HomeMy WebLinkAboutBuilding Permit 99-0672
--"---'-""--S"""~'"":,._~-<:~-~'''7'''''
....-~
,
~.....,. ......-
~c-.-
..
r.~,-.;\,..;\.:-;:~~~"..~,~.""....-,;-_ -,.:- -:- -w- . ." --;t....,...-...
'. :J. '~'l.lf.1 ;'.. I .~:I "'. ,I ". ,I~I '~I~':>!'il I... 1)S:I~"'I.Ai.J.l...7~.''''IP~i~'.\!i''''. ..i.."",";"1\f.,. :
~. : 1- .-.:. .....,.~~-'~.:::-' , ~ . ~ ....:'.......:......~~\.~........... ""..,_......_~~:
i:.: :, ! Q!;erttfiralt nt ~rrupanry 1 ~tf:
- ~ .,
~ :1 CITY OF PRIOR LAKE f~~;
",,- ".-.
I@I'~ i Jlepartment of ~uilbing 3Jn~pettion t~~...1
o Final Permitted .z(Conditional C.O, Expires 11
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
.. c~rtifying that at the time of issuance this struclu~e was in compliance with the various ordinances of the fl';\.. ''Y, )
-J Cay of Pnor Lake regulating bUIlding constructIOn or use, For the following: ill
~; UseClu.ificali'" Sing} e Familv "dg, Pennil No. 99-6 72 ~ "I
~ ..1
..~' R3 VN Nt A Rl :<"...
~~( Occupancy Type Type Construction Fire Zone Zoning District
, LegalDe .. L6. B3, Knob Hill Third Addn
',... scnptlon
Owner ofBuiIding'
4574 Hummingbird Trail
~,te Address
Contractor';Name&AddreS8 JWindwood Homesl Apple Valley I Minnesota
rity Planner
Jenni Tovar
Date:
........
.~
..'-...,~,.
.
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
OAT':: TIME
SCHEDULED ,!~',gJ Ar
~Ldkf'\ ~LbrR'
CONTR,
PERMIT NO, 'A ~ '" 72
ADDRESS ~S'''A
OWNER
PHONE NO,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)! FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: S+\
o EX/GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,.;2- ,+~'I ~ ~ ~
.AJ. ;.." ~~ 6-1/./--/2 .
~~~(..,
I
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /J:n OwnerlContr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
T
I~+ I:/S-
4574- /f(/HMIN~8Ieo
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
II(" FINAL
I[j'SITE INSPECTION
fJ
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
gMECH FINAL
DATE TIME
99-(, 7 2..
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
jl~~k~ ~~' f<A~~~~ ~,V#
,~d. Sl+r ctv^/~'<l?\1
~,,~ \Jtvi..uA/ _~
!2J Y\a..w / ~ Y
b~~' ,---.J;..~tf 1.
~l I f
Cl1 ~~k./7 ]~ ~ 1 tr::~
. 0 .
~~c, CIVI )4fA ~ ,pcAl-1
l1~ ' /
[J \slw* ~s - 12~.u,..\ru1 OY';;..r -Rst
~J i .
o WORK SATISFACTORY, PROCEED ~ Co. -h 7-/~
.~ORRECT ACTIONANO P~~~"p, ~~. _ ~
rORRECT RK, CALL F ~CTION -JORE COVERING
Inspector: Owner/Contr:
CALL 44 fsS5 THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTJ
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
II
.~ ._.... .-----..--..------.,.-
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED Cf~~
H~Ld ~
CONTR,
TIME
fo~
ADDRESS 4574
OWNER
PHONE NO,
'1<i .. (., 72..
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
to PLUMBING RI
~ _0 JIlI!CH RI
~..-wATER HOOKUP
/C- 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: l ~
2A' ~dU..Jf <to 'p\/G
\~O T~L ~frA. -c No ~~
Cf~ oL
~ -
((J gCJ..:;i~ ..... McvJc Le.AA..-":;> ~~
-\u ( -"Xr, tit-
>~~ 01' -
,,/
/'
o ~SATISFACTORY, PROCEED
% ;~~~~CT A ION AND PROCEED
o CORRECT OR R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL J7-9850 'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE R~QUlRErfENT.S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
. V lNSNOTl
-- ...,.-----
, ,
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Lj~7~
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
~MING
o ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
~r'~AY 1<; t7K
Gnul::; 6 ~/:
SCHEDULED
DATE TIME
~~
/jlM?/'? "yh/rd -;//-oj
CONTR, _to;'dw~ #-''''1e?
