HomeMy WebLinkAboutBuilding Permit 99-0007
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
NO' \1 3 !orv"
lJ::Jd
I/f-6007
Permit NO.~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.~~~SS
'" ,r,.;.:.k' l~D oI\'lS ~nA b
3. LEGAL DESCRIPTION !\. I 'A-k f.)...
LOT Ci-~~LC~N- Lf(.!) PID .;{S- OJ./1-- ()2-7-tJ
J f.,,:) 7 f't/ h I 'to ~, 51,,I'i'1
ADDITION _l.frJ - . ~ '11-- () ~.L.Q'
4. OWNER (Namell (Address) (Tel. No.)
khu (' 7.t.fT t--\.-~M..s l"-J c.. \tlI z.z. LoVIJ,I4NIt- Avt ~ MftJ
5. ARCHITECT (Name) (Address) (Tel. No.)
1. DATE
ll<> - 98
f-tJr
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(~~ 'rq~ 13~
12. NO. OF STORIES
3
13. TYPE OF CONSTRUCTION
StN~ ~t{--i
14. FLOOR AREA APPORTIONME~ USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~AM-
SEATS
7. TYPE OF WORK Fireplace CI Septic CI Deck CI Re-roofing CI Porch CI
New Construction ilV'"' Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16'VOJECT COSTNALUE
Chimney CI Misc. l eO tL
8. PROPERTY AREA 07CRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17^C~MPLIiTION DATE
Sq. Ft. /l /"" )Vidth Depth Yes No ~l ( \
"
I here~y rt~i2a hay ~um' inform~ion 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 ab e m prope d that all nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi offici [AreY ke . permit for ju t cause. Furthermore, I hereby agree that the ~ty official or a desipnee may enter upon the property to perform needed i!l':pections.
X ~OO:?"5LtL, 1(- J--7{}
l / ' Signature ~ License No, Date
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CI
PILING LOGS 0 PERCOLATION TESTS CI
PLANS & SPECS 0 SETS
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 1~~ I ~ . 0(')
SURVEY
PLOT PLAN
o COPIES
CI
USE OF BUILDING
'S Ft')
TYPE OF CONSTRUCTION: I II III IV W
Occupancy Group A B E F HIM ~S U
Division 1 2 t;) 4
Permit Fee .....................,............. $
Plan Check Fee ............................. $
Slate Surcharge ............................. $
Penalty .................:Aj).................. $
Plumbing Permit Fee 'f.'r..#:-:...f.:J.f./ $
Mechanical Permit Fee1il!.?l./:J.f!:. $
Sewer & Water permiJ..t..lI::1.f.-;:JJ&tj
Gas Fireplace Permit 1/I..'Ii::.p.f1.. $
1,2.81-2C;-
~"3<C.lL.
'f 0 . 00
City:
SAC. ~ r-e& \ t-
t>P~ ~~-oo~
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~
'''- S~.. $
Pressur educer ....Ii................... $
Meter Hom. ........"....................... $
Water Meter ...:%.......................... $
Sewer & Water C nection Fee ........... $
Water Tower Fee .... ...................... $
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JD~. of)
14~. oj}
9?-CIz,7
9r-C2V1
Mfl 99-dZ07
1b . ~ 0 9''1,a;p7
~ 5'. t) 6
/ z.c;:; a')
i ?J.dO
o
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~
Issued
Water Tap ................ .................. $
Builder's Deposit ............. .............. $~~ - o..c
Other ..J:'r.{!'.~................. ........... $ , OD. 00
Tolal Due ...................... ....... $ Lllt;5'4. L(7
Paid L\(6)tf. L\1 Rece' t No. 3%44
Date (/')-2\ -qc, By
Th~on BllfOmes Your Building Permit When ApJ!.roved.
By _ ~ Date 1(- \-S-''l~
I
Cert~icate of Occupancy
l-
-
~~.~ ests: i ,: he: above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ
~ ~ Certit;7i u~~comPliance and allows construction 0 c~~fore occupancy, a Certificate of Occu
City Planner 0 Ie Special Conditions ~ any
24 hour notice for all inspections 447-9850
Cf9-tJ 06 7
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Date II -1-Qct
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. q q - 7
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PID. 25-04-2- 02-7- 0
Site Address 1.~~4/ REDCJAKS R. 0
Lot 4~h-/BIOCk', Addilion !ZEO 0.41<5
OWner's Name I+i 1\ Cre...3+ Uo'fY\O S
Address 'P. (J. B.iJx 45"10
Heating Contractor Avm N\-Prtl c:. 6 Af2-AG e-Doof!. f Ft f2..f:p/J9C6;:
Address qJ..IO WL{Om rM~ ~ Nt.. RAooldLm PtJ..vfLPl11J5T415
,"' U
Telephone' folrl- - 3/5- 7500
Furnace Make & Model C:;UPutO~DvrkJ' cmrJ5TYPE OF SYSTEM
, Warm Air Plants
Gravity
Mechanical
Air Condilioning
Vent. System
HEATlNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
12 /'50
Model Sizt
Conn. Load'
Fuel tJ~"(
Flue Size
Supply Openings
Return Openings
Input ~7, {)OO
Output
Edr.
