HomeMy WebLinkAboutBuilding Permit 06-0657
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
{I02~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o TE INSPECTION
COMMENTS:
.... 1\
CI K<'
SCHEDULED
?/~ D~TE ___
~
TIME
I-f~i~ L k-
CONTR.
PERMIT NO. G - ~~7
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
I ^ ~ (
~ ti-l /)
I
rj WORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECrrORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: I L 11 Owner/Contr:
CALL .4)AS50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
v
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
t{Dtt
/-h-, ~
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
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COMMENTS:
~ ~ CA c\
rvt
6 Y5 'l+
DATE TIME
I-~~
1_ - C'J7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
h5-r
. /
~~ SATISFACTORY. PROCEED
~~~~~CT ACTION AND PRO EED
o CORRECT :~:~ C::~~EINSPECTION BEFORE COVERING
Inspector: V vy Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
2/J!t/ D ~
ADDRESS 4o;(l&.
J.lP~I'~~ L~
t
CONTR.
OWNER
PHONE NO.
PERMIT NO.
& - (,57
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/1 ~
(, I~./ ~
{/
~
...
L\().t..I ,0
r
2. (~t1U-,(~
1
,
o WORK SATISFACTORY, PROCEED
'){"CORRECT)fTlON AND PROCEED
/0 \ORREoT WoA.K, CALL FOR REINSPECTION BEFORE COVERING
'~ecto7 f If \ Owner/Contr:
CALl ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2-lJ-tJy
ADDRESS
{,(Ol-h
/.i ~/i .f.-ut.... _ I....~ . f
./ -
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c;.. Cst
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
( ( )1' (-(~
L'o
~ +-r I
I/J/la ,;:, eJ cJ x ~
{I-e~ {/.'I'11 J
, .
R-_/r <18
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O~, C~ REINSPECTION BEFORE COVERING
Inspector: 1/ 'Y"""" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main. File
Date Rec' d
,./o.ofo
File
City
Applicant
I PERMIT NO. O(P. Oft?57 I
White
Pink
J Yellow
(Please type or print and sil!:n at bottom)
ADDRESS
i-Ier"+~ e
LEGAL DESCRIPTION (office use only)
40;}.b
L~
LOT ~ BLOCK 4
ZONING (office use)
tzLSD
ADDITION
PID 2-5"'. +ZS'. 6 ~ L 0
OWNER ...-r- ~
(Name) {....o.."t.~\O^ U<!.v~\C\f~\- (Phone)
(Address) b<6.Do i="""{'<.""c.€ A" e S t;:~'.!'\('''''1 /lIIrJ rr:S-41S-
BUILDER
(Company Name) II, t... )./O~~ LL C
(Contact Name) D~,,~ "'" IV e_ \S" Y\
(Address) (:, ~ L\ ('\ 1=(."", L ~ Av f:- <; .
9S-;;l. a~d.~Oblb
(Phone)
(Phone)
&l.,..~, . /'YJI\J S-S-43S"""
'l~;). ~S-~, 6bl6
b/~. '363. b03i
TYPE OF WORK J:a"New Construction j2tDeck J2fPorch ORe-Roofing ORe-Siding )2fLower Level Finish )2fFireplace
OAddition OAlteration OUtility Connectlon
CODE: jZTI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc
~A
M<Si)
4 5'
I
E
II
F
I
III IV
H I
2 Q)
B
S U
PROJECT COST IV ALUE $
(excluding land)
/9()~ 00 0
ave hlrmshed InI()rmallOn on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authoflzed agent 1,)1' the
o Tty and that all construction will conform to all eXisting state and local laws and will procced In accordance with submllted plans I am aware that the building
thl permit for Just cause Furthermore, I hereby agJ;i'e that the CIty official or a designee may enter upon the property to perform needed mspcctlons
;)C ~S- ~~ b ~ 7 - /Cr()~~
x
Contractor's License No.
Permit Valuation
..:z t!JS" oe:Jd, c.4
$~4 /~RS, ..5'0
$ '~.y71</
.. $ /CJ...2. ..s-C::>
$
$
$
$
$
Park Support Fee
#
#
Permit Fee
SAC
Water Meter ~ize 5/~ 1";
Pressure Reducer
Sewer/Water ConnectiortFee
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
"':.
