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Home My WebLink AboutBuilding Permit 99-0117 . '~f'!ii :; . >>'to .,;; c' .;' "~ j;<- ....r:::-; .,'l,. 1!.: <.~ '\ ~~~~;~~,-.,. '~.~O;':~/t~,''.;~~~;~~ ;'.-;{?~,..,r. 'r~" ..\.:~~,it ",~.__,,".";;"..~.;;"-t:;rt:~ ~-':'I ~ , J~ ~. )~. ;~ ~:, ~~1 Owner of Building C:iteAddress 3406 Sorinl! Glen Circle NW .I..Z' ~l:) ,.~~ (~-..:., Contractor's N-.'-. Po' _,_....wensmann Homes 1895 Plaza Dr 11200, Eag;ln MN ll. (~"' Robert D. Hutchins /It-Q... City Planner Jenni Tovar . Building Official Date: II ~~.y~ Date: 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 lAJce regulating building construction or use. For the following: Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District 99-0017 R2 Use Classificatior Single Family Bldg. Permit No. Legal Description. L7, B2 Glynwater 1st Addition /1 ;2d -11 S~ G fu G... ~ } CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 390( OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULA T~ _ FINAL ({J) o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~~ ~c.o DATE TIME ?'1-0/l'7 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o J( 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. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS =5l./Cb OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~ULAT1~A" o SIT~~NJp1~TION SCHEDULED DATE TIME UG~ 11470 h~ CONTR. PERMIT NO. 99- 1/7 , . o PLUMBING RI o MECH RI o WATER HOOKUP A ~EWER HOOKUP ~LUMBING FINAL rECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: !d ~ ~Qv.>~ ~l"e ~~\7Y"\ ~iS (~r ~ da,..,~ ~.J -:! (I) ~1~ J- 6v-> 1e.s ~~ '1.JJR1' ~JJ- " . V'. ~ 0Y1 ~~ .. ~ ~-- 'j~ l6. _CO of. q-l-CZ~ o WORK SATISFACTORY, PROCEED ~~RRECT AC ON AND P~ ,~~ 'jLCORRECT W, F~NSPECnO~RE COVERING Inspector: / Owner/Contr: CALL L.7-~THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFET;/ INSNOTI PRIOR LAKE oJ .10N NOTICE DATE TIME SCHEDULED It/I' j" ADDRESS ,1cJ<<, SPAIIJI, a2A1 (!,,~.. OWNER CONTR. iJaJSMM,J U.,.,c.-:: PHONE NO. PERMIT NO. .!}J - .!..Ll o FOOTING o FOUNDATION o FRAMING o INSULATION )!.. FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: a .J/rBSD)(. OK XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ -:.JI-- Owner/Contr: --- CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI (vtaLK -11 {e CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT C{C( -01/ fa ./ DATE RECEIVED 1. White 2. Pink 3. Yellow File City Applicant "23. Permit No.!19 -( ) I / 7 . 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 j Yt) t, 3. LEGAL DESCRIPTION 1. DATE :J-.;2:1-99 IV w t<.~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) r:J~/V (1 ,. fie I~ Sff:7 12. NO. OF STORIES LOT 7 BLOCK ADDITION --.t:: 1 v AI I.4.l.I6 r~ r . I PID :15- 3s/- 00;; - (/ a/;/: T/tJ,v ;2 jJ"r 13. TYPE OF CONSTRUCTION 4. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) WeNfm~NIV jJ Obi f'f 7. TYPE OF WORK New Construction~ (Address) ,(Tel. No.) J19.J 1'/4~~ J)~ ,,5/- "10(,,- YYOv JI.4;Tr ;).00 CIf.'1d/V .1"'-7'/:2. Fireplace 0 Septic 0 Deck 0 V Re-roofing 0 Porch 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE if) ODic' bU 17. COMF"LETION DATE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.FI. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No I I hereby certify that I have furnished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building O~I can revoke this p~t for ju~cause. ~henn. ore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. X /-1 4--t-'<' V ~ .,-- J Y.fr . .;)'.;1J - 9' - d SignaY;- License No. Date . (/ FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING ~) r:: A- SURVEY PLOT PLAN COPIES o Cf7J ocn. CJ 0 PERMIT VALUATION o TYPE OF CONSTRUCTION: I II III IV t::J Occupancy Group A B E F H I ~~ S U Division 1 2--0 Pennit Fee ................................... $ Amount Brought Forward .................. $ Park Support Fee ........................... $ 8SD. (!) 0 SAC ......................................... $ 1 C> ,SO. C9 D City: f? ~'1 . ? --) S LJ c.J. ;;)..,"2 l.f (~ . ()-(' Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer ..'!#~................... $ Meter Horn................................... $ Water Meter ~~............................ $ 1 '2..5' t 8'0 Sewer & Water Connection Fee ........... $-lt '"'1. ~1'9 ~ WaterTowerFee ........................... $ It<7/4 ,l!::l6 Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ \ -)~7J. Cr/ Paid ~o 1;), Lf7 Receipt No. "'3'17 ft, / Date 3-t(J -f 7 . By iliU-J 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 a~uested. This document when signed by the City Planner constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy 0 a Certificate of Occupancy must be issued. Plan Check Fee ............................. $ State Surcharge ............................. $ \\~ ~~l\ ~~0 45' . Cl~ Penalty ....................................... $ I D 6 ..&Y' I Plumbing Permit Fee ....................... $ r, n ~otJ' ~S .csD 4n~6 Mechanical Permit Fee ..................... $ Sewer & Water Pennit ...................... $ ce Pennit ....................... $ Thi . ecome~ Pennit When Approved. By ~ -Date 2."1lr~ Certificate of OccupX Issu~ City Planner Date Special Conditions n any 24 hour notice for all inspections 447-9850 .., . Job Address '31t?&~;; ~'1Cf# Heating Contracto~~5....( ~~ Name of Tester ../1 .. C.. Date 7-/ "3 -~ Percent 0,- 7 Percent CO2 ~ Percent CO 0 r::;J / A ' Stack Temp. ~ b v " ,...-,..-'-', ."J:",r,'",",," Q q -(; f /7 Tho Conlor 01 lho LlkoCounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,\,UCL l::.,(\lCUtl \ ~C11l( ~ APPLICATION RECEIVED. )2) If,"! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . ?)L1C~ ~~, c{( tq (c 'ell CL\~.(L .J Accepted ../ Accepted With Corrections Denied Reviewed By: J. ),/klEll E"n..EsM1lI.AI'1IJ Date: 3/-z/r;., , i' Comments: .sEE ;:t./l.rfC.fT.# 7>9 - II CI (.3'10 r.j. SPA..I,.J(.. ('LEA) t'!IIl.CL.~) ~R.. '. , I,oF'oItllLI4T1,.,""> ~N""'F""^",""" ~ A'TT'~N.~-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." C "'"'" ~ ....,.--..z:-. I-\ , A KE J\ ":- t-.':-.;, ''-0( -.-;..~ - c.... .:. ,-J Ir !. ~ ,.. ' B . LDOj'.! ';- RivET ~LAN REViEW INSPECT 2,,?( -09'-'---" DATE ....! I Ol:""MIT N <:1''7. "'" L 17 O AC'''E::Tr- . ~. . 0'__ . -."1 I 0.--1 I." . ...... 1"', cD P.S ~i...Er'vjl j ;:::D ~' (<B ..f0,CCEPTE,u Wli;-! Cl!l:<q:='-'T'r"'\:\l~ AS NI"\-'" "0 l - ...d'-'-.!\"'laJ J \"",'f'" o NO I ACCEPTE;L:f":'::::; ,="7 .~. '"' r:-"'l '.....,'1,- .. 7 -() [( q T' , :- -..J"""'... .