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HomeMy WebLinkAboutBuilding Permit 12. 0838 r f � � n'w'� i� , �r � i sa � � � I , , ��' VY9l 3 'Y�rY �h , _. .. i. ry �, _'n. lYli _.i � � ,� �_.h �h,__i I i.:ir _. IN.0 .. •i_n �Y ➢.i ._YL. _. ium ._ i i_.i � - r l :A �., 1 , P ] __ .� . __ .. , CITY OF P LAKE . tparntrn of !M1Mn Jn%pi1ttun � ,, Final Permitted ❑ C on di tional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ Internat i) 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: ,��- L / y Bl d Permit No. r 2 f' Use Classification s--; / it Li � -O - / f / L / g ' Occupancy Type t Type Construction VA' Zoning District 1— x - I 1 4 / (,cst �. 6f A1' /Lfl1 /v /�'ICi-1 UG W ` S Legal Description 1 Owner of Building Site Address 2 ..) _ / f Contractor's Name & Address I ( /V/ / 0 l ' "l �_ • ? ' !� <. -(/ ft / LL J IJ _ f it, it—"I �i ^ } / 4 .. City Planner • ii / �f Build g Official /41/4 , Date: /I/ Date: • `7 / POS IN CONSPICUOUS PLACE ''''',I,' ' .. 7: i 1 '''''' i i � iii 1 4, ','\ '' '; ' i '' ''' U � , 'I ' '� " -� il� i a d '' 4 / ' i '"'4 f ' i i ' � n n / § . 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Yellow Applicant , (Please type or print and sign at bottom) ADDRESS ZONING (office use) 2 51 0 \I k. 6 dc3 id 'is0 LEGAL DESCRIPTION (office use only) ��� ,, (� LOT 2- BLOCK "T ADDITION X31 uff S K101 pp l t we Mci 1'(Ii'. G 25,459. 043 o (Name) L )O Yl l(l O -t \eS (Phone) 1 LD3 i3 i 01 14 (AddressR 1i55 Lo3r =d A' tJ Map e Cl rDv P: M 1\ l '533i BUILDER 'f (Company Name) DO e1 C O O(r'C S ( Phone)7L0 ? 531I 01 14 Contact Name ?t l.: t Oh n o (L./ (Phone) I 2- gig 4 rM 5 (Addr'ess) g l D S a () 3 7 Ailz KI __ c Y) Ins yr. I " 11V 53 3( TYPE OF WORK pitlew Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE C. DLB.C. ❑ h&c: Type • Construction: I II III TV 6) A C Occupancy Group: A B E H I M S U PROJECT COST /VALUE $ /7 D) Division: 2 3 4 S (excluding land) I hereby oettify that I have furnished information on this application which is to the best of my Imowtedge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned ,,.• • - that all ; .n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can for -. agree that the or he city official a designee may enter upon the property to perform needed inspections. i, �- 1 Furthermore. I z os Y8 3 g 7/2, X /I. Z.^ Signature i Contractor's License No. Date Permit Valuation ,. .. tl 00 r Park Support Fee # $ Permit Fee $ r CZ 1 . ca SAC # $ ' 2 r'i' Plan Check Fee $ q c 611 Water Meter Size08 "; 1 "; $ r State Surcharge $ eq (' / Pressure Reducer $ 1'2_0. Penalty $ Sewer /Water Connection Fee # $ (S ©O •• "- Plumbing Permit Fee $ f J Water Tower Fee # $ Mechanical Permit Fee $ ( 7 .f..5-° Builder's Deposit $ (c—�. '- Sewer & Water Permit Fee $ 5-0 Other $ Gas Firepla •- Permit Fee / � $ 5—iC. SO TOTAL DUE , - a !: I Z I ,'4vi' i ; / I 7 T lr h i s U f a ' our Building P e r m i t ' . ved Paid 7 R =? rpt No. ( 6, 9 L, ft fi D ate 2 i i 1 r ._ _ s .+e • y f t— B : ding Offici Th...),....„, that • f� req _ j • • Wheaton and accompanying docu is in accordance with the City Zoning Ordinance and may proceed as requested. This document wen . the ,, / • ■ tes a temporary Cenifcate of Zoning co , plim • and allows construction to commence. Before occupancy, a Certificate of Occupancy must be / f t ....