/ CJ (7 . &.<.J
/ "d, -:J
3~ ..SO
.r,/O. eN
Builder's Deposit
Other
Sewer & Water Permit Fee
:~
Gas Fireplace Permtt Fee
TOTAL DUE
..",
Date
$
$
$
$
$
$
$
$
$
I
/$SO.OO I
~~~
SO, ~ i~,-
/..$W. eo I
/a=z:7. ~ I
I
I
I
-
t?'.s~ ,~
-'
- ./
SI'1YY
This Application Becomes Your Building Pe@litWhenApproved Paid t. y.5Y'. (, f- i Rett No.
~~ ~ . Date 7J700 17;
ThiS IS to certify that the request In the above apphcallon and accompanymg documents is In accordance with the City zoni~ste~nt
~:~:"~: ~"'"];'''f;=''''''' C""'m,, "';; ;;:/: :" ",,,.. "'"''' "",,'" ,,, ,"","'",ee '''''''' <<""""Y. " C"",,,,, ,,' 0"""",,, "". be
Planning Director - , 'Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
APPRO'VbU ~'l
S~Wc~1 e
stane4..... ...
Date,
-
White - Building
Canary - Enaineering
C r-ini< - ~annl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L__
l/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
: ,"^
,"'1/ C
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
C"-
~~
Date:
7/UJfi~
, ,
Comments:
::ngnea
Dtae .
"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."
.~- BUild0
~~ery ~ Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fI L HOf1~s
7,/0.00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-02& ff6R477-f06 L-I1N6
Accepted
Accepted With Corrections ;K'"'
Denied
Reviewed By: ~~
Date:
7~~{.
, ...
Comments:
(I) See ~~~ ~~" ,~/ a{ ~~ ~
(%) &e~;' r-/e
"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."
Tradition Mortgage 3/31/2006 2:56:57 PM PAGE 002/003 Fax Server
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For-All Properties Located in the Shoreland District (SD). .
The Maximum Impervious Surface Coverage Pennitted is 30 Percent.
Property Address
q,02h
He t I tAc,~ L~JJe
I -,. .
."
Lot Area ?J,I ~o sq. ft. x 30% = .............. 112<3
************************************************************************
LENGTH
WIDTH
f\ill c; L.
:=:;
SQ. FEET
1-051
HOUSE
x
x
x
:=:;
AITACHED GARAGE
:=:;
TOTAL PRINCIPAL STRUCTURE...................... 2.057
DETACHED BUILDINGS
(GaIagelShed)
x
x
TOTAL DETACHED BUILDINGS.......................
---
DRlVEW A YIP A VED AREAS
(Driveway-pave~ or not)
(Sidewa1klParking Areas)
X Al"'\l S <-
X
:=:;
2J.~
:=:;
x
=
TOTAL PAVED AREAS......................................... 7-"'L.A
P A TIOSIPORCHES/DECKS
(Open Decks W'min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
".'1
x J/. g 3
x.
J38
x
TOTAL DECKS ...... ..... ............ ..... ............. ...............
13ft;
OTHER
,x fI1'~'-
X
'16
S r~f'
=
TOTAL OT.HER................. ................. ...... .......... ....
16'
TOTAL IMPERVIOUS SURFACE
UNDERlOVER
--z,CJS1
I+J1 CJ /
IP~6
Prepared By
Date
Company _
Phone #
i~Z-~-6.o0a
.- ~.._~_~...w.,_~...._,_.__.~.____.__.__
.JYhitp - .8uildinL
~ - En9ineerii'\O>
Pink - Planning
aUII.DING P~IT APPI.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H L ;-/Ot?~S
-;, / I), C[;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-0Z& /It- k:~/TA~;E LH/JC
/
Accepted '>t
Accepted With Corrections
Denied
Reviewed By:
.1!I;4Ij
, Date:
7-//'0&
Comments:
5~f 1Y14;" ~'I,
Mae lr'l!i!le
~ ...1-... ',;~,.....,
~oo ,,"' ,. ;ilil.
~~'"
"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."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
(PIeitse tyoe or print and sif.tU at bottom I
ADDRESS
4"~~ /*".rrHf:.# j..#
t ~:~:~',~, ~r~Ii'iUll IllERMIT NO.,. "57
ZONING (office
L1";:")
LEGAL DESCRIPTION (office use only)
Lor
BLOCK
ADDlrION
PID
OWNER
(Name)
lIiL
(I=>hone)
(Address)
(Address)
(City) (Zip Code)
APPLICANT
(Name) DSM EXCAVATING CO.