Other Devices
Cfm.
TYPE OF WORK
Alterations
Replacement
New Construction )(
Repair Esl. Comp. Date
Est. Cost $ J4()o. O(} Building Permit t#
HEATING PERMIT FEE $
qq-7
(/ p~\O wrrH
\ BU\\..O\NG PERM\T
~. .'
STATE SURCHARGE $
TOTALPER~EES $
.50
Receipt'
TYPE OF STRUCTURE
I. Pi...
2. Gree.
J, Yellow .
",,'"1,',.,
File '.:t:~'
. . . "'~'ll T .
'C\tJ ...;',,: ',' :....
eo.-.aar'" .'....
'~ :,:;::;
,.,' :, c..
" :::,,:~
". CD
Single Family
Commercial
Two-Family
Industrial
Multi-Family
Other
Public
....
N
....
00
Fee Schedule
">:l
>
~
Industrial, Commercial & Mulli-Family
Residenlial, Heating & AC
Residenlial, Heating Only
Residential, Gas Fireplace
Aesidenlial, Addilions & Alterations
Residential, AC Only
1 % o. job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
en
....
N
c..
....
en
o
...,
o
N
Remember to add the State Surcharge on the bottom of Ihis application.
The price o. your heating permit Includes one rough-in and one final inspection.
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C)
HEAT CALCULATIONS REOUIREQ with number of supply and return openings listed per ;;
room with CFM's per opening, New structures or additions send lloor plan with supply ~
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND t%j
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE ~
CREEK AVE. S.E. PRIOR LAKE, MN 55372. g
t""
t%j
><
Additional inspections will be billed at $35.00 each.
House Healing Test Record must be submined wilh buildina Dermil number belore build-
ing certificate o. occupancy will be issued.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
.e
I hereby apply for a mechanical systems permit and I acknowledge that the
in'ormation above Is comp'ele and accurate; thatlhe work will be in con'ormance
with the ordinances and codes of the clly and with the stale building/mechanical
codes; thai this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case o' allJVoJk which req~4ir", review and approval of plans.
///. IJ al.J I.
\//11 I ~. f/ /,.{ IftTI I /..." i
./"'-./ V vv /.IL4"' V l/ 1/ v v VL/V -vvv
A~=--
Bu~ng Offical's Signature
~
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Date.
/1/319'1
.Date
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq- ()007
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
Date ~ -:'>-<f~C; PID# 25-042 - ()2.7-D
Site Addre$S Is-a ci, ~ f1 ~ o~. ~ .kE./SC>
i'P !
Lot i{~~/Block Addition ,e~O O,t:f/<S
Owner's Name IL ~ I A J Lfj- ~ ~
Address I ell 2-z..... ~tA~ ~
Heating Cont;acto~.~ ~ -rJ!-/"
Address IdJ.fPI ~d, ~ 14-f .sAVA<:7G:'
Telephone # k, I,J.. K'7 if 000 r
Furnace Make & Model BIIU:. ~
u
Model Size 330 )fA\J ottl /00
Conn. Load
,
Fuel AJ~ b4.(l=lue Size
....
~upply Openings
Return Openings
Input J () 0 ~()(j Output
Edr.
Cfm.
TYPE OF SYSTEM
Warm Air Plants.
Gravity
Mechanical
Air Conditionin~llJ~ ~c;z"J CT)(63"
<J -
Vent. System .3lV'"
HEATING OR POWER PLANT
Steam
Hot Water
Radiation.
Special Devices
Other Devices
Alterations
Replacement
TYPE OF WORK
New Construction i
Est. Cost $
Est. Comp. Date
Building Permit #
99- 0007
Repair
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
0/1. ~-o
.50
/ 00 o~
PAID WiTLI
BUILDING F;":, .. -.IT
Receipt #
Single Family
Commercial
x
Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with b!Jildinq .oermit numbe( before build-
ing certificate of occupancy will be issued.
HEAT CALCULATION~ REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work w~u;res rev;ew and approval of plans.
