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HomeMy WebLinkAboutBuilding Permit 06-0656 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE JfZo-('Dc TIME ADDRESS l..{O;);J... U("r"~^ CIA- I OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING q INSULATION frFlNAL o SITE INSPECTION COMMENTS: d\ ~l~~ . J CONTR. PERMIT NO. (P-O~6VJ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o f\,.. l-~\o I - ~K SATISFACTORY. PROCEED o CORREZffT A N AND PROCEED o CORREC W~. CALL FOR REINSPECTION BEFORE COVERING Inspector: f / fL-... Owner/Contr: CALL 447~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 4-24-chf ADDRESS 401-1- l-krt- h~_ OWNER CONTR. PHONE NO. PERMIT NO. G - (,~--z, o FOOTING o FOUNDATION o FRAMING o INSULATION .a"'FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: (r) r:.-. V\ r tS> h. /~cl~tll rVt O)t. ,re; I1A (j) CrvrJ -k ! - - Fr--1C\ I (}) Add S~L()'vf .J t-,:.f' -I- h C!-, I/~ ~ / / o WORK SATISFACTORY, PROCEED ;S CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: . J;1/ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQU/REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS YolL /~}~r' 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 ~R HOOKUP PLUMBING FINAL o MECH FINAL COMMENTS: ~) C) , $c~1 ruoF tz,u!-t,- C-ot1s , DATE TIME L/~ 2-/ o~ ~~eElP o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o D.)VORK SATISFACTORY. PROCEED -#" CORRECT ACTION A~OCEED o CORRECT W~~, Jl!'Nt!C FOR REINSPECTION BEFORE COVERING /; Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File I While Pink Yellow File City Applicant (Please type or print and si~n at bottom) ADDRESS Lt D ~ d ~ <..:,,: . ~ 0>..) t. L(....~ LEGAL DESCRIPTION (office use only) LOT \ BLOCK ~ ADDITION Date Rec' d /./0.0(" PERMIT NO. 00. (j 05 ro ZONING (office use) teAk) PID zS""'. 4- 2). () $ O. () OWNER . ,\ ~ ~ . a S~ (N ame) \vc....J:,~,~, De..:ue..\o\.:> ~* (Phone) Obib (Address) 6<600 Frcv-, u:', Ave S t=J, /I ,"- , P1N ~S-v ~ c.;-- BUILDER ~ 0 """-'L ~ (Company Name) \..\. L LlC (Phone) '{ ~ ~ , .~ S- ~, 0 {~ ( b (Contact Name) \J~ ~e.\ ~ 0,-" (Phone) b\~, '3.~ ~ b 0 -~ l( - (Address) 6<600 \="'.a.....c..c. AuC'. s. E ~ ~ "''''' Mr\I <;; S- 4 "S 5" TYPE OF WORK jZ1"New Construction 0beck ~orch ORe-Roofing ORe-Siding .0Lower Level Finish ..0'Fireplace OAdditlOn OAlteration OUtility ConnectlOn CODE: 0I.R.C. DI.B,C. ( o Misc. Type of Construction: I II III IV 60 A B PROJECT COST IV ALUE $ ;)O~ 000 Occupancy Group: A B E F H I M qv S U (excluding land) Division: I 2 Q) 4 5 x I hereby certify that J h ve hlrmshed mformatllln on this applicatIOn which IS (() the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent ftlf the abovc-mcntlOoed