HomeMy WebLinkAboutBuilding Permit 99-0089
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'3 3i~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
!J FINAL C[j)
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
1/.1J. -crt
5~ (~ C.
CONTR.
PERMIT NO.
? 1- oo8~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~
~ <:".0.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
.~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
. '..-,----.-..-.-...-....-....-.... ....
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
o/zi!:t J: I~
3396 SPRlrJ~ CitLEt0
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99- E3 9
o FOOTING
o FRAMING
o INSULATIONtJ P\
y{ FINAL
/"o'''FOUNDATlO
o DEMOLITION
o FIRE PREVo
A.. .9. PLUMBING RI ([Z.. ..
~ ~CHAN/CAL ~ NL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
W ~ \>fA E:r:AiYlPt'X' I "'-~ ..
)J SoJ cL.-t-t W~ F-
~. t2~", V( ~C+'Q'" ~,.1r,s
~ 5roc,aLY"\ (A__ -~ ~tye.vf- ~
(~)Ro~ 4, \ ~ .
.--. ~ ---..
-Q~ ~ ~ ~-~~ )
--- ~ "-./
~ ~L.- dA
.-/
o WOR ISFACTORY. PROCEED
o RECT ACT7fJA ED
CORRECT WO FOR INSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447. ..,JFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
T
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS 33q~
SCHEDULED ~~
Yi21~ 6'ler}
CONTR.
/~130
OWNER
PHONE NO.
PERMIT NO.
99->(1
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
"i{EPTIC INSTALL
~ PLUMBING FINAL
ITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~OM~ENTS:
~-t7..
tWUL
~
~ flwr
~
/-
'nspectol: Owner/Contr:
CA~ 447-42' FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"T'--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3~~ 11}
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
l( FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
IO/z7/f1'j
r ,
SPtt~N{, ~LEAJ C I~
CONTR. lAlEJ.J<t1-tNJtJ ~~_,_
PERMIT NO. '1'1- 0 l)'7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.l5. EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
GftACE. OJ(. t:et 7/ ~
J N5PeC."a,J
CuRBt30J.. l S OP~ttnoNAL
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ p~ OlAuler/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
I'~; j,'~"'J.""~'''''' ~:-=-~~I"".w:, A,.\~~ ..~" ..!I>..c..-..,J"';&~'L,""'~:NA-,""",~P .,' '" ."~fI,v""",~I!":~ .~; <,~!;:.'i\"i.~"',~i:'>-f'. ."""'~..., li-Jt,~ ~:
QLertifirs1e nt ~rrnpantY
CITY OF PRIOR LAKE
Jltpartmtnt of Jiuflbing Jn~ptttion
)!J 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 of the
City of Prior Lake regulating building construction or use. For the following:
Use Classification Sint~le Family
Occupancy Type 1l.1 Type Construction V Fire Zone
Le al De ., L9. B2 Glynwater 1st Addition
g scnptton
Bldg. Permit No, 99-0089
NI A Z' D" R2
omng tstnct
Owner of Building
. Site Address 31gS Sprinv Gle"l Circle
Contractor'sName&AddrC"~' Wensmann Homes 1895 Plaza Dr.. Eagan Mn
Robert D. Hutchins
Building Official
AlA C' PI Jenni Tovar
/'~ . tty anner
Date:
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. SITE ADDRESS
33~~ Sflll~b G/~/V C,'rc/~
3. LEGAL DESCRIPTION
9
ADDITION G / y.IV ,,~-;- f r
(Name)
LOT
BLOCK
:l..
1ST
PID ::1.S--.J.51 -OO'j- 0
;::Jt:I/,.t; t')~
4. OWNER
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER (Name)
/;J l' Nf m ~IV /t/
;...16m f'f
7. TYPE OF WORK Fireplace 0
New Construction bo-"" Alterations CJ
1. DATE
e:;-rf-99
\~d-
(Tel. No.)
(Tel. No.)
(Address) (Tel. No.)u
IFf5 '/~%t:.. Dr (,s1_~o6Y,,(Jo
SI..(;1~ ~(JI) fQ'''j'v$fl:l~ .J'9-7~/;1.
