HomeMy WebLinkAboutBuilding 02-0872
5' 0 ~. *DDDD "tI e > -0
l/I ::J: ~ C z_
~ 0 o ~ "TIz"TI"TI"TI 0 C ~~
8 0 z
0 n :;0 Z(l)~OO z m :;0 me
> 0 :;0 :;0 >c co m ::0 m 0."
tl ~ :;0 :;0 '" _....>!:Z-i en
t!l .... m m (I) z -0- z en ::!"
.... 0 Ul -i25>25 !=>
:., o > 0:;0
t!l t -4 -4 -i "lJ - -4 z-
~ m 0 - zO
Ie ~ > - o Z 0
I o (I) 0::0
~ CD -i "TI -i Z
co :;0 - > is ::!>
~ (II ?' o 0
~ 0 Z -i Z 0",
"TI 0 > 0 mm
~ 0 > Z :;0
:;0 r ;<
~ .... 0
-f "Tl " " 't\l
:l>.. ::J: 0 :;a :;a
~ m :;a 0 0 000000 ~
z :;0 0 0
~ m m m m i:"(I)~i:"
>< m m ~
-i Z 0 0 m....~>m....
~ ~ (I) OC -iOC ')
;0 ~ z " ::J:i: m::J:i: " 0 en
~ (I) m "TI!:!!:;o:;a:;o!:!! m 0 " 0
~ " ::J 0 zZ::J:::J:-Z :;0 z r ::J:
::! C1l -4
m ::t >Ci'loo Ci'l !: ~ m
~ 0 () (5 ...."TIOO :;a :::j C
-i 0 Z -"'''' - C
is ;a. Zcc z ....
~ m ~"" !=> m
Z :-! m C
~ I>) "TI \'\~
.D- o
~ ::J: :;a '" ~
m 0
~ e 0 ~
c: 0 N ~
:;0 < ooooo~ f
(I) m I ~
:i! z :;a ~ ~
Z Ci'l"Tl"TlO~
> >:ii:ii0 "-J -f
Ro C Ci'l ~mm~ \J m
~ < -"""
> Z!j;!j;!j;
~ Z moo
~ 0 ~mm-4_
!TI :;a"TI:;O .... :j
-i-- .... II:
(l)Z Z m
-i~ Ci'l
':<
~
c
::!
g
~
t!l
:.,
t!l
Ie
S
:.,
~
~
~
:l>..
:.,
t!l
~
~
~
~
~
E:;
~
~
~
~
t--
~
Ro
s::
~
'""l
~
o
>
r
r
t
~
CD
CO
en
o
"TI
o
:;0
-i
:z:
m
z
m
><
-i
Z
(I)
"
m
o
-4
is
z
t->
~
::J:
o
C
:;0
(I)
Z
>
c
<
>
Z
o
!TI
::J
'"
'0
C1l
o
~
o ~ 0
o 0 ;:E
000
:;0 :;0 :;a
:;a :;a '"
~ ~ (I)
~~ ~ g
~:;a -4 "TI
:::::--: '" (5 ~
,~ n Z -4
> > 0
~ r z:;O
.--' r 0 .-<
..l b ~ "lJ
~ :;0 0 :;a
J :;0 0 g
ill Hl Hl
~ 0 0
"lJ
m
o
-4
(5
Z
m
m
"TI
o
:;0
m
o
o
<
m
:;a
z
Ci'l
o
::E
::J
~
o
o
~
\.,
~
~
--
~
I'
~
0)) 0 0 0 0
..!!:!!z"TI"TI"TI
rri~~~go
_rr3:Zo
z >_ -4
(I) -iz~z
"lJ -Ci'l-iGl
m 0 -
o Z 0
:::! Z
o
Z
~ooooo
3: "lJ (I);:E 3:-0
~:::~m>mr
:z:3: -40C
m m:z:3:
:!!_:;o:;a:;am
zZ:I::Z:-Z
>Ci'loo Gl
r"TIOO
~~~ ~
000000
Ci'l:!!:!!om
l;;~:;a0~
C"lJqJ~~
~>>>~
~fJfJ~=n
:;a"TI:;O r=
-iz- r
(I)> Z
-ir Ci'l
"
:z:
o
Z
m
z
!=>
o >
:E C
z c
m :;0
:;0 m
en
en
~
~
~
-0
m
:;0
3:
:::j
z
9
o
o
Z
-i
;0
f
~
I
~
'\J
,.....
