HomeMy WebLinkAboutBuilding Permit 99-1169
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~>~;! . QLtrtifirau nt OOcrtJpanry {4
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}i CITY OF PRIOR LAKE ~~'
':~i 11lepartment of ~uilbing Jn~pection ~~,
~ ...~~, jZ1I Final Permitted 0 Conditional C. O. Expire~ r, - I 7 - '2 0 c..> C' S
I ji' This Certificate issued pursuan, '0 ,he requirements of Sec,ion 307 of the Uniform Building Code
....~ certifying that at the time of issuance ,his structure was in compliance with the various ordinances of ,he
',~ City of Prior Lake regula,ing building cons,ruction or use. For the following:
.,. U CI 'fi " Single Family "Id Pc 'INr 99-1169
C-.I se asSI ca 10'" g. rnu '
--, R3 VN ':'.fA R1
Occupancy Type Type Construction Fire Zone Zoning District
Legal Description L7 - B6. Knob Hill 2nd Addn
Owner of Building
~iteAddress 4760 Hummingbird Trail
7601 145th St. W., Apple Valley, 55124
i
McDonald Canst.,
Contractor's Name &. Address ,.
Robert D. Huj;chins (lit) City Planner
Building OffiCial
Date: f3 -( 7. ?oC')G
Jenni Tovar
Date:
~"_I "'>_
V'
/0. r'J __
L
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I" -,?c-? 'I /0: CT(J
ADDRESS
L/7~ tJ
N~..."..,,~ 1/0
\...J
CONTR.
OWNER
PHONE NO.
PERMIT NO.
'19-//~1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
@D MECHRI
)1\ WATER HOOKUP
J1t, 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
COMMENTS: Iot'_p~ ~-L.-"(o _ <{If
5~ --t:T:,p d1tJ
f&,o (~ I" rSllAl--. ~ ,,~n .
.I' . " (I
'1l) ..wcb!::_~ ('_~ -
(j)) ~ .L;Ujk~ ~-,~
(15)" (l~r-/L~ -,~J'.. 'f-<;'f-<; ~. I
'ft{:J ~ L /~.r~~"_.
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LK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORlCAlL FOR REINSPECTION BEFORE COVERING
Inspector: fC1 ' 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
INSPECTION NOTICE
DATE TIME
SCHEDULED '"2 -( - 2000 Il..: 00
ADDRESS 4f]~o 1-(0""......,........ h~t-cl lI"-
t-'
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
\tJA-Tb-n-
() fvJJ
'--------
PERMIT NO.
1'1 .11 fa ~
J.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
b. 0 SEWER HOOKUP
\' ~LUMBING FINAL
/r::i MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
CD/., lAM.1\I
O~
(Ut1~/
~
/I
Juf ~n
/1 J
v
,-1
riJ~/L-/
ROCEED
OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 17-985t IFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE JQUIRCMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSliOTJ
i:k TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEOULEO q ;7r:J
ADDRESS &.I1loo ~~h.y,J '/11-
OWNER CONTR.
PHONE NO. 7.-1 P PERMIT NO. '1'1-/1(..1
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING* 0 WATER HOOKUP 0 FIREPLACE RI
iESULATI 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL . ~)'LUMBING FINAL 0 GAS LINE AIR TST
SITE INSPECTION r? MECH FINAL 0
<;OMMENTS: P ATto ~ ~ ~ Q1<....--
~ f\'n~l 0tA Dro-/h-(;UlY\e>, cJ...w:r
_ ~c9. nhd fy~~~1P1'~ d~o~
CJ. Brasil; ~u--t' )
U5 \} l1J,.r9 I:~. (\.( N<-vJ ~~
rei r~n, ~j~1~
("7) ~.\-u~4-4~~ V'~~J~~A-~thn-
~ ~.tt \ 'l~V ,\ ~*~
~.u_ / "-
~". GoOf 6-t-FffA J
~ l/l0 .-.-/
TORY, PROCEED
!:RRECT A TI AND PROCE .. _~~_~
ORRECT 0 AL F REINSPECTIO:..:/OVERING
Inspector: / UWlltWLiontr:
Iv \
CALL 44t985~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
JNSNOTl
~~
;,h~;;
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. PiDk
3. Yellow
File
City
Applicant
Permit No. 99-1/ (P9
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 tJ 'I
f..(){,L) ~A1-''Is.~;I1) 11 Co.
