HomeMy WebLinkAboutBuilding Permit 03-0558
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .!:ib ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_O)NSULATION~
~FINAl
o SITE INSPEC ON
SCHEDULED
DATE TIME
It-I -qq
l~=~
H'NT:J Tic.-
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Job Co~rk1td
~,. 5"5f>
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
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Inspector: Owner/Contr:
CALL~7-9850 FOR' "IE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHeDULED
ADDRESS Ji:L,2.8 H~oi~
OWNER ckl.TR.
PHONE NO.
o FOOTING
o FOUNDATION
f:o FN~~!!:G
FINAL
SITE IN PECTION
<t.*
TIME
(;t11o
PERMIT NO. 'j'j'" S58
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
L
MEdii FINA~
/ - .f.l&-eiv ~
u
COMMENTS:
D ~~ t<<^ ~_I\f\UN~ ~
GJ Sw. ~ ~ pt^U cL~~~'f~
(~A~~ ~f- s.~ GV' heLL ,
(~~ RY~f~~ ~
l(f(~- ~ ~ po
cl.~~ ~t- V\- ~. -. .JuJu ~
U~ ~~ ~ <4Lt. ~
~
--------.
ll- l- '1"\ ~
"'"
c ~ 0..
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORKSATISF TORY, PROCEED
o CORRECT AC 10 ROC _~
~RRECT WO r: LL R REINSPE~TION B/OVERING
/ Inspector: Owner/Contr:
CALL 447\8~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQ~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
~ .3:cJV
~Zl3 H(//'?~/ A/4 $/~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~~INAL ~ PLUMBING FINAL
o SITE INSPECTION ~ MECH FINAL
AOMMENTS:
UJ 1Ju ~n-4 W ~~
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p~~ ,- ()
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fitJJ- V ~ 'f ~
0)-~Vfl1~ ? -lil-"P Acc~~s
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CAL-
6~ ' [p (ltuv' ~
~
/ SATl/~CT;"
~CT ~CTIO ~ND
; '~.c.
r
t~iP
CJ9.. 5!:::>r5
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t:: n--J
/'
~
ROCEED
OCEED
SPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 -9~ F~ NEXT INSPECTION 24 HOURS IN ADVANCE.,
'"
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
;- I ~q1Cf.c3c
ADDRESS l.{ to 2...'0 ~ VY\. ''''t ' f .... d '\ k.-
OWNER CONTR.
COMMBNTSQ ,I) :. _ .
t.(L(1 ~
J" 3tf4 lC ~~ - ~
4) ~ (..,d ,<:bIrJ
(i) 10.~ F /~ CwJ, k,1(
r f fLtM,. \-IYui
- . -,
BY N( WUU
Lf VvSjQy\ CJY-~-L
/'
/'
/'
~RK SATI {FACT
~RRECT J CTIO
o CORRECT \ '0
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
&~
Inspector:
PERMIT NO.
q, - S ~ 8
AD PLUMBING RI
~M CHANICAL
TER HOOKUP
SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
40
Y VC:- I
~~
t i'
11 (JV~{.'e..
I
,PROCEED
ROCEED
LL F R REINSPECTION BEFORE COVERING
Owner/Contr:
\..
CALL 447-42~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE UMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY'
~IOR LAKE
, nON NOTICE
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)( FINAL
o SITE INSPECTION
SCHEDULED
IJ,~""""I M: E!AA 7A:./L-
DATE TIME
9/z.'/f'
I .
A""
PERMIT NO.
CONTR. Jl'lfJ rr€ ,-5.,.." ~ IrJ :6tfOL
'f"t- SSK
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
bn A/\~ 1"\ 4-.ca>i-~:~n..E.
