HomeMy WebLinkAboutBuilding Permit 99-0099
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i,~". @Ltrtiftrau ~ (0rrupancg t~
l '~f CITY OF PRIOR LAKE . :'if)
f~'I.f 19tpartmtnt of .uilbinlJ Jn~ptdion ~~)
~ ':1'" , J{Final Permitted 0 Conditional C.O. Expires "1'. ..-1
" ., . l'
. . .' 7
-. · This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code .;;" )
t:' r. c~rtifying ~hat at the time O!issua~c~ this structu~e was in compliance with t~e various ordinances ofthe~.
..:, City of Pnor Lake regulating bUIlding constructIOn or use. For the follOWing:
~'I Single Family
" ( i Use Classification
k~(l
.'@'I
"-.'."'.' .
;~.. .
~.
'~i
~ldg. Permit No
99-0099
Occupancy Type
R3
_ Type Construction
VN
Fire Zone
N/A
Zoning District
J#I"~
R2SD
Legal Description
L12, Bl Woodview 2nd Addn
Owner of Building
<iite Address
17414 Sunray Cir~le Unit A
Contractor's Name & Address John Mahoney Canst. 17276 Murphy Lake Blvd. Prior Lake MN
Robert D. Hutchins er, City Planner
!/r7 J;;Cial
Jenni Tovar
Date:
Date:
-- _.~_.- --',--- ----
-Permit. q q - 0094
-Job ~ /7 41" 6 " /"} ra l/t!.I.J,-
~=..:' ~~1f:jj&n
Pounda
Q!!! Ii!!!! Pr..ure
.Gas Une ~
Pressurized ~
Inspected
.Percent 02
PERFORMANCE TEST
~7b
Q90
.Percent CO 6 Yo
"Stack Temp. ~O
.Percent CO:!
Finallnl,. . .:. I
Dale ~44.:
I
J
ejgti TIME
CITY OF PRIOR LAKE 4T
INSPECTION NOTICE SCHEDULED
ADDRESS \,4l4 S Q,.
'TR.
OWNER
PHONE NO. PERMIT NO. ifq- qq
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
V INSULATION o SEWER HOOKUP o FIREPLACE FINAL
IIIr,AL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: <50 a ~ T1ru8 A-rB
fUr
n"g,~ -
~
~ t;O
~~~
~
Vv-~
...------------- ,.~
~ ~~
~~~
I~ 4;tV ~ /~ '
U
I .. ""
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:,::CT WOh;,LL FOR RE'NS:~::::FORE COVER'NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS --!~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~F G
o ULATION
FINAL
o SITE INSPECTION
SCHEDULED
'7<<~Z
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
-&~)dX /'.; /)k ~ - -
1t,,,q/1~~%
lip ~K
re- .
DATE
~
~/'e/~ (A)
.:J;ht1 Maj,I'JJ1~Y
~l9-Cl99
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
TIME
/.7 /Pa
+!lLSh-
hI! /5 .P"~;Aq p~~
h ~p' 10 ~~
w/II &p .,4/i c:rf
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CAL~~/ECTlON BEFORE COVE~ING
Inspector: #~ .b~lIer/COntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS l14\ Lt
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
SUMr15: 1-
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~R HOOKUP
~ ! PLUMBING FINAL
o MECH FINAL
.~~ ~1k.~-
0')~ k~
" -
f( ~ y Q
.
~
/
/
/
/
o
Inspector:
()~
f)
kJh
.I.
(~
()
IrrP
It
Owner/Contr:
I JZY91
TIME
IC:~
Cf'i-tQJ -tqq
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Lwv~
NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
DATE
Il~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9~1J/.."
ADDRESS
\141t/.
~~,:
OWNER
PHONE NO.
PERMIT NO.
1~q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
I\. 0 MECH RI
~TER HOOKUP
EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMME~
lfp' 40 r <JC
l tt 1-~ le-
N, Ar
(yr~ C)~
('0 (A,Jy~~v lt1U rL 1,; u..::J: ~
7tvtRk'
C L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-985l FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REQUlkMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
ePfe Z-~ad
OWNER
/7~d
(i 7'1 ( ~)' ,
CONTR.
oUN/2/1V If A (f
/ '9-'1'7
PERMIT NO. .~J- 3~5'
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
WATER HOOKUP
SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: '25 I .D~ , /(~ l.\ K:.. I ( C!..-:~
~ IdS' ~ 14J/~
Pile.- -h M S ~~ 11- I ~. ~-fu-P .
