HomeMy WebLinkAboutBuilding 02-0838
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(;~;)1-Y
I. White File I PERMIT NO
2 Pink City . O'? > 0 /J.. "lo,
J. Yellow Applicant V 1) ~ V
ZONING (office use)
s-~s! /3?tfJJPi f> .(. IV.k)
LEGAL DESCRIPTION (office use only)
LOT ,?l BLOCK
ADDITION tlffi- WJlt-KJ
l(
PIDQ,S'..... D
OWNER
(Name)
~l
--0
~t01-J~~
~
(Phone) -.1S2--h)~-n I (
'n (.!el'b/~ D'~
IO~itl) U~(..
(Address)
~.~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perfor needed inspections.
x (}12/t/
Contrlctor's License No~
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8" 1 ".
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
#
#
#
#
fv-z o--beL
Date
$
$
$
$
$
$
$
$
$
7 -,") -t1?
Date
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
w~ by <b, Ci" _w ,~"m'w, <=""'" C"",,," of 7.0,,", romp"~ md .now, ro,""'",,' <0 rom~. B,fore ocrop""y, , C",,"'" o")""""oy =" '"
o~~~~~_ 7/-f./ffL ~ ~~ ~A Cr,.}\..\~
. PIa ning Director Date - SpecIal CondItions. Ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
FROM : SABER Heating and A/C
PHONE NO. 6124738565
Sep. 12 2002 12:30PM P3
I
i CIn OF PRIOR LAKE . Date aec'd
I BEATlNGJAIR CONDmONlNGIFIREPLACE PERMIT
I
~ . " . Hi:. L I~NO. 9- ~?;~ ]
j;3g ~ .,ed? AlIV, ~ - LJb II~~"I
__-: PD> I
.
APPUCANT
(Name>.-
(,Add=B) -i.
. I
(CQtl1aet PaI=:i
APPLICANT S 11NATUU
~) '8~9-77"
16 ~ lIh~
~7 :l.2~7
saDre Reilng & Air (;onditioning. Inc.
1..t&nc; ~1c.t ..&...- ". tQlo ~
PIy~~N 5$447
APPLICANT PLEASE COMPLETE 'BLOW
. I' WCON C'!1ON CIMBNt ~11ONll rII' . II ._
FtJaNACB MA:r: SAND.MODllL ~ h1vl"lI:I FUEL ~
FI..UESIZE ~~" U'I'U1Q(OPlOONOS DQVt IM{ iJQJ OUTPUT $Aj ."4
. TYl'EOFSYsI.BM 8!.ATlNGOJLPOWBSLPt.4NT
I"~~ ~=
. . A1t~ . ......ow_ __ .
~ CJVcat.~ . ~ OdlIIrDovi_
___ .L~CIl M 00; IJIJD MOt1BL c,....~1 "It" ~ d9.2 - '/~ ..,;U.JJ"1
I
~ rJiI;:L
(PbDDe) ~ -~~
DATE
.UlUK M01'J!
Air ~VnilI
CaDat...... tate .
.......1Wt y_' ..
~
:1,~' ~
ID4ustrill. Ccnnr~ fCiIIl ar. ~ld-P_I1J
RDSidantlal. Hell Ill" AJC CN-- Oxtli&lWll6qa)
Jil.aidllndll. Hei/L III ~ (Ncw~)
~CastS
ftllCB'lDtn.I
1.. of jalI &GIlt a.td..... CItt firap_
PUrl IIiDhaIIm
19UO RaWaadIl. Addlli..1t Alundanl
$6UO RIIldm:lll. PI; only
Bulldiq}JenQU ,.
QUO
S),.~
$19.50
S8ATlNO PSNIT FEB S "'-
STArs SU1tCHAlU1! S .sO
TOTAL PDMft fEE S...
(CIIIIee 0.. OIltj:
-~~:-=-y..._-.:--- \::!'~ 3 200~~~ ~ ~
~ hallr __ hr"l ,....... (951) ",.... fa. (Jsa) ..'tAWS
.,
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CITY OF PRIOR LAKE
HEATING/AIR CONDmONlNGIFIREPLACE PERMIT
Date Rec'.d
.
~=- E:u_1 ~ERMITNO...;?_ g32
{Pl_ "'" M..... ....;.;;:
I ADDRESS
\S3S~ - ~Q ROCLd
LEGAL DESCRIPTION (amee use only)
ZONING (aftlCl:1JSe)
LOT
BLOCK
AD DmON
PID
OWNER
(Name)~Oo"-~~ C'Q-^+
(Address)
(phone) Q~d -~C\ - '1'1 \.L-
34
APPLI~ . .
