HomeMy WebLinkAboutBuilding Permit 99-1408
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~f fLtrtificau of ~~'-'-'7'--~~
._ ~. ... . J
l'}i CITY OF PRIOR LAKE :~;
,~: !'L lIltpartmtnt of jIlnillling ),",ptdion ~,.
~:~ ~ 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 Loke regulating building construction or use, For the following:
Use Classificatic'~
Single Family
VN
Zoning District
:l.ldg. Pennit Nt',
N/A
99-1408
R1
Occupancy Type
R3
Type Construction
Fire Zone
u~Dc~ri~wn L3. B3. Knob Hill 3rd Addu,
Owner of Building A,..--... .ileAddress 4590 Hummingbird Trail
Contractor's Name&.Addres"' Metro Cl~~ic)Iomes
~J
Robe/tIn, Hutcb.j:1i:il...) City Planner Jenni Tovar
I
Dale: I.D.LLJV1 \ / Dale:
P't,tT IN A CONSPICUOUS PLACE
.~
'3_~;';":",,=;.d',i'
.A~.,~:..c.'..iL~;'.:'~'"~,-,,
r'RIOR LAKE
"CTION NOTICE
SCHEDULED
DATE TIME
~
ADDRESS <1510 J./U""""IAJ(.[(,1lJ) 7il", IL
OWNER
CONTR, ..l!/.&fIt D (' L"'S~/c:. J..}...GS
PHONE NO,
PERMIT NO,
17- J<{o~
)l(. EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)Il FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~F 1'\ A'"''Pnli3'''
III1/.JrJlW 'sU'T" Fi..Jf~ ,hJ'T"'L <'1.OAI"^
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4.~
r"..wner/Contr:
l!A,I_L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ff
ADDRESS 4mo H~MN:~cL 'lit-
OWNER
PHONE NO, PERMIT NO, q,q- /405'
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATI N o MECH RI o COMPLAINT
DFRA o WATER HOOKUP o FIREPLACE RI
DILATION N A o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLiNE AIR TST
o SITE INSPECTION o MECH FINAL 0
,
COMMENTS: ~ c I rut'
('0 L~l", ~~
vyj 1,~4
rA~d
'"
-~i
~
O~
~
Inspector:
,6.""l::i~-,ontr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
:f# IO:,3P)
J-Ir) MI'1 ( 11/ (;j 61,eo
Q9-140%
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
45,90
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
k'1;iPLUMBING FINAL
/0- MECH FINAL
DATE TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
}. &C\/...., 'Su"^",, L.~,
2. ~~, D,';.\.. ~\.ur- d.,"c.~ t.'",~
5, R~~~~~ u
f-<.e~~
~
\I-\,,\~r- ~-€'.(~ ~~c.k.cb,.d
~~ -b ck Qp~
II
o WORK SATISFACTORY, PROCEED
BORRECT ACTION AND PROCEED
o COR~E 11?,RK' CALL FOR REINSPECTION BEFORE COVERING
Inspect r: Owner/Contr:
CA' -~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ri.,
~
TIME
Z.'~
ADDRESS
4590 fI1)t1nlA/(!j 6/120
OWNER
CONTR,
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(,FINAL
to SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
It .~ PLUMBING FINAL
R-;?L MECH FINAL
COMMENTS:
I, 'Sed ~ T ~ .t-..... _ ~ C......-..=L...
2, Drtv,,- ...,......._ V>o."LO _ J.br& 3(JJr"-~,,,"
(j
..L...J:xj~",-~ ~rl-o~
q, i:e..... A \0' ~ _. Q.. lL>e.1J..
.~ d- \r1'~O/:::
V
tj?-;40f3
o EXlGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
ddtn a~
0-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~OR~E ';ALL FOR REINSPECTION BEFORE COVERING
I nspeel : Owner/Contr:
~
C L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
IlVSNOTJ
CODE REQU/REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
SCHEDULED # / ; 15'
~~/~;,,tl
CONTR, ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4r;q()
,
OWNER
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A ~ECH RI
A WATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
l..{ $' .J-,~
I"~. k.
~(.
tl 't6 /? V C,.;
- C-?"'. IJIJ
. 7J
~d
V
1..1
A,.,...