■•■ %• r3 ("Z- • arming Di or r e Special Conditions, if any otice for all nspectioos (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 NPAS? S.4'\ A/ 0 41 f t a UP& Driveway: NA / FAILS / C 'F �l • Standard Proposed • Maximum width at prope A ine 24' "I T • Required setback 5' from side lot line or / _ 30' from r -o -w on comer lots i • Maximum slope • 10% ;:�Ym • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan - io Building Height: NA I FAILS I CO ►,,W 35' Maximum OA Shoreland District: NAI FAILS / , LIES ,Standard Proposed Minimum lot area se uare feet 7,500 Ri I, 7,999 Non -a. • Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface , Maximum 11WaW1111111 Bluff in Shorelan, 1r. / FAILS I COMPLIES 1 Standard Proposed • Setback from to 1 of bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading in bluff or bluff impact zone No importing /exporting Floodplain FAILS I COMPLIES Standard ' Proposed • 100 ye r flood elevation 908.9' Prior Lake 914.4' Spring Lake ■ Lowest floor elevation 909.9' Prior Lake / 915.4' Spring Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9/19190 - 11/22/97 then additional foot is not required. • Elevations 15 feet from structure Must be flood elevation or !' _ higher • Road access must be no more than 2 feet below 907.9' for Prior Lake Regulatory Flood Protection Elevation 913.4' for Spring Lake Accessory Structure: FAILS / COMPLIES Standard Proposed I • Size 1000 sq.ft. or 30% rear yard • Not located in fron yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L: \TEMPLATE\BLDGLIST.DOC Residential Building Permit Checklist New Co; s uct'' for Single or Two - family Dwellings in R -1 , r R -2 Districts y Reviewed by: / lI N Date: flfrtra&._ r3 � Z — Building Permit # PID: Zoning: Address: , ..... /' � Legal: L , B Subdivision: Existing Structure? YES / , ,r . Existing Nonconforming Structure? YES 1 NO • CONFORMS TO ZONING Ytt NO ORDINANCE / Yard Setbacks: NA 1 FAILS/ C P ' I Standard Proposed _ I • Front Yard (can be 20' if a(g. w/iin 150') 25 z s . €9Z-- • Side Yards 457 -1. 25' if abutting a street '1 • 5 . 10.3 • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 "I1' over 60' if building wall is 10' -0° or greater of being parallel to a side lot line. — I • Rear Yard 25' 1 S f • Patio Door, provide for minimum 10' deck or sign 10' side! statement indicating no deck will be built in the future 25' rear • From 100 year flood elevation of wetland /NURP 30' pond. • Refer in- ground pools to the Planning Department • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no less than 50' Floor Area Ratio: NA / FAILS / ES .30 Maximum l kP I Yard Encroachments: FAILS /COMPLIES Standard Proposed Eaves and Gutters no o re than 2 feet in width and no closer than 5 feet to a lot line (Easements). NC and other equipment cannot encroach on interior side yards. I Tree Preservation: NA 1 FAILS 1 COMPLIES I Standard I Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Renjoved • • Calip�i1r ches loved • Re V X2:1 L: \TEMB�TE\BLDGLIST.DOC / O f PR10 x tr1 White - Building Canary - Engineering yIN NESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D v Al a/oly tiViell APPLICATION RECEIVED 1- Z(o (2, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ze 3 7 / , Accepted P t ed Accepted With Corrections Denied '. Reviewed By: 4 /4 ------------ " Date: & 1 l7i Comments: 4 '�'r'4 �•/ c / G A-Y---- Ac- / /e4 -- "Sa "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." p� PRIp�, U txf White - Building Canary - Engineering ""^'NEsei Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT A i 3 `; (lit. S APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted With Corrections � Accepted p Denied / Reviewed By: __ __ rte Date: !Z 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." (c