~amc ~~- - _. ~ f'n::ru:>::;;;.~ on (Pho...) ~ l13-.31 '5- 7'5DO
(Address) ~'Q..W~. LiLL!4.J- _~Jt.1 rnn ~C:;LlljS
, ',' ddras) (City) (rip Cack)
(Contactpcnon) ~~, (Phone) 'ltJJ3-3rS-7S/(,p
APPLICANTSIGNAnIRE :zt:,.I;;)il,.~~ DATE
APPLICANT PLEASE COMPLETE BELOW ! '
~w CONSTRUCTION 0 REPLACEMENT 0 ALlE~nONS
FURNACE MAKE AND MODEL F:uEL
FLUE SIZE RETtJIlN OPENINGS INPtT1' I OUTPUT
TYPE OF sySTEM HEATING all POWER. pLANT
.. 'OWU'IIl Air PlanCS
OGravity
o IMechlUlical
(JAi.. Conditianinl
OVerat SynClft
gSlam
Hot Wafa'
(Jltacliallon
o Special Devic~.
o Other Devices
PLEASE NOTE:
Air Conditionct Units
Cannot Encroach intD
Required Side Yard
Sctbadu
FIREPLACE MAKE AND MODEL
;....:J
Residential, Heating a. AlC (New Conslnlclian)
Residential, Heating Only (New Con.snuc!tion)
FIE SCHEDULE
1 % of jab cast Residential. Gu Fireplace
$39,'0 minimum
599.50
S64..50
539.'0
Industrial, Commercial &. Multi-Family
Residentill, AddiUons &: Altarationl
Residential, AC Only
$39.50
$39..50
Estimated Cost S
Building Pennit #
HEATING PEllMlT FEE
ST ATE SUR.CHARGE
TOTAL PERMIT BE
s
S
s
.50
r
. I~.I ~~~, .
10''' 'i' tr ,;..,"!..,,~ ~!~.'TH
~1')'~IiJH'!G iT~:"";7
(Omce Use Only)
This Applh:ation BKome5 Your Building PeI'IIIlt WII.n Apprond
lid
, :.,~~ipt No.
Date
SEP
4 20
Dlb
BuRdine amel11
24 hour notice for In i.-pectlans (952) 441-91!D. ras (951) 44'7-t2A5
__--.-- __...---- ___...;..___.. _~ .~"T"_T"' .......
nL'''''' ....,.
zoo~
X31GIHd 3~VHV~ ~I~VWO~nv
ZOLOS1~Z19 XVd L~:~l ZO/
FROM
SABER Heating and A/C
PHONE NO.
6124738565
Sep. 11 2002 07:03AM P2
~-
l
i
o~ palo. I CITY OF PlUOll LAJOt O'
~r7i\\\ \ BEATJI'lG/AIll CONDTIlONll'lGIFJlW'LA.CE PEKMtl'
.~ I
l_II..D~
r-"~~' . ~=. s... \ 1'PJ'I1f NO. ?-- '6~'6 J
JiTiK i _ ~d? 14111/, 'IhM IvJ6 J r-- \
\ LJ!<>>.l. fudil: :l'lON celkiluelllil1) . """'" . ."~
. LOT ~L AI)IXI1ON ~- =
OWNBJ.(1dAM/A · _~_~UD-Y~~ ~I'
(I(_~ : v-=-, _ 6__7'"
/tJ341J Ih4l-/dtJ. ~ i/h~
,"
1/1. :2:2" -?
Date .-'d
1-
APPUCKN! I
(NlIIDC) ;
'{Ad=-)~.=
I
I
t
~bre r..~~g 8. Ail Gondttioning. Inc.
~1..' Au", ~. t2a9
PIJI~ F,1lAN 55447
(CoD- :..nOll:i
~CAN1' . I iNATUllE
i. ~'LBAS&COl'U'LETK BEJAJVi
. i .weO!i ~ON
PUlLNACl MAl: E AND.MOI)'II. ~ mvPIM
fLUB SIZE _~" JUmJD( o:PENINQS
I
. '!YPB OF trtSo'BM
, . .~"Air P\IllflI
I ..
. Air CIinMIi~
~ [JVIl'lt. lylUm , .~
~,.ca.t-!: \d A)Jt))4Ot)I!L ~
(day)
(PbmlC)
DA.TB
l2It C*)
tDdall*riI1. c-J ft.... t. MuldooPIDiJ,)'
J.n\4clntlal. Hell l\g & AJC (K- ~0Il)
a.csidandl1. H_ III 0..11 (NeW eo~)
nONS
lUEL~
l}l1Pu1' _lIi/J ~ AdA oU1?UT $" L).i6
I "
IDSA'l'INO 01l JO\'i# 1"t.ANT
~ PJJr.AD lCOftl ..
