HomeMy WebLinkAboutBuilding Permit 99-0118
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-~; CITY OF PRIOR LAKE 4;
~l~ l ~tpartmtRt of Jiuilbing Jn~ptttion . tfJ
,; ~ Final Permitted 0 CO~liO~ C.O. Expires · D:.c&l
_~( This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
~.".:' certifying that at the time of issuan. ce.. this structure. """ in compliance with II<. various 0_. ces of the
';;' City of Prior Lake regulating building construction or use. For the following:
~ UseClassificatiol' Single Fami13,L.,"'c I i/ Bldg. Permit No. 99-0118
~~t -' v - tr'""'~
~~. Occupancy Type R3 Type Construction VN
Le alOe " L6, B2 GAy~ter<."ls.t Addition
g scnptlon / ... .
Fire Zone
N/A
Zoning District
R2
Contractor's Name & Address Wensmann Homes 1895 Plaza
Robert D. HutChi~S ID~ .
B 'Idi Offi' CIty Planner
UI ng Cla!" ,.
11~.;J~-1' Date:
Site Address 3408 Sorin2 Glen Circ Ie NW
Dr #200 Eagan, MN
Owner of Building
Jenni Tovar
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
fi6 FINAL
o SITE INSPEC ON
COMMENTS:
DATE TIME
SCHEDULED
/1-2a.-1Q
3,/08 sM ~~ u
CONTR.
PERMIT NO.
~9-rl/ JJ
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 GAS LINE AIR TST
o
~~
~
c~o
..
'It WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
1M. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
....-.......T'.
..
ADDRESS
3 L/O 6
DATE TIME
SC~DULED. ~ / :3e;
SPR/Ne, ~~~N
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-/IB
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMIN~ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA 0 SEWER HOOKUP 0 FIREPLACE FINAL
)d" FINAL . 0 PLUMBING FI~ } 0 GASLJNE AIR TS_Tf l-
/O' SITE IN ION J'MECH FINAL('Es:1 0 of- Je:; oN~/ /1;
COMMENTS: lVe,w. C~ _ \,.J ~ I
F \(..L, ~ " jJ S DIN.;> , '"
~~ l?_~.AJ~ "
5( ~ -~ &P-- '{tJ fVl~.&-\ !~
'700 ~~
f;J\JCo. '$(~ of
f:. c....... O. tJ.J 12c,,~
\
\
f);:<~~T~l 0 Y. PRO
~ CoRRECT '7( ~ L FO,R REINSPECTION BEF COVERING
Inspector: I~ Owner/Contr:
CALL 44t9850 ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
-------
~
/'
'--::::>
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSNOTI
DATE TIME
~;lS:/91 / .'3 C>
34-06 3Pt<-r tJ q 6LEAJ
COMMEf:-JTS:
~~ Aq __+. ~ LC-u-
CVll)( W~ ~
_ t
r))?~ y~ r~
o
01r--
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
^ 0 SEWER HOOKUP
r 1 )SYPLUMBING FINAL
1-'0 MECH FINAL
;J(~
.\
r ()
~..vr-.
/
)
/
QC}-I/A
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
Inspector: Owner/Contr:
<!AI)~ 447-~~ FQR THE..t.:XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU 'REMENT~ FOR YOUR PERSONAL HEALTH & SAFETY/
V INSNOTI
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
-4'~ ~ ~
-11A~ ~ ~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3'-kJ8
OWNER
PHONE NO.
o FOOTING €)
o FRAMING
'flf INSULATION
/0 FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
~.
DATE TIME
SCHEDULED ~~~
SPte. 11\16 G GbN
I I
;;2 : 30
CONTR.
PERMIT NO.
99-//8
o EXC/GRAD/FILLlNG
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~
~~
I
/
rf WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WjjLL FOR REINSPECTION BEFORE COVERING
Inspector: 1 - , Owner/Contr:
CAL~ ~ ~30 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
T
DATE TIME
SCHEDULED 1~"/91
ADDRESS 3"'03 SPItI1J~ ~~e.,..j ~'Ile L.E:.
OWNER CONTR. 1&.JE.,J5I'fA,JAJ H01lfCj
PHONE NO. PERMIT NO. 19- JJ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~FINAL
o SITE INSPECTION
}{ EX/GRAD/FILLING
- 0 'cOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
C(J~C~ f)K
x.. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~. ~ontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
T
V\;W.1A. tJLJ qq -of I ~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
11I23 ..