n-,(,7,L
~GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/"
'/
~l
L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~iK. ~"R REINSPECTION BEFORE COVERING
Inspector: ~~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
u___., __,
II
DATE
SCHEDULED t~
4'-) 14 U'-"^'V'''' fu, > r"/~D
.ITV OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CDNTR,
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
I / 0 SEWER HOOKUP
N:4 V PLUMBING FINAL
/O'MECH FINAL
COMMENTS:
I. Wo..\er s.~ CL~c.Lu.~a L"""
"2.. /(ru.tJ1u.<L. ~c......(k"'1 Ii
3. ~~ ~~ ; ;A L. lc.:h..t t; kQ
'-I, /Jarr'.... " ~nO<1&.....
b-~_n~ ~ ~
"
M~~ .~__+
,
oJe
TIME
Iroo
'14 -~I2.
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
Q.o.4 .
, u
RQi"-")~.(- OL+- nlAJ r:;l~_
o WORK SATISFACTORY, PROCEED
'" CORRE N AND PROCEED
,)<(OR CT , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
',f
CALL 447-9J50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
/NSJVOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,----- - T-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ BLOCK .3 PID ?"'-~-/)71-0
,_. A , L :7 A A 13. TYPE OF CONS:!:)l':!S,TION
~~ WIL ~I JJFiuJ ~
14, W;;~uJIJPIJ (N~Z &J!e./d);)3;J71/#.i./E~!,j,v63'~ 14. FLOOR AREA APPORTIONMENT USE
15. ARCHITECT (Name) (AddreSS)?...... ~e~. 0.) --1
<^J.lo--2~~( -.1 I
6. BUILDER (Name) (Address) B l' ( !!(j 60 ~
~~
d;;7;r
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12SITEADDRES:tJ~14 (.k,M.MiNb'i3l~ /2IhL-
3. LEGAL DESCRIPTION
LOT
b
ADDITION
1. White
2. Pink
3 Yellow
File
City
Applicant
Permit No, qq -fR 72..
1. DAT~/; /crq
/(1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WO~ Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT eOSTN ALUE
Chimn.y LJ Mis, /~iJ
18. PROPERTY AREA OR ACRES 19. PROPERTY.DIMENSIONS 110. CULVERT SIZE 17 COMPLET~Ol DAJE
Sq." (:1-A31 Width51,~tJ D.pth 4B V., No /tJ/3//99
I hereby rti mlshed infnrma):m on this application which is to the best of my knoW.ledge true and correct. I also certify that I am the owner or authorized agent for
the above ti e p and thai ~~struction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. I ~m a~r that the
building official voke this p . ~ - Just cause. Furthermore, I hereby agree that the city offiCial or a designee may enter upon the property to perform needed' pions.
X ,,-- \. .~ . V~ b., a<<--
~ Sig~ : l llcenseNt". lrla~ ' J
i.-/
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS LJ ENERGY DATA LJ
OFF STREET PARKING PILING LOGS LJ PERCOLATION TESTS LJ
SPACES REO. PLANS & SPECS LJ SETS
SPACES ON PLAN SURVEY LJ COPIES
PERMIT V ALUA TION II. ~ ,t'>nrJ . a:>r:> PLOT PLAN LJ
-.
TotalDu. """""",..,.....",,,,,,, $ ({"to. 72-
Paid 777(),1.Z- R.c.iptNp. 3~O2-'-
Oat. 't)/7~rhq By 1kf/
This is to certify that the request In the above application and accompanying documents is in accordance with the City Zoning 'Ordinan6'e and ~ay proceed a/reqUested. This document when
signjP'bv,e Citv ~l\e: ~nstitutes a temporary Certificate of Zonw__compliance and allows construction to commence. Before occu. .pancy, a Certificate of Occupancy must be issued.
~A~ _ / J~ -C.r=I ~ -"H~
. i1y'1'rliiiner - Date Special Conditions n any
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.5rO
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City'
Permit Fee ................................... $
1./("I'2..2..~
'7'73\ .'11
81 _ S'(')
Plan Check Fee ............................. $
State Surcharge ............................. $.