,., 5"( I'vC- 4 ~~J~ *' 4 rr
f7~ -t;;-~ d...-
--'1; ~ ~f ~-~
I!f~' ~ ~ ~ 'F,~&~'
J1~ ~ ~ - 1"-4> ..t1~:
fJt>l.. ,,~ ~ e>y..... "';~,..'~."p ~
~ V.A").Je.1 ~~ e ~ t;::;.l,-- ~ ~
~.4Of.- ~~-M'
t::,.K SATISFACTORY, PROCEED
rI CORRECT ACTION AND PROCEED
o CORRECT Won~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: {1l- , Owner/Contr:
\
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1. White
2. Pink
3, Yellow
File
City
Applicant
-f-h 1 ? Icoq
Permit No. qq -ocr:A
1. DATE
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
17'-1/'-1
3. LEGAL DESCRIPTION
LOT \ ~ BLOCK
ADDITION , ~ ~ 0& \,)" ~ vJ
~" IO-~i1
C".f <.Jt.
\ PID .drdJ7- () /;}-o
;:) f\~ 14-- /9 r~ '^
(Addr1ssn
VJ V \ {J...,..(,/
BUILDING INFORMATION
11. SIZE OF STRUCTURE I
(Height) 1 0 (Width) ~O (Depthlu \.J
12. NO. OF STORIES I
13, TYPE OF CONSTRUCTION ('I .
{V(.;w-5'. \,L ~\r
14. FLOOR AREA A~TIONMENT USE-
"...... '""
\." "-
'- '- ""'-
15. NUMBER OF OC~ OR SEATS
OCCUPANTS
~J5D
I1l1trt H
(Tel. No.)
4. OWNER (Name)
,?(A~
5. ARCHITECT (Name)
~c,
(Tel. No.)
(Address)
(Tel. No.)
6. BUILDER (Name) I, L C (Address)
)0"'-- i') I'I'c- "'''J '-0 N..,.... )..+->~.
,'( ~ { ~ Y'1 v.l P ~ \...c.,'o.... 6)'" 0
7. TYPE OF WORK Fireplace J Septic 0 Deck 0
New ConstructionV' Alterations 0 Addition 0 Finish Attic 0
Chimney 0 Mis/"
8. PROPERTY AREA OR ACRES
Sq.Ft.
4~7r.33{'O
----
SEATS
Re,roofing 0 Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
~S-O ,000
17. COMPLETION DATE
7r/~-C,q
10. CULVERT SI~
Yes No
, '
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and ~lITect. I also certify that I am the owner or authorized agent for
the above mentiO~property and that all co struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off~ ~voke this perm~' for ju t us Furthermor hereby agree that the city <?J1irial or a design,e may enter upon the property to perform needed inspections.
X {_ 4~ ~ .s LJ l1 L( d '--IO-CC
Sig"tu ( \ Llcense No. Date I (
'"-/ FOR ADMINISTRATIVE USE
9. PROPERTY DIMENSIONS
Width Depth
,
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I~'D')
USE OF BUILDING
SFfI
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV @
Occupancy Group A B E F HIM /~ S U
Division 1 2 @ 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
6:=;() . ()?')
J 0 Sf) . c:>o....
~1..J~ . :=\0-
Slo~ . S~
48. S"D
Collective Street Fee ....................... $
Sewer Tap ................................... $
" $
Pressure Reducer ..Th.................... $
Meter Hom ................................... $
Water Meter .:r~........................... $
Sewer & Water Connection Fee ........... $
Plan Check Fee ............................. ~
State Surcharge ............................. $
~l
LlS.oll
Penalty ....................................... ~
Plumbing Permit Fee ...~q.:-.1q..... $ / QJ}. -
Mechanical Permit Fee ...~ ~::..~1.... $ I Of). -
(.'0 3'" .- 0
Sewer & Water Permit .....u .-.,.:./i.~... $ 7' ~ W t T F $
, "/ aer ower ee ...........................