L!l.Jn~~)(. 1<, f)pFAt4-rlfJAlAL
X EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
t11AI,j'JItIM ~l FEAJc.E: U\/nL .so~
-
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: 11 L j ~ /' j,.t .I 1'_ 01~'R9r,l6ontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
y I 8 :999 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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 , /, 17. -r;;' '}
~ b 2K' ~1I-1/'rvf birt!- I fAA "y' E
J
1. DATE
~.-/7--11
R../
3. LEGAL DESCRIPTION
LOT I 'Z--- BLOCK.!;;
j(n~t /I, II rJ~
PID / 25..33Q - 03L{.'"D
ADDITION
4, OWNER
(Name)
(Address)
(Tel. No.)
Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
QQ-55CL
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H~ht) . (WidthV (Depth)
2-'/ (,0. -=' ~')--
l:f NO. OF STORIES
2-
~. TY. PE OF ~~lJlUCTION
~,~/~~t, ~c/d
14. '!flOOR AREA ~PORTIONMENT USE
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
5, ARCHITECT (Name) (Address) (Tel. No,)
6. B~~D~ J / (~~el.n 1/ "-?-4.~g~~~i t p"'V~gpro.~~.{l '~7J
/f1/lrclJ~ .ortll/!Lr7CA5:/n!dl~ -:.znC/' t ~1/sr;)--/771
7, TYPE OF WORK Fireplac'- Septic 0 Heating 0 Plumbing 0 I Reroofing 0 Porch 0
New constructio~ Alterations 0 Addition 0 Finish Attic 0 Residing 0 Finish Basement 0
Chimney 0 Misc.
8, PROPERTY AREA OR ACRES .9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width I~ 3 Depth /2R Yes No 9' --1S"-9 '1
I hereby certify that I havtJ,erni hed information on this application which is to the best of my knowledge true and correct. I also certify that I am le owner or authorized agent for
the above mentioned prope nd 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
bUildr" al carvi~oke i rm;yJbrJ~st cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
X ~ In fA41> :3 ~L13 ,t""-/?--19
. , ~~ ~~ ~
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
/ fO/ OOU
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Amount Brought Forward ..........,....... $
Park Support Fee .......,.................., $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ........................,.......... $
Ucense Check Fee .......,1\..,............ $
Pressure Reducer .... ~................. $
Meter Horn ........'S-!-.T<.................. $
Water Meter ..,...:Il?....,................. $
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING 5P"P
OFF STREET PARKING
SPACES REa,
SPACES ON PLAN
PERMIT VALUATION I'1D.t!lC>c) .c9-B
.
TYPE OF CONSTRUCTION: I II 1I11~
Occupancy Group A BEl GM
DMsion 1 UJ4
Permit Fee ................................... $
City:
/,"(,"S'/.2S-
A(g~ .GG
crt; . 00
l 00 . c> 0
UX) .00
5560
L/o .6()
Check if
Deferred
Sewer & Water Connection Fee .,...."." $
o
o Water Tower Fee ........,..........,....... $
Water Tap ......,....,..................,.... $
Builder's Deposit ,............,.............. $ J: h-OO ~ O-Q...
Other .....................,.................., $
Total Due .............................. $JOt1ft;, Lf7
Paid e36 L/& . q "1 Receipt No. _ :3 r t/ 11
Date U / tj /qq Bv ~
uest in the above application and accompanying documents is in accordance wtth the City Zoning' Ordin~nce and may proceed as'fequested. This document when
s~the City Pia constttutes a temporary Certificate of Zo;lJ;omPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
....,..(AA., S -2.8
City Planner - Date Special Conditions n any
24 Hour notice for all inspections 447-4230 9:00 a,m. . 10:00 a.m.
Plan Checking Fee ......................... $
State Surcharge ................,............ $
Penalty ..e~.8...........,................. $
Septic System ...............,.........,...., $
<; o-W
Other ..,..,.........................,......... $
~...f,8..................... $
This ~~es Y'l! Building Permit When Approved.
