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Home My WebLink AboutBuilding Permit 99-0340 ~ TIME CITY OF PRIOR LAKE q~3o INSPECTION NOTICE SCHEDULED q {( ADDRESS \4 Cf51 ~ rr- OWNER CONTR. PHONE NO. PERMIT NO. '19-340 o FOOTING o PLUMBING RI o EX/GRAD/FILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI ~NSULATIO~ o SEWER HOOKUP o FIREPLACE FINAL INAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 CO~M,ENTS:~J- "'6h . JJ ~ 1 ____ v ~ /' dov ( . "- ---- ') HtR ", --- ~ .----- ~~IQ.".~ ') \~D<;:" ~/ R REINSPECTION BEFORE COVERING Inspector: _ Owner/Contr: CALL447-9850 FtR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE kQUIREJNTS ARE FOR YOUR PERSONAL HEALTH & SAFET~! V INSNOTI DATE TIME CITY OF PRIOR LAKE e,/z.~/!, IUi.J INSPECTION NOTICE SCHEDULED ADDRESS , L!qSI ~ Gr ...I OWNER CONTR. PHONE NO. PERMIT NO. '1t}. :S4o o FOOTING o PLUMBING RI o EX/GRAD/FILLING o FOUNDATION " 0 MECH RI o COMPLAINT o FRAMING ~ATER HOOKUP o FIREPLACE RI o INSULATION ~SEWER HOOKUP o FIREPLACE FINAL o FINAL o PLUMBING FINAL o GASLINE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS:n SC;' A-LV~ O. k,- \L ~. Ie;' f\Ji/ ~ ~ ~ JIV~ ~_ r. .I1L I ~ ~ f:J-vr- 4u YV(.. f~_ +YvVL/ . , ~. ~t":; utA- ~A I l.;;?p;. ~ or-- I ~K SATISFACT Y, ROCEED o RRECT ACTION N . CORRECT WORK, L F SPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR T..Ie NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIRE~ ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS m 51 bblf kuJ ex OWNER CONTR. 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 ~EWERHOOKUP PLUMBING FINAL MECH FINAL COMMENTS: ~~. llt c ~<9- CYs. c:d- -A \y ~ \-<<.q- P IJlcy (J ~~ tt{~ ,~ '- -- lJ 1.1 f) W~~ DATE ~ qt1,. 3t.Jo TIME ~ o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o A,v ar----- / / / Inspector: SPECTION BEFORE COVERING Owner/Contr: INSNOTl ~' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ,j,::(J6 I;~ ADDRESS 11/'1!;/ ~ Cr- OWNER CONTR. PHONE NO. PERMIT NO. ~q - "340 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~Iir 0 WATER HOOKUP .DJNSULATIO ~~t 0 SEWERHOOKUP ~ ~INAL J ~LUMBING FINAL o SITE INSPECTION J>'B MECH FINAL COMMENTS: G) ~h& ~ ~ ~ (iJ ~_ t-~, r- Urlll~~ er6f:. ~ e,rnJ-,...f -~-- - --q \4.ov-d ~ Dt"M..-I..J?t"\. ~~ c.s.......St,~1iD-{\ cLtb';'"5 ~~ ~~ /1 7~, ~~ V~ ()~ .(f'P V ~) ~'\M~ ~~_ L~ U o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o .fIREPLACE FINAL ~ASLINE AIR TST o G"'A5 ~ - V,'tr^'- ~~ ~&"..,~ U- ()~ o WORK SATISFACTORY, PROCEED o CORRECT A NAND PROC ~ORRECT w ~, C L F REINS~VRE COVERING Inspector: uwner/Contr: CALL 447~ OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl <~.f~~~"~~~,,"~~'i.~~~~.} (\~~C, (t-- ;. " L6. B3. Third Addition to Raspberry Ridge . , Legal Descnpllnn (, . : N, (i7, Owner of Building <:j.- \ddress 14951 Ifip.hla.nrl r.onrf" NF. i !i' (~""':.l contractor'sName&/--t. Charles ~~iPS. 17645 Juniper Path" Lakeville 55044 :i ~ (~. -\ J r ~ ~ I (~ Robelrl t . Hut.,..Kfns r' PI Jenni Tovar f':; ~ -~ ~- , ~ ~r.' I"-:~ /JBuiljti1f;n cial \ i. :- ~~ 01 ) I / . \ I Date. 'I l~"; "'i Date: /, '\ ( ~,:. , /' I posM A CONSPICUOUS PLACE ; (~ .....!. ......;.',.:V~-~-V;i:(~~"}~~;i~.+ "'-." '~ "".J'l, ...' "'~';"" ' wi' '~c' ~"""'~~,., ....wI' ........wI' - .. It. ~.:a.:. . '.':&'... ~ ,.~ . ~'~ . ,~, .':6:.'., . .~ t .~ .::;a:, . 'A~ · ,~,.i:~~.'~ . "ff ~.. .~, ..