3. LEGAL DESCRIPTION cr it
lOT f:7 BLOCK
ADDIllON II...,,/' J..J;/ ( ;.,,,
4. OWNER/J.. (~amo)
Jh" . ",..Jr/ (1._ sT,
5. ARCHITECT (Name)
1. DATE
9-9a- C{?
BUILDING INFORMATION
11. SIZE OF STRUCTURE
.)"'K" br") ~
12. NO'lSTORIES
13. TYP~FCONSTRJJCT
CI.loIJ./ rJ t; ,-,~ ,Il~~ .
14. FLOOR AREA APPORTlOZENT USE
r, (- .
"",,;,c,,L. ('c.A_ _ <
Jtil_../ v
t<./
PID .$"-339- 044-C>
(Address)
(Tol. No.)
(Address)
(Tel. No.)
6. BUIL~ (Namo) (Address) ~57z4- (Tol. No.)
/I1.t. 1'L..).J~~.-r7:- ?i-J, ,~... ~7'C.1 ~U~-~t~-)bU(
Fireplace a Septic CJ Deck 0 Re.roofing 0 Porch CJ
Alterations a Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement 0
15. NUMBER OF OCCU~ OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK
New construction](
Chimney () Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes (fiiy
I hereby certify 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 owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and IocaJ laws and will proceed In acx:ordance with submitted plans. I am aware that the
building 0 "f'ke thi~rmit for just cause. Furthermore. I hereby agree that the city official or a desiq,.nee may enter upon the property to perform neest,ed i~ons.
X I ~--- O:tJO_ ~~ ') (e> (7-.:1;).- Y 'I
Signature Ucense No. Dale
,. Pfl,?:!ECT COSTD(,A~
I Jro S-OU-
. ~.:t~oDOO
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS [J SETS
Front
..ok
Skle
Skle
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT V ALUA TION
SF!)
USE OF BUILDING
SURVEY
PLOT PLAN
LI COPIES
[J
I (o4o-o.nl90
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F H IRS U
Division 1 2 3 4
Amount Brought Forward .................. $
ParkSupportFoo ........................... $ ~.~O. 00
SAC ......................................... $ / 0 ~() . ~ 19
Collective Street Fee ....................... $
Sewer Tap ................................... $
license Check Fee ......................... to
Pressure Reducer ..:~/M................. $'
MeterHom.....~........................... to
Water Meter ...J/J........................... <t
Sewer & Water Connection Fee ...........4: ','
WaterTowerFee ........................... 4:
City:
I) I q? . '20(
,7'1.''1,("
~OSD::>11f fCf,//~P
I Of") .(Y') P/" 9'1-1/(,1
I ()O. ot! HT'i'1-//fef
'<">.<:;-11 Fp ~"-II'1
4,., . ex:;
Permit Fee ................................... $
Plan Checking Fee ......................... $
SIal. :_._:...._ ,................. $
I"enolIv ...........P.1.~.................. $
.;)d...tIl..OY5L~'" ..H.~.................... $
"""""'........'S.tQ................... $
_ ...Ef?..................... $
<./5"'. CJD
I :L~ 06
'2..00.t!) "
/1')0. ~C3
~
Water Tap ................................... $
Builders Doposit ............................ $~?)CJ . 06
Other ......................................... $
Total Duo .............................. $ '7'793. Z /
Peld -;.-, c; 3. -z... f Roceio. No. :St. 4 't.. -,
Dato f 01/4 / 4~ Bv jZtP/ r-
at roq~n the above application and accompanYing documents IS In accordance With the City ZOnlng Ordinance eJ,J may proceed as requested. pis document when
oar a rary Certilp~7f Z'lMl:2'~Uance ;:frs construction to commence Before occ"",ncy, a CertifICate of OccuJ!8n~ ~ust be ~
. p --V~I . Un,t ~ ~MJr...M 1t\''>A.~
'tity PlaMer Date - Special Conditions if any ~ -
24 hour notice for all Inspections 447-4230
Yo r Building Permit When Approved.