By ~ =fT5 Date 6=- 2! - C{ 7'
Certificate of Occu~ I
Issued
I
PERCOLATION TESTS 0
SETS
COPIES
BS().Q.Q
I h~ . c:"Jd
Q6'. UJO
I 2..5'. ex;;
J _ 200 . ~C>
. 7. ~(') .00
-1{,z8
Job A~ress ~Yf /41 I'-V ~ b( r c~
Heating Contractor .6 J( ~ f#-S ' ,
Name of Tester .:r; ;V( ;
Date 1- 2:1-'l 7
Percent 0 7- <t
Percent cO2 ~ I (
Percent CO 0
Stack Temp. 3-1 ~
1""1
o
,
n.
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
qq-55~
, .
Date
HEATING APPLICATION I PERMIT
1-~~q PID#,Z5-339-034--0
,e/
2;VP /looN
V
IX)
IX)
IX)
M
M
ID
4628 Hummingbird frail
- -- - . - -.
~
Lot _ /Z- Block 5' Addilion, )::W'08 HILt...-
Owner's Name, rn~++ ~~tQed.:t:" +ls1D~.
Site Address .
1""1
III
ID
Mdress
HealingConlraclor ~LLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N. FAIRVIEW. ROSEVILLE, MN 55113
Telephone" _ 651-633-2561
FI REPLACE [ \. I
1W1JW19 Make & Model ~\U.. rtl- N t-i 0) TYPE OF SYSTEM
. I "" '\I 'C\ iQ,. 6 Warm Air Planls ,
Model SIZl~ ~ Gravily -
Mechanical
Air Conditioning
Ven!. Syslem _
~
QJ
C
~
o
U
QJ
'tl
Conn. Load
Fuel, ilit- .~ue Size
HEATING OR POWER PLANT
Sleam
Hol Water
Radialion
Special Devices.
Supply Openings
Return Openings
oUIPul.:14 l'l'D
.
'I'"
Input
Edr._
OIher Devices ,
(/I
QJ
~
'I'"
ll..
n.
I'
III
..
N
1""1
Clm.,
TYPE OF WORK
'i
Replacement New Construction
Alteralions
''''dUJ-9 q
qq.. 65~
, -
~AiDWITH ~:,
, BUILDING PERMIT j
Est. Compo Dale
CJ\
CJ\
I
N
N
I
r-
:J
I")
Repair,
Est. Cosl $
Building Perm"" ,
\O).CO
HEATING PERMIT FEE $
STATE SURCHARGE $,
TOTAL PERMIT FEES $
.50
Receipt #
TYPE OF STRUCTURE
I. Pink ~k
1. (iJu~ CiIT
J. Vollo. (011I1<101 ~
Single Family
Commercial
Two-Family
Induslrial
Multi-Family
--
Public
Oll1er_____
Fee Schedule
Induslrial, Commercial & Mulli-Family
Residential. Heating & AC
Residential. Healing Only
Residential. Gas Fireplace
Residenlial, Additions & Alterations
Residential. AC Only
1 % 01 job cost ($39.50 minin1lJTl)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the Slate Surcharge on Ihe bollom 01 this applicatiDn.
The price 01 YDur healing permit includes one rough-in and one linal inspeclion.
Arldilional inspeclions will be billed at $35.00 each.
House Healing Test Record must be submilled with buildino pelmit number belolS buHd_
ing certilicate 01 occupancy will be issued_
t-lEAT CALCULATIONS BFOUIFtEQ with number 01 supply and return openings lisled p,
room with CFM's per opening. New slructures or additions send Iloor plan wilh supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) .. CALL CITY ....ALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge l hat tilt
inlormalion abDve is complele and accurate; Ihal the work will be in conformallC!
with Ihe ordinances and codes 01 Ihe cHy and with Ihe state building/rY"lectlanical
codes; thai this lorm does nol becDme a permit until signed by the f3U'LO~lG
OFFICIAL; thai the work will be in accordance wilh Ihe approved pl~n in 'hi
caC~~Ch ~equ;res review and appro'" 01 1~ ~ _ 0'1.