Gas Fireplace Permit ...........:::::....... $ Water Tap ................................... $
This ~ill!1ti~ Beconlls your Building Permit When Approved. / Builder's Deposit ............................ $ II SO LJ .Ot')
By ~ ~ Date '2. -2.~-Q9 Other ......................................... $
Certificate of Ocw'/' - ~_. Total D~/:7......C.;.z.................. $~jY;- 17' (1---S
, Paid 1/6 ,:J.- Receiptf::J. ,'1'-/7/4 J
Issued ~ 'J)
I Date.3 /-91 ~y . /;-/
This is to certif}- 'u ,,,,~.~y,,,,, '" ,;.\:1 .:oN/6 application and accompanying documents is in accordance with the City Zoning Ordinance Ind ~tld . .
signed by t City P er const~utes a temporary Certificate of ZoninlW<r]pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy
, A..... ~ _ -.J - 2-l ~vr\
( oty Plannar Date Special Conditions K any
24 hour notice for all inspections 447-9850
I :2.~ . 0 Q..
J.aao.('l~
" l[ ('\() .OQ
99-o'rT /9'1- 100
The ('rnfrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/
/ )1(i, I7C:/ltf./ (fell ~
=>-)-/;)-99
{ /-;-(:0 'iv' ,t/t(;; fl
qQ-tJ 100 ((t~/'t {5
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/?LIIL/
001lVt1 (I {(L.
I
Accepted
./
Accept~.d With Corrections
eX \
Denied
Reviewed By: WA (.. T€1l.. ~HIlE.5M I4I\JN
Date: Z/t.l./17
,.;;;
Comments: 57"ORrV\ I,AlArEoC. RtJAJoF="F ~II$T BE.
COtUVFVEl> 'TO ANO
..
AOJ\lc.. DIlAI.NAt.E AAlC UTILI""" EA5E~EAJ7"5 A.:. MUGH ~s Pfl,tU.,fCIIL..
Jlg I'AuT",OA.,)
W H e:.u
CcA.!srttvc-'T"/Oi\.J At:T1ufT'r' Oc.c""Il~
JV~AR T,..,f:,
\
F"'IR~
J..l...i.1) (l .AN-r
As. TO NoT
P A;t1 t4G E.
11'.
Sf:E. INFo~MaT"'II...J ON R(:uE.I2~€ "w~
SE'~ .4n-Jqu.f....E~: I h...,AL CA'~u.)f.. 1,..J~CTIOtU I.JFaIt~#T7(J/IJ
Z. EfloS,,,,,Al C-a..u-rI'tOL.- Yl.."'~
3. l=" (tO~/ON f'.nNrtt,OL- m!d1SLJIlE<i
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
r
'--~"-~''''''''"._._'--'''~~..-._~._._---_.___..-....._._..____,~~""'~_"____"m"'.'_','__,_,.
99-o'rt /91- /0:::1
~ C.RI.. OI'M tak. C...lry
White - Building
Canary - Engineering
Pink - Planning
8.U.J.LD1NctfEflMII..APPUCATION DEPARTMENT CHECKLIST
1~ I II I
NAMEOFAPPLlCANT 1!(C<.17C/lC(! CCIl7:
APPLICATION RECEIVED ,;J- Q- 99
(19 '-co 11 //11;; jl-
qy-{)/OO (f?(/f6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1'-1/'1
,..-
0UIlfLl,LI
I
('L.
t. ;,
Denied
i t, t
C, \ "
/.:('~ i.
"'.' i
Accepted With Correctidns
,. , ;: \ .; \
tN'
"
Accepted .,/
Reviewed By: WJlfH..TCIt ~MI4I\JI\J
Date: z/t././"
. I
Comments: 57"On"" WI4T~~ K..JA.Jo,:::F "'liST ~' C<JNV~ '1a ANO
~ WAIAJAc:.f; AAJ() llTlI-,..,y cflsEJA.tc,.,d$ ~ ,-t(u~ R1A1.7/C.AL_
..r.lg r Au'no A.1
W"'EJJ
CoAJs'nt~c.nON Ac..DJJITI/ oeccJA.~
)J~AIt THe!
1="'1 R E'
J.loJ^l'loA^,-r
A~ 70 NoT
D ArI1l4& E. d
SI!:E IJUFoRMaT'wJ ON Rt:u~~s~ f:;.tAE
~ ~u.I-'4~ : I ;:;-"';:11- ~1l"'OI...J(. 'NSP/ECTIOAJ IAJFdt""IfT7~AJ
Z. EROSV1".\ ~T'~n~ 'ttAiU
3. FIt~'o^, I'~DL. h1EA~tJIt6~
"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."