::W.. Air ~ Un..
.."....ga ~~_.
. ..-!lMlaI5 ~ &w.Y.-d ,
o 0dI8r \)evi- - SeC"rnW
~~~.JJ4:z -J4~ 3,~ -
Yd ~IJI-J
,... ofJ. 1St ...Il*dll. au '1"-
139.50...... .
S9tJO biidmdal.~.A~
"'~ ....-. AC Only
. U9.5lJ
$59.50
119.50
~tlll&t$l CClllt S _
...1Aiq Pm'Dit *
.~'"~
(CJiIfi*t ll. 0at.I :
-rwo""j:~":-Y"._"'''''':--- ~[P I 3 )li,FN~ \
]1EA.TJNG pBlQtUT FSS S
STATS SUJ.CKA1GB L
TOI'~ l'DtMft I'U s_
.5.0.
14 IlaY' ....twt ... .....w... I,JU) ..7..... fd (tA) M~...2MI
,
~J; ~ ~J
~-V
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I ~~;~~t_;:;: ~Q R~
LEGAL DESCRIPTION (office use only)
.
I. PI"
10.-
J. V.II.....
~:~. j.PERMIT NO..<--::>_ g 3s.?
ApphCOllt _
ZONING (office we)
LOT
BLOCK
ADDmON
PID
OWNER
(Name) t:')o 0 ^-~ ~ C'~L'\-4--
(Address)
APPUC
(Name
(Phone)..!] LP3-.315- 7':500
~Jt n L/
(City) (Zip Code)
(Phone) r"]tD3-3t S-75/~
DATE
(Contact Person) .:k'ri c;::;. - W ,
APPLICANT SIGNATURE ~ .Ii~
APPLICANT PLEASE COMPLETE BELOW I.
~w CONSTRUCTION 0 REPLACEMENT 0 AL TER:A nONS
FURNACE MAKE AND MODEL !fUEL
FLUE SIZE RETURN OPENINGS INPUT ' OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
,. DWann Air Plants 0 Steam
OGravity 0 Hot Water
o Medlanical 0 Radiation
OAL Conditioning 0 Special Devices.
OVt:nl System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
;...:l
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gu Fireplace
$39..50 minimum
$99..50 Residential. Additions &: Alterations
$64.50 Residential. AC Only
$39..50
Residential. Heating &. AlC (New Consuuction)
Residential, Heating Only (New Construe\ion)
$39..50
$39..50
Estimated Cost S
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
,("",. , I
(omce Use Only)
This Application Becomes Your Building Permit Wben Approved
Paid
eipt No.
Bulldl"lOmela'
Date
e'ep
~)L
4 ? In;
By
Date
i:OO~
24 hour notice lor .lIlupectlon. (952) 447-911S0, '&:1 (952) 447....245
X310IHd 3~VHV~ JI~VWO~nv i:OLOSlti:19 XVd R~:60 i:O/Ot/RO
02/0G/9~ THU 14: 14 FAX 6124474245
CITY OF PRIOR LAKE
[4) 003
-
.....
.,
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Pennitted in 30 Percent.
~~~ ..
Property Address
1~3.S'?:., rQ.~\~'!-. 'Q'\{~~
Lot Area l R:~~4 Sq, Feet x 30% == .............. 5.4'n
***.*****+**************************************************************
LENGTH WIDTH SQ. FEET
HOUSE 55 x = \,~i~
..;)l.Ic,
x ....
A TT ACHED GARAGE x .:,1\.3 ..:
,~\ /.olea
TOTAL PRINCIPLE STRUCTURE......................
,J I \ 1 9,
DET ACHED BLDGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
NIJ\
D'KlVEW A Y fP A VED AREAS :\0.\ x alc>_~ '7Q '"
(Driveway-paved or not) X =
(SidewalklParking Areas) I~:":l.., x .::> u><\
TOT.AL PAVED AREAS.........................................,.
c;;.,l"'~
P A TIOSfPORCHES/DECKS X ='
(Open Dccks W' rnln. opel\ln~ between X =
boards, with a pervious surface below,
are not considered to be Impervious)
X ::::
TOTAL DECKS...........................a.....,...a....................
I~/A.
x
X
::::
OTHER
:=
TOTAL OTHER..A"...,.,.1...........,...............................