Penalty.............. ......................... $
. ~
\ /
, ,ni. il
~(I q"\
100 . Cl-o
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $_111" . (9 d.-
Sewer & Water Permit ...................... $
:75".5'0
~:~:~~~~'~~i~~'~'.~n Wh.n ~prov.d
By .- '( Dot. (p-li-'t}'
Certificate of Occupancy
Issued
Amount Brought Forward .................."',
Park Support Fee ........................... $
SAC ,............",,,,,......,........,,,.., $_'
Collective Street Fee ...""................ ~
Sewer Tap ................................... <t
9!=\,t'J.I"'tD
(J,e:n _~
Pressure Reducer ....%~~"............:
Meter Horn ......W..l'....................... $
Wat.rM.ter ,,,5i~............,'''''',...., $ ['2S. a?
Sewer & Water Connection Fee ........... $--1J 'J. 00 a ~
Water Tower Fee ........................... $ .,..., on . fY)
L./b'.06
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
1,f'i(')O. D7
24 hour notice for all inspections 447-9850
----n-
T
..
.
II
I"
'\
'Permit#
'JobAdd,ess YS'7"/ tfc..w,.,,..,:....I,,'rr{
'Heating Contcacto, :;:J:,. ~l<J... ~ J+.:;
. --.- /l I
"Testers/Signature ~A./
Qlll<
Pounds
l'rmw:o
Iim.o
'Gas Line
Pressurized
Inspected
PERFORMANr.F TF~T
'Percent CO2 ~., ~ . 'Percent CO --O~
'Percent O2 ~ \ ~ 'Stack Temp. ~.t::)~o
,
Final I~spection _
Date
,
\
"
II
GREEN - FILE
YELLOW . APPLICANT
GOLD - en.,.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S,W.No, 97-&12---
SIGNATURE:
b<,,<--,\'er 'i<'<,~~~
"I,f,,-' '-I 1/ t.A I.AA r. /,.::'V" '~iP ~ 'L--IL- .,..~
i 'II a """"S.{>\"" w~"
~k. qj~
'-1}1I./ Hu......;~,,\.,:,A l-r;
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:
PHONE: (Ii I 1..\ ~H,- '10';'
DATE: 'f/,Jq~
BLDG. PERMIT # 99 - (; '72-
PID# 2-5"- 341 -02-1-0
ADDRESS:
SITE ADDRESS:
FILL IN THE BLANKS
1. Estimated length of water service
s-o
feet.
2. Size of water service
I
inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC Y
Cast Iron
{
5. Estimated length of sewer line
so
feet.
6. Clean out (if required), located at
structure.
feet
from
=================
This applicatiofi ~9"~#.tIyour permit when approve~'J /
BY If J</UA.--" DATE: tJ / ( / 17
============~==================================================
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.
PAID
l' #
...
AMOUNT PAID_ ""'.'
'P {\\ '< (:\'.
REC' 0 BY _\ '.\\ C\;'>'-
\?v'
"
k Av, S.E.. Prior Lake. Minnesota 55372 / Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
....
o
I'SlI
~II I \lr rnl\lll ......... Me
'6200 ElIu'e Cree" Av. S.E. Pllma NIL qq - (p 72-
Prior lake, MN 55J71
HEATING APPLICATION I PERMIT
Date /t).I1-1'Cf P'IO. 25-.3~- 02./- 0
s~eAddr..,J..;{J1;; Ilumm'j1~/m..... Tr, IJF. ,e/
lot k Blrxlt 3 Addition J; nch fllU .JnL
OWnlr's Naml }j)~ .nd.-l)J1J/J"2L -IJ:,'YYU()
Addres. If) fltIy rR4~q, IJIf' J //inl>>;-. V'f!1lJ "~S-l/)' LJ
Hilling Conlraclal~ 1 rJ i(l M...()) 1Jea i t- IJ J j .
AddllSS )51ffi r1l).)VrJ),{JI J WtJ;A R, ~ern,pJ f/lr
rel.pllon". (PSI - '-/dd - 51~-Yj I '
h-e n. VI t>V
Furnace Mak.l Mod.1 (jAI)lJ,~7"E-Il5TJ TYPE Of SYSTEM
Warm Air Planll
Gravily
M..hanical
Air Condilloni"ll
V.1ll Syslem
Model Sill
IriJ I\{,) D
Conn. load
FUll N oj (;0 , Flu. Sill
:5 II
Supply Openillgs / ~
Rllurn Opllnlr<gl q
lnpul 1/)Il/WI Oulpul /f1. 1m /)
I I
HEATING OR POWER PLANT
Sllam
HoI Wal.r
RlIAllallon
Sp"tlaIO.oricl,
Edr,
OlhOf Dlvle II
elm,
~
~
TYPE Of WORK
'"
..
