HomeMy WebLinkAboutBuilding Permit 99-0984
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QLtrtifirau at ~rrupanry
CITY OF PRIOR LAKE
llepartment of .uilbing 3Jn!ipection
~Final Permitted 0 Conditional C.O. 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:
Single Family
99-984
Use dassificatiol"
Bldg. Permi. ~..
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1
I '"':,,,,1 n....... .,....~.
L9, B2, Knob Hill Third Addition
Owner of Building
Site Address
4517 Hummingbird Trail
Concractor's Name & Address Robert McNearnev, P.O. Box 366, Lakeville, MN 55044
RobA'rt D. Hutchins
r;oy Planner
Jenni Tovar
Date:
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~? 1:3L)
~/)Jl1Jl11 IV 68/K.O
ADDRESS
45/7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJt:l- 9E4-
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION. I (), 0 SEWER HOOKUP 0 FIREPLACE FINAL
~INAL N n A'~ ~LUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION .......-- ,MECH FINAL 0
COMMENTS: f~o 'Owv \~;T ok.--
(J f1rvJJ orA 6ro...f'v1cR y 1V19'. ~
(z) ~ I~ ~US ~ d~iO~
C3!~ <;.~ dr~/~0
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( I eNM1 c..tJ~ h
---- ,
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/
SFACTORY.PROCEED
ION AND PRO __::J
K. C FOR REINSPECTION B~ COVERING
Inspector: \. ~ntr:
CALL J7-9~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~I
INSNOTJ
r
I "
COMMENT~: f"\ .
2. 5 . A-Jh- &J&_ L\o
l" Ii . lL ~
&u d~, - '0 l ft-rv'nr-
(.1 '1' (fytJW.- ~
~cA.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4511
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE
SCHEDULED ~
ti (Alr\fh fYIt;t k I ~J
CON~.
TIME
to~k>
PERMIT NO.
~lJ
o PLUMBING RI
~ECHRI
~)NATER HOOKUP
}ir SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
"(( (G 0
\ ~ ~,~~j~
!?O,c.
/ fI
( HAu-A
r ,
,j,.("~
L,Yle..
~'^ Oil-
~J~~~
S ~ An... v h..-
J..::,~ {. &~,
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
II
-_...__._._--_.__.~.__._----------
'rY99 TIME
CITY OF PRIOR LAKE 9.-&1
INSPECTION NOTICE SCHEDULED
1-1 :bra'
ADDRESS "45/7
'~R.
OWNER
PHONE NO. PERMIT NO. 19- 98'1
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIO~ 111. 0 SEWER HOOKUP
..8:fINAL N n ~UMBING FINAL A
/" 0 SITE INSPECTION ?O MECH FINAL N A
COMMENTS: &.1.&,...
& t: a!; tl~~ d:.tt~
./(~ ~(~ C<Jl'lsttllrt;-...... d(..~,.1s
(4,) ~ S~ 'Gr~~
Ai? fldra..JI hl.,.1 \)
J€) ~..,. c<;, j.....J '~.u l,uQJ_ I ./JdOL
AJd ~J :!-n.rclm.
-PV~{ - woJ:i,. Lr(fu_
010
J)
~
U
JC:lCl bw..b- ~
,\11.< buA-
t
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-
--.......
')
/
\
/
o CORREC
RECT
Inspector: _ er/eon!r:
CALL 447-~50 FO/.;E NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQU~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTI
II
-~~----_._----_._'_._----_.__._-_.~.-
I II
s~,
.l2ATI=RI=r.I=JYE..D.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I 1. DATE
<j, - /t:) - q '1
8/lo/QCJ
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
L/sn
;lc,n."" ;A'A L;.p.,/
.../ . ~
-r-~A;/
, Z5-3'fLt- 015-9
PID /(JJoh I-/i II ");e
3. LEGAL DESCRIPTION
LOT
4
BLOCK 1-
"KNOB /T/t..-f- 3.eO
(Address) (Tel. No.)
f-/r I.)~ IdAi ~ ~ (/./ M,Ht. - 79.0 i
. (Add ss) ~P.O. I30X "& (Tel. No.)