TOTAL IMPERVIOUS SURFACE
~OVER
Prepared By
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Date <.c..:l H:);)..
Company
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Phone # 1-,,51 - 4 US- ~lc~D
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White - Building
Canary - Engineering
Pink - Planning
Tht' ('"nfror or Ihl' I..kr Counlr)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
6Q/M/~~___ ~
~ - C?--r- d-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
.0 '.~._ application for construction activity which is proposed at:
z::;. ~ ' J
75"3SJ? c~l?~~AIt1{~
Accepted
x
Accepted With Cqrrection,s
Denied
Reviewed By:
#II?'
Date:
/.-tt-o~
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
liThe 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."
l"h(' ('('nt('f nr Ihr- Lakr- Counl'")
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(f)ht1//Mr4..-- ~
~-:7(-~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5'3S-~ Et21#~PJ/~
Accepted Accepted With Corrections ~
Denied L:;)/l ;{J &-
Reviewed By: {;;;:fp~ Date: 7-5-0"""
comr;z;; aU ~ k~~
"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."
Tht> Ct>nlt>r of the I.lke COunll)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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
Reviewed By: ~-1/L ~~
Comments:
~ ~ lVJVA-, ~<; p--- b~"'1
. ~ ~~ fA- !A~ '
Date:
7A8/D'2-
,
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i/2LLDc0 Y;
"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."
02/0B/9~ THU 14:14 FAX 6124474245
CITY OF PRIOR LAKE
[4] 00.3
CITY OF PRIOR LAKE
-.", ~ Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Pennitted in 30 Percent.
Property Address
L~:\5h tQ.~ \...~ 'P..\dlf.Y?_
Lot Area I P,,~;~4 Sq. Feet x 30% ::= .............. 5.4<1l
************************************************************************
LENGTH WIDTH SQ. FEET
HOUSE 55 x = tl~i9-,
..;Jl.I-e.
X ...
A TT ACHED GARAGE x ,:,l\'3 "'"
::~\ (oloO
TOTAL PRINCIPLE STRUCTURE......................
':)111~
DEI ACHED BLDGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
NIl\.
D"KlVEW A Y!P A VED AREAS x ac..c..~ =
30.\ 7Q",
(Driveway.paved or not) X =
(Sidewa!k/Parking Areas) X ~ "" l..PC\
~:-::t..,
TOTAL PAVED AREAS...........iIIl....,...........t1...,..........
~.L~~
P A TIOSIPORCHES/DECKS x ='
(Open Decks W' mIn. opening between X =
boards, with a pervious surface below.
are not considered to be Impervious)
X =
TOT ~ DECKS............ .........................,................,..
'VA.
OTHER
x:
X
==
=
TOTAL OTHER..,.....,.",.............................,....,.,......
TOTAL IMPERVIOUS SURFACE
~OVER
Prepared By
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Date {p-:'H-a~
Company
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Phone # '-<=-5\ - 4US- io1c'~
~Pl.~;
_.~
I ADDF
I
L____
I LEGA
! LOT
..........----
iOWNl
I (Silr:':e
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; (Addte
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r-APPLI
I C'i amf
I (Addre
,
! (Cont.,
I APPL/
--~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Dlte Rec'd
r or Pl'iIlt_~ .~..!~~9ttOm)
55
~ 1~~5D EtfL...,~ KIOt1E 70~
--_._---_.,...~_.,. ". ..-.-..... ._.~ ..' -, .,. ...- .... ...~
~ ~~. ~'i,-. I PEnar NO. '7- ~~ 8' j
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DESCRJPTION (OW;~~-~; ~~;).- ---.-.....-.--
_-.'M. . .._......_ .~.,_ __.. _oO. . ..._ ,
SLOCr<: ADDITION
"'--"'--....--.- '---'-".- ----_. _. .. I.
- .-----.-- .~ .--....... - -
(Phone' 9 s--z.. '-It..{ ~ S 2/2...
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- ........ .-........
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APPLICANT PLEASE COMPLETE BELOW'
--''''""'-- -........ ....-. '.'_0_. ...,.................... --""''--_.. O~ ..._..__________--.--.,_.___.. 0' ... -'--'--~l
Size of water service I inches.
- --
Location of an~ couplings from structure ~ feet.