A11llldonl
RlplllC1lRlHl
EsL Comp. DIl.
N.. ConslrueUon ~
..
'"
'"
Repair
Est. Cost'
HEATING PERMIT FEE'
STATE SURCHARGE ,
BuRdlng Plrml'
TOr AI.. P6"JdlT FEES .
qq,so ~ :(P'l,J-
.50 ~'~p.\O ~ l-J\~
J D D, 00 ' eU\\.O\~G pEr" ~ .
P....Cll t
co
co
"
co
....
"
o
....
'nrCl':' HI. ~,' ....HI . 'IIW"
Single Family
Commercia'
..--
Mun~ramllr
Olhll
Two-FamilY
IndUslrial
Publlc:
Fee Sohedyle
IndYslrial, Commercial 110 MYLli-Family
Residential. llealing'll\C
Re5klenlia~ Heating Only
Residenlial. Gas Hopi acl
Residential. Addilions 110 AlIerallOM
Residenlial. I\C Only
\% 01 iob eosl (139.50 minimum)
$99.50
564.50
1:19,50
1:19,50
$39,50
Rememho. 10 add the SIale Sureharg. on thl bonom 01 Ihl. application.
Tho p,lco of your healing permillncludo. one rough-in and onl lialallnspecllon.
Addilional inspeclions wol be billed at SJ5,1lO each.
House Heating 1..1 Recold must be sullmiLled wilh ."i'~i"~ RIIIIliI " -,!.,. 'belor.bui.
ing cerlilleal. of occ:upancy wi. b. Issuad. '
tlfAl r.lIl r.t n ATln>.l~ 1ll'f'1 "Il~ n willi numbe. 01 supply and ~Ium oplIIlrng. Ailed per
lOOm wilh CFM'. p",openlng. Naw slruc:lU/ea or additions send Iloorplan wilh SUPplf
and rolUfn london. shOWl\, HEAT lOSS CALCUlATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR lAKE. 18100 EAGLE
CREEK AVE. S.E, PRIOR LAKE. MN 55372.
Cily Hall buslne.. houII 8118 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED IROUGH.IN AND FINALI- CALL CITY HALL
447-4230
, hellby Ipply for 8 mlchenlea' 8f.t."" permit and I aeknowlldge Ihellhe
Inlormallon abo\lllll eomplell IIId leeula'e; lhellhe work will lie In eonlormlnc:e
wilh Ih. ordlnene.. and cod.. ollh. elly end with Ih. Il.le IluUdlngflMohlnlel1
eod81; tha' Ihll lorm do.. nol bleoml 8 permll unlllllgned by 'he BUilDING
O~l; the. Ihe wo,k wnl b. In leco.denu wllh the approved plllllln Ihe
6se;I~:::;:r;:Z: approv~ 01 P";t14frQ
~d!! /
~.g{.):1'ic:Il'aS~
Oall'
/O/zo/c;9
, t:all6
CITY OF PRIOR LAKE 1)
. PLUMBING PERMIT 10
APPlicant;~//O'/.( ;t:J///~/A"~7 Phone:
Address: g4/) YM//-/.-;'L-1 /'//~,
Signature: /Ii /7i" //7r/Z/?,";"
Legal Description: Lot t, Block -.3 SuI> /CNOt3 H/l.-L- 3"lO,
Site ArJrJress:~'?41 /b/~~/ ~/- /:,~/ _~ //
Building Permit # 99-&72.. ,PID# 25-3~-02.t-O,
NOTE: This permit will not be processed without complete information,
.Vf~~/~~ ~uu ~~.~~ C^A o~~~~,~~~~
I.;in: U1' ,l-'lUUR LAKE
IA,. C'''l..r 0' I~ I..", CCnUtlflo
FIXTURE UNITS
"
Quantity Type of Fixture Quantity
L Bath Tub with or without shower ;;.;
/ Dishwasher /
) Floor Drain
-~ Lavatory (bathroom sink) /
) Laundry Tray (1 or 2 compartment sink)
,
/ Shower Stall
/ 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
GRAND TOTAL
141001
I. Blue-
2. Gokl
3. Yellow
file:
c;l1
^rrlicanl
#
qq-~72-
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector J
Bacldlow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
j
$
$
$
$
/ PAID WIT~",,,
~ CUI\,X\ING PEr-",lr
,50
This permit is granted upon the cxpres~ condition that said
contractor. shaH comply in all rc.'ipccts with the ordin.,nccs
of the St.le Plumbing nd lh ICIldJ'''~llyhereof,
~()/$W...!Z$DATE
~, I 1 ATIEST
Call for all Inspections 24 hours in advance,
OCT25~
16200 Eagle creek Av. S,E,. Prior Lake, Minnesota 55372/ Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
II
~ 1
-
j
1
"
".