~~" . '':'.i~ '(": ~"'''''''''';~A'''''' ~~;."~'..'~''tt JjI(....~,.,..)(~~~,.I.~~....iI ' ".~~~. --.. - - - - - - - - - - - - - - - - --- ~-=--- '-.....' - - - - ....... - - - ~ - - ~~.~;,;,j;\~mi~ vr ",~ Qrtrtifica1e of (JDcmpanry CITY OF PRIOR LAI(F. )j~ J)tpartmtnt of liuilbinlJ 3Jn~ptction ../"dnal Permitted 0 Conditional C. 0, 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 C1assificatiol1 SINGLE FAMILY Bldg. Permit No 99-340 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District RlSD DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, APR . 3 _ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT , BLOCK :, fa . - () "3 f1dd ,-\- 'o'~ ~QS ~ ~lU1 4. OWNER (Name) (Address) S:-.;t1.:!- /t;1 (Tel, No.) . l)o.O\J + ~f'aY"\ ~~~" \~l1~"S(i)JJPf'1h~ Aue. 1t 5{4S-I<g'')~ 5, ARCHITECT (Name) ill." S (A.r~e~~~(l r PA. +h (Tel. No.) ( ha.J' \<z S P\\'.\ "'p<;" La k.. "./11 t'\A.) 5S04t./ (,pl~ - 5)'1 ~, j ~/t;J ~ 6, BUILDER (Name) (Address) (Tel, No.) OW~t-R.. 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 i4q St I-La\... lar..A c+. I'J-t_ J 3. LEGAL DESCRIPTION LOT (1) 1. DATE 4-/""3-QCJ f< ls0 PID _25 -342 - 023 - 0 R~&,\ e ADDITION Fireplace)( Alterations 0 Septicj'( Deck)( Addition 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 7, TYPE OF WORK New construction)( Chimney 0 Misc, 8, PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS I 10, CULVERT SIZE 4 4- 'S'l' F J,'aS L S ~ Sq. Ft. ~ 10 l.p Width~41' i') Depth "34tl ( R S . Yes~) <:) eP -1-. ICf q q 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 icial can revoke t is permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in~e;tons. X 4, 1\ - q Signature License No, Date 1. White 2. Pink 3, Yellow File City Applicant FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION Permit No. CP - 3 YO BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) (Width) (Depth) 30; IV" &;()J 12. NO. OF STORIES :)- 13. TYPE OF CONSTRUCTION tJE-w 14. FLOOR AREA APPORTIONMENT USE 15, NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 4 SEATS 16. PROJECT COSTNALUE ::>~ 5;000 17. COMPLETION DATE Side USE OF BUILDING ...,1- f"5$ OFF STREET PARKING SPACES REO. SPACES ON PLAN Side PERMIT VALUATION ~as, e>CX?,(92.l Water Tap ................................... $ Builder's Deposit ..~............. .........., I i.<}t!(I .m Other ..J;;~-R.... . - 'J.' ., $ ~,f:rv-..,~ .,.,/ t;:?\ -r r~-. z )y :: TrrfJ!-/t .....:~;~~o' ~r uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reque~. This document when constnutes a temporary Ce~fij!tEl)j~onjll~~ompliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued. ~~ ~~- net Date Special Conditions ~ any TYPE OF CONSTRUCTION: I II III IV ~/r Occupancy Group A B E F HIM '1l S U Division 1 20 4 I c::- c;- Permit Fee ................................... $ !, ') \7 ,"2 'te2,Q7 11~,5'O Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ loo.CO IDO.CJO sS .s 0 Ga~Fi e Permit ....................... $ t.J () .co Thi A ~ecomes Y-~ Building Permit ren ~p~ved, By "/lJC-.. 7t Date -I - ? Certificate of occupa' Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Issued City: ~ 5,t Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ I( $ Pressure Reducer ..I....................... $ Meter Horn ................................... $ 1\ Water Meter ..1............................