~~~~ your permit when approved.
BY ~~W~ DATE: P>/zs/99
~v I I
==========~======================================================
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 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.
DATE PAID
,"""..-',
AMOUNT PAID _.....\0 \N~\
/ ~'G 'r ,#
REC'D BY ~U\\,O\~
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
r'
1"110
Oly
C~..
.. rtn..
l..GrtI!II
). Yelluw -
CITY OF PRIOR LAKE Me
16200 Eagte Creek Av. S.E. Permll No.
Prior Lake, MN 55372 .
.TYPE OF STRUCTURE
QQ-..309
'X
Multi-Family
Other
Two-Family
Industrial,
Single Family
Commelclal
HEATING APPLICATION I PERMIT
q,~~ 9~ Pl0 ~ 25- 34.-7- 004 - 0 ,
~ Sile Address ,\~ 19- 9 '9~~-:-- fY}p,^-6ow ~A Q..., lei
.-i
iJ\ lot 4- Block I Addition ?#eA.9JNT /7E/lOtJW 21iJ?
ISI ' .
ci Owners Name LJ I 1/ i '-VY'\ \ti' L)e.Ue... \00 Mef'\ \-. '1 LC
Ill' \ I
Ui Address 16~~ ~'-\vo..("'ilA,,<hD("L~ 'VC'\VL
Hlllling ~nlraClorD ~ '"'S ~ i-; ~c...\. -( ~ I c..
Address .&Jf:D ~c,ux. ~~. ; \\\b('r\~')l \~- Mt\) .5~~ \
~ Telephone 1# . J../q 1- ~~ \
~ Furnace Make e. Model H~ -t- N. G I 0
~ Model Size :5~- 1)5 0 -r~
~ ~
Conn. load _
Public
Fee Schedule
,% ot job cost ($39.50 minimum)
$99.50
$64.50
$39.50
S39.50
$39.SO
Induslrial, Commercial & Mulli.Family
Residential, Heating & AC
Residential, Healing Onlv
Resldenltal, Gas Fireplace
Res.idenlial, Addilions & Alte,alions
Residenlia~ AC Only
Remember 10 add the Stale Surcharge on the bottom ol1hi$ application.
The price of your heating permitlncludes one rough-in and onelinal impeclion.
Additional iAspectlons will be billed at $35.00 each.
House Healing Tesl Record must be submitted with "".ll1i~" l1/1\rmj, ,,"qlW'~...r before buUd.
fAg cerliliCllle of occupency will be issued.
HEAT CALCULATIONS qFOI 'I~Fn with number 01 supply and return openings Usled per
room with CFM's per opening. New slruclures or addilions send Hoor pmn with aupply
Dlld relurn localions shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE ClTV OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Cily Hall business hours are 8 a.m. . 4:30 p.m.
AL.L WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) - CALL. CITY HALL
447-4230
TYPE OF SYSTEM
Wa,m Ail Planls
Gravily
Mechanical
Air Conditioning
Vent SYllem
Flue Siz1J
Q Fuel
-'-
HEAnNG OR POWER PLANT
51eam
Hot Waler
Radiation
Special Devices "
~ Supply Openings
o
if Return Openlngs
Oul~ul
Input
Edr._
Cfm._
OlhtrOevices
I hereby apply tOf a mechanical _Vslems permit and I I<:knowledge that !hit
Inlormation above is complete and accurale; Ihat tne work will be In conformance
wilh Ihe ordinances and cod.. Dr the clly Ind wllh lhe stlte bulldlng/meenanlcal
codes; lhal this 'orm does not become 8 permit untll signed by the BUILDING
OFFICfAl; lhal the WOIJ{ wnI be In accordance with lhe approved ptan In the
case 01 all work which requires review and approval or plana.
~'-~,
_~"tii,:'" "---
-- llu~nAtlll~ .
TYPE OF WORK
x
New Conslruction
Replacenienl
. Est. Comp. Dale .
Alterations
CJ
3 Repair -
f-
a:
w
I
Ui
...,
o
qq - :3 09
~." f~\R"G~~f\~\\
e\l\\"o\\'
Receipt' .
Building Permit" .
~<1 ~
Est. Cosl $
HEATING PERMIT FEE'
STAlE SURCHARGE $
9 - 9 - c)<1
Dale
q /q /qCJ
, I D'.",
.50
5f3-
L/O
~ TOTAL PERMIT fEES S
Ck:
lL.
~
~~.~
1'1
1'1
Noale9-Q-
IS)
g:; Si\e Addleu I,l 2 g
(J\ .-'
.-i
en Lol 4- Block I Addilion.Ph"l91..9'1NT ~e-/lOOW Z'}t2
: Owner'9 Name,LJ I }{; (HY\ 'I)' De.Ue..\o OfV\f.C'"\ \- , '1 LC
III ' .