I.ACEVIUA:;;,55V#
(Address) (Tel. No.)
ADDITION
14. OWNER (Name)
!5oh,df'
5. ARCHITECT- (Name)
6. BUILDER
(Name)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - ?f3t/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) 1-1.. (WidthS 7 (DePth)~7
12. NO. OF STORIES
;;-
13. TYPE OF CONSTRUCTION
<:.. ~ p.
14. FLOOR AREA APPORTIONMENT USE
1.iL~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
~ I? (' rr /-l ~ e 4. R ,,1e.J ( {. 1ll3..u:-"1 Y 0 ~
7. TYPE OF WO~ /_ Fireplace LJ S~ Deck 0 Re.foofing Ij Porch Ij
New constructio~ Alterations Ij Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. .I 0 (:? ( /?t?o. 0 A
-a. PROPER.TY AREA OR ACRES 19. PROPERTY DIMENSIONS \10. CULVE~ 17. COMPL.f:TION DATE
Sq. Ft /t./. tj 0 q Width/OO Depth 1'-/0 Yes (NO.-/ 11// I q q
I hereby ce~ that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owrer 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 0~1 ca~oke this permit. for just~. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm l}Beded inspections.
X /{~.:r 7?1~.r..k<-:p ~'75l/d _1iL.lG.L,4<l
SlQflature , ~ _ LiC'nseNo. ' te ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Back
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
11,/\ I'lM. r5>tJ
USE OF BUILDING
5t::"D
PERMIT VALUATION
TYPE OF CONSTRUCTlON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
S U
City,
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
~"\n;C:lO
/0<;"0.00
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ..~ItJ~.~................ :
Meter Horn .....~.n....................... $
Water Meter ...Jet......................... $
Sewer & Water Connection Fee ........... $-4~" 00. a Q;
WaterTowerFee ........................... $ '/ (JOa ~~
Water Tap ................................... $
Builders Deposit ............................ $ If c:;()n .CJO
Other ......................................... $
TotaIDue..............................$~
Paid 7"7 ~ 9. </0 Receipt Of# 3' 02--/
Issued .
Date ~h/',; /qq By 1tt( ~
ThO is to certify that the request in the above appl~ation and accompanying documents is in accordance with the City zonin& o"'inke and may proceed~ requested. This document when
sig~yy~ the C' ~r constitutes a temporary Certificate of ~ning compliance and ~s construc~1\ to co~. !\Sfore occu.Pf.~ ncx, ,a ?rtifica of Occupancy must ttte issued.
<....:.,:I AA-. 'LA -' ~'A~ ~ ~(.) 4-=Z 0 e _ ~[ .u J .A.MJLu ~ 9./" ~~~A (
(fanner Date .,/ '-'Special Condrtlons if any ... ~r
Plan Check Fee ............................. $
\IA'J.~')
111. 1\
Ph.CO
State Surcharge ............................. CI:
Penalty ..................../Jlr........... ..
Plumbing Permit Fee ....1..7.~. ..... $
Mechanical Permit Fee~. .
Sewer & Water Permit ..'lr.~.
Gas Fireplace Permit ..'ff.~..
~iS t1.f)~mes
L OO.DC)
fD<; ,(')()
""?S" .'5&7
40.DO
~
~~q
<n\Y
/
Certificate of Occup
ur Building Permit When ~rov~~
Date j!:l. ?<:;..Cf+--
24 hour notice for all inspections 447-9850
'-U;; . 0 CJ
/2&';,OC
AUG.20.1999 9:17AM
GENZ-RYAN ![
NO. 555
P.2/2
Thil perm Il I'IlQIC'l upon tho expross candilion thl' said
c:onlTlllllOr, ,. I comply in III respcclS with tile ordinonces
o( t~' ng Code and tho ImcndJllel}lllheroot.
_ '~T/. fp~ 9// /"'''' Di\1'B
i'r . Y i!L- A'I'l'ES'J"
Call fof:~: : spections 24 hours in advance.
.'