PR/6" " ny White - Building � �P Canary - Engineering NNEs Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D o v tV 1 APPLICATION RECEIVED 1- 2 �2-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: z s7 H1twt , Accepted Accepted With Corrections Denied Reviewed By: f Date: T "e - / Comments: See Reverse Side for Additional Information! An y ble y C TD Sr l% tires 1K F+viiPA, C,�Si• Le: I bt Gay/ by Ba ar See Attachments: 1) Grading Plan, 2) Erosion Control Standards "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." • ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and /or to the rear of the lot in drainage swales within the drainage • easement. • AII- bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. . . • • The'silt fence required by the-erosion control plan must be installed prior to any earthwork being started. • The builder is responsible for maintaining the erosion control measures until the turf is established. • r • ,. The rock construction entrance must be installed at the time of '4 -: -3iabackfilling of the foundation. .. • • • • • • • • • • • • • • • 6:\Admin\ dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doe • oC PRro-eP CITY OF PRIOR LAKE Date Recd ,i,. ,,c 'Ll HEATING /AIR CONDITIONING/FIREPLACE PERMIT / 21D • / �<<vNBa 1. Pink File s. arm car PERMIT NO. 1/5:78 3 3. Ycllow Applicant (please type or print and sign at bottom) ADDRESS 2.Z3 }ItDwZ.V -.. - ZONING (office use) •PC' t<�� iDC Lo,t(e ksZ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) o vrme. (Phone) 7t3. 3 ) • 67/ (Address) 2837 J-Jo . P. AV. Thor ..o _t_ APPLICAN ( N a m e ) 1 ' C I�."G r fl oy Pytt- C1ni'1i ri "j ' (Phone) 7103. 5 J' 'ti��. •%(oie (Address) 9803 IV,Yy u'i1 tiWt. . ' C-Dic r�t�ikikLN ASS V27 (Address) (City) J (Zip Code) .. (Contact Person) \ , ..) 1C 1Dt $ u,il\ (Phone) 7(o 3 F)4/2.• Moir o Le APPLICANT SIGNATURE ` _ -i ..r. DATE /O 2_ ism APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION 0 REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL COC.0 Vier r C g9. 08405 E 17 --1 4' FUEL l ai to rxl FLUE SIZE 214 IN L. RETURN OPENINGS INPUT ?t.3 000 OUTPUT - 7 `i ao l TYPE OF SYSTEM HEATING. OR POWER PLANT Air Pl []Warns ants PLEASE NOTE: Air Conditioner �] Steam Units and Fireplaces Cannot Encroach DGravity ' • ' ❑ Hot Water into Required Side Yard Setbacks. Mechanical ❑Radiation Fireplaces with Box Additions or Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildin Vent. System Other Devices Require a Building Permit. gs FIREPLACE MAKE AND MODEL FEE SCHEDULE • Industrial, Commercial & Multi Family 1% of job cost Residential, Gas FIreplace . $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) 5I49.50 Residential, Additions & Alterations 49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.5Q Estimated Cost $ �.Pi / 7 ' • � • Building Pennit # i' U HEATING PERMIT FEB $ 1 i1C • SD ° A) 1 jt j3 1 :A 1 I 1 t 1 1 STATE SURCHARGE $ 5 • " TOTAL PERMIT PEE $ 1'S • ` (Office Use Only) Tll Application Becomes Your Building Permit When Approved Paid '�",•� , Date,O , ¢. /t By "ii'�1�� Building O fticial Date � � /, �� �� 24 Dour notice for all inspections (952) 447-9850, fax (952) 447 -4245 Mir 4646 Dakota Street S•E., Prior Lake, Minnesota 55372 Oct. 17. 2012 2:26PM No. 9095 P. 2 IA A..::::N sfi t- 7. "CITY 00 PRIOR LAKE BUILDING PEWIT, Date Reed TEMPORARY CERTIFICATE OF ZONTNC COMPLIANCE - AND UnLTIY CONNECTION PERMIT f 8Sa . - r, ;:rir 11:1„. I PERMIT NO, � ' Ic etad sign at bottom) 3, Yaw" aapn.