U1 Addre9', J t)~.c:; ~4Vo..C;(Ar'\ .c<ho\e_S V('\vL
Healinll Conlr8clor .D ~ I ~ ~ +, f\CA, -( ~ I c..
Address .~f:D ~O)L)")(. \\v<<...; \\\h,c\u'. \~- {Y)\\) .=5~:<e.'
~ Telephone 1# ,J-ICJ/- r;;..f.ofo \
~ Furnace Maktl & Model ~ 5J ~ TYPE 0' SYSTEM
~ G rIlL.: J lL:' Warm Air Plants
N Model Size C\,-O,-\-1- ~-'rJ!('Y'f""\ GravIty
~ ""Z r:. t I I a Mechanical
Conn. Load :I ~ I ....., r --. A' Co d" .
.. l\ "' J '1\ Ir n IllOmng
. Fuel \Vb\ -t- FkJe Size 1"-\ Venl. Syslem
o
~ SU ply Openings . <4 HEATING OR POWER PLANT
z P J.. , A Steam
~ R9\urn Openings .r ( 'm~ - ~ ~~ I~\flot Water
J II '::z / a~ Radiation
InpuI.I1'O! (X:I:) OU.lput ,- J(a J CJ ~ I Special Devices
CITY OF PRIOR LAKE Me
16200 E8gle Creek Av. S.E. Permil No. .
Prtor Lan. MN 55372
QC?-30Cj
HEATING APPLtCATlON I PERMIT
qq PlOt 25-347- 004--0
~1Z.4~~ M&AAov.) l",,"(L
Edr.
Clm.
Other Devices
TYPE OF WORK
x
A~era1ions
_ Replacemenl New Construction
~ Repair. Est. Comp. Date .
....
I- Est. Cosl S 99- 309
ffi - . Buitdlng Pennn ,
::r HEATING PERMtT FEE $ 99 ~.9 f
U1 / ~~\O t~f\~\\
...,
Q STATE SURCHARGE $ .50
.. / 00 \ eU\\.O\~
E TOTAL PERMIT FEES , DO - Receipt.
0
~
LL
,l!Z/
TYPE OF STRUCTURE,
1. GI1lnl . aIr
}. 'tell_ - ~_KIOf
Single Familv '
Commercial
Two.Family
Industrial.
-x
MllRi.Famlly
OlhtT
Public
Fee Schedule
Induslrial, Commercial & Mulli-Family
Residential. Healing & AC
Residenlial Heating Only
Residential, Gas RrepSace
Resldenllal. Addilions & Alterations
Rer.ldenllal. AC Only
1 % 01 job cost ($39.60 minimum}
$99.50
$64.50
$39.50
S3i.50
$39.50
RemembeT 10 add lhe Stale Surcharge on the bo"om ollhis application.
The price of your healing pelmillncltldes one rough-in IlIld one Iinal inspection.
Additional inspections will be bUled al $35.00 each.
House Healing Test Record must be submitted wilh ~~1"rll..f" "l"~ nllm"'~r before bu"d-
inll cerlmca\e of occupancy will be issued.
HEAT CAI.CUl.ATION~ ~r:OII1A.Fn with number ot supply and relum openings lisled per
room with CFM's per opening. New slructures or addilions send Roor plan with supply
Ind relurn localions shown. "'EAT LOSS CALCUlATIONS. PAYMENT AND
APPlICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
CUy Hall business hours ere 8 a.m. . 4:30 p,m.
ALL WORK MUST BE INSPECTED {ROUGH.iN AND FINAL) . CALL CITY HALL
441-4230
I hereby apply lor 8 mechanicBIIY8teml permit and I acknowledge thl' the
inlormation abovs is complete and accurale; thai the wort\ wtll be in conformance
with the ordinances and codes of the cllV and with Ihe slale bullding1me~n8nical
codes; thai this (orm does not become a pelmlt unlO signed by the BU1LOING
OFFt~IAL: Ihat the work will be In accordance with the approved ptan In the
R~se _ 01 all work which require. review and approval of plan&.