~P,I~"..'t'~,.tu,.~--;f,,' 8-~D:P
,~ 'ur, ,.' , I. ' L
VV;\_' / :~_ ."~~ 16125/G1q
Building Offical's Signature ' Dafe"
77tS-<ft'--
08/10/1999 17:05
512-8947972
LAKESIDE PLBG
PAGE 01
L. Blut 1"le "-
2. Gold City
3, Yello"" AVpUC8.IlI
# Q9-()Oorl
I
CITY OF PRIOR LAKE
PLUMBING PERMIT
.phone: 891(",.?t. ov
S' ~"\ ' u;.....e; r r?7 "V
~ ,
Thl' Clf'nl..r or Ihl: I.."klf Cou"l"
Applicant:. LA:c:.> c;;,td.:L..('/~ffPI'17
A~dress: ..L)..l{(tJ If 3.':L.olJ' A (,j C
Slgnature:~~~"- ....-.e..#
, . ' /7 i:!77::: s
Legal Description: Lot/?;..vO ~5 Block Sub /<.60011K..$
Site Address: J,'i 3v-1 R..:1':.e.LrA[C';) R., J 1</$.0
Building Permit #, ' qq - 0 t? (J '7 PID # ,/51),,;.2::3 X 7 /' nl
NOTE: This permit will not be processed without complete information.
6/ t( r {J. , I.. L.~. ~e\ + 1-/"""'" ~
Quantity Type of Fixture
FIXTURE UNITS
Quantity
Type of Fbdure
Rough-ins 3 J<; LoJuJ C. r, L <. v (../
W.. v lit') /q
J
c..:2. Bath Tub with orwlthout shower
! Dishwasher
I Floor Drain
L/ Lavatory (bathroom sink)
1 Laundry Tray (1 or 2 compartment sink)
!)-. Shower Stall
I Sinks
Bar Sink
1-
I
Water Heater
Water Softner I
pi .-., r'\G~1 ()n '-1
Stand Pipe (washing machine) I
Sewage Ejector
-3
Water Closet (toilet)
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other i-/(..&;l hi bbs - .2. 7"i:.. t: ,rulC t: ,-
n ;.>Po~'~ ~- J ~".'\ .0/:,.
FEE SCHEDULE
Industrial, Commercial & Multi~Famlly
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ -
("j' c; $'''-'
.50
GRAND TOTAL
. .01,'
~1t~M\\ .
\ eU\~O\NG
This . permit is ,granted upon the ex.press condition that said
c:cntractor, shall comply in all respects with the ordinances
of the State Plum~'bing ~. nd the amendments thereof.
. .' l{ ~Jlf//8/1/ /qq DATE
, ~--- ATI'BST
Call for all i spec;tions 24 hours in advance.
16200 Eagle CreekAv. S.E" Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
IaltEE. - I'1I.E
YELLOW . APf'\.ICAIIT
GOLD . CIT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
tr - c:t/o 7
NO. -Cft )3.tL
NOTE:
Sewer and Water
contractors must
be registered
with the city.
ADDRESS:
PHONE:~9'-~/Yj?
DATE: 7- 7-99'
BLDG. PERMIT # qf- /) f/
PID# riS - fJL/L- b 2-7~ 0
1.
FILL IN THE BLANKS
Estimated length of water service ~a
J /1
Size of water service inch(es) .
Location of any couplings from structure
feet'.
2.
3.
feet.
4. Type of sewer pipe. ABS PVC X. Cast Iron
5. Estimated length of sewer line ~d feet.
6. Clean out (if required) I located at
structure.
feet
from
----------------------------------------------------------------.--
------------------------------------------------------------------
I
::;5 ap~ b;;;;Ji.ur permit ::::: ap7lJ~diff
------------------------------------------------------------------
------------------------------------------------------------------
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. -
RECEIPT #
REC'O BY
DATE PAID
~AID \,'R=H
BUILDiNG PERMIT
AMOUNT PAID
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
Tht ("tnltr of Iht Lakt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~
APPLICATION RECEIVED _J IkJ/1J f
~L.
- ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--1SJ 1/-1 o{J rr..LI'" rn.l~
Accepted
Accepted With Corrections X
Denied _
Reviewed By: (;b 11- ~
Comments:
Date: ( \ - 13 -'to
I. S~~ a.\ l F;CcJ-€ So.-t t4Nl.-o...s
:2. Mc..,'-\.tc...,,,,,- Ct-O'5tOv\. ~~t'-c::>(
S - ~& G\..ll A. ~c~ I+~ ~
"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."
Jw
Th. C.nl.. ollh. Loke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT "!, (/,
APPLICATION RECEIVED ii, ./ '/ \
; ,
, I
,.. ,/
(,,--
- k--lJ ~'^T
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,j ( f
,I 1
I",
,. ~. ,
~./ l. i ,I; .. ". .""