~
\tr'
)h-~ ~
19-/c/O 8
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~~
LK SATISFACTORY, PROCEED
o CORREC~ION AND PROCEEO
o CORREC W ,K, ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL ~7.sr50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE R~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
PID 25-349-tJ/P,-()
3/Z-'-o /J-dd,
40W~IJ)Lm~ 61Lv~./ ~':L;;J 4fi~/9~
5. ARCHITE9? (Name), '/"/. (Address) " ~T~No.l. /
IC/ZE/J /7//J/A2~ ~7~~O~O
6. BUILDER (Name) /I;' (Addre~ ___ ,);eJ.-No,) 15,NUMBEROFOCCUPANJAORSEATS
!7l.ff7/2r) (' /.4sJ/~ Ib/pr~ j ;/';::"&(OlJ OCCUPANTS L.
7. TYPE OF WORtI Fireplace 0 Septic 0 Deck 0 Re.roofing 0 Porch 0 SEATS
NewConstructio~ Alterations 0 Addition 0 Finish Anic LJ Re-sidingO Finish Basement 0 16. PROJECTC?~NAlUE
ChlmneyLJ Misc. /~Bf 100
6. PROPERlY AREA OR ACRES 19. PROPE,RlY DIMENSIONS _ 110. CULVERT~ 17, COMPLETION DATE
Sq. Ft. J 3/5 2'-f W'd1h 98 Depth I 3 BYes ('<0--1 2 - Z c;-IJJi{/)
I hereby certify that I have furnished Information 0 this application which Is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for ------
the above m~ntlon;r;ro ~ that co ction' nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware tt,a~
bU~'ldlng . al re e t perm' ju use urthermore, I hereby agree that the city offici~r a designee may enter upon the property to perform needed I~.
X ~_ _ C4...- . ~ '73#~ /.6-3., 9L
Sign re - Uc'ense No. Date .
,
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
~- ~AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SIT~ ~DRESS / /
4S9,O HC//77/7/h4/C b/.rer/ --7k
~
BLOCK :5
//~ L-
is/hAc;
ZONING
R/
3. LEGAL DESCRIPTION
LOT
::5
ADDITION
k.<./ob
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 1'-I{3, fh(J
r")r)
USE OF BUILDING
.sFD
TYPE OF CONSTRUCTION: I II III IV V
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No, BP Q9-lt/oB
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H.~htl /9 '(WI"'h~f? (Oeothl ,J) 0
12, NO, OF STORIES 2-
1~,.{;E OF C~STRUC19N /
_ .cJ ~ / r 1-&7'1< I y
14. FLOOR'AREA ~ORTIONMENT OSE
/ '1 ~g
MATERIAL FILED WITH APPUCATlON
SOIL TESTS 0 ENERGY DATA
D
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LJ
SURVEY 0
PLOT PLAN 0
SETS
l:.O~
-------
-----
City:
Amount Brought Forward ."..""."."", $
Pari< Support Fee ..................".."." $
SAC """"""''''''''''''''''''''''''''''' $ I
p.~ /)()
() <9"l .~
.;:;n (JV
OocupancyGroup A B E F HIM R 5 U
D'.'oo 1 234 II:::try, '25'"
Permit Fee ............."...."..."......... $~ .
l"J~'J.,'11
t'J'l.oo
I ClO,Olf
I b6 ,60
~5,~n
Je .......".............. $
State Surcharge "........................." $
-PenoIIy ,?.lloJ"""""", "''' " " " " $
~-G)''""' ",,,.l:t.~,~,,,,,,,,,,,,,,,, f
-..r.::""""""~"""""",,, $
Sewer Tap .......,..............,.."...,.... $
License Check Fee ...sL..;.................. $
Pressure Reducer ....m.................. $
MeterHom..,...'.'~.rr................... $
Water Meter .......'"':/l!J...................,., ct
Sewer & Water Connection Fee ,...,...... $
WaterTowerFee ........................... $
Plan Checking Fee ........"............... $
~
:tS~F:.:.i2"'11-'i'1
Certificate of Occupan
4$',00
1).5 ,t'Y':l
/, ?n?t .0(']
, '? t'Y) .t'J7',
Water Tap ................................... $
Builder's Deposit ............................ $
I, S/)('), CO
,
:;;~7lJ~~~
Date /)/ a:3, on By .