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ 24 hour notice for all inspections 447-9850 MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o eon. OIL J ('Je:;n . 00 '10.~ ~S6.~ J, ';),00.00 " '1QD.~ ~ ,. Job Address I~' H 1(. Ht..M..J~ cr. Nt.. '\ Heating Contractor Name of Tester Date Percent 0 Percent CO2 Percent CO Stack Temp. ffJ/L <\y"'iem5 OP / ~UJo() (.l- e .<1 .&:Y L:7.,s;t7 CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Per mil No, qq ~ 34{) Prh>rLake, MN 55.312 Da\9 HEATING APPLICATION I PERMIT 1;)-(S-99 PIDN.2/5-342.-az.3-0 /l.;tJ:;1 JJ''d.ff).,,~(J &~ M(\"..Lt '0 " B!ock 3 Addftion KAS~8~ey IelOtil6 -?1eO Iii "_1J/_; SHe Address 1Z150 Lol 0,." ,',I, <) -- " ^ ,.'-1'<.11' J4d'd'b Adrj,p<, j 1- i\..,L.. j HfJltrNqU) -- ""f f1F SYS': ~r.' .,-;:., ,'\'(' ,. i..c', ~ ~ ]r 01hnr [)lJVic:n 0 Cfm, l"'/PE or- \\ DnK ." ,. c '~: '-". ~ .. _':~ j i! Nel'l Conslruction Repair I Jln!q'l ( qq~340 Est Comp. Dat& Esl. Casl $ ):)OJ. ClJ BuildIng Perm~ /I . HEATJNG PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 ~-_. PA\O W\TH Receipt. BUILOING pERMIT TYPE OF STRUCTURE I. ""k Z, (lrer.. J. Yellow - Flle C~)I m CMlnct I I\) W I ill ill lJl ill IS1 p,. \J ~ Single Family CommercIal Two-Family Industrial, Public Multi-Family , Olher Fee Schedule IndlJ::tri;:J!, Commerci~1 So Multi-Family f1 ~if f 'nlial, Healing &. AC "-, j;Jcllliar, Hen nil:) Only :",-;dsnlial, G,1S f-:r('plare 1 % orrin" ,cnsf(!39.50 mirlirllom) $99.50 ) . $G'150, ;'.1!',5ll DEe I 5 1999 T] " e , ~ ' " 1 i ~ ~ , ' _ .~_ l-.~ -.-t " l,!; '...1' H) t:l r t);.lpJ{i tfl.i1:. .d 11 \;~~'-.n;n 1; L,.", ,011 .. >~"., 1 ", I "';'f' '-fqr,~s h'HH or,' b 0.,1-1. ~ .i.~~fj t' ",U. wonK MUST 0 E INSPECTED (nOUGH.!N AND ANAL) - CALL CITY HALL 147-4230 : h' "I" --'f'll' for C1 Jlt'd':l:lb,r s}/stems permit and I acknowledge that Ihe inlorrn<1lion above is complele and acculale; thallhe work will be in conformancE wilh Ihe ordinances and codes ollhe city and wilh Ihe slate building/mechanic;: codes: Ihat lhis form does nol become a permit until signed by the BUILOINC OFFICIAL: Ihat the work will be in accordance with Il1e approved plan in the case of aU work which requires review and approval 01 plans. ~A~ QjJ~ ~ture ByKding Officat's Signature / -+I/S'l~~ f Date /Z/;S/~Cj . Dale' \J CITY OF PRIOR LAKE t ~~L ~:licant Applicant: ~Jf.'-Nf2:IRMIT Phone~P N":;67 ~~~:;:-1'1 Address: '2.. g ~V~,N I/J L-ohsd&./~ MtJ Signature: cf)~ ~rf~ Legal Descripti~n: Lot tt Block -3 Sub ,eA5~~ /Z{.tXl.t Site Address: /49~/ H/!:9HLA/l/O /1'VG E/SO ..::5~ Building Permit # <7'9...390 PID # 2-5-342-- Oz..3 -0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS The Cenler 01 the like Counlry Quantity Type of Fixture Quantity ~ Bath Tub with or without shower Dishwasher .I / Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) (. I ~ / J 4- 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 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 1-.. (30 K $ $ $ $ .50 1'~\O \f'J~t~~\\"'( ('$ \ n\~G \e'f$... This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbin an me9dmel)ls thereof. - , /O/z..//t71 DATE I I ATIEST Call for a inspections 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 l' ~(.~_~ S' V" I ur rnlvn LAI\I:. Me G ~,; 16200 eagle Creek Av. S.E. Permit No. Prior Lake, MN 55312 -- HEATING APPUCATION I PERMIT ) - t!.;J --?~ Commercial PIUI_.z5-3LJ.2.