Dato 9-';),? -'7. '7
By
Issued
'"
.
"
~~
Job Address trlCd 'f'liJ
Heating Contractor ;j, ~~trolled Air
Name of Tester p"-'
Date l"'~-OO
Percent 02 - {;
Percent CO2
Percent CO
Stack Temp.
.,
.Q
515
",<:
~~1
..~_............._.,,"
1. Blue
2. Gold
1. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.. 99-1/(,7
Applicant: :) L..S tJ P t;U;T1Y~ j:.v-b Phone: d ~.J ~ Cj. n lPT
Address: fc4 ~ 1 ~ V J c\ -r c\ p<P{I L<f, {N.)UJ:\j 'l'rfioI :)5"101
Signature:. ~ (Q -' I
Legal Description: Lot 7 Rlock (P f'lllh ~N()e H/tL 2A/];)
Site Address: Lf/lD' .1,..,\\1 yn.'('()'.p~...5J:-.f,J) ,'(L ,..J?-.
Building Permit # C1t?-//6 ~ PID# Zc:;~.33'1- Ot/t/-lJ
NOTE: This permit will not be processed without complete information.
Tht Ctnltr of thl!' Lllkf Country
Quantity
)>
I
I
LJ..
I
I
J
-
{
v
Type of Fixture
FIXTURE UNITS
Quantity
$
$
$
$
GRAND TOTA~ PAID WiTH
,.,'111 r""G C
~t.. __..,tf,\.,,,,,,.l I
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
-5
I
1
$99.50
$39.50
I . Type of Fixture
I Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
.50
"
:.t
This permit is granted upon the express condition that said
contractor, Shall~OWi al r eets with the ordinances
of the State Plumb" e amrdme/ll~hereof.
-_ ~ . JZ./,J~'D_DATE
_ AlTEST
Call for all~~ctions 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opponunity Employer
CITY OF PRIOR LAKE MC
1&280 E8g\8 Creek A.. S.E. PI/mil No. q 9-11 b q
Prior Lake, MN &11I72
-HEATING APPLICATION I PERMIT
01"/,:}-,9 - qq PItl.25-33Q-044-0
SllIAlld'lu J./7C,CJ ~J#1.m,,',.;a,birlJ 7r ,:2../
. -
La! -? BDd! ~ Addllcrll /c/l!O.8 II~U_ 2tvJ:)
OW/ll(."lml .h?r [),.,A 'nIl) (./M')(- f-.
Addreu Af:lt/e- I~ II
HIIIlngCanlla~/ Cv'~l'\j4~ \ Qlro
Add..1 ,O)/d In 6JA nJ Auf".",t:ttf,. L J'>7", . .<'s1i;;.r./
TeIaphonl' Ic.!:';''! I/tr. _ C.C~ ~ ' u
, ..-
Fur_ MakllMad..~....IJ.^f_J>JI..I'.
Model Sill J IJI'rJI"I ~ C'\
. Ell. eomp.o.tl . 91-llfcCJ
Balding PIlllIh. . . ;n\
C, 4. ~(\ - pt.\O :~e.RM\1'
( eU\\.O\N
.50 \.
.6'5:' ('\~",. .
....
IS)
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III
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COM. LaBd .
. Filii AlAI-
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Svppl)' OpIlllnO'
Flu I Sill
/F
8
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d
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f-
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Relvm OpIning.
lnplll
Ed,. _
C1m.,
Oulpul
IB
ID
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AIle, idioM
Rlpalr
ElL Caell
In
In'
,
\D
IS).
,.
N
....
HeATVIG PERMIT FEE r'
STAle SURCHARGE I
,
lOT"" PERMIT FEES
$"""
nPE Of SmEM
Wlrm Air P1anI.