16200 Eagle Creek Av. S.E., Prior LJ~ : ,1inrtesota 553721 Ph. (612) 447-4230 1 FAX (612) 447-42;f5
ftll i~U.l OppoltUnity Employor
II' .
\11
"
TIk CeIltlf" .M ",ke Cdft'""
Quantity
l
I
I
:;
'2...
\
.~
.'. ,.
lilo
0,"
<m>-
99 - 91); t./-
1, III..
2. ......
3. v_
CITV)!lF PRIOR LAKE
,~:' ,CJMBING PERMIT
Applicant:~ ~~""N
Address: II..l'liL\ So:, ~ ,IlL.-
Signature:
Legal Desctiplic! ~ Block ~ Sub, Kroe,\ollll '3'11''"'
Site Address: . .'7 .tJu..rv,,,.n'LXbe., Iti:) -rol?.\..- Ii? /
Building Permit# qq - 913 '-I PID # 25-.aq.q - 015-0
NOTE: This pe~ lA(1I1 not be processed without complete information.
;1 : FIXTURE UNITS
I
Type of Fixture i,.
#
Phone: f.o~I-L..l.'t.~. 1\'-\1.\
(t..,:.., 1I\"'1Ol..l..X'1"" Ill,.) SID&t-
Quantity
Type of Fixture
Bath Tub with or without shoy;liI
Dishwasher
Floor Drain
Lavatory (bathroom sink) 'i I
La~ndry Tray (1 or 2 compe~l' i. [' !lInk)
Shower Stall :1 ' .
Sinks "
Bar Sink . ,
Water Closet (toilet)
~
I
lfl..\
\
Rough-Ins
Water Heater
Water Soflner
Stand Pipe (Washing machine)
Sewage Ejector.
Bacllflow Assembly (~pZ, Double Chectc, PVB)
Backllow Asseml:lIY Test
Lawn Sprinkler
Other
Ii;
'I:
j',
I'
FEE SCHEDULE . ii'
I"
Industrial. Commercial & Multi-FEl : Y
(1% of job cost, $39.50 minirnun)~
Residential, New One & Two Fem
.,.
ResidentIal, AdditIons & Alteration
'I
state Surcl1arge .,
$99.50
$39.50
:i'
II
..
II'
,I'
"
,I
"
" I
'II
.1.;.
I
"RAND TOTAL
C1f! lD \ .
DPi\\) vJ \ '~
~ ~.~
-,.~---
i II
GREEN ~ fILE
YELLOW ~ APPliCANT
GOLD . CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. ?Cj~ 9&c./
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:
ADDRESS: /I'J{! ffIJ"". _0
SIGNATURE: ~_ ~
.~_/ .
SI'l'E ADDRESS: Jf,~/7 ji
S~
'-.:::f ~
PHONE: ;;?gC/- ~J1..j9
DATE: 9- /7- 99
BLDG. ;ERMIT # CJ9-'?8~
~()~-t-.-d!PID# ZS"-3c{Q - 015-0
IN THE BLANKS
FILL
1. Estimated length of water service
/.1
feet.
2. Size of water service
;11
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC X Cast Iron
5. Estimated length of sewer line
?r'J
feet.
6. Clean out (if required), located at
structure.
feet
from
-----------~--- -~-------------------------------------------
--------------- - - -------------------------------------------
This applica ' 0 our permit when approved; ~
BY DATE: t?/t'? / 'i 'J
===========~=====================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $t1.50 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
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
CITY OF PRIOR LAKE . /
. 16200 ElIlIle CreekAv. S.E. Permit No. 91- t7~ Lj
Pilar Lakll, UN 65372
~
Tllephone .
Furn_ Maka . Modal It..r-V"\ D l
ModelSfD c.'Z..2>Q~IL\- IoU
TYPE OF SYSTEM
Warm Air Planla )(.
Gtavlly
MllChanJcal
AIr Condklonlng II '2- '/-z. 11:>""
Fuel lI..\ "". r "'*'Ault Size {)" fJ."lfYfr Vont. System.
Supply Openings 1\ . HEAlING OR POWER PLANT
0... SlBam
U Hot Waler
Radiation .