PI' c 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 buildmg official can revoke IS ermil for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlllns Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Signature ~cs--s- b ~ E. ~ Contractor's License No. ,2a.s:- ~ CA) $ / ~ gS, .sz=;I. $ .s -o//r /, $ /t:'"z...s-O $ $ $ $ $ Park Support Fee SAC Water Meter ~i;e 5/l0; I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other / ~d. tIf(;) /~~ sS: fl ~, .0 TOTAL DUE This Application Becomes Your Building Permit When Approved #~ BullulIlg OttlClal /~A{, " Paid Date .:(~'" ~ '1 ,:,-1 i)('" D,lte ~? -/ () - (;~. Date # $ # $ /5S'C:>. 190 $ ,2$0.00 $ SV. ClIO # $ /S~~. 00 # $ / 1Jt1J{), -0 $ /S'"IX!) r .c $ . $ 5: ~S! ~y () ./ I 7NO ;57'7J'Y I By , ~ ThiS IS to certify that the request 10 the above apphcatlOn and accompanY1Og documents IS 10 accordance with the City Zoning Ordinance and may pmceed as requested TIllS document ~= }'::;?~":;;7:''"'~'"ry C""',,,,", ;i;:;;: ""' ..,"w< '"""~'"_':("" ::' 7,"~:";;:~ry m.." oc Planning Director . . Date Speeiaf Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by:'/II ~ leq.s~ Date: 7//9/x' <, . ", BuiidiJig Permit # PID: Zoning: ,e IS.tI Address: .'Io..u; ..z'J 20 +.fo/ /Ie,.,:;, e ~~ Legal: L l-i B ~ Subdivision: ~r'~...? e 4-;a. cf, 2 Existing Struct~re? YES @ \ Existing Nonconforming Stru~ure? YES 1<&0/ \ CONFORMS TO ZONING ORDINANCE . :-'" YES , .YarcfSetba~k$.:O NA I~F,t(IL61 COMPLlI;S'. . Front Yard (can be 20' if aVj:J. w/in 150') . Side Yards .standltrd . i. 25' 10'1 25' if abutting a street · Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in lenj:Jth I. Rear Yard · Patio Door: provide for minimum 10' deck or sign statement indicatinj:J no deck will be built in the future · From 100 year flood elevation of wetland/N U RP pond · From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 3D' 75' or setback average of adjacent structures, but no less than 50' I Floor Area Ratio: NA (r~OMPLlES I ,30 Maximum I S~"w " ...1.) NPIZtVA. t..S' ~ Yard Encroachments: NAI FAl(SffOMPLlESV] Standard 1 Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). AlC and other equipment cannot encroach on interior side yards. , Tree preservatior(~ FAILS I COMPLIES . Total caliper inches I. Permit 25% Removal I. Caliper Inches Removed I. Caliper Inches Preserved I. Replacement Standard %:1 L:\TEMPLA TE\BLDGLIST.DOC NO Proposed I ,c- I , , ~u .. "'" 7 - l,D. S 1..2' - 7. ~ ( - "'- +p.cw. Mo;J€: ,JA }..ill- .y~s % Proposed /lI6"J6' MJ"v& Proposed Main File White Can ( Pink ~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , ! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~:'...