~
'-
~
-0
z_
~~
mo
~"TI
--0
0:;0
z-
zO
0:;0
:::!>
0",
mm
en
o
::J:
m
C
C
r
m
c
~~
;-... -f
\.::i ~
(),
5' o~ 0 () 000000 ." e > -0
l/I -- 0 ::J: ~ C z_
"0 0 0 ~ ,r: (I)"TIz"TI"TI"TI 0 C ~~
g C1l 0 0 3:: :::jzen~OO Z Z ::0
0 0 m me
> S :;0 :;0 :;0 3:: m>c co m ::0 m 0"Tl
r :-! :;0 :;a '" -....S;3:Z-4 Z en ::!."
t!l m m m Z ZCz en
r 0 0 en "" 9
:., t > z ~ :::!Gl~Gl 0:;0
-i -4 z-
t!l ~ > -i -f m 0 - zO
Ie ~ u; en o Z 0
S cD 0 0 "TI -4 Z 0:;0
-4
co :;a (5 > is ::!!;
~ en ?' 0 .........
~ 0 '"1l Z 0",
Z -I ~ ~
"TI 0 > 0 ~ mm
~ e > Z :;0 v...
:;0 r .-<
r 0 a.. T
~ -i "TI "0 "0 <:-- \
:l>.. :z: 0 :;a :;a r.t. ~oooo
~ m :;a 0 0 ..::::::.
Z :;a 0 0
~ m m m m 3: "0 (I):E3: "0
>< m m ~
-i Z C 0 mr~>mr
~ (I) OC -iOC
,. ~ z 0 "0 ~ :z:!: m:z:!: ." 0 en
~ en ::E m "TI!!!:;a:;a:;a!!! m 0 0
." ::J 0 f ZZ:Z::I:-Z ::0 Z ::J:
::! ~ m C1l -4 >Ci'lOO Ci'l !: -f m
::t (5
~ 0 () .s r:!!~~ 2:! :::j ;0 C
-i 0 Z C
~ is ;a. m zcc Z ....
Z :-! m ~"O"O !=> m
~ "TI C
t-> 0
~
~ ::J: :;a N
0 m \f\ ~
~ c 0
:;0 0 ~
en < 000000 "'0
m
~ Z :;a Ci'l"TI"TlOm '.J 0
Z N ,.
> >:ii:iiO~ -f
Ro C Ci'l ~mm!:Ci'l m
~ < _"O"O"O~ ~
> ~S;S;S;c
~ Z
0 >ooz=n
'""l !TI _mm-4_
~ :;a"TI:;a r '-.I -f
-4-- r ~ ~ i:
(l)z Z m
-I~ Gl ~
~.
(yv\~~
CITY OF PRIOR LAKE BUILDING PERMIT, Da~'d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 7--,3 --07-
t3~IJQ):;IJ1E~ OLV/.J-
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK:2
ADDITION
OWNER
(N ame)
elV~
(.2 '1tJo
A-~
(Address)
I. White File I PERMIT NO I
2. Pink City . O? "'Ofj-??
3. Yellow Applicant _" I~.
ZONING (office use)
jl/"w
'1<;)-
/I'IEIJ/)Owr/€W""
!.JL,A5cf-/,co
New Construction
ODeck
mE,$'
tJ/2-/~c
(Phone)
v;rt l:ltJ
PID
.fK'l.
BUILDER
(Name)
(Contact Name)
(Address)
5/t,hc
~I-I /t-t' 5
5 A- /11, e
(Phone)
(Phone)
5H/J'l C
(/I,J. - 9 6if - r3~
e1/L
&f~.-2 -~33 -2~Y~
TYPE OF WORK
o Porch
ORe-Roofing
ORe-Siding
o Misc.