(phone) 651-480-1355
(Address) 2916 ENTERPRISE AVE. , HASTINGS, MN. 55033
(Addn:ss) (City)
(Zip Code)
(Contact Person) ___JEFF CHILDERS
(Phone)
612-919-2729
APPLICANT SIGN A'rURE ~ft-
;. .
DArE
7-.?~-b
APPLICANT PLEASE COIVtPLETE BELOW
Size of water service / inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Irol1
Estimated length of sewer line ~o teet.
Clean out (if required) located at _ _ teet from structure.
Residential sewer and water line connection $35.50
Sewer connection only $17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Water connection only $17.50
Estimated Cost $
Building Penuit # __.
SEWER AND WATER PERMIT FEE
STA IE SURCHARGE
rOTAL PEKMlJ tEE
$
$
$
.sPAID WITH
~UILDING PERMIT
(Ollke be Only)
This Application B~coUl~s YUUI' Building Permit 'Wh~n Approved
Paid
Receipt Nu,
BuUdin!! Official
Date
I By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
HWu-U~-~~~b 11:14
~m\\' . "'t ~
.l. Y II' (\
=\!_~)~'i
~~
.,II,'XE$o'('
CITY OF PRIOR LAkE
9524474245
P.04
CITY OF PRIOR LAKE PLU~fBrNG PERlvHT
August 16,2006
o.'j~a.se lvp:r 01 Nlm jtl)d ;;J!ll. Ci: QOlto:nl
lZ071
;. Pili" ~Ht
! ~l(' a,"
l ~oIJO'I' ^Pi>~...~:
[PERMIt Nc(, . . ~ 5'
. J .
I~ (j/l-tClC C _-===D
r;:------
: ZONING Ie>f!ice l;H) :
i '
r
I
'-
LEGAL DESCR1!'TIO!\J (o(ikl! use only)
-------.--.---
LOT
BLOCK
ADDITION
PrD
.__..J
OWNBR i I I ,II (\ ~ C i ,p." [ {{l-c.:.. -:-.?-II"(~
, (Name).. \ IV;'.{ \ oll)"JJi.!0rl_... .__ (J?i1on~) _~~;?_ - l> .j- -)-_&d~.l!
I (Adciress) fc'f6 Pi Qza.. bl/' ff ZZO -PJJQ ttn {'vI N (~rdd-
.'--'-"-"---'" ..-. -------- . -'--:J - '"
'APPUC/-\NT-li:--:--j,-l----'.-:,I::-: Ii"~ r ,1'\ -.-,----------- /:-OJ ..-';..... '1( -I'
J I'" 'J ( I l.... I. ..' ....) ; I f';/' )/)
(N.al11~)_..._-. ,... ',<I \~.:.. - -.' ....:.. I _..v.____._ (Phone) .......L.,._~:..._ j-' , '_' _.~.
. ")""iliC'.i :1;\1 I.J~ ".. 1"1 ~/'1111/'( W' ~\ /'-~''''''-'-7
(.I~.d(JI'CS~) _..._'-_.,.J-..-_l_., . \1, 1...\, ,.,) '..1) l,',. i, I' ,'-'. (II ,'\; .--.-.,...) ")
- .;) './ -..:.....- -:-.' '- --.....---_._.__ ~_=_.~J=.:L2......:).L.L- ,,-- .....'..._~._-:- . ./ ./... -. '-'
(A,dc!.r(:Ss) ) (Ciry) (Zil' Coee)
(ColltActPmon) ._<<'6,-~.__ . ----c--' (Phon,) _ C(F)::)-7t.2 I-liD.) .____.. :
_ A~.~!:!~~;~'H SIG~~ TUR:!~_.(j~~ :lJ~_-=4.P~/:---=__'.' J).b"l:~_--~~lg in (t? -'7=;:='~~=-' ;
APPLICANT PLEASE CONIPLETJr BELOW
i-- Qualltity i '--Type 'oC I<1xt;.7c---.'-.----r QU:l;rtity ..-:----.~---.1\pc-of ffTi:ture".'---
_-. .._, - ~..-lBali1_:!:~b wi tilor w ifh?u ~~~~-~~~~2:....~.=-=.~:~~...L_-.~--"--=- -+!J~i~~~.- i"115_ _=:.~~~.~.=~=
, 1 : DIshwa.sher i I ! WI~ler !'leate)' i
...~._-'.-..-1- ...---,.,...--.------- ...-,---.---.-.. --.--.--~---.,----- ------..,-------.-1
. i Floor Dri).in ~ 1 I W'ator Softller I
)"---_."'h'--""71'TG"~lory (B<li!~i~oOi)i- Sli~r)--' ! -'-'''-'---'.-,-tStillld Pipe-{\\~;jJng ?VI;;al!I1~) -.- !