- ,.,...._-~' / / i ".r-- ,-; / I': Accepted Accepted With Corrections /' Denied ~~ Date: ~/z~(i Reviewed By: Comments: E" .1~<1h~{,'Y'K.r " Other lW~echanical ki ),,".:l'J~.~AV!iQ'l:,~' .. _ ~L . ,_'I Dluts Caru.lot E.ncr~~~!;Cl11nto li..eqlllJ.\:::\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 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." Main File ~ - BulldinL 7Y - Engineeri"9> Pink - Planning 8UlLPING peRMIT APPLICATION D~RTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED H L H C'l-/ t--5 7.10. ore The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4- 0 Z 2- /-1 E /~/ /7/ r;; E L/-J /vt;; Accepted x Accepted With Corrections Denied Reviewed By: lit}/; Date: )-/300' Comments: See Reverse Side for Additionallnf()rm~ti()nl /YItif; '\ F, 0'( Maill File See AttachID~ffts~ 1) Grading Plan, 2) Erosio~ C9utrQ1 Me:l~l1Tes . ,. 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." G::: . QUild~ Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED H L HOf1ES 7. /0. 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-022- H6/C1TJ1(j6 L-rlN6 Accepted Accepted With Corrections X Denied Reviewed By: ~~~ , Date: ?~i: /l/ de~/ ~ _ Comments: ((J See ~6~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." l Driveway: NAI FAILs:r~MPLlEV . Maximum width at property line . Required setback . Maximum slope . All parking areas to be paved including R-V or spaces adjacent to the garage . Location to match subdivision grading plan ~ Building HeiQht: NA I FAIL41 ao~ Standard 24' 5' from side lot line or 30' from r-o-won comer lots 10% 35' Maximum Standard 7,500 Rip, 7,999 Non-rip 50' Rip, 57,3' Non-rip , Shoreland District: NA(fFAIL~OMPLlES i Minimum lot area (square feet) W /~ · Minimum lot width · Shoreland alterations llmpervious surface ____ . 30% Maximum C..-AS AI'.PIU~ ~ ~. S'~(JJ~ . ." Bluff in Shorelal1f,1:JlJAl FAILS I COMPLIES I Standard I . Setback from top of bluff By planning dept. ~. tI ..,... i!~~' . Bluff impact zone . Engineering certification submitted/approved ., Grading in bluff or bluff impact zone ~ . '\~,.... , FloodPta~FAILS / COMPLIES . 100 year flood elevation . Lowest floor elevation . Proposed fowest floor elevation .. * .. It \"_" ~., .. . iii, ri "''!,', , . . Elevc;itions 15 feet from structure . Road access must be no more than 2 feet below Re!]ulatorv Flood Protection Elevation , Accessory Structur,: ~FAILS I COMPLIES . Size I . Not located in front yard (Materials) . Side yard and rear yard setbacks . Maximum height I. Materials compatible with principle structure L:\TEMPLA TE\BLDGLIST.DOC 20' From Top of Bluff By City Engineer No importing/exporting Standard 908,9' Prior Lake 914.4' Spring Lake 909.9' Prior Lake / 915.4' Spring