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
/~ S- pV-o
DAddition
DAlteration
DUtility Connection
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 ~e th the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon 0 to p~/~nspections,
X ~ t2007G,73"7 7-~-()~
Signature Contractor's License No, Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Pemlit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
7../&,. 02-
Date
Park Support Fee
SAC
$ ~
$
$
$
$
$
$
$
." 7"'0 $ 7.3 5.3. 6-
I ~;c~j.[ft)
#
~t
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
I Paid '1r;!.' 7
Date ", 'J~ (J-z..---
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
::~lli"" "m",.", Ccrtifi"" of Zoo"" oom,_ md 'U~~ctiOO~&f=no='r' , C,rti"''' ~f"'oo"",, =" '"
1. ~...4-:J ~ '7/IS7 f)'L- __I =4' ~c (h1/'Y-i\( hh1.(
, 'Plan' g Director Date if Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Thf' ("f'nfrr of Ihf' Lab Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
flOMC-S
APPLICATION RECEIVEO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c07~c;~ ;~ity tr;;7;s~ {3 (ud
Accepted
Accepted With Corrections ~
Denied I
Reviewed By: -0 ~ /1.... Date: '") -I (.,- cJ2-
Comments:
Jea.J~ Jt ~ / ~
"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'P!lB^ sq lOU IIBLls UO!P!pspnf sLll ~o SSOUBU!P.lO
.IsLllO .10 spoo S!L1l !O SUO!s!^oJd 84l ISOUBO JO SlBIO!^ Ol AlP04lnB a^!5 Ol 5u!wnsaJd
Sl!W.lSd 'uO!P!pspnf sLll ~o SOUBU!P.lO .IsLllO AUB ~o .10 apoo S!L1l ~o SUO!s!^o.ld aLll ~e AUB
10 UO!lBIO!^ "UB '10 IB^O.lddB UB .10 '.I0Il!WJad B aq Ol panJlSuOO aq lOU IIBLlS SUO!lBlndwoo
pUB SUO!lBO!!!osds 'SUBld lO IB^OJddB JO l!WJsd B !O 5U!lUB.l5 JO sOUBnSS! a L11. II
-ZO/-Zl/ L
:SlBO
~~-41~yu
:"8 paMa!^atl
pa!uao
SUO!PS.I.l08 L1l!M pSldaooV'
~
paldaooV'
:lB pasodo.ld S! L10!L1M Al!^!PB UO!pn.llSUoo .I0~ uoqBO!lddB
l!W.lad 6u!pl!nq aLll paMa!^aJ a^BLI sluawl-lBdao 6U!UUBld pUB '6upaaU!6u3 '6u!PI!n8 aLll.
....
I
03^1383t1 NOI1.V'8IlddV'
l.NV'8IlddV' .::JO 3V\1V'N
.LSI1>1:J3H:J .LN311\1.LI::I'dd30 NOI.L'd:Jl1dd'd .L11I\I1::I3d ~NIO'ln8
6u!UUeld - >jU!d
6u!JaaU!6u3 - AJeue~
6Ulpl!"a - al14M
.Uluno.) 1".'1 ,)'11 JU J.l'U'}.) .utI.
Tho Coni.. n"ho t..ko Counlry
'7.
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
No M C:S
The Building, Engineering, and Planning Departments have reviewed the building permit
.~'- application for construction activity w)5h i.S proposed at:
If-I 3/ 5"- O/lOO{~ ~ /3 Iud
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
A11-b
Date:
7-7-02-
Comments: See Reverse Side for Additional Information!
;nett h. ~, 'I e
See Attachments: 1) Grading Plan, 2) Erosion Control Mea"sures
3) Erosion Control Plan
"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 ~ancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Date Rec'd
CITY OF PRlOR LAKE PLT.T.vIBI::'-iG PER.'IIT
1?!e:Jse ("'me or or.nt rnd ,lgrJ ,n bottom)
:\DDRESS
?J '7 d-
I Slu< cd" PER \-IIT (', O~. _g7.' ~ I
:. Gold Ctv . s;,-r
J. Y~llaw .\opliCJ.nl
L I~ ;,i'I:'; C (I;~(:~ '.l.:e;
ILl J7jj/
/1 /
:b r r)tl kfA' (l If!
$~/~J
LEGAL DESCRiPTION (lll:ice use ,m!y)
~\)T
B lCI(::(
ADD[TIO~
FID
c ';V ~iE ?./b L
i>i.l:7:e,' veJ1 re (;:'
(F ~o r:e)
(.~~~c.:-e~s)
(Addr~ss)
tl //J //0'J
CP::cne) :5 c/ " 'i I W ;'
;;;; / ~JL
(C~t~f)
r?/~I
j3:53/~
: (~.l..Jd:es:;)
(Zip C:Lie)
~ (Csr:t.1(: ?'~::':Orl)
i
(?::cne)
I purrc. "T "-:---'TU'RE
i .-\ . ~ A." ::'Lu.I."'I.