Glavl!y .
M..hanlceI. V
All CondllioriAg
.Vlnl.Sy&llm 1/
. HEAllNG-ORPDWERPLANf
SIIam _
HDl WelD!
RadIIdIon
Sped" Device, _
DIM' Devicl'
TYPE Of WORK
RlplaC8llllnl New C4mJlluclion
v
Si1gIe FemRr .
CamlMrdal
TYPE OF STAUCTURI;
~ Two.FIII\I,
IndusIMl
~ 0.... . 0If
J. Y_ . eo..-
MvIU.FtrnlIy
Publlc 011I_.
Fl. Schedule
1%olliihl.,I,'~'1 I..',"~: ,rJ"II! ',"1';.,1_____ -
$99.50 rn (f. ~ J \~~ [to .,
'84.60 D r---- - --- - - -'I i ;
::::!l I' 1f,C-6 - \!iU
'39.50 . L \ ~~
I
Remember Illalid the SII'I SuId1lllJl1 on th. bIlllcImllllhta eppllcaUon.
IndUllrlll~ CIJIIlI'Mf1:I8l & Mu\lI-F....11y
R~ H..'ing l fit;
Realdtnhl, HAling Only
R.IidenliI~ Gu FIMplaae
RuldlRl1a~ AddltkJn. . AIltllllDolIS
RuldlnUll. N; Only
The price III youf h.IUng permIIlncludH onl lOugh.ln and onl 1in1l1n1plCllon.
MIIllonaI inlpecoons wlII bl bI1Id II 135.00 .a.d!.
HousI H.allng Tul Record musl bllUbmlllld wl\Il"" ,','Ii' " I!IIIIIIlIlUlllllltMlollllulcl-
Ing _llllCIIt 01 DCCIIJl<<Iey will b. lalvad-
,IlFI>T r...' r.1 q llTInl\l~ 101O/"11 ''''Fl'I wIlh number 01 .uppI, anet .lIum opllinl' I1sl8d pll
room wlili CFM'i- j)tt-~- NewltlllCllllO. 0' add~lol1ll..nd lIoor plan wIlh IUJlIIIy .
and .alum Iocalionl shown. HEM LOSS CALCULATIONS, PAYMENT AND
APPlICATIONS MAY BE MAILED TO THE CItY OF PRIOR LAKE. 18lOO EAGLE
CREEl( AVE. S.E. PRIOR LAKE, MN 65372.
CII, HtU buIlneH hIIIn art 8 a.m. - 4:30 p.m. .
ALL WORK MUST Be INSPECTU (ROUGH..N AND FINAL) . CALL CITY HALL
447-4UO
I haleby apply 10' a mschanl... ay'lem. permll and I acllllOYllldge Ut., fll
Inlormallon .bove It .ompl.tl Inrla.curlll; Ih.' 'h. work will be In lXImolmucl
wllh ihe o,dill&nCe. Ind cadI. ollh. clt, and willi Ih. .tal. buUdlntlhn8chlnl.11
cod..; lit., thl. 101m dO.1 nol b.come a pelmlt unlll .llIned by the BUILDING
OFFICIAL: Ihel thl Walk will ba In Icco,dlnce wllh the .pprwed plan In th.
I .... 01 .. wo,k which ,.qul," I.vlew Ind approvel 01 plane.
-/:':,d; ZkxJtJ I~ ~t:9-qq
~. Slgnllllle pile
d'tflfj- _ /2.-/ &111
.,.... 00..... Slgnal_ Oall
GREEN - ftLE
VELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE NO. 99-/IIQ 1
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: J e L-~ t'- C:- xe.
ADDRESS: ~.~. ., 1If'/vV~ \![}~( I V1 l
SIGNATURE: Al LC,,-
SITE ADDRESS:~6(Y'\t\\~.\V\'1:11AkJ \\11,' I
, "\
FILL IN THE BLANKS
-()
,1
PHONE: 1:; b ? '--I,~~
DATE: Lj' /~ '9 r
BLDG. PERMIT # qqi \kiq
PID# 25-.:33 q - ~-I-O
1.