. 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
3 Yo i S ,(Jr,'/V i'
3. LEGAL DESCRIPTlcfN IT
LOT ~ BLOCK
ADDITION --.G / V N f&.Jfl 1'" r
,
(;/f'JN
~
J f7
,/'
I. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qC('CII~
1. DATE
L/rc/."
,;) -,,2.;J- '7 ?
Nw
K~
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO. OF STORIES
PID :l.f- 35) - fJ (I (,. 0
a '/r//t; fJ/V
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Address)
(Name)
(Address)
1&>1$ PI1'J2A
.J'lA " if ,.; (J()
Fireplace a Septic a
Alterations a Addition a
6, BUILDER (Name)
fA.) f Alf'''' 4' /V /V
/Jam t' J'
7. TYPE OF WORK
New Construction V
Chimney a Mise,
8, PROPERTY AREA OR ACRES
Sq, Ft.
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
Dr
{~Y(JN
Dec~
Finish Attic a
(Tel, No.)
/'51- V'o(,.i/yO()
J'I, 1- 7 (,/L
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
9. PROPERTY DIMENSIONS
Width Depth
Re-roofing a Porch a
Re.siding a Finish Basement a
SEATS
16. PROJECT COSTNALUE
It> 000 uv
17. COMPLETION DATE
10, CULVERT SIZE
Yes
No
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_~ial can revoke t~nnit r just e. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections,
X rJ ~ ,/ I Ys-tf' iJ-.;l;J.- '? j
- r?" /~ ature ' License No. Date
v
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
~J:'A-
~ '
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV t;/
Occupancy Group A B E F HIM (R> S U
Pennit Fee ..........~~~~i~~..:...~.~..~... $ ~ \~1, 2. ~
~qc..J .~<..,
4l .(!)t:J
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
I t')/") _ P11')
f ()(j 'e6
Sewer & Water Pennit ...................... $ .fJ5-. cst'1
G~S Fir ife' ::j,...... .............. $ <fD ..Ai')
Thi A . ;:'unUn ,g Pennit whe~~E~~.
B '" Date 3 '{
Cert~icate of ~c:~cy
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions n any
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY
PLOT PLAN
COPIES
a
q2:~.~6
City:
x1fA ~
lU,1?
~J- ~J
a
Amount Brought Forward .................. $
Park Support Fee ........................... $ R ~
SAC ......................................... $j () 5n
.~
. ('t)O
Collective Street Fee .... ... . .. .. . .. .. . .. ... $
Sewer Tap ................................... $
~.'L $
Pressure Reducer ..~.................... $
Meter Hom...?:l............. ......... ...... $
Water Meter .J!;........................... $ J 25. O{)_
Sewer & Water Connection Fee ........... $~ 0 . CJ IQ
WaterTowerFee ........................... $ 7 tJtJ ~ 1":>11
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ -
Total Due .............................. $ 60 ~~/ . LI '/
Paid ~-ro 1d. cr7 Receipt NO/1:)J ~ 4>/
I~ued ,
Date 3'-({) ~ q By (. ~
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 ~uested. This document when
signed by the City Planner constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be i~ued.
lis . C)O
'"
.. - - -'.- - - - -;, - - - -... -.- "- - -......_ 0;. _...;.;.. _..
Job Address 3 ib'f)' ~9 Ii ;"~ll C It,.,
Heating contract~1f ~K~'"
h (/ .
Name of Tester ...-
Date / / '3 ' 9 '1
,.
Percent O.
;7
o
Percent co
Stack Temp. ~ ~
Percent CO. g
~
~q-~\~
/
"
MRR. 3.1999 2:25PM
GENZ-RYRN
NO. 075
P.3/10
CITY OF PRIOR LAKE ~ ~:~" ~~U~
PLUMBING PERMIT # Cjg-Ilf?
APPlicant:~ - R.~ ~ . Phone: 4.4,;;,).Q... - \ \ 44-
Address: JI.f7t+S S. '1?o~VLZ. ~..A ,
Signatur<-, . ::tt'e-...--.. ~!' _~,@~
Legal Description: Lot I.p , Block. ~ SUb-GJ~nu)cx::t1A.. ~
Site Address: eAO'b ~ t:; l.a. f' (' tl2. 1\J4' _
Building Permit # qtt -{ ~ PIC tt.a5 (~~/- (XJf" -0
NOTE: This permit Y{i11 not be processed without complete information.