�t a tic typo or print / t ADJ» ESS u� •, /r.,,'3 L 4 ZONING en�ce - LEGAL DESCRIPTION (Wilco use only) LOT BLOCK ADDITION PIO OWNER. J (Na ) IP 0 it ma c , . • ho (Address) I EUl I� DER (Company Name) at' am, i (Contact IVanrie) I. L 1 (Phone) -'3 , — fj (Address) t i 5 11 e-C. C 1 ' i ve S Jr _ TYPE OF WORX g■ew Oonstnrctian Qriecfc OPazch Dam-Roofing Oil - Siding [Xavier Lever Finish AFirep1ace Addition ['Alteration QUrBity Connea Ion ■ conk pri.c. Dr.B.c. ismber kettnox E.0 V5/035' iype of Construction: I It 111 IV V A B f O Asa ccupancy Group: A B E F R 1 M R S U PROJECT COST/VAL - UR $ / C Division: 1 2 3 4 5 (oxc1udirtgleund) _ I botchy eemly that thaw fomishad iarprmsdon ea oils spear adon which la to ma best of ray lace owiedge true and correct. I afro certify that I am the owner or authorized agent For the short-ad a toned property and that alt co , on wilt conform to all existing state and local laws and will proceed in earotdaace 'with submitted plans: I am were Os the building official remkctispamitf j. ,t ,: _ Y � F _thennere;iherebya reethattte d may nt ra �4+' w p venom Deeded iaspectt ns. !C � r %,�, 06091k / k JoII7 12-.. S Cotttraactor's License No, Date Permit Valuation. Park Support Pee # S Permit Peel $ SAC # $ Plan Check Pee $ Waver Meter Size 5 /a "; 1"; $ State Surcharge $ Pressure Reducer Penalty $ Scwcr /Water Connection Fce # $ Pltambing Permit Pee S Water Tower Fee - # . $ MechanicaIPcrmitFtx $ Builder's Deposit �lv " . Sewer & Water Permit Fee ` S Other .", vl v '' �� - Gas 1?iztPIRee Permit $ TOTAr.l LIF ` 0 P - . , - F This Applicatiotaccourea Your Building Fernit When,ipproyed I paid `Recept No. bate I Elitism Official Data This ista cenify en ncewimtheCityZoni ngOm Y'htsdoatment when signed by the City Planner constitutes a temporary Certtti to etZooing vomits and allows construction to commence. Before occupancy, n Ce th cite 0 1 °coring matte issued kudos n cator ---- — — Date Spade Coediffoas, tfaay"�'" • 24 hour notice for all uuspeations (952) 447 -9850, fax (952) 447 -4245 464iDalcoft Street S.E., Prior Lake, Minnesota 55312 ° pRr CITY 01? PRIOR LAKE PLUMBING PERMIT Date Reed 1t ii:. Z . PERMIT NO Z 8 3 e ,- esst type or pining at bozr ADDRESS MINING (o$ a are) " z 6 ?7 t 't 419-1._ LEGAL INSCRIPTION (ot oe use onto LOT BLOCK ADDITION PID OWNER (Warne) (Phone) t(L er t.eu ` .. ,� ) 763 -1 Z 1./3%776 (Address) ,. 4 ■ aled C44 26 ! S av,) (Md (City) (Tap Code) (Contact Person) Alr i ('"hone) 763 ? 16 6 APPLICANT SIGNATURE J 1 DATE / Z – 2J 2 O') y Y �� Y � BELOW _ y CANT PLEASE COMPLEIZ BEJ.A.I r}. t .. , , , . of Fixture t.. , �, , i of Fixture IIIIMIII Bads Ilih with t without shower . r 4 ins Dishwasher MM. Water &at ME Moot Drain 1111111111111111 — Water Softener Lava , o athroow Sink , Stand ' , ahi , La , o ■ 1 Or2 com , „w„ sinll; . , sommimall immini Shower Stall Ba►cicflow . » „ , Sinks Backflow Asse&n Test Bar Sink Lawn .a.,, IIIIMINIIIII Water Closet (Toilet Outer FEE SCHEDULE andusttial, Commeteial & Multi -$roily 146 of job cost with a $49.50 minimum Residential, New Oi* * 1\ Family $ 149.50 Residaodal, Additions & Mutations $49.S0 The Minnesota Sums i 320,148 Building Permit # 'SURCHARGE" has been changed for one yob. effective PLUMBING PERMIT FEE $ w � � 4 4 0 tf .11117 1,3010. an& Nile 30. 2011. STATE SUR..CHARCB $ 40 FQ The mia,nai at surcharge fora "/lied fee" penult TOTAL PERMIT FEE S ix SS, b egiesiag my 1, Me This Altplkatiou Becomes Your Building Permdt When Approved Paid Receipt No. lli lla= Official Date 24 hear aotics fec all haipeetlaaa (9S2) 447459, fax 447 -4245 464 Dakota Stmt S.B., Prior Lake, Mlnaesela 55372 ava, 2:aaad Stela *2S6:ol :woJA ev:E2 2102 -t2- Aug 28 12 08:22p Bill Coppin Sewer & Water 9529553522 p.1 DAD • O ` V P ' Mate Recd �, ,. , CITY OF PRIOR LAKE LI 0 SEWER AND WATER PERMIT 4 * v ajr . Y I PERMIT NO. /2.