-...., J ~ ;""'~~V::;~1-1 : t I n7s,~ comm.ents ai8. TOr :'.CUi ir:iormation. All work 5hall be dOnA n . u comp!'ance.'Nlth ai! applic3bie building & zoning coda rn. qUlrements ,"?IUdlnf.::ts:'~s ;~a, sc<,"cih::aliy 10ted in ~hi3 rovi"w KEEP THIS P: >.: ~: ::- r., -~ ,-c:: .\ TAl L TI7lj....... .. - ."~'...' '..." ;'- r\ t I _ ~ '/ C~I Separate permits are required for Plumbing, Heating, Outside Sewer and Water, Electrical. etc. 3-e.~ 6?~ '11- 0 Lt {p --0+c 0 fBr (P/CiM.5/ Spe-cs) .9or-veJI Ck\(,l,{~ Owner's Name CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. 9tJ- //7 Prior Lake, MN 55372 PIO' 25-.35/- 007-0 KZ. Address HgatingConlractor ALLIED FIRESIDE dba FIRESIDE CORNER. 55113 Address 2700 N. FAIRVIEW, ROSEVILLE, MN Telephone' 651-633-2561 FIREPLACE fWmtIOI! Make & Model ~,.,J G to Model Size. St. iSlrTrl. Conn. Load Fuel IJ. tri"-I Flue Size Supply Openings Relurn Openings Input Oulput :;1 Q:l) Edr. Clm. Alteratiuns Repair Esl. Cosl $ II (}O . 0,) HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ TYPE OF SYSTEM Warm Air Planls Gravily Mechanical Air Conditioning Venl. System HEA nNG OR POWER PLANT Sleam Hol Water Radialion Special Devices Other Devices Replacemenl TYPE OF WORK New Conslruction XY Esl. Comp. Dale t../ #/q~ . 'f ' qq-I/7 ~ PAID WITH BUILDING PERMIT Building Perm~ # .50 Receipl II ~-31999 I. Pink 1. (j...,,,n l. Yrll"" L c: !'il" ~ Cily I CuOfrllClc 0 W I \C \C o 01 .. N 01 )> " "j, , ID VI TYPE OF STRUCTURE Single Family. Commercial Two-Family. . Industrial Public Multi-Family Olher. Fee Schedule Industrial, Commercial & Mum-Family Residenlial, Healing & AC Residenlial, Healing Only Residenlial, Gas Fireplace Residential, Addilions & Alleralions Residenlial, AC Only 1% 01 job cosl ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 .J. a. ID n o , ::3 ID , Remember 10 add Ihe Slale Surcharge on lhe bollom ollhis application. The price 01 your healing permil includes one rough-in and one fina' inspeclion, ^ddilional inspections will be billed al $35.00 each. House Healing Tesl Record must be sub milled with buildino ~rmll Ollmhl'lr bela'e builc jng cerlnieale 01 occupancy will be issued. HEAT CALCULATIONS REQUIREO wilh number 01 supply and relurn openings lisled Jl room wilh CFM's per opening. New slruclures or additions send llaor plan with supply and relurn localions shown. ~'E^T lOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. 01 ~ N 01 W w 01 01 01 I hereby apply lor a mechanical syslems permil and I acknowledge thallhe fio inlormalion above is complele and accurale; Ihallhe work wilt be in conformance wilh Ihe ordinances and codes 01 Ihe cily and wilh Ihe slale building/mech.nice codes; Ihallhis lorm does not become a permil until signed by the BUILDING OFFICIAL; Ihallhe work will be in accordance wilh Ihe approved plan in the case 01 all work which requires review and approval of plans, Cily Hall business hours are 8 a.m, - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CAll CITY HALL 447~230 ~---- Pli'::lf-~ Building Olfical's Signa lure t:I.3Jqf , . Dal 6/lJqq Dale \l , o w MAR. 3.1999 2:25PM GENZ-RYAN NO. 075 P.2/10 el' I Y OF PRIOR LAKE ~ ~:l. :UQQI PLUMBING PERMIT # 99-(/7 Applicant: b...Jl....l1.J> - Q u (.