Spadal Devices
Cann. Load
RelUm Openings
Input IOO,/l1lO
'OuIpUl
9n 6!fO
Edt.
elm.
Other DoYlcas
TYPE OF WORK.
Alerllllons
New Con&1/Udlon ^
R8~elll
Rspalt Est. Comp. Dale
Est.CostS Uu1~ BuDdlngPermU
Cf9-9f34-
HEATING PERMIT FEE'
STAlE SURCHARGE r
TOTAL PERMIT FEES r
f~\O~ ..
~\}\\.O\NG pE.R:,r,rr
.50
Race
TYPE OF STRUcruRE
1.1'1"
'--
l.V_
RIo
0Iy
0l0Jnd0<
S"gIa Family
CommerdaJ
'X
. 1Wo-Famlly
. Induslrlal
MuHl.Famly
Public 0Il1a
0
n
'""
--.] ,..
....
UJ
UJ
UJ
N
N
UJ
"U
::<
G1
r'l
Z
N
;0
-<
D
Z
en
<11
....
W
N
N
en
....
l>
--.]
Fee Schadule
Induslrial, Commemal . MLIlI.FamIIy
Realdendal, Headng &. AC
Resldendal, Healing Only
ResIdential, Gas Rreplaca
Resldenllel, Addillons &. Alterations
Residential, AC Only
1% 01 Job cost ($39.50 mlnlmum)
'99.50
'64.50
$S9.50
$39.50
$39.50
Remember to add lha Stale Su rchatge on the botIom 01 this lIppIlcallon.
The price 01 your healing permit looludell one lough.ln and one linallnspacllon.
A~IUonsl inspectlona will be billed at $35.00 each.
HOUSIt H88IlnlJ T8flI RlIllOrd INJst be wbmilted wlth '" .1.....,.., I!iIIlIiI n, ""No. before build-
ing cartlflcate of - "'O:-"CY wll be isslJ8d.
..,oaT r:6' roltl A'l"'nMCl "F/"l1ll"Ffl wK" numbar of aupply 8IKI telum opening!! listed per
room with CFM's per opening. NIIW sltuclullNl or addlUons send IIoor plan with e~y
and relllm locallons shown. HEAT lOSS CALCUl.AfIONS, PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 18200 :Af." "
CREEK AVE. S,E. PRIOR LAKE. MN 55372.
CIlV Hall butlnesa hours 1IJlI8 a.m.' 4:30 p,m.
ALL WORK MUST BE INSPECTED (ROUGH-lN AND FINAL) . CALL CITY HALL
447-4230
1 hereby apply lor a mechanical syslems permi! and I acknowledge thai the
Inlormallon above la completa and accunlte; thelllla work will be In conlolmance
wllh the ordinances and codaa 01 the city and with the slale buildrnglmachllnlcal
codes; Chat thre lorm doee not become a permil until sIgned by Ihe BUILDING
OFFICII\!.; that the work will be In accordance wllh the approved plan In the
case 01 ..1 work whleh requires review and approval 01 plans.
z
o
N
ill
W
1
Dale
/1'1/;;;99
/ lJ'ala
"U
N
"-
<11
~ing OIfical's Signa Iura
'-- ....---.--_..,,----...,. ~..-- ---""'?"4"-'.
--~~",'
.~
.~
/~.'-" --//
- /.' /' ~
White .. Building
Canary .. Engineering
Pink .. Planning
Thf Cfnlfr of lhf L.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
;/ /..- --
""~.' { .-1:' >.{
, ..
-...' l;/
/
./ ;' ( (-.
, '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
/) ,
r~':~" i i / i _,,'
I ,. ,p _..
/--.
Accepted
t.-/
Accepted With Corrections
Denied
Reviewed By:
~~.~
Date:
~-16'Cj~
Comments:
A/e- ~ t9\4v ~~ Utu3~~ ~J{
l./ . -.
\AAR p..--</\LVe.o..c....k .::9v1 I v6le-vrtOv ~ idle.. ~J ~
V '
2- y~. \,M..uJ~.~\J4~ ~tIJ-ol~ IA)ic~ 1;St-~~
Vt~l{'-Wwj I ~_VV\.{!, -.