~ Da.'
. 7/Ze;/QQ
Building Onical's Signature ' DIl t8 ...
1. Blue
2. Gold
3, YelJow
File
City
Applicant
15
CITY OF PRIOR LAKE
PLUMBING PERMIT # 99 -,558
APPlican.t: j./J ~ /,1'-, / ~f:/ ?~:_ ~~ ;:;:7 '" Phone: ~/CZ--7 - ? ,?--~;
Address. /V~;'\-/ /)!; //1' /Ai 7 (' / / r. /-/ /<,f.
Signature: . - /'.) /~~} 7JJ/f.7 '7L} , -
Legal Description: Lot ' / Z- ' Block 5 S~ I<N () 6 H I (_L~ 2 N D
Site Address: ./~/.?;::;;'f _j'///7N:J?J/'I0-;;/y v//?/)// ,e /
Building Permit # qq - 5$" ./ PID # J-5 - 3::FI - 0.34 - (')
NOTE: This permit will not be processed without complete information.
The Cente, of the Lake Counlry
Quantity
z:
J
I
/
.j
/
/
J
~-j
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
.1
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
/
Sinks
Bar Sink
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
$
$
$
$ .50
PA\D W\TH . ~
6U\LD\NG PERi'JI\T
$
GRAND TOTAL,
This permit is granted upon the express condition that said
contractor, shall comply' in all respects with the ordinances
of the State PlU~ bing ~' e ame}ld0e ts thereof.
-- . //5 '99 DATE
--. -
ATIEST
.... -
Call for all nspections 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
HEATING APPLICATION I PERMIT
Date '/- I d- -'1<=) PID # 25-331- 034 - 0
SiteAddress %).8 ikurnlrLrf~ hI R.J ~, / Ie/
...r
Lot .I Z Block 5 Addition -</\/08.1I/l.-t- 2 N~ /tDON.
OWner's Name /JJ II-J.e/~~ed+ $/2eJ.'; "
Address,;:)';~ ~- C;~ ~ J,L b JnJ~(;',u~ ~4~
Heating Contracto~ttr.l1 SV I II Y .~A >k on f 0/- 4'~ "
Address / :><lJ/ I<,{J 2k /~ /l (.) ~ ..G c \.IiUJ~-e
v '
Telephone # , 01 ~W l../ ~:r-
~~ ,,_ -+-J. -
Furnace Make &~er /~ 3 kfJVtJ <j:; fJt} I TYPE OF SYSTEM
/ . Warm Air Plants
Model Size Gravity Additional inspections will be billed at $35.00 each.
Conn. Load ~echani~I, iolM .' . House Heating Test Record must be submitted with buildino permit number before build-
I ./: _ AIr ConditIOning Q~hwf-Sblc.:r~a3 0 ing certificate of occupancy will be issued.
Fuel J./~ Flue Size Vent. System :2.S7brJ..
HEAT CALCULATIONS REQUIRm with number of supply and return openings listed per
room with CFM's per opening, New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372,
Supply Openings
Return Openings
Inpufll tJCiO
Edr.
efm.
"
Alterations
Repair
Est. Cost $ ,
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. 99-558
Prior Lake, MN 55372
II
Y
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
_ Output
Other Devices
TYPE OF WORK
Replacement.
New Construction
Est. Comp. Date
Building Permit #
Cfc;-558
~ PAlD;YiITH-'~
! BU1LDING"PERMlTJ
q9.~
.50
~ )~~::::.-
HEATING PERMIT FEE $
TOTAL PERMIT FEES
STATE SURCHARGE $
Receipt #
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
. File
City
Contractor
Single Family
)(
I '"
Industrial
Public
Other,
lwo-Family
Multi-Family
Commercial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
q::~
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
~~
Date
7//4/9'1
Date'
Building O",ical's-signature
OS/27/99 THU 13:10 FAX
IaI 001
.. I I' J, - PII..E
YEL.LQ. . ..".' ~ ~
GOUt - CITY
CITY OF PRIOR LAKE NO. C/9- 550
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
..