Septic CJ Dqk CJ Re-roofing CJ Porch CJ
Addition CJ Finish Attic CJ Re-siding CJ Finish Basement CJ
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. --1...4. ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
fIJ..fJ.Qo
17. COMPLETION DATE
I hereby certify that I have fumished 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 off~JI can revoke t!!y~rm' for ju~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspecti9J:lll':"""
X L1 tlAN d ~ /YSP ;l.-tf-JJ'"
, - f nature License No. Date
..
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
gf~
Side
TYPE OF CONSTRUCTION: I II III IV (jj)
Occupancy Group A B E F HIM -.:;' S U
Division 1 2~
Permit Fee ................................... $
City:
Gl"Z. .OC:C:> .0 0
I
PERMIT VALUATION
Plan Check Fee ............................. $
B3~S
st.ll{-'a~
'/lo.OD
State Surcharge ............................. $
Penalty ....................................... ~
Plumbing Permit Fee ....1f.~r. $ t ~ Cl. 00
Mechanical Permit Fee ..ff.:(??f!!t... $ J 00 . ~
Sewer & Water Permit ...r f~.;cr....... $ 3 5 . S-O
Gas Fireplace Permit ...r.r..-:.!.1...... $ (./0 .06
ThiS~come~Jour Building permiLW~nAp~~d.
By ~ Date? (0 71
'7 - /
Certificate of OccupaKcy
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ SETS
SURVEY
PLOT PLAN
CJ COPIES
CJ
Amount Brought Forward .................. $
Park Support Fee ........................... $ es () . (') (")
SAC ......................................... $---1 ClSO .0 Q
Collective Street Fee ....................... $
Sewer Tap ................................... $
Sh " $
Pressure Reducer .... ~.................... $
Meter Horn ....ft.i;........................ $
Water Meter ...'8............................ $
Sewer & Water Connection Fee ........... $
24 hour notice for all inspections 447-9850
J.j S. CJ t'1
1,:),5:.0'0
{1'aOD .00
'l.a11 . 0 r)
Water Tower Fee ........................... $
T....-
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ ':)(p~_ Cf7
Total Due .............................. $
Paid S"'=> (l...Gf, Receipt No. ~ 4-tl 0
Issued '
Date 3/" \~ By ~l4- .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanc~ dnd may proceed as requested. This document when
signed Illflhlfity.P1arJ{ c~stRutes a temporary Certificate o. f Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
c~: ~:.uuvL _ ~,~ .t1q
city Planner Date Special Conditions n any
1',;'90 -
~
..
Job Add~SS >oJi<l5011 ~ bit H
Heating contracto&("":z ,k~,/f
Name of Tester ;;? {. .
Date ? --" V j1'
7
o
~
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
MRR. 3.1999 3:11PM
GENZ-RYRN
NO. 079
P.7/8
~
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPIiCs.nt:~~ an
Address: _f&.+'~ D.IlA:i:. ~
Signature: ~&.n1J"') ~ ....
Legal Descriptio;;; Lot q Bloc~ ~ SlJb~ I~ ~-iJA LLJ€.~+
sn.Add"'ss:-.3:5"l9i~G) l,n ~ I\JLl) .~
Building Permit #I ,~( !=lID # c9"1 -05/ -{JCX1-o
NOTE: This permit ~i1I not be processed without complete il"lforrnatio,,_
TM c:.ft,ft' Qr I~I Lake CGUft,r:'
Phon61:
I. Bllllll File
:1. OvId Cty
3. YelloUl AppliClaC
# WC01
14~~- \ l \44
Quantity
I I
I J
I J
...L... ...::L
I I
I I
I J
I
~
FIXiURE UNITS
Type of Fixture
Quantity
Type of Fixt\.lre
Bath Tub with or without shower
Dishwasher'
Floor Drain
3
J
~I
I
Rough-ins
Water Heater
Water Softner
Stand Fipe (washing machine)
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
8ar Sink
Water Closet (10 II et)
Sewage Elec~or
Bac:ldlcw AssemblY (RPZ. Double Chec;l<t PVB)
8ackflow Assem~ly Test
Lawn Sprinkler
Other
FEE SCHEDULJ:
Il"Idustrial, Commercial & MUlti-FamilY
(1 "Ie of job cost, $39.S0 minimum)
Residential, New One & Two Family
Resldentia.l, Additions & Alterations
State Surcharge
S99.S0
:538.50
$
S qq ",SO
$
s
.50
GRAND TOTAL
$ 100.00
O W\\\-\
('" p~\ r-::' ~\\,.
I BU\LO\NG f..... ,.'