-0Z3~O d~ A , /1'15 J ~/J.J. ("t?lt:tledUle ' Addilioo ;t:/9S'P86teRV /CID6;6 3~ 1'2/5.0 lnduslrial, Commercial & Mulli-Famgy I" ' I? . /> Reskleolial, Heating 110 AC .. ,~ ....-- -'.. ~'~ uJt.u A ~ tA"2.1 R 'd I: ~I H .' 0 Iy "\... eSI enoko. ea,lng n Residential. Gas Fireplace Residential, Addilions 110 Alta ralions Residential, AC Only (T) e;;) W l.!:l <I a.. Dal. Site Add'.55 lot (p Block 3 Owner's Name ([) Il:: o ~ o L > W ...J ...J <I :> Z o z Z <I U J 1 tI.1:J /Jq.,)JJI ...... r Jlealing Coni/actor 11-/ S;/ S 7; c.'/'1( ." /" . Address c:< If) y/;:- cd~ ~ Telephone'. 75";];? / 3 7 Furnace Make & Model ~ ~.",.~i...- " .) d",r Mtxlel Si19 /J.<<i ' /:J Address Conn, Load I /V.~ Flue Si19 ,~ y- Fuel Supply Openings /1 Relurn Openings ~ Input ?<C {)PIJ Outpul (O~th Edr, ..-I ..-I CD V V (T) (T) l"- e;;) In elm. ~ ." J q9- 34-0 ). ~~I\ooo l'_KIOr TYPE OF STRUCTURE Single Family lL Multi. F amity Olhel Two.F8m~y Industrial Public L:c 1% 01 job cost ($39.50 miniroom) $99.50 $64.50 $39.50 $39,50 $39.50 Db .{ Remember 10 add the Stale Surcharge on 1he bottom of Iflis app4ication. TYPE OF SYSTEM Warm Ai, Ploots Gravily Mechanical ^ir Cor1dilioning __ Vent System _ .__ The price 01 your healing permil includes one rough-in and ooe final inspeclion. Addilional insp4tclions w~1 be billed at $35.00 each, House Healing Test Record must be submilled with ~1!ilni~1f' ~,",.I ~1""Mr belore bW.d- iog cerlilicale of occupancy will be is~ued. 1.i(;~I C.~j;!LLATION5 REQUlfl,I;,Q. with number of supply and return openings listed per room with CFM's per opening, New structures or addilions send (Joor plan with supply ~nd relum localions sOown. IiE^T LOSS CALCULATIONS, PAVMENT AND APPUCATlONS M^,{ BE MA'lED TO THE CITY OF PRIOR LAKE, t6200 EAGLE CREEK AVE, S.E, PRIOR LAKE, MN 55372. HEAnNG on POWER PLANT Sleam ._,_ Hol Waler Radialian _.___ Special 09vices City Hall business hours are 8 a,rn,. 4:30 p.rn, ALL WORK MUST DE INSPECTED (ROUG~.tN AND FINAL). CALL CITY HALL 447-4230 Olhe. Uevices Replacement _ TYPE OF WORK Alterations Repal. , Est Comp. Dal8 BuDding P e.m ~ . e;;) (T) N e;;) E sl. Cosl S HEATING PERMIT FEE S STATE SURCHARGE $ TOT AL PERMIT FEES S .50 en en en ..-I , (T) N , CD e;;) New Construction \L- ;!' ~';7 I hereby apply for a mechanical syslems permit and I acknowledge thallhe inlormation above is complele and Becurals; thallhe work will be in eoofo,mance wilh Ihe ludinsnces and codes ollhe cily and wilh the 51ale building/rnechanicel codes; that Ihis lorm does nol become a permit unlil signed by Ihe 8UILDlNG OFFICIAL; lhal the work will be in accordance with the approved plan in the case 01 all work which requires review and approval 01 plans_ /~~ Building -offic8l"s SigoatlNe Cf9-34<J r.::: PAlD ~ ' l BU\\j)\NG PERM\T Dale PJ/Z3/9CJ I Dale/ Receipt. GREEN - FILE YELLOW - APPLICANT GOLD - CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.w. No. $ 5rq () NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: ';):ti;v~ ADDRESS: ) ,/, PHONE: ~7'-sr/~ DATE: ,.....t/-'7? PERMIT # err ~ 31-0 () SIGNATURE: . BLDG. SITE ADDRE~ ./L/967 ~d A (PID# FI~ IN THE BLANKS 1, Estimated length of water service~~'~ )'1 feet. 2 , Size of water service inch(es) . 