-6 f3q (lesse type or print and sign at bottom) ADDRESS ZONING (office use) $ 37 \40, K. R„ .V e.. fN.D Nsc.J LEGAL DESCRIPTION (oflficcuse only) • LOT BLOCIG ADDITION PM OWNER . Warne) be) r ` f LAO e S (Phone) - 7 (ca -rs \' o (Address) 11 6 AEA. NJ Mct 0 , �C, _ cs (Address) \ (city) ( p Code) APPLICANT • (Name) C.v.t1 ' P�kJe.r 4 , t,J1CA,& ( (Phone) cISr�.. " \'S4 (Address) '3 64 nt.)4 \ f 'Q '7 WAk kmr.AA d1 :a . M$? (Address) (aty) ( Code) (Contact Person) .A C..A ft+. f (Phone) (, \ a- °_)0$ -e1' 19 • APPLICANT SIGNATURE e t.4.0 Cot∎ pro - - DATE $ - ai3 -ra, APPLICANT PLEASE COMPLETE BELOW Size of water service V' inches. • Location Of any couplings from structure 0 feet. Type of sewer pipe. 0 ABC 121 PVC 0 Cast Iron Estimated length of sewer line n feet. Clean out (ifrequired) located at feet from structure. FRE SCHEDULE Resideritial sewer and water line. connection $51.50 Industrial, Com'I & Multi-family t% ofjeb cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ `` go Building Permit SEWER AND WATER. PERM T r $ PAID WITH STATE SURCHARGE $ JJ 1LDfNG PERMIT TOTAL PERMIT FEE $ (Office Use Only) This Applicafioa Becomes Your BuilldiingPermit When Approved Paid Receipt No. - II. • Date iiiIIIAIIII saadma Data 24 hoar notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Street 35., Prior Lake, Minnesota 55372 pRic, 01 4 6' 1 0 Builders Deposit s P City of Prior Lake A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this 1, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for ,Building Contractors handout. DATE: ° I � •• 17 SITE ADDRESS: 2 .037 h47 eto C ? 6c:U . PERMIT # / - 33f3 REFUND TO BE MAILED TO: z:;•0,<../.1./& #7 9(55 ( , 3 '�' ,V.. /1,�Pe,G 6.20 vE, NA/ 5536 PLEASE REMEMBE ' = I L 1. KEEP STREETS CLEAN DURING CONSTRUCTION ynda ' en, Building Services Amount 2. KEEP EROSION CONTROL IN PLACE 1/. 22-.I Acct. 801.20204 3. TEMPORARY OCCUPANCY P - MIT MUST NOT EXPIRE OR $5 Date SIGNATURE: ∎��d ' A ,� ay 'oPpler, City Engineer . 26977 wells Fargo Bank; N.A. Minneapolis, MCI 555479 DONNAY a 9 �: PH 06a/531-07,11 9653 53RD AV N, MAPLE GROVE, MN 55369 DATE AUNT u gus.t; . 2012 $ * * * ** *9.984 = :48 * ** * * * *' * *Nine thousand nin hundred eighty four dollars and 48 cents 1 T C ty of Prior Lake o 0�t{ 4546 kot I a SE Prior Lake, MT 55372 p m A( �1 0 RIZEp sI`pN/kt11 > 00 2697711' 1:09 L0000 L91. • 260S 270707 J:%FORMStBUILDERS DEPOSIT FORM.DOC PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2- S37 NATURE OF WORK 'F Nto USE OF BUILDING 7;.r- PERMIT NO. l2--19.30 . N DATE ISSUED .5>ili CONTRACTOR it6---S PHONE 0-- 11c1 -4s NOTE: THIS IS NOT A PERMIV FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOalE A_A„,___ (1•1---4,*_,— 62( 1_, a.Atti INSPECTOR DATP - - I FOOTING 1 14) er Ae 1 / 1 1 1 FOUNDATION (Prior to BacIdill) 1 g da OP , PLACE NO cONCR,ETE UNTIL ABOVE HAS BEEN SIGNED , , , 140 t 77 . - IS SEWER / WATER / SEPTIC 57 / k FRAMING 4_ rzA4 INSULATION ELECTRICAL PLUMBING fz,(4. ,044_ HEATING (if required) FIREPLACE MS LINE AIR TEST p4. /04/-7, 2 4,A5 , s t woRu1s;i HAS BEEN SIGNED 1 1* - ast)szc-t-tYLAP („Acki-til ie 6 /i. 1 FINALS / G9ADING (Prior to Sodding) II - - i ( BUILDING Je> 8111(3 It II ELECTRICAL PLUMBING ) zi-2312_ HEATING 91) 12j271 /7-- DO NOT OCCUPY 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