Accepted
Accepted With Corrections
v
Denied /'\ /J/
Reviewed By: () (-1"J , ) f/Z/CVL-J .
Comments: )f ~ 1:/.tr!>> ~Jv;cd1 tFh ~a. ce-ft ~ -;t{)
v. (/ lJ
~~ ~c;t;/yJ ,low~ fbJrJi cd;; 909.1 07 ~
*" e.xl~+1~0 (sJ~{\J.. -fn IJe~.
... j\t\,()~, Cd Ob O~'1 ~ Mod";'" ~
L ~e !ll1cl~ MO,t b 0- k- ,C:, /21 I Dc
r ,
Date:
S-J /I ( CjCj
"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."
TM (".ft'" O'.M LHe CO"'f)'
White -Building
Canary - Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION Dt;fARTMENT CHECKLIST
NAME OF APPLICANT 1!Ji~1f../,
APPLICATION RECEIVED J //3/1 f
.-(1
-~,
.'"'!
.~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15"; Ij I -f.,i UJJc{tr-J,
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJAL'f'OL f'~~AAiA.l
Date: iJjto!n
Comments: !?lI..NJJ:'1= IfIvsr &;
(J.JVE"'~ 7i I4AJ./i Al.oAJ(:, ,f)IfI4'A.JA4~
~ ll11t.,I7Y e~'f'< As I'fItkN 'f.T
-? ;tl4I'T1 C 14 L. .
SEE. IAFt'l1t ~r, o~ f/MJ ~uEIt.~ is JAE. _
~ WA
J
- ~~ A-rTA~Hr'feJllT".s: J. h.AJr4L (JA If()~ JAl'f:PE.mOllJ
IAl~att.M*'rlftAJ "'2. ~~~o,"'(, Pc.."'^, '3. ~~IO#J L'GU'TI(.DL.. }"IfEA'5.clft.E.S
't. F'" If01,.AJ f'..oA1T1t.#t. R A41
,
5", ~wE.t ~ kJ~(l SEIllJlCE'=;
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. H
. '
. ., "' " , -
'R ftl'm';~";:lA K:E "r;~~~~~~~1NJD~~S::~TION '.1i~~;'.."..
. ~~-"::: ^' '~:.,. ./ ;;1:::: "~~.:.: "'.;,~' :. ' . '..,~, ,,:;; :j~. "'>~ .,~;. .:.' > J'" "~'!:;~:.J'l~"' ," >' "'~:'"~;':::::;/~~.th~' ;':.'!~~". .':, ~~:;,~.
.",l~-~~ I """,.~,,",~ w:..-. -. .J1'''~ ~~:..4I:~,'~_~f;1i ", ." 'j,,~'~':H~"I:~~'" _, ..L. -#. _,,;'
..~;.INSeEC-rI(gN BBG<~)'B'm'i. .'/;;,;.
,): >,j'i:~':~w~~,.rfZ'i~1.:~;:::" ,;.,' . "/,;'?;>":;'.:;';:.;:':~i;~r;?;.;'~'~~5'::!:~~;jk:~~iff>:'J.:. '<~ ";~~j~;'~~!:~~:: \, "
; sltE"AoDREss J 5"3 4 J,~;;:~(;:lt<;/;e;;t.'cJ....' ::'. :':'~E~~j,';::
NATURE OF WORK tJ~ ~
USE OF BUILDING SFP
PERMIT NO. ~~ - I <~ ~~~/.DATEISSUED '11-/ S -78
CONTRACTOR H,t\ 0t--~~ ~u
() 1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INS~ECTIONS BELOW
\..err\~ FD'U.:IHE PERMIT IS BY SEPARATE DOCUMENT .
tJ€\J((-k~ ]~~ Sol'~C!)r- '. INSPE~\ DATE
1)~~ FOOTING.. I . ',~ I ~.'L't~~~
IWrf 4J FOUNDATION (Prior to BaCkfill~'I~'~ ,~j;J ",llz! 41 I 7-- z,- 9;
PLACE NO CONCRETE liNTlf AEU>VE HAS BEEN SIGNED
'ROUGH - INS
SEWER I WATER I SEPT~C .m :1.#y./'5 'rJ!-
FRAMING ..' 1/~t? -. W .'