Estimated length 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 J Cast Iron ____~----."
5. Estimated length of sewer 1 ine J-C) feet ~\r~~G flERt-A\\
\
6. Clean out (if required), located at feet from
structure.
our permit when approved.
BY DATE: /6~'f" /'9 l'
=========~==================================~====~============
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
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.
D '.N\\\-\ :\
AMOUNT PA~. flt.~t~ pERt-A~
e\3\\'o' -
REC'O BY
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunily Employer
'''"'~ "'..'1WlI',._ ~ ~ "" 4- ....,....".'IIIl~II~i~.",!lIII!IIIIIUI:I'l!WilJ1~ "".,~IIIIIII1I"III'I' III I 'II......
..
.-
d~~
/
White - Building
Canary . Engineering
Pink . Planning
Thl' Cl'nll'r or lhl' LillI' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
i
,
Z. i.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
/.
, '-
Accepted
\/
Accepted With Corrections
Denied 1 /JJ. { A
Reviewed By: (1(/). ~
Comments: Af'. ~ )11,'+ (';(IJ/I1M:;::t.
Date:
JA')('/dorJ'l
ID'j-'7j
In' <::1r)1~
- - v
"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."
~~
tf?-IIC7 '1
Thf Cflllt'r of tht' Lab Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHE.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/'1 (... DON /fW (!,(; /\/S rJe... .
Q/22!/9Cf
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
47GJO }-/()HMIIlI6jt3IR.O I/G.
Accepted
Accepted With Corrections X
Denied
Reviewed By: ( ~ i!h.. _ ,k/
I
Comments:
~"J It 11 '" ~L.J- .J.Ie,AP-f) ~
Date: VP~-/-
------
"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."
- ..- .--.- -..-------..-',.-0' "-"---'---'--r--~-~-----'-'-'-"--'--"'-----
-- ~ ".......-. ..........-I.ol.... T
./
r;t/. /It;-?
I
I
Th.,C....Il'toflhrbhCoun'ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST:
NAME OF APPLICANT
APPLICATION RECEIVED
/'/ (' U{;/l-II(JJ
'7/Z Z/9'/
('(;/\j::;17<- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/ 7(, ('! /-/{/ /'I/'IIIV'g 8f K L) 772...
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~It f'~'''N
Date: 101, i 99
Comments:.:iFf'" '''I'oiLM6-;;ON 0'" -,-"... af':VEAsE: .:sw,,-
~c 'lrr",o-iME,srs: I. Fi~", - c:l'l.ililL'^l<PtCT",.\ 11\I"A","'n~1 2.. {)//At"N c. 1=1.1,0.1
-<:. FR~'.n^1 (;"NT"-Ot. rl1lA<LltlE<;
tj 60S""" COAl'<t.L -:;::z"'^'
"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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PRIO'R LAKE
.
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L\17 100 (.1U,,^',^h^fJIDid. +t-o., \
NATURE OF WORK f.-\P\,I (l,..,.."l,..".cL'lV\
USE OF BUILDING S F:J)
PERMIT NO. 99 - 11l."1 DATE ISSUED 't -;:;)'7 -17
CONTRACTOR Mrtl^~~o>---!. Q~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
I FOOTING ~0 I ~t( 10 -IS'-~(
I FOUNDATION (Prior to Backfill) r"P""'1 (~ (O-'l:I.--'r1 t'~::L YJ) lo/zt")'lJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEE'N SIGNED
ROUGH:: INS
(f) rn
V'-
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 0Y /':>.//1: J<"i~
HEATING (if required) ~ T2/I&/r<
FIREPLACE ~ 11.1oi)
GAS LINE AIR TEST ~ 1z//&/'i5
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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U
Ie)'- ?...t'J-Cf'1
rz-fu l ~
1"1.1 dill
., ,,':' I~ - :.~ . . .. ...
I
FINALS
G(f- ;7 libl
ijrj) R~/
(/U ,;)/1100
!/' .
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
This c.;trd 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 rlO 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