Lake Must be l' above flood elevation for new and existing structures, If existini structure was constructed 9/19/90-11/22/97 then additional foot is not required, Must be flood elevation or higher 907,9' for Prior Lake 913.4' for Spring Lake I Standard 832 sq.ft. or 25% rear yard 10' 15' j Proposed /6" ,t- /? ' ~S- / ,...'" ~: s: ,~ "'( ~J Z ~ d- I ~ J ) l .,23' Proposed - - - sz~. I'i..... n ~I'I-S' Proposed J Proposed ) Proposed j Tradition Mortgage 3/31/2006 2:56:57 PM PAGE 002/003 Fax Server CITY OF PRlOR LAKE Impervious Surface Calculations (To be Submitted willi Building Permit Application) For-All Properties Located in the Shoreland District (SD). _ The Maximum Impervious Surface Coverage Permitted is 30 Percent. Property Address Y 0 ~ 1, H~f.'-1 A6l:: L~,JE .' Lot Area 41 Illes sq. ft. x 30% = .............. ILI"".4 ************************************************************************ HOUSE / G~ ATTACHED GARAGE LENGTH WIDTH M,SL- :=; SQ. FEET 1.0b4 x x x == ;; TOTAL PRINCIPAL STRUCTURE...................... ?;,oIPI( DETACHED BUILDINGS (Garage/Shed) x X TOTAL DETACHED BUILDINGS....................... DRIVEW A YiP A VED AREAS (Driveway-pave~ or not) (SidewalklParking Areas) X ~,SL X X ;; -w, = :=; TOTAL PAVED AREAS......................................... -z..o' P A TIOSiPORCHES/DECKS (Open Decks 1,4" min. Opening between boards, with a pervious surface below, arc not considered to be impervious) ll. 3~ x II.h1 X "" 118 X TOT AL DECKS........................................................ 13~ OTHER '0 ;; 111 1S .,tool' \tJ i:Lo'" _ )."3 X X N\\ sc.. TOTAL OTHER............,......................................... f s 1.. TOTAL IMPERVIOUS SURFACE Company U <VtTHJlI g~~GfI. u,sr I 1..5", I + IO"a"'.~ .t~~6 {.JNDERJOVER Date Prepared By Phone # '1!z- '116-60017 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT I. Grt.\.'11 ?',',.;U,,,,, 3 (illld ~',l~ . I PERMIT NO. ,_ ,- c h AWII~1 w.~~~l (pIeil8e type or print and sign at bottom) ADDRESS .etrd3Z, /74'''.I''A~ J-AJ ZONING (offic" UB(,') LEGAL DESCRIPTION (office use only) LOf BLOCK ADDlf!ON P!D OWNER (Name) llJ'L (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) DSM EXCAVATING CO. (Phone) 651-480-1355 (Address) 2916 ENTERPRISE AVE. , HASTINGS, MN. 55033 (Address) (City) _ (Phone) (Zip Code) (Contact Person) _JEFF CHILD~RS 612-919-2729 APPLICANT SIGN ATURE _~ ArII:.