\. t"'\ Phone: 4 ~ ~ - I 14 L{ Address: i4i41=; S'. ~ I'f'\ Qe(" -4- , r I Signature: ~~ ~ ~ . Legal Description: Lot f Block ~ Sub~l~_. ~J~ Site Address: ~LlOLo ~h",a ~ l.Ju-\ C' ~ ruLL) BUilding Permit # oJ .PIC # d 6-'- .j9/,-r)(J 7-0 NOTE: This permit ~iU not be prcQessed without complete information. FIXTURE UNITS T1w C~n..... 0( In. LIllo. Ca~.." Quantity , :;;, J I 1 b{ Type of Fixture Blilth Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray <1 or 2 compartment sink) Shower Stall Sinks Bar Sink " Water Closet (toilet) Quantity 3 , RI I Type of Fixture RQugh-lns Water Heater Water Sonner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, DOL/ble Check, PVB) Backflow Assembly Test Lawn Sprinkler Other $, $ .qq. SO $ s .50 FEE SCHEDULE Industrial. Commercial & Multi-Family (1 'Yo of job cost. $39.50 minimum) Residential, New One & Two Family Residential. Additions & Alterations State Surcharge $99.50 $39.50 $/crJ ,00 PAID WITH . BUILDING PERMIT 16200 E~gle Creek Av. S.E., Prior Lake, Minnesom. 553721 Ph. (612) 447-4230 I FAX (612) 447-42~5 An Equal Opportunity Employer GRAND TOTAL CITY OF PRIOR LAKE . 16200 Eagle Creek Av. S.E. Palmi' No. cp -01/7 Prior Lake, UN 55312 - HEAnNG APPUCATION I PERMIT Dale BI~Jqq PJD..d~-357-o07-o SiteAddr8SS_~4C&' ~nru.n.Ol ~Lon ~ ~ Lo' 7 ,Block ~ Addition~-\Jl.J). ~ OWnef.Nam& U ~ l~q-c:; C-P\~. ~. Healing Contractor ~...A1V2 - l< u ()J"'\ Addr8&S }4/4~ '5. 1<Qb~-+ . I r I 4~?:'- ~ 144 Addreas Telepbone t FUlnlO8 Make 8 Model~a.lU'\ o'i- Model Size ~~~~~ -15 Return Openings InpuI15.~ Output CoO.OOC) I - Edt. Conn. Load J I If Fuel. L1' Supply Openings Cfm. Alteral10ns Repair Esl. Cosl . I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that 111. work will b. In conformance with the ordrna~ces and codu 0' the cily and with the state buildrng/methanlc:al codes; that this form does 110t become a permll .until signed by Ihe BUILDING a/.) OFFICIAL; that the wOlk will be In accordance with lhe approved plan in the -(~( -0117 case of all work which ,equlros 18view and approval of plans. IAIDWITH ~ ~~.-;;-,~ ~ . 3/3/q!j ~ p", \~ A~r2. n ~ Signature Dale BUII.:DING PERMLT Wi s -t( -.q 1 Bulldin . cal's Signature Date Flue Size TYPE OF SYSTEM Warm Ai, Planls Gravhy Mechanical &/'" Air Conditioning I\'hl rEJas Veil'. System HEAnNG OR POWER PLANT S1eam Hol Wal.er Radiation . Spadal Oav1ces 11 4 Other Devices TYPE OF WORK New CoMtruction ~ Replacement Esl. Camp. Date 8uftding Permit. QQ.50. HEATING PERMIT FEE $ ST~TE SURCHARGE $ .50 TOTAL PERMIT FEES $ I cx:) .00 Receipt # TYPE OF STRUCTURE l. Pink .2. Qe l. '{elk File Cit} ~ Singla Family ComlMrcial 1/ 3: D ::u Mulll.Famlly Olher Two-Family w Pubflc Induslrlal ..... I.D I.D I.D Fee Schedule Induslrial, Commercial & Multi-Family Resldenllal, Heating & AC flesiantial, Healing OnIV. Residential, Gas Fireplace Residenlial, Adftitions & Atleratlons Residential, AC Onlv 1% oJ job cosl ($39.50 minimum) $99.50 $64.50 $~9. 