3. Location of any couplings from structure feet. 4 . Type of sewer pipe. ABS pvc fA Cast Iron 5, Estimated length of sewer line <<7J feet, 6, Clean out (if required) , located at feet from structure, ------------------------------------------------------------------ ------------------------------------------------------------------ , This appJ/OajoJJ,:, ItJ?~ YO'l"-Permit when approye'f" ::~~~~~~~:!~~~~2~~~~~~~~:::~~~~~~~~~~~=~~~~~~~~~~~== FEES: $ $ $ 35,00 .50 3=1.50 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. / DATE PAID W ;/.7~ r I AMOUNT PAID RECEIPT # REC'D BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer 'l'I""'--'~ ..,......1 _____._--<0jV" ______.''"'''''l'~'-'-'-...''~.''T"-'--T '" -.... I' )' ( (() White - Building Canary . Engineering Pink - Planning Th~ C~nter of Ih~ Lake Counlry .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT, APPLICATION RECEIVED, j i I ',.._ ..'/', ; f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i i i I , (' , '. I I ,. / Accepted ~ Accepted With Corrections Denied Reviewed By: ~'~ ,/ 7X~ Date: Lj - ~2---~ 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." ((C( -,3l.(O Th. C.n'., of Ih. uk. COUnllJ White - Building Canary - Engineering Pink - Planning BUIl..IDNG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED " " ) IYlc'-;(l r.~( {/~~(jt-/~ LI - c, "11 .... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1\ /-- -, If, ( ~ F( 7 lIt:' ! i t)/ lliJ'L aVID ( I ,c- Accepted v' Accepted With Corrections"...,',... Denied D""i"".,_...J 0... Ll".c.._,pJ> I 'vVlvVVlJU oy. ~. c; ^- ~""ANrJ Date: ('~/:fO /,., l , Comments: '&UJ.FF J41u~ 8E ~AJtlEYED T(I ANO Ac..o....v.:! D~"',,u,qt.~ A/lJb CJ'T'Lfry EItSEMc'vr$ 11$ 4I1.c.c" 14S PlutcTIt:Ac..., (Js E.. ~,qvnoAJ ~AJ r.r:)t..JS'T~ tJ Cor, ON IlcTlurrv oc..c. "tt.~ NE.I'4~ S"'''''''7Afl Y .:sEwEll yf1J'tNHa..E.. / Nor 0"'\ Su/lVCY \ ~G 145 T~ Alol :iJ"f"'fAl'trC /r ... -- r; "ntfL al(~E MvST ~'f FLtJStI vJfT~ M14NHoLE, SEE. INFoA...-r"'TtoltJ Ov gEu~ S, Of:: 5~~ AT:;Ar,t{ME'..n3: l. ~(" an AbC. IAJ~~CTIOU JAJFol?~,oN Z. Ct?A6I/Ut:. RA,.) 3, t:ilo^~(ol\J ('fWT~O'_. ~".,(~;) t/: IA'HIO^-l (!1!!J~Trt.~L. ,?c..t4jIJ "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." - , qC{-3l{O Thr ("tnler of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ &Y1~ Lf -(3 -11 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I \ !CiS-I f:llJ l.1av1.J lj Nf... Accepted Accepted With Corrections Denied Reviewed By: Date: 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." PRIOR LAKE INSPECTION RECORD SITE ADDRESS , LfCJ51 NATURE OF WORK S'f=i) USE OF BUILDING (2 - '3 TvPE :d PERMIT NO. qq- 310 DATE ISSUED 5-1(- 9~ CONTRACTQR . JeJ\tJ 1; '"D1\J1() ~~so..-J NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING(W) I :-),qr I ?-{2. -1~ I FOUNDATION (Prior to Backfill) ~~ ~~. g-/7-?1 ~~ 14, R- 81-11 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS aJ ela:!h~ t/ (A2.. /2-~~~9 I / <W~ nli<!'l f)) /!/IO/'1r .// " . l7) 1?lz44''J GAS LINE AIR TEST . /~/YlA /z/-/1/ COVER NO WORK UNTIL AB-~E HAS BEEN SIGNED I WALLBOARD I 1 FINALS . GRADING (Prior to Sodding) _ ('~ W[; ~ 1t7/f7lJ BUILDING ~ Q~ B '2,."\"@[ . ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE 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. SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE DEPARTMENT OF BUILDING AND INSPECTION ti , C?::I H L I\N D C-r. 3~AId. - ~KJ P~JL N'6, INSPECTOR DATE J? ~3 Call between 8:00 and 9:00 A.M, for all inspections FOR ALL INSPECTIONS (612) 447-9850