This Is to certify that the request in the above application and 0..........., 't''''-, "ing documents is in accordance with the City Zoning'Ordimince and may proceed requested. This document when
~. anner constitutes a temporary Ce'fificate 01 ~on.k!.9.2>mpllance and allows con ruction to commence. Before occupanc a Certlflca f Occupancy must be Issued.
_~ _ ,Lv< 1'2 -1'-trL'H -'5~ ~ - -f' ~~
tJ Planner Date Specia onditions if an . . -- .
Issued
24 hour notice for all inspections 447-4230
GREEM - FloE
YELLOW - APPUCAMT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S,w, No,
99-1408
NOTE: Sewer and Water
contractors must
be registered
with the City.
SITE ADDRESS:
~c~~B1~ll1
j; S"L/ 31
PHONE: 7 d D, 7'--/5 b
DATE: ~ Ilr /!J ()
f (
BLDG. PERMIT # 99-1408
PID# 25-349-018-0
APPLICANT:
ADDRESS J
SIGNATURE:
JECHE EXCAVATING
TRAIL
FILL IN THE
BLANKS
Ys-
feet.
1.
Estimated length
of water service
r ,I
inch(es) .
D
feet.
2 .
3 .
Size of water service
Location of any couplings
4.
Type of sewer pipe.
ABS
from structure
PVC /" Cast Iron
t-f-5
feet.
5.
Estimated length of sewer line
6. Clean out (if required), located at
structure.
feet
from
our permit when approved.
BY
DATE:
2/11/2000
-------------- ---------------------------------------------------
------------- ---------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit,
Surcharge
TOTAL
* Fee for either sewer or water individually is ~?~ 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
PAID BY BUILDER
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
PLUMBING PERMIT
Applicant: ~tt-Ii 1/7) AJd AI ~ / i::J ,v% /I > '
Address: ,J-,!~3/) tl4!>J.AJ.fJfllL. ~~,
Signature: -11,1" 1..rJ_,~n.t'4/"
Legal Description: Lot 3 8lVck.3 Sub K.N()f!> H/U- 3~
Site Address: 15'9/i '- "Jm'\! rl j 'j)/j'hdJ ~a, \..;(,6,- 12./
BuildingPermit# - qq- 06 PID#2.5~3'1-'f-OI8-6
NOTE: This permit will not be processed without complete information,
FIXTURE UNITS
1. Blue
2. Gold
J. YcUow
Filc
Clly
AppIiCUlt
T1I<f C....11"t alllle Lak.. COUIII,.,.
PP No, qtJ -I tlo~
Phone:~ 4==1 ~q"X"Y)
~_Ju.uch, WA_) _:C.t)~
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower S' Rough-ins
/ Dishwasher / Water Heater
I Floor Drain / Water Sollner
-I Lavatory (bathroom sink) J Stand Pipe (washing machine)
/ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
/ Shower Stall ~ Bacl<flow Assembly (RPZ, Double Check, PVE
/ Sinks Backflow Assembly Test
Bar Sink :x Lawn Sprinkler
-..3 Water Closet (toilet) / Other ~ ~
· f I
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
$
$ 945"0
$
$
,50
GRAND TOTAL $4~'
f3UIL"'AID !-~'i'-,
DING r>'~~1-
"'.,.,1/,
This pennit is granted upon the express condition that said
contractor, shall comply Cn all respects with the ordinances
of the Slate Plumbing Code and the amendme)Jts thereof.
,/z~/CJO DATE
_ATIEST
Call for all spections 24 hours in advance,
16200 Eagle Creek Av. S,E., Prior Lake, Minnesota 55372/ Ph, (612) 447-4230 I F.A.X (612) 447-4245
An Equal OpportUnity Employer
CITY OF PRIOR LAKE
16200 Elgie Creek Av, S.E. Perm~ No. q q - ! 4- 0 8
Prior Lake, MN 55372 .