White - Building
Canary - Engineering
Pink - Planning
Thr ('rntrr of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
J
" .
i
i
, , '7'7
//
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ,.../ /;/
/ i! /
I
I
:( .
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
4u~,.lk~
L/
Date:
2 -1-C,---o/t
commeAa,Jc.>veJ
vr~~\~Q
I~, VFA>>l~ --::vV~O~-?f)-Cf7)
r<>n 2r~~qq..,
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. II
T
White - Building
Canary - Engineering
Pink - Planning
Th~ ('f'nlf'r of Ih. L.k. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/J1cchO/1tV Cousf
cJ-Q-99
qq -(j() C1Cf tLwf 11
q9-~/Oo U-(/if'TD
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
114/t.! GW1f1"'iU/ (!L.
I
()V\~\- A
Accepted
Accepted With Corrections
y
Denied ')
Reviewed BY:( d..JJ ~ *
r
Date: ::2 - ~~ -9'1
Comments:
I. ~J. OIU\ -it'P'''- ~ A-e\l~lov>~ f\~
2. M.a.:'^-k\\A.. U-03t(M... ~o 1
"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."
09/10/96 THV 14:20 FAI 8124474245
CITY OF PRIOR LAKE
~004
~. ...~
.,......ow - A""'-IC"'.T
GOLD. ClY.,
CITY OF PRIOR LARE ,
SEWER AND WATER PERMIT
C/- . LuA-t0
NO. _TLt -lcr,L Ll~
NOTE: Sewer and Water
Pi I. contractors must
utiI1.ht#t::f be reqiatered
" ~ with the City.
.APPLrCANT: /J1e-/;~ "e~~IfI><~L(}~~PHON~:~7.-'I1I-'ZIJ3K
ADDRESS: <~?,? ~~~"~~_DATE: ~/23,h~_
SIGNATURE, /1~~ 0' BLDG. PERMIT' f!- f'i'cfI}9q
SITE AOD:RESS~ /?/Y/~ A.,..8 $-u~;':\~yeii.&Id.c:;-n/-() -o"i'-()/~D
FILL IN THE BLANICS
.5D
Vfrtley
1.
Estimated lengt~ of water service
Size of water service / II K-inch (es) "
feet.
2.
:3 .
Location of any couplinqs
Type of sewer pipe. ABS
Estimated length of sewer
Clean out (if required),
structure.
from struoture 'I () teet.
If
PVC ~ Cast Iron
line $"0 teet.
4.
5.,
6.
l.ocateC'l
at
-
feet
fl:'OIn
=====~~~sa~D~_____~~~~_____________~__~_~=======;==_~~_p=_~~~~~~~~
This application beCOmes your permit when approved.
BY
DATE:
~~~~~---~~--~~---~~==;~~~~--~--~~~~-=~---~-~---~~==========~~~--
FEES:
$~5.
$ 0
$ ."SQ.
Fee for eithAr sewer or
$ .50 surOharge.
Sewer and water line connection permit.
Surcharge
TOTAL
*
water
individually
is
$20.00
pluS
... Sewer and water permits issued for new construction must be
recorded on the buildinq per.it oard at the time of. iSBu~nce
to insure that no d~plicate sewer and water permits are
issued. r PAID WITH -zh/J Q
D..ATE PAID lBUILDING PERMIT --100/4. JblOUNT PAID - ;
RECEIPT , REC'O BY ~
16200 Eagle Creek Av. S.B., Prior Lake. Mjnnesota .55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Bqual Opportunity Employ.r
.
c 'd
Xtl.:f
Vc:tt 66. ~c'Jew
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. W - 9q
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ~/(O / q '( PlOt ?~-22.7- 012--0
Site Address /7 t./ 14 It :5 Q,. r.a II (QJ-. A- JeZSD
, ' f
Lot I z... Block / Addition WOOD II ((; w' 2 tV 0
Owner's Name In cJ h 0 Jt c.. V (!r.l')1 'f....
(
Address ,
Heating Contractor) e: n hoOd-/'; h d
Address 3 ~6" 2.. fJ-e r g'/) J ~ " S ~
" V
t./L/7 -U/~L
fJj'\ I~~ /...0 ~
Telephone # _
Furnace Make & Model A"4fJh
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical Fi..N~Q~
Air Conditioning _ -.