./1
DATE
t/P ;! f j!2--
APPLICANT PLEASE COMPLETE BELO\V
, Quantity I Type of Fixture I Quantity I Type of Fixture
I
I
i ~ I Bath Tub with or without shovver I J I Rough-ins
I I I Dishwasher ! I I W ~lter Heater
-
(
.J
i
I
I
f loor Dr~lIn
Llvatorl (Bathroom Sink)
! Laundry Tray (lor: compartment sInk
I Shower Stall
Sinks
I Bar Sink
Water Closet (Toilet)
I
I \Vater Sotmer
Stand Pir;~ (\Vashinz \hchinel
I Sewage Ejector
I Backtlow Assembly
I Backtlow Assembly Test
I Lawn Sprinkler
Other
FEE SCH.EDLLE
Industrial. Commercial & Multi-family 1 % of job cost with a 539.50 minimum
Residential, New One & Two-Family 599.50
Residential, Additions & Alterations 539.50
Estimated Cost :s
BuiiLiing Permit .::f.
,.
.50
fo',,:,:
II5V)! r..:,
..... -~.::t:s::' ",
PLUMBING PERl\-lIT FEE $
STATESURCK~RGE $
TOTAL PERJ.'IIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date JUl j 7
By
.:~ hour notice for ail inspectJOns (95:) .+47-9850; fax (95:) 447.-4::45
----
/:',< \'.~ -0 "
'~~~r ~->
I::' / '\ ,~
\\:~/'~!
~
CITY OF PRlOR L-\KE PLCyIBI~G PER.\I1T
D:.lte R~C'd
67rJ-
~. ~:~~~ ~:~, PER." IlT i\ O';;L_ g- 5' S; -I
] Y~Llow \DOll";Jnt
i ?~~1o~ ,m,: or ~r.;H L1J ilcrI ,It bone m)
.~,=' C' P~S3
~,:;, :I-~l-C."I;:'::":'" .,~..,!
- "._, I
I
I
/t/3/~
./'7 f
D/I'Otlf ~lrJ If
Z/J(
LC:C_.l..L o cSC?J:PTTO>j (u!~c= ;J::l.:Jnl:/)
.. ........,.....
I ~ : '
-'~ ,
SlC,{::(
,.l..D D [TI{J~,j
p~~,
l~ ',\ 'i'.: 7.
(I (2 JlA? Lf'
(?:-:cr:~)
\ :;,::7.:~:'
,r :..: .~ ",':lIC'- .
. ............ _.~...... ,
, "Df ' -1 ,\'T Ut.~ l?~I).'
~:',::~~P'" /. r. iZJ~
...-1..._. tA/ r.feI
(..'..cic::e::;) 5UO t2ltlfttr ?1I1L-
(..l~J.~r~::~ )
Q /' -'1-t/O,'. -)/J /
lc:-:cr.e; / So<:.- ! 7'J ' c/
-J; /' iblL S::;J'5:U
(C~~~,.-) (Zip C,:~e)
I,' ~'~;::.:l~: ?~:-:;(:;-:)
l~- ,:cr:<.:)
..'..??::..rc..'..).'T SIG:i.-\ TT.;RE
C-tt~ ILl J/1v~~
D,-\ TE 4<-(11 l(e;JZ--
APPLIC.-\~T PLE.-\SE CO~IPLETE BELO\V
QU:lntiry Type of Fixture
Bath Tub \vlth or without showe:-
Dishw:lsher
I floor Dr:l1n
i L:1v:ltcrl (8athroom Sink)
L:lundry Tr:l;.' ( i or .: -;omp~rcmel1t SinK
I Shower Sta!1
( Sinks
Bar Sink
...1 Water Closet ( Toiler)
Rou~h-ins
W:1tcr He:lte:-
\Vate:- Sll t'me:-
StJ.nd P1T~~ I\V:J.shing \-fJchir:el
i Sew:lge EJe~:or
I Backtlow Assembly
I Backtlow Assembly Test
I Lawn Sprinkler
I Other
I
l
J
Q\J:lntity
J
/
Type of Fixture
f EF. SC HED LLE
Industri;J.l. Comme,cial & Multi-family [% of job cost with a 539.50 minimum
R.:sidential. New One & Two-FJITlily 599,50
R.:sidentiaJ. AJditions & Alterations :539,50
Estimate:! Cost :s
8uik!ing Pei7TIit .:f.