"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."
~~
q948tj
Th~ Ct'nlrr or lht' L.ke Counlry
White - Building
Canary - Engineering
Pink - Planning
mm.,.OING PERMIT APPLlC~ION O.EfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,e0(6)eT Me-N6,4eIllN
,q/IO / qq r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45/7
HUHMI Nq 8112-0
rK-
Accepted
Accepted With Corrections
A
Denied
Reviewed By:
f/vi A-
" yo
Date:
8-2:S-9'l
Comments:
I. Reo.J cJ( dfc..ck& ~ ~
"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."
. r -__--------.,-.-.'.--.. .--.--.-----......-. ""'--"..-.-.'.-..--.. -_._-_._..~._-------._.._~.~ _"'_._.n._.._., -.__".__.'" .-.....-.----- -_._----,,-.
Th., CnI'." or Ih., Lab Co.."'.,.
,
qC:;.C/SL/
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/:::'Cd6K-T /L-/c /V-E '?/K/VCY
;::,j/O/C;q
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
40 I 7
HUt-lt"i I /\JC~ 8(120
~
Accepted
/
Accepted With Corrections
Denied
_"",".":'''"7
Reviewed By: l-tJAl n:~ Ft/~fS'NAAW
Date:
y,i Z:.li99
Comments: /?J";O,,", M.,.,.- ik
P-~Nt.Jry,:;:A 10 ANI\. Au,^":,
,
J)nA'AJ,Qr..~ I un~(rY
fAS",N\E'.u~ A<.. ",",uc..to# AS PrtA'-IH:~41
DAr"'\Ar..,F't\
C.o,.U(l..CTE: wt=!: LI< ?AAlcu
WH...L
8",
R~PI-At.~ r'\
8Y -r">-lE
15U'LOC.l?
?1t'1~t7
TO
,. hjj.,q( ~cGl.~ D~,
CON~.,..1't\J(.:nc,.j JC~ltLE~
"lOS,
c,.;rEl/..
Tl4tS
LeT FttoM J.LJMMI....U. B,n.~
ThAIt... D"st.-'r"
SEE
l"-Jf'"nn,...,Ar,,,,,.., ON .,..... f2E,JF"IIC.~ Sli:>~.
c::;.E"~ ArrAtH,...,.lJ..TB : /. F; AJAL.. ~AOr. j JtJ<~t:'t.,..,tHJ IN':;''It.''''',ftr/l~N Z. (.2Jt,tl ~, Jj/-, ?u41J
g E""ttC'5.IO.u ~DN"m."L MF-AhltFC
4. [n~SION f'.JrrLOL ?dhJ
"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
..
.
Job Address /'/01/78!uep;l-d
Heating Contractor rJtfJ rO j-{n-.
Name otTester Va I.e..
Date /7- / (! - 9<J
Percent 0 U ' 9
Percent CO2 S? , I
Percent CO 0
Stack Temp. -"~O z-
II I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~l!l.--'.fOW\lMi 1M b;t-ol
NATURE OF WORK N,u'J ~
USE OF BUILDING SI="t)
PERM.IT NO. crt -1act DATE ISSUED 9.2t1-99 .
CONTRACTOR 1k!.1~o..~....4-oI).. .
NOTE: THIS IS NOT A PERMIIf" FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
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OATE
FOOTING
I FOUNDATION (Prior to Backfill) alP..,/k/t\ I
PLACE NO CONCRETE UNT01- ABOVE HAS BEEN SIGNED
R~GH - INS
'SEWER/WATER/SEPTIC f/ _/ f./r7hfi\j I .
FRAMING ....: /" II I \It ~ LA v&/€f
INSULATION ;;11) 11/8;'1>9', I
ELECTRICAL U~
PLUMBING r/U/{)/z. 7/qlf\\-1 I
HEATING (if required) V I \ t - '--I viii 0
FIREPLACE . \ I, I
GAS LINE AIR TEST \J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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1/6r.
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OCCUpy UNTIL ABOVE
NOTICE
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c.. '9
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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EEN S GrlfED
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
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