INSULATION {;(T1/~/""h. ..,
ELECTRICAL 11 /""'\ ~
PLUMBING ~ " (/) )
I HEATING (if required)( ~)/ (fl i;;
FIREPLACEt{;) 11),}n
" GAS LINE AIR TEST lY:a)) 1~/;l)11P
COVER NO WORK UNTIL AELd'VE HAS BEEN SIGNED
I I
FINALS
IN b .Iw}, f
(IJ~ 0 IJrt
(70 J)aV/oTJ
1/~. (//; 7/1JD
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
, I .' ,. '
~/7" I~f
I I
, ~~j)iIJ ~
/6- ~-1J
GRADING (Prior to Sodding)
BUILDING "f.e-f. .t:JJ. r/l/- frr {,/t.r/tt1
ELECTRICAL
PLUMBING
HEATING
DO NOT
'iff ~ (/}()
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 e. .t. ...nce.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230
1
I
Qrtrtificuu nt (JDccupanry
CITY OF PRIOR LAKE
~tpartmtnt of ~uiUrillg Jnsptction
~ Final 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 afthe
City of Prior Lake regulating building construction or use. For the following:
Use Classificatio"
SINGLE FA1lILY
Bldg. PennitNr 99-07
Occupancy Type
R3 Type Construction VN
L40, 41 RED OAKS
_ Fire Zone
N/A
Zoning District
R1SD
Legal Description
Owner of Building c;ite Address J 5 341 REO OAKS ROAD
Contrac7f:Natne&Address HILLCREST HOMES INC. PO BOX 456, PRIOR LAKE MN
r111 ROBERT D. HUTCHINS City Planner JENNI TOVAR
r; IqUm Official
55372
Date:
Date:
POST IN A CONSPICUOUS PLACE
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Heating & Air Conditioning, Inc.
12481 Rhode Island Ave. So., Savage. MN 55378 . 894-0005
O,,)lal Test Report for Jobl
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Address /53VI f.p-f (Jolz f!,/* City PALLh ~,
Occupant /~ /Jr~..1"P /~-
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Date of Ins13l1 It 11/9 q (;
Type of HT. F/A / HW ' Space HT Unit HT
Other
Make ~vf (~ 90
Model () ~ 4 /11 J1V(j 'f S (J cg /)
Serial ~ 79 r ~ 0 JI!{' 9" V-
Input "')( () fI7rfl
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Pilot Type (..H;t ~.
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Pressure 3* Z- C02 -? 7
Input CFH 10 cm-r; 02 roo K
Stack Temp ---LJ... ~o CO 0
Date Tested Ih<l / &f7
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Company &~ ~ .r ~.
Name atTester C-t~-
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J5 0 J..4 \
OWNER
PHONE NO.
o FOOTING
o FOUNDATION @
o FRAMING
o INSULATION
"'l:!{FINAL
../0 SITE INSPECTION
COMMENTS:
~
SCHEDULED
~ ()f~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
TIME
# (X: 7j)
QQ- Offi) '1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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,
~'o.~
I, . - ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
JNSNOTI
~ TIME
CITY OF PRIOR LAKE (.. Z-1 II:~
INSPECTION NOTICE SCHEDULED
ADDRESS lS34/ RuL Oa k.s IZd
OWNER CONTR.
PHONE NO. PERMIT NO. qq - 07
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
v:r'\\ 0 PLUMBING FINAL
~)(MECH FINAL
COMMENTS:;7.)) ~ ~ .fJ ~9 o-L
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o FOOTING
o FOUNDATION
o FRAMING
\~SULATIO~
~ ~~NAL ~
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
/.10\)lt FIREPLACE FINAL
f...D/ 0 GASLlNE AIR TST
o
i ~ ~~ ~ /1f1___r>
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~c Owner/Contr:
- I
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
fF TIME
SCHEDULED ''Z<e 6.&- 9.;-Cr)
Rc.ci O~S ~
CONTR.
PERMIT NO. 1Cf.(X)7
ADDRESS 'S~41
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
l-~E~RHOOKUP
1 \ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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o CORREC
o CORRECT
CTORY, PROCEED
10 AND PROCEED
LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL L 447-98;0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COD.i. REQuiREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V lNSNOTl
DATE TIME
CITY OF PRIOR LAKE 7"Iy-1Cr
INSPECTION NOTICE SCHEDULED /1. . hi
ADDRESS , 53'-1/ Rul~ k4
OWNER CONTR.
PHONE NO. PERMIT NO. fer - 67
o FOOTING o PLUMBING RI o EXC/GRAD/FILLING
o FRAMING ~MCAL o LKSHORElWETLAND
o INSULATION TER HOOKUP o COMPLAINT
o FINAL EWER HOOKUP o SEPTIC FINAL
o FOUNDATION SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
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INSPECTION BEFORE COVERING
Inspector., Owner/Contr:
CAfL 447fo FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COVIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!