PLUMBrNG PER..v[IT FEE $
STATESURCK~RGE $
TOTAL PERi"IIT FEE $
,50
-----
. fQl6\ rA '
"', ''l.f'f'l''t,s
, ,;
(Office t:se Only)
Building Official
Date
Date JJl ~ I
This Applic:ltion Becomes Your Building Permit When Approved Paid
':-4 hl}Ur no(jce ior 311 inspectJons (95:) -447-9850, f:n (95:) -447~:..:i
rn .p14
(City)
7'3- q~? -;J" 77
~~-3"?
(Zip Code)
~l L - ~(. ~. ...;'~5'"(,o, 7
.02-
<:. ,.-....
PID
CITY OF rRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
I. Pink File PERMIT NO 8/J
1. en.. Cil)' . .;;?....../
J. Vlllaw Appn.....'
c:J~;-;:~~ m2~
BlvD
{IJ-L DESCRIP'TION (office U5e only)
Li. BLOCK ADDITION
fER
lame)
(Mdress)
~ Co /'\ t--<.. v.
Hd~S
(Phone)
APPLICANT
(Name) /9~C!II -/-. ' ,.....,
(Address) ~J-$'"t;;)
:t- C'?oa(l^?
t'! CJ '-.f "- ~ '1 ~;t/
(Addres~
(Contact Person) ~;r y
APPLICANT SIGNATURE
?7v-o
g,
(Phone)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8 t"'y 1'91'1 ..,J-
FLUE SIZE '-I II RETIJRN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
OGravity
o Mechanical
i.Qt<lr Conditioning
OVent. System
o REPLACEMENT 0 ALTERATIONS
~ Z30 ~cd~ 7f:J FUEL <0 C!l\.S
~ rNPUT 70. u<JO OU~UT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units}
Cannot Encroach into, .
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential. Heating &. AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
539.50 minimum
599.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
539.50
Industrial. Commercial &. Multi-Family
539.50
$39.50
Estimated Cost S
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
~1!i ~':'foo,
"~'I.b..'_'i ~..... '-~' ~~h,
" ~. "t. ii- ~ II. 'c,' - "..... ._____
-- , ...,,' "'~ -.,
"'.. 1..:...;;' f", :;./
q
(Officc U5C Only)
This Application Becomes Your Buildina Permit When Approved
,-
Paid
Buildinlomcial
Datc
Date AUG 2 9 '
24 hour notice for an inspections (952) 447-985Or Fax (952) 447-4145
Z0'd
Z89:i:8Zt>:i:9L
"
OMi ~NI'008 ~ ~Nli~3H W~ 60:L0 Z0-6z-~n
FIRESIDE CORNER
#1922 P.002/006
DAte Rec'd
i::" ~ I PERMIT NO. 8 - 8''711
J. Vel,... """11- ::r-
~Z.~~~L~.
ZONING (offia: tis!:)
~JD
T...EGA1... DESCRIPTION (offi~ 1.Ise only)
LOT
BLOCK
ADDITION
PID
~~L l-\c~~
I OWNBR
(Name)
(Addre.'IS)
(phODe)
APPUCANT
~ame) ALLIED FIRESIDE DBA FIRESIDE CORNE~
(Phon~ 651-633-2561
(Ad.d.res'J 2 700 N _ FA:c~vtEW AVENUE
(Addn;~)
l3RENDA HTJS ON
(CCn.!:l1ct Person)
ROSmlT\.T.F. MN'
(City)
(Phone) 651-633-2561
0:; ">, , "I
(Zip CDde)
APPLICANT SIGNA Tt.JRE
DATE
b-"O:)- O"d-
APPLICANT PLEAS COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AD. ODEL FUEL
FLUE SIZE REllJR.N OPENlNGS INPUT OUTPUT
TYPE OF SYS'l"EM HEA TJNG OR. POWER PLANT
OWIII'JIl Air Plants
DGrBvlty
o MechanIc:-' .