C-..----..:~~~~__==.lJ L<l u nd ly-'j"r.~J-r~~::I CO!::I::~~:ell~s.~I1i~~-T-=-- --~}~~;iig~,~jector:'==~. --==~_~
: D i Shower Stali i '2 i .!33,ckflow Ass~rnbly !
}'.--....-.----.. --.---.-....--..-...-...---,-,.---.--,-.-- -'---.---.-..-.-.- --..---..-.--..-----..-.
'r--..----..--..lJ~~~.~--_.-, .---....-----_-1_._______._.1 Bnc~:~?.w AS::2E~J:, T~s.:._.__._,_ _.J
I I~;lr Si!lk I! L.1\Vi1 Sp,'inkler :
! --"'~'Water-E!Oset (roiIet).-....---..-....." i".------ ! G~ber ---.,-----.---------"..-----.
.'~. ........-,. --.' ---.-..-......--- .-----..---.....-,-. _,_..-____.........._.._ -01.__ ___...,_........__,___'
FEE SCHEDULE
Illr,US;';~:, Coml11::jCil~1 8:. MuJIAm11i1y ; % or j:)b I;<jS~ willi a $39.50 I))jnunulll
Tl.:~ici:lltii\l. Ne'.'; One ~~ ;'wQ.Famil),' S99.S0
R~sid(;I1(;;\J, Acl6iiiont: & A ILCI':\iic.'l!S 5::9.50
EstiI11a:~cl Cost :;.
!3\lildil~f; Penllil. It "._._.'
PLUMBING PER.~'!I1' FEE
STA IT SURCHARGE
TOTAL PERMIT FE-I.
~ "'=.=~-:.~.= =~1lliJ W I I'H
S .-- BlJILDING
lpaici ---.-.-.-..-~11.-.-
,
(omct ti~t Onl}l)
r~ihi~\PPlic"tlOIl r~ccomes \!our 1311ilcling hrlllil When APP1'OYCrl--1
I
"-
l)uil,linl!- O(J1ej~1
o~(~
I Df\.te
~
...---~,~--._,_.----
I t,,=
r -
-1._._-.__
--..
.____OJ
24 hour nulice fu:' all inSilectir.:r:s (952) -!<l7-98SD, r~l; (951) 1.4'7.,~24S
HUu-~~-2006 11:14
CITY OF PRIOR LAkE
9524474245
PoDS
CITY OF PRIOR LAKE August 16, z6tf61cc'(}
HEA TING/AIR CONDITIONING/FIREPLACE PERl\1IT
_~1~~~~~!'p"1:;:~:.~1.!!..'~1t." It h~!!.E.:!'L_..____...._,___,
i ADDRESS
L,_,_d=-a~ l I)
! ~;~:;.,' 1;~).~1 i!~,RMiTN?(,-;~.€l
. I '
.HY)f!'nl4jU e I-\f\
--j--~. -..--,-.- ...---
'.
I
___....1
i"-z6N~G '</t:'~--
i U~I
rti~GAI:DESCRIPT10N (Olli~~ Il~e QIIl;,)
I
I
L..!::?T BLOCK
ADDlTION
PID
I OWNER
! (:\,,:w~)
I
/1 ' ,
'. / . .-,...,.- ;:~ i
_._._._ (Ph.:Jll?) (;6/-1- ()3- :) 1(. J :
fA PPtlcA~~i(~~. "~='-'~-:~--!' ,.-- ------.-'.
I (l\1L\m~)___-=-J. f;_~:~.:J.~.L!jLU.J_.__,__
I ,.
I (Address},,, .-)/,: \ 1 I" i.J-,(, " r, (' ')) rI \ I"'"", .' \ I: I' (.,-,-:)(:'),'''( !