This peMTIit is gf:1rlted upon the eltpress condi~ion [hat said
ccntr.1ctor. shall comply in all respectS with the otdin:mces
afthe Stilte Plumb;ng Code ~nd [hll~., ~e!ll}!P;n:of.
R.ECEIPT NO. .. I DATI:
A TrEST
U
Call for all inspections 34 hours in advance.
16100 Eagle CreekAv. S.E.. Prior Lake, ~!inneso~:l553721 Ph. (612) 447-4230.' F.~.x (611) 447-4:2-75
An Equ~l Op\ilon:unity Employe:-
CITY OF PRIOR LAKE
162.00 Esgre CreekAv. S.E, Permit No.
Prior Lake. MN 55372
11.97
3:
D
;;0
HEAllNG APPLICATION I PERMlT
Dale 3)?>/q q ,PJD.t cxS--357-0nQ-(!)
Sit. Address 3398 .. ^....." , ~ n C-:.. \..in CJ..n.. Nu)
-- ~ "--,-, .
Lot l1 BJoc1c & AddJtlon~o.:tuL. l J...l~
OwnefaName LA. ~~
Address J'8QS rp \~ ~.
Heating Conlractor ~- ~
Address \L\1L\5 ~ ~~ ~
l\~?--\ \ \'-\4
Telephone"
Furnace Make 4 Model ~ O..Y\r\ ())~
.
Model Size Q{a..~~ fA!?-r 15
Conn. Load
FUII~Fk.t. Slz.
l (
I.f-
y.1J
SuppJv OpenIngs
Retu In Openings
Inpui1'S:(xx) Outpul (nO) r:cD
Edr.
e'm.
TYPE OF SYSTEM
Warm Air Plants
Gravily
Memanlcal ~
Air Cond.lonlng
Vent. Sy&lem
HEAliNG OR POWER PLANT
Sleam
Hal Water
Radiation
Special Devices
Ol her Devfces
A148rallons
TYPE OF WORK
New Conslrllcllon
~
.Repair
Replacement
Esl. Comp. Da1e
Est. Cosl $
Building Perm. #
HEATING PERMIT FEE' c,q. SO
ST~1E SURCHARGE $ .50
TOTAL PERMIT FEES s JLX:) ,00
( PAID \tv,......,'
. BUILDINC
Receipt ..
TYPE OF STRUCTURE
I. J'iu File
1.. Gre 01)'
3. YellL CootrtclIW
Single Family
~
Mulli-Famlly
Olhe r
......
I.D
I.D
I.D
Two-famllV
w
Commercial.
Industrial
Public
Fu Schedule
Industrial. Commercial & Mulll-FamUy
Residential, Heallng & AC
Residential, Healing Only
Residenlia', Gas RreplllC6
Resldenlla'. Ad~illbns 8. Alterations
Residanliat. AC Onlv
w
1 % of lob cost ($39.51) minimum)
$99.50
-$64.60
$39.50
$39.50
$39.50
......
......
'"0
3:
G1
fTl
:z
N
I
;;0
-<
D
:z
Remember to add the State Surcharg& on the boUom ollhis appllcatfon.
The price of yourheatlno pennl' ilclud&5 one rough-In and one finat Inspec1ian.
Addillonal inspectlDns will be blred at $95.00 each.
House HeaUng Tesl Record must be subml"sd wilh bullrli~ IWJDIlIWllllw: belore buDd-
Ing certificate 01 occupancy will be Issued.
J:1EAI CALCULATIONS REOIJIREO wilh number of supplV and relum apenlngs lisled per
room W11h CFM's psr opening. New 5IructlJl88 or additions sund flDO' plan wilh supply
and return locatIons shown. HEAT lOSS CAlCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CllY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Cill( Hall buslneas hours are 6 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUG.If..IN AND fiNAL) . CALL CITV HALL
447-4230
I hereby apply for a mechanical systems permil and I acknowled!)8 that the
informalion above is comple1e and accurale; thai the work will be In con'ormance
with Ihe ordinances and codss 01 1be cUy and wIth the &1111. buildlng/me~hanlc.al
codes; Ihal this form does not become. permit untU sloned by the BUILDING
OFFICIAL; that the wOlk will be in Bccordance with 1he approved phm In the
case 0' all work which Tsqulres review and approval of plans.