DAlr Condltlonlng
DVant. System
B SJI5l1M
Hot W!lt.er
~illtlCln
o Special DevIces
I \ 0 Other Devices
~(j.)r ~ lolJ) ~ Ss.:sttn.-L
PLEASE NOTE:
Air ConditiOlJ.er Units
Cannot Encroach into
Required Si.de Yard
Setbac:b
FIREPLACE MAKE AND MODEl..
'ndumiaJ. Comml::fciaJ & Mu/ti-Family
FEE SCHEDULE
,% of job CQllt R,qjdenlhll, GJI$ f'lrt:pJacc:
$39.50 minimum
$99.50 R.esidential, Additio~ &. Alterations
$64.50 licsJdcntleJ, AC Only
$39.50
~idrmtloJ. lientin.g & NC (New Constn!ctlon)
Rll5ldcntJaJ, Tieating Only (NI:W ConstrUct/en)
$39.50
$39.'0
Estimated Cost $ .
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAl.. PERMIT FEE
$
$
$
.50
\
(om~~ USll Only)
This AppllcatJDn Becomes You.r Bplldlng Permit When Approved
w.d
ecetp't No.
lJnl/tlllI,OmmnJ
Da~EP
Dice
%4 hour notice for lllf Inspections (95Z) 447~, full (9S) "7-4245
10/07/2002 12:00 5
_...... __. -~;....:;:...:..=.....~ "'.......,.,tI,~"
c.;Hl: OF 'KIOll LAD
PAGE 04
11011
D." .Reel.
CITY or PRIOR LAd
SEWEa AND WATER PatMIT
i.a...........\.. ,
'-'1/3/~ - ci2/ 6~ (3/ vd
02-~, ?J7~1
i =-- $....l hdllT NO. B14/ 07 sr
6 kIJ:5 ~ ] l ZONl>'G -"I
UOA.L tJlSCIlJP'!'ION (... ... "-l
:.aT
ILea
ADE)mON
,Xl)
-'"
: APPtlCANT _.~
f1J' K & R Contracting, Inc. ~_)
i ,...-.t. 3245 Lak.e A~nue -- ,.---- ~
J (Ad4n:Il) - New Prague, MN 56071
9.22.758.6247 cCIIr) ~
(COftta,t hnan) f::L f., Il-tj ,. __ <P_u)_
I Am.ICAN7S10~!-roq '-k~ti-(/J.~ DAn
~j
T
APPLICANT PLEASE COMPUTE BELOW
s. of~ acrvicc ua.. .
LacaUOJl of _ coupUzsp from .~ .f:lfL rNt.
~ 0/...,... pipe. D ABC J&1 PVC 0 c.. Iron
!lItimIad 1._ of 1eW.1IM -"'L f~.
_._ Cl.... out (it~) located at IJ" r.t &am 1trUCtUra.
I
L L
nE SCBEDULI
....'...'I~i .... _I......... ~ 115.50 I"'riIl, C"",'). Mld\l-fuliIy 1" otjot. cat _ttt\ . '39.512 ml"tDl1IIIl
S.wer :o,..,.ctian ~I~ 117.'0 VlIIer ~CItII1ectlan 0Il1~ '11.'0
81\.. .'t4 Cott S luiJdia,'-mail ,
SEWU.um WA'I'D. PEaMlT F'I!.E
ITA TE SUllCHAaQE
TOTAL PUIGT ru
s
s
s
.J9
(~ IJM QIItt)
I TlIk ....U......__ Y.....-.......- ~ I
- 1"-111I o,..~ ~.... ~ 1
l-_
M ...... ..... "r .111__ i ~ (JlDI..'..... ... (WIJI
~ AID WITH
BUILDING
PERMIT
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
L M~\V\. rr~
SITE ADDRESS J.::l3..\ S- 'P)~~ \Mete 15lv&.
NATURE OF WORK tJ&..J
USE OF BUILDING SFI4
PERMIT NO. {JZ-Gtt;73 DATE ISSUED 7- (~-C?
CONTRACTOR ~~ ~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) dI' ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/11 ,-J.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING e ()~~, ~.+-())
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE;
This card must be posted near an electric~1 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