~ ,~, ~ Q-9,g9
.. ,B;!l7dii . C(/ ~?99
9-17-99;11 ~56AM;ELANDER MECHANICAL
;612 445 7487
# 21 2
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicsnt:. ./ ~ tI""l ~/ dR-~ l e-c+-c--
Address: -5"9/ C- ,c4..-<h D.., ~ /r V' <-
Signature: .~~4/~ - ~
Legal Qescription: Lot ~ Block / _ Sub ?~ M~w' 2ND
Site Address: .,. /7 / ~ '7 /" k4-S-.c;:. ....,.., ///.e~~ ?4. Ie /
Building Permit II C19- 309 PID # zS-3~7- 00+-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
J. BJIII:
l. Galli
3. Yellow
RIB
Qty
ApplicMc
T~. C.n~r DI ,,,. blo. C.~..."
PP No. _qc:?... ~
Phone: 9'y~ - V6 7~ /
5 ~ ~k. .:l'/e~ /HAJ 53"3"'79
Cuantity Type 01 Fixture Quantity
I Bath Tub with or without shower
..
/ Dishwasher I
/ Floor Drain
Z-. Lavatory (bathroom sink) I.
I laundry Tray (1 or 2 QOmpa~ment sink)
I Shower Stall
( Sinks
Bar Sink
z.. Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Sohner
Stand Plpe~ (washing machine)
Sewage Ej~or. .
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commerclai & Multi-Family
(1010 of job cost. $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99_50
$39.50
S
$ 97~
$
: j$~~~~.
GRANO TOTAL
This pennil is granted upon the: cJ.ptess condidon dial said
contractor. shall comply in all respects witl'lthe ordinances
of [he SIlllC PIU"7IDbin.s e c ametJime~ thereof.
- . 9/2..//99 DAn:
, ,
" ATTEST
Call for al~spections 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
9q - f?jJ(a.3Oj
White -8uilding
Canary - Engineering
Pink - Planning
Thr ern,.. of Ih. uk. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED.
,t:v' / L L I 1--) (VI S DE-v' t; LOP (V! E IvT
'B/3/QQ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/2; PIIE..I7S/iNI I'Yc/lDo~J
Accepted
v
Accepted With Corrections
Denied
Reviewed By: jJA~IEIt f"'wItF<:'Mr4NIV
,1
Date: ~ 111I yf
" .
Comments: ~- .J.~~.~W' ~ s.vfilr lJ.U --(-
II . .M-'"
~o r oI'1.ME,..n-S .
.,Su 1 tV ro IU"-1A:nON 0.....> REv f:JtS ~ s,o~.
~€. A.rr8C.I4M~ ~ I. hoJAL. G.~~~E. IN'y€cnOtJ INf'o~AT',OIoJ Z. a.IMO...,4. Rr41J
3. 6tOSfOA' ~... ,..sT"tt.OL MEASuO-ES
4-. f'tt.OSfO,V COtJ1f'tOL PLAN
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall notbe 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. II
1
9.~4> .-,~ ~.,.- '~,i!-'. .~-,~"
Th. C.nt.r of lh. L.k. Country
/<)- 511r
White - Building
Canary - Engineering
Pink - Planning
j:3UILpING PERMIT APPLICATION DEPARTMENT CHECKLIST
,~ .
NAME OF APPLICANT
APPLICATION RECEIVED
I
,. 1.._
\.. (,j ..c.) / '"
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied C<:f. I~
Reviewed By: ~
Date:
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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."
99-3~'
Th. C.nl., of Ih. L.k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING 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:
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Accepted ~
Accepted With Corrections
De n i ed ....---...
Reviewed By: 01 01i-)s-
Comments:
Date: &>-?-21
See.- B D -it: 9 cr - ~oB +;'r- 'Pl~
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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."
PR.IOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS 11\2'1 (})~~ M.e~ ~-"
NATURE OF WORK tJ~_~ (\~~
USE OF BUILDING S~D
PERMIT NO. qq - ~O~ DATE ISSUED 8 -'1 -Cf'7
CONTRACTOR ~l \,~L(\.~,- ~n.v...J)~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I ,IS'. 18~zt4 -1~
FOUNDATION (Prior to Backfill) ~~~~jl, I@ ~, g-l~47 fjJ ~~71
PLACE NO CONCRETE UNTIL ABOVE MIAS BEEN SIGNED
ROUGH - INS
~~~WAll;:jfJ SEPTIC @ ~
FRAMING /2/1
.
INSULATION ,( ~)/JZ!iL Ido<//'ff'
ELECTRICAL V
PLUMBING (It./ q /3-'Z-/rrt r;))llj /l. /f1
HEATING (if required) p:M s:P '1PS"ft1 ('0lf/rZ-/1fP
FIREPLAC'E . [7
GAS LINE AIR TEST
9-9-'1Y
1/~64
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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(4YV
UNTIL ABgN'E/ HAS
NOTICE J
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.
GRADING (Prior to Sodding)
BUILDING 7&/'70 8-1.06
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
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BEE~ SldNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850