- , ., DA'fE 7-.?t>-6 APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure - feet. Type of sewer pipe. D ABC 'g] rvc D Cast Iron Estimated len2:th of sewer line ~l> feet. <- Clean out (if required) located at -=-- feet from structure. Residential sewer and water line connection $35.50 Sewer connection only S 17.50 FEE SCHEDULE Industrial, Com' I & Multi-family 1% of job cost with a $39.50 minimum Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE IUTAL PERMIT tEE $ $ $ PAID WITH UDING PERMIT (Oftke Use Only) This Applicatiun Bccumcs YUUl- Building Pcrmit Whcn Approvcd Paid Ri::I.:i::ipt No. Date By Uuildinl! OlTidal Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 AUG-09-2006 11:14 dO' -'\'~ :. (i\\( \ to- /, \ '7 I [- L i I~I \u j! 111I' \~' , .. to ...)~':teso~ CITY OF PRIOR LAkE 9524474245 CITY OP PRIOR LAKE PLUMBINC. P!:~i{lVUl August 16, 2006 P,03 1 H!::e ~tlb j, (~I~ ~~\I ~ ".ilft~ ^~Il'.n~ P?ERlvr.ITNO., .,"! --...-----,-.--......-.-- ------ \ ZONING (Of(,~H~~) i L____.____.___I (Plca~lllVi">~ O~. ;)l~~t ~ci !i~n at bottomj r Arm-1=?,r;Q, -~.- - . l._--?-'O 2J- _1::1 f):tiClq,.~ Ly, ,.~-_._---...~_.. I LEGAL DESCRIPTION (olO.:e \:se only) \ j i r..q:r .-11:-0CK i g.~~~1A.; t\~0;;Gu'ln--_- -- (PhO"') J{5 [~(f.s=~ "t~~ i(A;9",,)1liJ0_PJQZ~j)X 1f~j.JJ IDQ {tn_~r~~._ . ~ jApPITcANT-r~ 1'1 ~ i~/~;'~-- () C 7 - -7 (1-~ -~;if-- ! (N z.m e) ...,1 \// ~__~~i., _ (Phone) _..1_.1....&:::',_._ ! L'::_..L,:J..:.:;~.-~..---.- I ,'1 'l!'(i \^,!. i~', I (I I 'I h/...:li2.11r.:.\II-'I.i(~.. \-_V.'.\ )\_'.! '::"1::--'2'7-;7 1 (Aodress) _1=...__"=:....::--. I')' ; ~.:..__L2,___.._.._, _ j - .\..,; _~2-'d"'~!...:<..._-- I (Aciciress) _: (CitY) (l.ip Co6~) i ;/ ~ eJP' ~71 -7 \ \ (COl1ttlct PcrSim) o"f 1111~. _'- ___.___._~..__ (l'honc) -=-L~!..~__-I()Ll--. ~pn~~TmGK~~~,~~~j-~- ~ ..'\.D D I'l1 0 N pm ..----.....---. APPLICANT IILEASE COM.PLETE BELOW --'-.- -...----..-..-------:'-,--..-------,--.-.---..----- -......_.~---,..._...- ---- L9.~::~ltitL_: ___ Tyf_~~~.~-~~!.:.:__-.._._ !~~::!:~~~~!-.-L.-_.-_.-, TYP.~oLFi:.:t:::::.c - I I d : Bath Tub with or wltho,r, !;hower I I Rough-ins ; i--...,--..-'~---r-i-Disilwashe;~.---"-------.-----.----r...----l-..w <:.tel' i~irter-.-_.---_._....------1 r-- '-Ti'iOOrDram---.--..-----t-------Hw,terCSof\I\;;;-----------._-----, :-----....i.{. , L~\'<1tor.y (BclwroOn~%lk) ,- ----..'-r-.--.--.-l.T.St~nclPiJ;;T\'iashjr;gS,Ecii,i;;r '-:.'-", j-'-'-'Il' L,tuncfry TnlY (J 01' ~ cOl)1pa.rt;;.i;;rsrii'k---.r'--.---------rseIV;;.~eS}ectc;r----..--'-'-- - ; L____--__..--..---,-----~.---..-----..---~--.- ~___,--...--_....-..~---~--..A----.-'..-_._--'. ! () ! ShO\VCl. Stali i 2..1 .Bnciolow Assembly I !_ \ ;sTili~-"-' _._- '--'---'-"--'.'_.-:--'---'-'--!j3:lci(fi'o~ssC:l11 b liT c;r--"'-'--'.--': r--"---'-'-'-' ...___-.- ._---.---......-.-..-..........-.-.t.....-u.... ._..........__._.-h..._ .-..,..---,--.--..-...-------.-. ; i Bi\r Sink I \ Lawn Spi'i11kbr ,.--.'''---.-.-.-'.......--..- ~- -'-'---" --..~....-.._.- .-.....-.,.---..---,....