HEATING APPLICATION I PERMIT
Dale d- \~-~ PID' z5-3Lj-Q-nt8-0
Sk. Addl9SS ,'-\ S ~ \\ ~"'~ f'\ "'\ i ~ ~ \r ~, \, Q./
La! 2.. B~k 3 Addilion,_ KNOB HI u.., 3 r-D
Own.fsNama, ~\-..I!l <. \....Hl'L, \:\l'......'J.
Addrass I:)(~ S' \ \\ e ",~'N., \...", e...~ &....~ 'Sc.,,~ l'J, <Vt
H8a1flg~r\"\ t~ ~,,... ~~\.
Addrass \ \" 1\ i ("\ '-\ L \ lUnv.., ~ 'Il 1Jr; IT' \. 4 K.c
Talaphonetl . '-\~I- ~ \~""
Furnace MakJ , Moclel ~ \'\"\ Q)(
Model Size '-'l () \t-..\\ (,. 1/... \~
Cann, L03d. 5 ~., J "h
Fual N...." Flua Size 'S "
....
11.
If)
l'-
If)
o
z:
Supply Openings -;;)0
R-wm Openings \0
'" Input\~.t\~ Oulput ~~.QOO
H
cr Edr,
0 d-d \ ()
'" Cfm,
f-
W
l:
TYPE OF SYSTEM
Warm Air PIanIs . Xl
Gravity _
Mechanical
Air Conditioning ......
Vant. Syslam
HEAnNGORPOWER~
Slaam.
Hot Water .
Radiation .
Special Devices
Oll18r Devices
l:
cr
....
~
a>
AIleratloll5
Replacement _
TYPE OF WORK
New ConstNction
'~,
Repait,' Est. Camp, Om
Est.CosI',V.~~~ ~ Bu11clln1lParmU. ~ l\ - \'-I~~
HEATING PERMIT FEE $
IS)
IS)
IS)
N
~
....
STAlE SURCHARGE $
.50
-.-;0-
f:],. ToTAl PERMlrFEI;S $
L- _:~'~:_;~~.~~.;,. '
.~~~i:~.';~
PAID !ViTl-1
. SUILDING PE:HMIT
Racelpt,_
TYPE OF STRUCTURf;
1.-
~ Gmoo
l YdJ_
6k
Oty
~
Single familyX'
Commaft:i81
Two-Family
Industrial ,
Multi-Family
PuIl6c . Other
Fee Schedule
Industrial, Commercial & Multi-F;mily
Residenlal, Heating & N;
Residenial, H8lIting Only
Rasidanlial, Gas Fireplace
Residential, AddHicns & All8rations
Residentia~ AC Only
1% 01 jail cael ($39,50 rrtinn.um)
$99.50
$64.50
S3UO FEB I 4 2000
$39..50
$39.50
R_ember 10 edd (he State SllIl:harga on the ballom of Ilis application,
The price 01 your heating permlt includllS one KlUgh-in and ona final il1Sjleclion.
Adffrtional llIIpecllona wll be billed at $35.00 aach,
House Haatlng Tes1 Record must be eullmilled wiIh ""il~i..,. QIlIIlll ""...h.' before build-
ing ceJ1fflC8te 01 oocupaney wiIJ be issued,
H"'IT ~Al r.t n ATlflN,~ ""'n, I'~"'l with number of supply Md l8IUrn. openings Imed par
room wIII1 CFM'..per opening. New slruclurett or adcltion& sand loor plan wittfsupply
and ratum locations shown, HEAT LOSS CALCUlATIONS, PAYMENT AND
APPUc.<rrIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55372-
CIIy Halll!usfness hours are 8 Lm. - 4:30 p,m,
ALL. WORK MUST BE INSPECTED (ROUGIf.IN AND FiNAl). CALL. CITY HALL
447-4230
I hereby apply tOt a machanical systems permil and I ecknowledga lIIal the
inlotmatlon above ia complale and accurale; thai the work will ba In conformance
with tha ordinances and codas of Iha clly .,.d wRh Ihe slate buildlng/mechanleal
codea; fhat lI1i. torm does nol become a perl)lll unlil signed by Ihe BUILDING
OFFICIAL; lIIat lhe work WIll be in accordance willi Ihe approved plan In the
case of all work w~lch. requlru l8View and approval of plana,
~~~.