Type of sewer j'ipe. [~ ABC rYi PVC C =ast Iron
Estimated length of sewer l1,ne Y"S-' f'lei
_.__. .._~_~:~_.~~t (if required) Joc~!e.~~~A_ feet trom sn'l.!!:::-e. .___
Reside" 1 ewer i\nd water !Ine connutiCi!'1
Sewer c 11 ,clion only
FEE SCHEDrLt
p ~ 51) Industrial. Com 'I & Multi. 14rr il) 10"0 "f job cosl with a s: :1:( minimum
S P.50 Water connection only $17.50
(Om~f (}
r---'.'..-
This J
I
I
Estimated Cost $
Buildmg Permit it. ..:....:..-:...___.__.,__
SEWER AND W AlER PERMIT FEE
ST A IE st'RCHARGE
TOTAL PERMIT FEE
$
$
$
.50
___"~"O"_".'.' ......,
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; ~-ljon Btc(l",cs Your ~'ldl~i P"t~lr Whtll APPrOVtd"'l i Pal'a' ... -- "'~leceipi 1\0,' .,... -.--..--
I 'Liate ;.r;;,---' -. "~BY- -"~ . .... .. "--- .._--1
a, d;..om"., =~_~-~=:--.;,,-----~ ~_: _____~_ .J
24 hr~ur nOliu for .lIln'peetiolll (9~Z) 447-9SSU, fu (9!1: I .... ?~Z.5
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CITY OF PR10R LAKE PLCyIE;:~G PER_'I1T
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.~,e~~~....f~.=.-:...>,,;--r ,~:\.::;.J.. T~.J-S~,:=:
:\PPLlC.~.';'T PLE.-\SE CO~\[PLETE BELOW
Type of Fi:~tun~ I Qu:.tntiry I
Bath Tub with or wit/lt,iu( ~:,()\v'=:- l;j I
Olsh\\;a5h~r I
I ! rll)l)r OrJ1Ll
.._~L__~_.!.::.:";l[cr.' (8athiOlil71 Sir.~;)
I ! L;lUn(::ry rr::l.~i I. i .Jr ::. ..:or.q:;a~m~lH ~lni(
1__...___ ( ::i;'ower Stall
! / Sinks
I S.1l" Sink
i._._._~ Wa.ter Closet tTlJil~q
Type nf Fi;ttUi~
-i
-=__ i
I
I
-
Qu;\ntiry
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I
R.)u~h-ins
W:r.t::r Hc::He:-
\Va(~r S,)rm~r
-_.....--
; SC.;lmi Pir.:-= 1'~V~hm,; ~r:ll.::hl:::.:.:__..__~
I S~'.v::J.g~ Ejt:!.:~0r '
I 8ackr1ow Assembly - J1
I Backt10w Asse:mbl~ T ~S[
I L~w" Sprinkler I
I Othe: ___~:l
io~E.f. .sCH.EDLLE
1I,dtm.'::lL C~m;r.c~::::).1 &. MLllti.f:l.mil~ I % of jc,b GOS. with J $39.50 minimum
R=sid.e:::Itbl, Ne-," One:: &. T\IIo-FJ..."il;- .$9':l;1)
R::.:lid~:'IIi:d, Ac.ldi,lOn$ &. Al:~i.l.tiOI's :SJ9,;()
E~tim~(,;!:i Ci)~, S
Suiic.:ing Pe:7.1it.:;
PLUt\tlBCNG PE~"(!T FEE S
ST..~ TE SURCH..U,GE :5
TO'r..u. PER;:~(Ir FEE S
.50
(om~e T.:Sc 01\1:1)
This Applk:adon Bo:<:ome=; Yout' Bl.lilding Pi!:rmit When Approved
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BIAi1din~ O([i(i~1
:.L !lIllI(' nlHi\:ll fur:JlI in$p,![:t!Qns \9:;:) .A...r;"..9~5iJ. fn l'J:5:) ~';'~:..::5
10/10. d
JNIOJ8NI8wnld^3ll~~
1[:v1 c00c-Sc-1JO
PRIOR LAKE
INSPECTION RECORD
,9"j~ e~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /5>5'8
NATURE OF WORK }\Jew
USE OF BUILDING SpD
PERMIT NO. 02 -()838 DATE ISSUED 1[-5' -(j?-.
CONTRACTOR 'J~~t~~ (rl)~ PHONE 9~-S27- )711
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
FOOTING (-/7 -o(j-
FOUNDATION (Prior to Backfill) t.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~LJ
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ ~ h P . ~ ~ (J 'Z.--
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
lift
GRADING (Prior to Sodding) 10 -- 3() -- U.;L
BUILDING . \ -0 l, ......:"'
ELECTRICAL
PLUMBING
HEATING III -;28~~
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) 447-9850