-.-.'..- i .-;-; WW~i' Closet (Toile!) , I Oliler '-____..._..~---~---.~..-...-.-. ,..._.__---..---.J-.---.,------..:--...-.-. _.......v---<-....---,.-..----...-....~ FL:~: SC!{ED 'ULS lil~:1,:5\;.i"'. Cr),ll1:'1CrC:i\! &. (vl:;iij.;~I1,;I)' i % ()ijo~ ;;'03: with a $~9.50 n',in'n1uJ11 r.~!sid~nli~1. \:oIV Cb: 6: '!'wo.f:Jinily S99.~O R,~sid::n!'al. Al;di;i()l~s,~ i\1;Wl.!iOl1> S39j(l ESlimal~d Cost s: -.........--..-----.. Bl1.il(linS PeJ'mil Ii _.__,"-h'_"--- TlIliidiflg Ofiic.ial l)31c ~ -==__._ ..._.BAllJ W I 1 'H S; , -"BUILDING rpilr-'- -'-"-p]mrf ---. '-.-'- ,'j),;'tc-'-- '--'-."l"i!:' ..-...,...--, 1._.__.-.-..--.----...... ~--.__.- PLUMBING PBJl....1\11T FEE STATESVRCHARGE TOTAL PERt'\1IT FEE. IOI,;tc T.I$~ 0111)') This Application nctomes Your 13uilding rWllii When Ap[>l.ovcd 14 hour notice ro;. ~II illsjlcctior,~ (952) 447-SE50, rax (95;1) ,.1\;-'1155 AUG-09-2006 11:14 CIT\' OF PRIOR LAkE 9524474245 P.02 ~~'~1 ~.:... ,'/M ....,; i- " ' L........ ,,'7 _~ / !: \ \;lC. :,), ;: giJ\.Jm. ~---' .--.... .,...~~, IA'N1'Z!;O CTTY OF PRIOR LAKE D:\lc Rec'<l HEATING/AIR CONDITIONINGfFlREPLACE PER1vf:rtugust 16,2006 I r,~:: ~. r..:::tJ' t "V'tiioYt' r~r. (.r.y. ....p>ll;an: \ PERMIT ~'O, .. (1-5" ---.--....-----------.--: rl'lc~sr.lv\'e c.' 1);111: _I\n ~1'!!:T\.\1 bot:~\1'Il [)~~ '. ~10\;lJll14L un . ! L{GAL Di:sCRlP1~ION iofiiC;.~;~\li,,::-I-.--.~.--...-- I .' , I ! 1...01 '6LOG~ ADDITION ~- --.---....... j ZON1NG 'J!:'I~ ; \J5C'1 I L, , I i ----..,---.-.1 ..-.-..-..---- -..--.--' .."......--------....--...----- ..._...._-,~ ?lD -,_..--- ..._-_._----_..-....-_..__._~....,'----_......-.__.._-- .O~;:::(:) l~6f-{10~-37{fj \ #_0l2 QtgmlMl'L55.J dJ__._! ! ~~~:/~~~-vJtn~{fun ---- --. I I ._._..._--..'w-~--_._--_..-- \ (!-.dd;'ess) \ ~ c 0 D \ Crzt~ }>v--, .---...--...-.. ,.-;:..::--.--..--.-.-.......--.... -.-....."..-----------..-.-.---.--..... l APPLICANT (' ,," I fi'<u:.'~' l;r C:ry/. ~ I)', .~/.n I.r! (I'(:;~) .;-u ,7'7, i ({',t'i I \ I-....._.-_.......~~-~...''J .J.~_,__._-.---.-. ____-------.--.. (Phol'e) .:..~~-,)~;.., I .-t. ..l \..~ ./I-:-:._....--~ I i (lddrG!s~) ,,'" "1/ ( I I" \: I .., ) r) ;1 \ I ' '(\C ,.!; ?:'~i-:~'-;~'~ ..'j ! l/,,~I.!J) \...../ i'-'i ,Lh. i .) ;')....,fi ,":)v, j I't.. ../,)j') ; j ----,--.--.-.- .....-.....--- .-- -..------ ,.. - .----.-.--.----- --. : ) I (A,!tlle.)s', (CltY{1 '~ _ ',ZJPCI"c1Cl 'I (ConlClctPerSC\;1) ...~::-j_,~IL ~-r .-----, -._.-_....- (Pi..",; ____~~I-:..Z(jJJ::j.JJlL...-- I ./ J' .AI ~ f' '5\ Or J r I L!:p.!'1JC~3'CN.A'~UR" .:~~. 0t:~.-,: ~{{ r!..l~__2^:!!:="" =__J1l\~_~,._-. , APPLICA!\T I)--~ASE COMPLETE BELOW r----.--.-~CO'iSTRijC 110"--- 0 REpj:ACE~,e;;:r--t'J ,;- T,;R/, TlO'l.S - -'1 I ~:U~~ACr:. 