" App41!-rlWr-
BUildln~ S!9nature
~~ ,,,,. ro '-
I Da~. '.
Z- (~CrtJ.'"
Date
.:,:.~i;:<:0};~~;~)~~~~;;~::?i;i$~')~i/::-.'_' ~c.. ,.';~~~r~\?7~~;~;;";~~f.~~~;~!.,~~gt~~F~iJ~~*N~fj.~~j~r~
,~- - -. -----,.~...---..._"..~.
~
j
~\
./ ,-
- / i.'-t- (.
,
The Center of the Lab Countr)
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
''-;''-.
-",i,"- -- I c..:...
/ j iL,,___.
I ./
r'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
(/ /:: 1/,_ L'
, (.
,'1-":,_
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
/!--rr--I /
~/'JJ~
(/ -
Date:
/2- -L'/-CZC,
Comments:
24 If' ~ &vtW~ fAJtd"r-k
~r ~~ fV~~ t~ L ([, LJ -L0 ') ·
A/c If\A;~~~ MJ!~t/)~",,~ ("/~
p~~ ~ 10 <--~ hP-A'd. :s~.(/~
(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,"
~~
9Q-/408
Tht' ('..nl..' of lh.. L.k.. Counlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Me- Itt::O CL.ASSfC- Hof165
f2-/IO /Cfq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4690 Nt/MM( NG i5llZO 7le..
Accepted Accepted With Corrections Y
Denied ~
Reviewed BJv~ /'J- )- A
Comments:
Date: /2- -I 3 -~7
I, ReCo.c:9... 0..1 ~ a.k-c...:..~
~ 0.-..2-~
"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,"
~ '
,/
~~
9v-/t/-C8
l'ht' ('"nln of lhf Lah Counll')"
White - Building
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//ETlc!O CL/-7~5fC f-/-()NE-S
12/1() /79
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4590 /-It/;1--/;Vi( NG.6 / /ZD ~
Accepted
./
Accepted With Corrections
Denied
Reviewed By: .w ",-'T'E:A E: HItEs..",,,,--.J
Date: l2i/3 if?
Comments: =*E. I",Fo~""<l'-IO.u .."j 'TliE.
,<:EJ~SIO. s;.oE,
SEE Arrncu"1t':,Jr:; " J. FINAL a/14olO. 1A1~~t:T1a^\ ,AlF^ILwlncN
Z ~/UfO,..u/_ ftAAl
3. UOStON CONTltoc... MfA.!tvl'\.EC:::
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"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,"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS l1Sczn l-\(lIMIMI:'0~I\I'..(J J;::...~
NATURE OF WORK l\le11 ~ (')~"",f..
USE OF BUILDING SFD
PERMIT NO. /'i -1'lO?J DATE ISSUED I? -{ 3-"'(,,/
CONTRACTOR K.,.M-,-., Q.k,>scc (--\""1\AAIL'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSpfuR DATE
I FOOTING f'V I \-Y-oo
I FOUNDATION (Prior to Backfill) I (/)) J!J,rXlJ ') I
PLACE NO CONCRETE UNTIUBOV~ HAS BEEN SIGNED
ROUG INS
It: ..2/t 0/0 " ,
~ f::/)J 3/1,9/d ()
(iP ;422/00
I :( 9
VIS I/V ..;1,h'vlao ?/30/oV
I (/l) ~~~" ( I
FIREPLACE I 1./ I
GAS LINE AIR TEST I {J q;r//(/(J I
COVER NO WORK UNTIL ~OVE HAS BEEN SIGNED
I I
FINALS
We Sh~M
GRADING (Prior to Sodding)
BUILDING 1'tO"TO t/, 1M
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
SEWER I WATER I SEPTIC
FRAMING c()/c,C)/M'6" C:-/lON.5
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~ .:.&\ 1''''~',7'.1. "'~l"""
j
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This card must be posted near an electrical service cabinet prior to rough-in inspections
imd maintained until all inspections have been approved, On buildings and additions
.
where no service cabinet is available, card shall be placed near main entra.nce,
Call between 8:00 and 9:00 A,M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850