! "l'f )'{)_i \.~".) t \ ...I,)\..,'j ... :') ..A.} r j"':)\li ( t,: . ,",' _ ...;"..1 ! :
I ::=,:,~_~,d~~"~_.=~~~ ~-~;.~~~_::::r~1~7(-5iL~_l
L~..!'PUCA!.~T S!GNATU Rr~,_~~W:~;;o:: _~~==::-._ D^ TE -.oJ.,.'::- =-.l,::=;._.=~--_-..-,~_.j
~i;;. APPLICAi'T I ~ASg COMPLETE rmLO'W
i-"---'- l,t:jf:\VC~STRCC~n(), I IJREPi=~\-C61F:'T-."-"[TA!:ris.R..t.,Ti'o~S' ..."..---.-- ,
jl Fl;R'^CE ~'!/\l(E A~D \i(~Ds,,~enCOi_r1~1O() l~ ~~li.~.:.~:_(iQ__..._-_.~._..__, FUE:f_\{\;I;.._C4Q_=~....~ :
I FLUr~ SIZE __'~'_"_ IH~TlJR\i OPr:)-:lNGS -....1______.__ li'-iT'l)T ..t\ rJJ~_..._ Ol;Tl'UT..,..~_P~~' (jJ2 :
/, T'5PE OF SYSTEM IlEATTNG OR PO\>\'ER rtA:-:T ___.___-, I
~Warll1 Air I'IC:l(S 0 S,c~in PLKASr:; !\'OTt:' i
~~~\'1": 0 JiN \\'al(~1 ^ll' COl1cliIlDne:- Uni:,~ i
i '- M<::~h;::ic(ll [J R"c'.i;rti(l11 Can:l", SI1~r(1\lcb il1lO I
I - ;r CMJ;,i(ll1ll1g II S!,cci:,! D~lice~ ._____.. ___. R~ql.l\red Sid!.' Vi\rci !
. ( lent. Syslc;n I] Oil:"r i)::\'il.:e~ _.__...____._...___- : Se\b~ck5 .
II~m!~~.0.f.~. ~i.~!~ ~_:~~ D :VI ODI~!:-:""=="_~""-__"'!""_==......._..N_...>'_==..-,.. ...____ .,.~""""=_=.~==_ __-"
FEE scm:nU..I:
: % <)( joh eMf Rc~i,~~ntii,j, G~~ i:irepio::~
~~9 ,50 1~1jnil11~;m
S~O .sO
SMj()
_...~._-:
Or) '"\ -"7' {7.. 1('(''-'' ,
___ (!'hrine) __':1._ ,'/' ./...::_ r .~:.) _ ...,____._
)l1d\~s!ri;l!' CM11\\r.I~i~1 /?:. jI,.1\llli.Fajn;iy
~3(J.~e
Ht~id::milli. i.kaliJ1g & ,vc C"tw CCll1~(;'\IClir)ll)
I~C$i(ic;)(j;l1. He."\lhg Ollly ('1\'ell' C0J1Slr;lctim1)
Itc~id(!;nlial, Atidiiinns 6::. AliH<lli"n~
l\~si(kl\lnL At Olli~'
S3f~ .3(;
S.19,$(1
r::stialm,ecl C05' $ ,
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STATE SURCHARGE
TOTAL PERMIT F'fE
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$
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.lIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~-1' ~,;t:,n ~......~ .
NATURE OF WORK ":"%,~~c.-~/~ t..., C. ,,'
USE OF BUILDING /_.." Fitv6/f;
PERMIT NO. DATE ISSUED
CONTRACTOR At,? &"'U PHONE~/.I'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Main File
BUILDING AND INSPECTION .
INSPECTOR .DAT'p
I FOOTING r,.HVi I p-/L'....I,,; .
I FOUNDATION (Prior to Backfill) I""": ~.-(, ~ K''// z/o.b I ;PI (2Zit.
PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.1
I ~~..
/7Ci7 /l
. /
I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U, )
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
/' J'
?" /2~b
,
I~U#
r -eN
COVER N9 WORK UNTIL ABOVE HAS BEEN SIGNED
Y,us .,{p/q ~ /.L. /-.< I .1
/ / FINALS
1
GRADING (Prior to Sodding)
BUILDING <till{) (}vi ~II 15-( (J't
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
:s c.
, ~ L~!J~!Ob-". .
I i1 L -.J-j ~ OY{'
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