'lAKE A'if) MODe': c~-~~~? W-ll~W .::':Ill-- -li.D-----,- -- FC;;~ ~~ CJ02..-:~- i 1'1....\...,1:.511..:. ._.__...--..,...- k.:. 1'1,;],-:--- Q,'!:..'NINGS _ .._'-r..-.- INP"T Jl,(1..b.L,....- ,)\.1 Th.';. ~ ~U,,~~-,. I TYl'E OF SYS-r-l:lv[ HEft. n;--.iG OR rO\"~F.R pr.A!~r I ! ...-<.-...-' .-, I I . r~.}:ASE NOTf.:'.'l O~.,en',l1 I I o 1101 ,"'c!el NI' CC\\lditiOMr 'uni" CJ itntb.io',1 \1 Ci1I~:1N En~)'?n'::h intO I , Q SI'c,ii11 D~\i,,:!! ...--.-_...---..---.--- i R~~llll'od SIC: \'nl'd i I' , '~.l;L ~Y;I:I~; L...1 Olb:-::' n::\'lee~ __.._.________.._ I S:!'(oC\cks I : ,_ .. ---I LPII~r:PL."CE. Ml,J<~ A1'D lviODEL __.----. .__. _._. _._._. __... ..._...---- . . ..'_ ...._. I _,." _...,. ......-__ _..___."'.__..,""__,J,:,___-r::---.~.--_..----......-..--==-,..:"." ...~_=n>...._-----..--..,..--~.-- l'l:[, scrrC\lt.!;Jj~. )':';, Clf.!O!1 ~5: il.~~i,i~I,\i~!. (j~s Fil\':pillC\~ S~9.)(/I\\itlinlll\" $(1950 S5UG ~m.,)i} 111(\11$lr;i11. CCl,':illlci-.:;~1 t.:. M\!:':i-F;,d\~' R~si:l::rll;nl, H'::/I',,,\~ ,I; Ale (t-':\\1 Ct'I1~II'~IC!I"~') R!sitlt./ll,:,l. l-lc:llin;! (Jnly (New CO:l$\.,\CI!On) n~.i6~I)i;~L AC:clili('ll~~ &. ".lI'~I,,,i,ms Rcsitl.~'I:IIl~, ^C Oni:-, ,S:(lj~) S,CjSO -_. '---'---j).,\(, nl:il~ngpellnil 1;----. P Al.U W 111-1 ~:~ ...__..~ -: ~~D~B U lLD IN G F"P~"A.A~.-- ---, ~~~... i . -----_..~- ---~ \ Bv I ' \ [ ?;,id r~~lin~;i,eci cC';;! S i-lEA Tl~G l)d~~!IT FEE STATE SURCHARGE TOTAL.. PERMIT PEE (Clnirt l~t O'll!'~ ~---'--- I -r;lis Ap\)lic:ltioll Becomes YOUl' 11\:11(0\1(1' l'~l'Il\i[ Wh~\l ;'.l;prO\':;<l 1 - i 1 '''-'--U;;iiiJlo~ Onici,,1 , i- _) , j ate J --.-....-.--...,...--..-- 2.,1,,",\' Mlict for:.Il lIlSf1tctilln~ (9:;2) 447-985(\, h?: (952) 44,-~J.:5 PRIOR LAKE INSPECTION SITE ADDRESS -f0,l.2 ~,,' ~ . NATURE OF WORK ~;"_, .... ~. vV'1..c.. ~u.i~H. ~ t USE OF BUILDING !M4A...,.J.& '- ( . / po-d-)' PERMIT NO. 0(0 ,OlD. DATE ISSUED CONTRACTOR #~. NC&I PHONE VII..1Q.~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF \If ~in File BUILDING AND INS )EtTtON' ECORD I FOOTING I .""Y1lt J' ;:;;~jp FOUNDATION (Prior to Backfill)t1dVr(~"'// 4 &//7~' I pi J?~~)~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS /j~' SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL _ .. / /' PLUMBING tJ. ~ ~r ~...2?I6tj HEATING (if required) FIREPLACE GAS LINE AIR TEST / / ?/n/t.6 VV'I t I) lA\ -vy COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED / , /7fvJe Wr~/"L...7K I /A1W flt? J(~Ut(fAJ l~ Irr}.];~ ( - FINALS GRADING (Prior to Sodding) BUILDING itAw{J uV\~d ELECTRICAL PLUMBING HEATING DO NOT q,+ rJ6 - /IVtf/ ,. LI- ~-(X ~ L-\ ~l-1-uJ 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. FOR ALL INSPECTIONS (952) 447-9850