~ ~
l" "=
, ,-
~ '->,
i:; (V
~ ~
, '"
11 .
'::
" .~
v
~ .
ri..
iJ
""
~
~.
.
II
~o~~ PR/0-\'(7.
''"'' ':>'
- '"
u
\, ,
9('; - (r I Z-
White . Building
Canary . Engineering
Pink . Planning
Thr Crnlu of Ihr Lab Country
BUILDING PERMIT APPLICATiON DEPARTM!;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ VIIl U I 'I C (U !--I (1('"/ E .s
(~/ 2 /9(/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45 I <I- // {//'-//' II j\ r; [~I K U 71:::-.
Accepted
Accepted With Corrections
.,/
Denied
Reviewed By: LJ"LT"E'1t. f'..",;:,'.....NN
Date: r.,h3/77
Comments: R,,^,.~~ >'1,,~.,- J~F Cnu,,~J<'Eb
ro A/lJO ,qL..ON~ DIl.AI,v"lC,E:.. f
U'IIUTY FAc...F".AIl~~ 04<. M_tlt'rl A-c. .PRA~Tl(AL.
~ J...IFnlZ..oM..cJ"r''''Al okJ RE.;(E./IL5E.. S:lo.~_
~
-::,::-~ A-rrArJ.JM€"AJ-r<! I. F;,.JA-L all4QE IAJSP'(!;('-;-'OAJ '^,FofLoMA'r.D^-J 2. C!nAI'lIAJ./_ ?L."qAJ
.::J Fn(Oo:::.l~^' t'!.O.L~rn^'- M';4<.IRF.;:_~
tJ.. JC:/u,~ IlJ.. \ (! D ..tJ?'"A t:JL
"H",.;
'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,"
If'
1
II
, '~<""".,~I':"''' --~"
"...".
~\
White - Building
Canary . Engineering
Pink - Planning
Tht' ('tnlt'r of Ihe Like Counlry
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
" ~"-
Accepted
/'
Accepted With Corrections
Denied
~
~...-t-'lA-1,
Date:
& -/~-Cj7
Reviewed By:
~AA_
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,"
~~
9C? -672-
Tht ('conlC'fof IhC' ...beounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CIiSCKLlST
NAME OF APPLICANT tv / N 0 WOOD H 01'165
APPLICATION RECEIVED (b /2- /99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
457~ /-I~/N~6//eO ~
I
Accepted
Accepted With Corrections ~
Denied
Rp~J
~ /'
~
Date:
{,-/7-91
Reviewed By:
Comments:
/. e~>nr~ a-ll a.-It..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,"
II
r-
_.u,_.,_"~""_,__-,--.______~_",___,,-"_,_.,,,,,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L/6"l'J l/ 4UIMW\h'\J1,1~ +.....; \
NATURE OF WORK ~,., 0"",,, \ '
USE OF BUILDING 'Sol=" D
PERMIT NO. 9''7 -(n''L DATE ISSUED t.,-/7-77
CONTRACTOR -W-~<-,.,Q..l-'-~ ~ ":>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING (.f<?) vlf\ -' 4 I ~~;)? ~5
, FOUNDATION (Prior to Backfill) ~~(J~r ~ Y;~3\ -<(1 ~"'Ie.~' 0- 9 -1 '?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
7/) qM~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING /4/ /rft,ff1
HEATING (if required) (f.t/ /(j;r,/?'r
FIREPLACE (/ -
GAS LINE AIR TEST ( 471"';.../~1
COVER NO WORK UNTIL Aa:6VE HAS BEEN SIGNED
~ I I
FINALS
6(,.,J 9./t/.()O
? /l..k:,;/f < I
f~ [~h~~ q
lIfJ /2-(-." (f( (
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~
tl-l1~ ~
H"IJfff
j
I GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
I HEATING
DO NOT
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,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II
T