/' ~.. , ~. 3/5/99
L,/ - ~',. Signature , Date
~ Y1~ :3 -- 5 -9'9
Building Ejmeal's Signature Date
:z
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Ga
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CD
"-
CD
FEB. 12. 1999 2:09PM
GENZ-RYAN
NO. 478
P.4/4
.... . .....
'rIUaW · AM..lC&1r1'
CIOLII . CITY
CITY OF PRZOR LAKE
SEWER AND WATER PERMIT
NO. qq -OOq;{
NOTE::
Sewer and Water
contractors must
be registered
with the city.
APPLICANT~ a"'./)_ ~CLYl.l
q..;ul U -
ADDRESS: /4745 ~. ~)b-e.ri- I rl
SIGNA~ .
SITE ADDRESS:..3'?,~ ~~Q fiLon, Un
FILL I~THE BLANKS
'-10'
PHONE :u51-Y Q.~- 114 Y
DATE:: Q I P'aJ qq
,BLDG. PERMIT *
~D# ,:).5"- 35f- 1)0 q-o
2.
3 .
size of water service
Estimated length of water service
)"
feet.
1.
inch{es) .
4 .
5.
Type of sewer pipe.
Location of any couplings frcm s~ructure
I'VC)( Cast Iron
/ J^I
Estimated length of sewer line ~~ feet.
feet.
A8S
6. Clean out (if required) 1 located at
structure.
feet
from
===========~---~~======~~~ .~~~--~===---====~---~~~~
-,.----=====
This application becomes you~ permit wnen approved.
BY
DA:'I'E:
====----~~~=----------~~=----========---~~--~~==~=~----=====--==
FEES:
$
$
$
35.00
.50
35.50
Sewer a~4 water line connection permit.
Surcharg'e
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
* Sewer and water permits issued for new construction must be
reQorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAID
REC/D BY
, 4629 Dakota St. S,E., Prier Lake, Minnesota 55372 I Ph. (612) 4474230 Fax (612) 4474245
AN eQUAL OPPORiUI'IJiY eMPlDiER
"-,
"'-
CITY o~ PR:OR LAKE
BUI}dJjN~P~MIT P~N REVIEW
INSPECTOR~ {j~~ ,
DAT~ "2 -10 - 97 PERMIT NO. icr-002:;Cj
o ACCEPTED AS SUBMiTTED
~\CCEPTED \NITH CORRECTIONS AS NOTED
o NOT ACCEPTED-CORRECT & RESUBMIT
These comments are for your information. All work shall be done
in full compliance with all applicable building & zoning code re-
Quirements including items not s;:.ecifically noted in this review.
KEEP THIS PLAf\J SET ON SITE AT ALL TIMES.
C',~~ -...' - - ,~.... .,c., .-~~ --, red
ve,.",-, fo.~....".. I......""~.' ~ ~H.,..~ '...; ::; r\,;,'~Ld
o("~;;;'I'mo' ;,.~. ,".."'-
.~"~ J u... i. '...::it J-::;, ......Llu ..,
0,,' ,'.' . ':': ...''"1.., _.,~ u....
l......,.... '-:~.~. .., ':HU v.ater,
c:.r.~: ~!cctnca'.
<3ec. 'BP:t:t:" i1 - 0087 fb~ PIAM.'S I Sfe1=.5. CC1)M~~ / SUh1~. L ~c::..
HEATING APPLICATION I PERMIT
Dale S- /.;::u I Qq PID II 2.6-:3 5'/ - 009-C;
,. f .
Site Address . '?-.:r q l' "'_~f~ '... (;{lJI e.,1.;1c ~ 2-
Lol q Block 2- Addil~n ~YN' NFf'T51f2.. W5ST"
IJJf)~AV>- ~
AllIed Fireside
v1J1I Rreside CeIMl'
license #20090911
:700 N. FaiJ:View Ava
Rosp.vme, MN 55113
i$1J63~.~IiA 1
Owner's Name
Address
Healing Conlractor
Address
Telephone II
Furnace Make & Model
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 99- BCJ
Prior Lake, MN 55372
IJAlJ- JJ r;, I ~
TYPE OF SYSTEM
Warm Air Planls
Gravily
Mechanical
Air Conditioning
Vent. Syslem
HEATING OR POWER PLANT
Steam
Hot Wat,r
Radiation
Special Devices
Model Size.