50 $39.50 sag.50 N N 0'\ "U 3: Remember 10 add the Stale Surcharge on Il1e boUom 01 this application. G) (T1 Z N I ::u -< D Z The.prloe of your heating permlt includes one rough-In and one final inspecllon. Additiona' Inspections wlll be billad al S~5.00 each. House HeaUng Te81 Record mus' be slbnlned with buildi~ nIDDil nwnIlIr before build- ing certificate of occupancy wlll be issued. J:IEAI CALCULATIONS REOUIRED with numbsr of suppl, and IIturn openings lisled per room wltll CFM's pel opening- New al(~clures or addilions send floor plan with aupply and relum locations ahown. HEAT LOSS CALCULATIONS, PAYMENT AND APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, (6200 EAGLE CREEK AVE.. S.E. PRIOR LAKE, MN 55372. CIty Hall bllslness hours arB B a.m. - 4:30 p.m. ALL WORK MU~T BE INSPECTED (ROUGH-1N AND FINAL). CALl. CITY HALL 447-4230 z o is) --.J CJl "U 0'\ "- p is) "',. '--""'," -';}Y'-'.,,~;\.~~"r'-"",~>Yd"\""'~~,,:_;;v:;rf"" .'''!',,":'''''''''- ,~) .-",--:-:,:;'j;"-' -'-:--",-;:--"c--'----i-F:-t..::J"":?i(~-'--'iJ'f,'':;__''\_.c ~c.\;'~....... .:-"-~,;r: ~'. ~. t I I ~ Th~ ("~nlrr of thr L.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT' APPLICATION RECEIVED i . 1[' , I / r \ . !" { \ " !' I (' '[ \..J i i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ! /I!) ( ( . 1 , - ". , ) Accepted 'v Accepted With Corrections Denied Reviewed By: ~1(]~~ Date: ~~t~ comme~~ Vln:et.. V'~J-<-kQ ~ /~u~ ~~ ~t~." "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." qq -0/17 Tho Conlor of Iho Lob Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \Ajej;t~(\1a"Lt'\. f-b1 YLkS APPLICATION RECEIVED J- r42,-qq The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3Licl, Stl Llv lfJ 61 e~ 1 l'lA e I..iL Accepted JZ- Accepted With Corrections Denied 9~~o Date: 2- Zle-q~ Reviewed By: Comments: ~!I ~~ A- 9'1 - 6([ L, "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." FEB.23.1999 8: 12RM GENZ-RYRN NO.??? P.2/4 .~~ ~N~~ ..... . "'"- '.i.Q.. ~ \ ~.~ \ CITY OF PRIOR LAD NO CO C) {I P SEWER AND WATER .Il".c..KK:IT .--i.J . \ NOTE: Sewer and Wa~er contractors must be reqistered with the City. APPLICANT: ~- ~ PHONE: L\g,.3-l1'-l4 - ~ ADDRESS: \y~ 5o.~~+ T~l DATE:.Q J~'BJqq SIGNA~.~ ~~ BLDG. PERMIT #'tCf-O/(7 SITE ADDRESS :.340(., Spfit'l3 E]~ Clf....IUURID# FILL IN THE BLANKS 1. Estimated length of water service 4c) feet. 2. size of water service inch(es). 3. Location of any couplin9$ from s~ructure feet. 4. Type of sewer pipe. ABS PVC)( Cast Iron 5. Estimated length of sewer line L1CJ feet. 6. Clean out (if required), located at structure. feet from This applicati BY =======:_-~=:::::I _~=~=~~=========______~~___~~~m~~~~~=~~~~~~---=~==~=~~: 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 ~ust be recorded on the building permit card at the time of 1ssuance to insure that no duplicate sewer and water pe~its are issued. DATE PAID RECEIPT * AMOUNT PAID REC'O BY PAID WITH BUILDING PERMIT . 4629 Dakota St S.E., Prior lake. Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245 AN EQUAL CPPORrUMT'Y EMPLOVER PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS <~ SD\"\V\~ G.Len^ (\_. NATURE OF WORK n-PJ.&) 0~t~Jc ~,~ USE OF BUILDING SF t+- PERMIT NO. 53 - wD DATE ISSUED ~ - ~-7'7 CONTRACTOR W~"''S~'^ t\0l~ , NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING ~.t...Pf)-~/{1 INSULATION (40 l,...vrp{,4f'1--1~~' v . ftJ,~\ .:~ , - t ELECTRICAL PLUMBING (4)v)JJ/1J1 HEATING (if required) U FIREPLACE GAS LINE AIR TEST Q\\. Iv \ \~ \aq /o-ZI-cpj I I I I GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS INt:: nlJ 1)-1"0 I(b HAS ~~N 1,t~..qq ,- 'z,1,-'1~ SIGNED 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850