APPLICANT: DC Mechanical/Stocker Excava~1.ng
PHONE:
890-4241
May 27, 1999
ADDRESS:
SIGNATURE: 824(7 ~~~~f;.. y~)
I~'YJ' ,~ -LJ.
SITE ADDRESS: 4628 Humm1.n~bird Trail
~r;~7R DATE:
BLDG. PERMIT # QQ-55S
PID# 2.5-339-03"--0
FILL IN THE BLANK~
1. Estimated lQngth of water service
feet".
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC y
Cast Iron
5. Estimated langth of sewer lina
feet.
6. Clean out (if required), located at
structure.
.feet
from
~~-----~~=====~~---------*=-===--- ---====~~~---~~~~=~=====----
This applicat~~~c~~s your p~rmit when approved. ~
BY ,~'-. DATE: (P//O/Cl9
C-/
x=======__~:!!!!!~~~~=_______=____======= .. ..._~==~!!!.!!!!!!----==--..------========:::
FEES:
$
S
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer ~ water individually is $20.00 plus
S .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 ~~\A(f.
REC'D BY ~\~\~
RECEIPT #
16200 Eagle Creek Av. S.E-_ Prior Lake, Minnesota 55372/ Ph" (612) 447-4230 / FAX (612) 447-4245
An Equal Opponunity Employer
.,'" l'i":.~'.,
'.,';,:"""-
- .-"-"""-.,~,,,,-,
_/~
-.-~
White - Building
Canary - Engineering
Pink - Planning
Tht' ("tntt'r of tht' Lakt' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I / {:.. i..,_
....,j;
, I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ l.~.,
;"- /.; (
Accepted
v
Accepted With Corrections
Denied
Reviewed By: <:J? ~ f:I:,-z-~~
Comments:
Date: ,r-) ~ .~~
"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;,5S{
The ernlfOr of 'hr Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;11/ / I ~L'::::J IAE DT BROS .
5/JB/qq
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L!toZ8 f-IUHI'1/NqB/RO TI€AIl- Ale;
Accepted
Accepted With Corrections
Denied
Reviewed By:(~}::7a2...~ Date: '-2/-?7
Comments: ~ ~. aff4.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."
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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
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Accepted With Corrections
Denied
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Reviewed By: t. )"iTEL ~A.~", '!V1AJ'~
Date: ~/3;'9
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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. n
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4 & 2?JU('~wt ivurr >>c't-el ~(.{
NATURE OF WORK _ rJe.~ ~. U
USE OF BUILDING g~
PERMIT NO. qq -';)-S8 DATE ISSUED 5-2/-'7 t
CONTRACTOR t'\;\tel ~~~t "'--~~, ~ -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
FOOTING ~ -1It ~ 'I
I FOUNDATION (Prior to BackfillX$:), 1(., - .:>"1 - '/'7
PLACE NO CONCRETE ~L;!j}fi>4'E HAS BEEN SIGNED
RO GH - INS
- SEWER I WATER I SEPTIC n -1.1, k"1 ~.
FRAMING (/ -, e> ~ VI . or~
INSULATION C/j7 ~/" It; 'i
ELECTRICAL ?/
PLUMBING ,01) fJ/Jj41
HEATING (if required) ~ \. ~ ?__'lr'11 (/ - .
FIREPLACE . (4) //:;}'Vf1
GAS LINE AIR TEST (/ ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
___ I 11 \ I
FINALS
I
VVf~11<9" /1 ~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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.
'J
Call between 8:00 and 9:00 A.M. for all inspections
cnR 1.\1 I IN~PECTIONS (612) 447-9850
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EEN SIGNE