-S..I J.('JJ 10
-
Conn. Load
Fuel jt ~"d Flue Size
Supply Openings
Relurn Openings
Input Oulpul ..13.0))
Edr.
Clm.
Allerations
Repair
Est. Cost $ } I 00. {b
HEATING PERMIT F~E $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Other Devices
TYPE OF WORK
Replacement
y
New Construction
Est. Comp. Date
~'!l/_) u /~
, .
Building Permit II
99" 1M
PAID WITH
BUILDING PERMlTj
.50
Receipt II
TYPE OF STRUCTURE
I. .....
2, Grcrn
3. V.II_
... 3:
Cily \11
Contracl'" '<
I
N
~
I
\0
\0
o
0\
"
U1
~
)>
Single Family
Two-Family.
Industrial
Multi-Family
Other
Commercial
Public
Fee Schedule
Industrial, Commercial & Mulli-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residenlial, Additions & Alleralions
Residential, ^C Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
."
...I.
,
ID
VI
...I.
0-
lD
n
o
,
:3
ID
,
Remember 10 add the Stale Surcharge on Ihe bohom 01 Ihis application.
The price 01 your healing permit includes one rough-in and one final inspection.
^ddilional inspections will be billed at $35.00 each.
House Heating Test Record must be submilled with 11IIilrlio/'l "fl!rmi' 'M\m~' belore buile
ing certilicate of occupancy will be issued,
HEAT CALCULATIONS REQUIRED wilh number 01 supply and return openings listed p
room wilh CFM's per opening. New slructures or additions send lloor plan wilh supply
and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
0\
~
N
0\
W
W
City Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
CXl
CXl
I hereby apply for a mechanical systems permit and I acknowledge Ihat the CXl
inlormalion above is complete and accurate; Ihat fhe work will be in conformancE~
with Ihe ordinances and codes 01 the cily and with the slate building/mechanlcl
codes; lhallhis form does not become a permit until signed by Ihe BUllOIN<:
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
-'~K
Building Orricars--SigRature
~/$"f
. 08t.
0-/2/),Q
Uat.
il
,
o
~
r'-~'fj'~1JB/6If
-,,'
Thr ernteor of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
MAil\.> ~'LEo- /1- (x)81
0'1. IJ! 7/1- l}en BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT WGv ~ /iG/'h C3<;
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
53'12.. I 33'1 c.f
~ cr Cc; '33 ? ?? .5?R (,.J(." a LC,.J C (t~..c.<.. e:
Accepted
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Accepted With Corrections
Denied
Reviewed By: t./1f,,-rE/l. trllf€S,.,4A1AJ
Date: Zllll/"
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Comments: S';E )Nt:ot(M~ ON R.cc)€*~~ SUJ&
sC'e: ~: I. h.A.U:,-L /!,'UICwJf.. /NSPccr~ jNFo;tlMl4r/OllJ Z. (!)Il.~~
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cf.. F IlLJ<UMJ I'....AJ TIW '- PL-AI\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."
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PRIOR lAKE
JNSPEC-rlON RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 33'1~ S~r~0 ~l",V\ Q.,
NATURE OF WORK. f.JeLA'\()tj)A~~'r-~~,"dVt
USEOF BUILDING SFA-
PERMIT NO. .CY1-6oacr DATE ISSUED :2 -/0-9i '"
CONTRACTOR W..QIAc., ~c..N\\A ~s.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
.THE PERMIT IS BY SEPARATE DOCUMENT '
INSPECTOR
FOOTING I
I FOUNDATION (Prior to Backfill) I .,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED"
ROUGH - INS
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SEWER 1 WATER I SEPTIC
FRAMING):'; ~!)<j,5-,)r''t
INSUIlATION
ELECTRICAL
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.'PLUMBING 6/f~F11 6' ,}7-'/i
~, 1~~:.I~~;reqUiredl~fl ~:';j
GAS LINE AIR TEST' ~ 1=i~ I r&::1ft (,-11
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',>,.",COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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"FINALS"
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GRADING (Prior to Sodding)
BUILDING '
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HEATING U ---
DO 'NOT OCCUpy UNTIL ABOVE HAS
NOTICE\, /
This card must be posted near an electrical service ecibinet prior to rough-in inspections
.. ','andmaintained' until an inspections have been approved. On buildings and additions',i '"
">Where no service cabinet is available, card shall be placed near main entrance. ' ,
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BEEN SIG
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230