Vent. System -
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices .
Model Size ~J7) Ii. CJ)~ 0/'/
Conn. Load l{OJ~'
Fuel /J/tlf (j~ Flue Size 6' I'
All-
.!) rm..J
Supply Openings
II
~
Return Openings
Input 7~
Output too~~
Edr.
Other Devices
Cfm.
TYPE OF WORK
Alterations
'X
Repair
Replacement
Est. Comp. Date
Building Permit #
qq.- q9
New Construction
Est. Cost $
,
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID WITH
l BUILDING PERMIT
Receipt # .
TYPE OF STRUCTURE
1. Pink
2, Green
3, Yellow
File
City
Contractor
Single Family
Commercial
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 building oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS 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 tN
case of all work.wliiCh~nd approval of Pi#
'.S; · - 8/10199-
-' Date
Building Offical's Signature
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, ':':"':US'E:-OE~BUILDING":; SPA'
.:,iPERMii;N6::;':~'~'1~ DATE ISSUED 2-"G"2.-9.4
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,~,: ~~~~~aT~rs~~~~ ~'E~~~;~~~ty OF THE INSPECTIONS BELOW
,. ",. HE:':,~ERIVIIT.lSBYSEPARATE DOCUMENT, ' , ',.r,.'
'i,i~~<l';i;1.:;~;T,~;i,"">",;"",<:,;::.."", INSPECTOR DATe ",."
'.\
..i:....,..IFOPTING I r~
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. ,:':J/'({~~~ :1'E,o~tj)\trp'N~(f!'ti(ir\to: Backfill) 1/!J:?~ '~7-9'~ I'
" ;":1;.F>"'.}"~~;t:j,i~:J?,[!ACE1:N'()JCO N CR E T E U NT I'I! A B 0 V EH A S BE E N ,5 I G N ED
-/ :,.' :::,t'J~".'::'..""i '; :,~~,""f!~":",,, "',~I~'_,:~'?;"'-~;';)'::"','.,,' _." ~"I:__:l:, ' ,,:;,"
.', ,;;.";:'.:."."''':''''';'',."..". ROUGH - INS
I:SEWER'J1w~~) SEPTIC (A\ _ &f- t;Pg/.;;if9~1
;;HA~NG~.' " 1/ ' j' / (/
INSUt:ATIONi":;:"'.!'tL~/;~r}/'/zl,i(] LI(j),tl/d:Y ~
EtECTRICAL';:;:~. r I. ,
:gI29,I\M3INg)~~iS~~~rflj2f!f;~{;,;!,,;:i,Lt;;/A) i,: !:,' c}V tit( /1"J
'HEATING; (if reqUired):, '.,fI))l!/4/9q ?~ t Q.II~e,. ~t
f.. FIREPLACE 'r.J ;..I/'1-
,~~i, G~S'jl:.INEAII:fErEST ',' . V /J )/1/1)
.,.~;~~:~;~...::~i~~~~~ifE:'tjY!E'f~'hfNH:'\YC)R K U NT I L ~ 0 V E' HAS 8 E ENS I G' NED
, I WALLBOARD I !
FINALS
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GAA'DING'(PriortciSoddingY'
"80if'DING~~~f~~J,~j1;r!;;:j:'.;.~;s',1(;.!:i;.;::; :
EL.ECTRICAL);,,'
"p' ["'U" M' -B' 'IN G'!,t1.."'t\*,.:i;'~>,,"";;...S::;;.k' """
.,'. '. :J?'~,,~'::> ':,' i:;~",:?~~:,:~-'~~'" . ~-" ':~" .:':, '~:~,,",F,'>_~,; ;~~,'
" HEPi.:TI'N'" G,,\;jtii,C';;;;:;,;,;,."" :;",,:'," ""'''<' ",,',' ,,';'
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~'~;>~D'Ot; NOT 'to C CUP y
/lA
~'"
UNTIL ABOVE HAS
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.
I t '/ /l/'i~h'
I 1/" // 1/"1r'.\:..-~" .,',
_- ,'j", ,." v.-.".,"'.' '-',-:: ;,,({..,',,.~" ~,;,;.,i,...
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BEEN SIGNED'
Call between 8:00 and 9:00 A.M. for all inspections
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