FIXTURE UNITS
Th. Conl_, Dr Ilk w~ CD'"I"
Quantity Type of Fl)(ture Quantity Type of Fixture
1 Bath Tub with or without shower :3 Rough-Ins
I. Dishwasher I Water Heater
\ Floor Drain R-/ Water Softner
~ LavatoJy (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment slnl<) Sewage Ejector
I Shower Stall Elaclcflow Assembly (RPZ. DOLlP!e Check, PV8)
I Sin~s Backflow Assembly TeSit
Sar Sink Lawn Sprinkler
~ Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Mlllti-Family
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$ qq.so
$
S .50
GRAND TOTAL
$ ItJC .0.0
~ PAID WITH
. BUILDING PERMIT
This permit is granted upon the eXpf8ss condition that slUcl
contraCtor. shall comply in all respects With th~ ordinllnces
of the Stile Plumbing Code lInd~the amendments thereof.
.,rI llECEJPTN,o. -'1VLDATE
~, . ,
A'ITEST
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph, (612) 4474230 I FA.rX (612) 447-42~5
An Equal Opportunity Employer
CITY OF PRIOR LAKE .
16200 Eegle Creek Av. S.E. Permit No. qt? -1/9
PIIOf lake, UN 55372
~EAnNGAPPUCAnONJPERMrr
Dale ~J.~/qq PlOt d6-35/-6t50-{)
Sile Addr:SS '3YO~ ~ g lJl.n (\ J . \\ 'uJ
l.Cll l./) Block {2 AddUm ~~ ~
Ownlllfs Name
Address ,~q6 rpl~ ~_
Hla1lng Conlractor ~....Q...t1...<.... r<' u OJ')
. ~ '
Address 14:1..!iS S - ~O htl"' + lr ,
Telephone" LJ. ~?r- J , 4- 4
Furnace Make .. Model ~ >tJ..
Model SIz. G Q~ ':l.L!?,-16
. ,
Conn. Load
FUll Do:t~ul Sim
Supply OpeniJl~1 , ,
4-
4'1
Relurn OpenTngs
InputlS/:x:o Oulpul loO~
Edr.
elm.
TYPE OF WORK
Ablllfatlons
Replacemen1
Est Comp. Date
Repalr
TYPE OF SY....II:III
Warm Air Plants.
Gravity
Mechanical ~
Air Condltlonng
Venl Systlllm
HEAnNGORPO~RPLANT
Steam
Hol Water
Radlalion
SpecTal Devices.
.-
Olher Davlcu
New Construction
~
C(y-!tg'
EsI. Cost $ . BuHdlng Permit II
HEATJNG PERMIT FEE $ ct9 .5"0
STAlE SURCHARGE $ .50
TOTAL PERMIT FEES $ J r.x:;.00 Receipt'
TYPE OF STRUCTURE
I. Pid
'1. (i11l
3. Ydk
File
Cil.r
Cooar&ClDI
Single Family I~ Two-Family
:3
D
;:0
Mulll-Famlly
Olher
w
ComTTlllTclal
. Industrial
Public
.....
ill
ill
ill
FeB Schedukt
Industrial, Commercial & Multi-Family
ResidElnllaY. HealIng & AC .
RuidenUaY, Healing Only.
AesldenUat. Gal Areplace
Residential, Adc1ltlons & A1telations
Reskten1ial, AC Only
N
N
-.J
-u
:3
1 % ot Job cost ($39.50 mlnlmum)
$99.60
$84.50
$39.50
$39.50
$39.50
G)
('TJ
:z
N
I
;:0
-<
D
:z
Remember to add ttle Slata Surcharge on the bottom ollhls application.
The.price of your hailtlng pannit Includes DnB rough-in and Dne flnallnspaction.
Addillonal inspec.1lons will be billed at $85.00 each.
House Heating Tfl51 Record musl be submitted wllh bulliIIng ~ ~ before lxJild-
ing certificale 01 ocoupancy will be Issued.
tlfAI CALCULATIONS REOUIRED with number of supply and re1urn apenings listed per
room with CFM's per opening. New strucluru or addJions send 1001 plan with supplV
and return 'ocadons 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.
Ctfy Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST se INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-4230
l hereby applv tor a mechanical systems parmlt and t acknowledge that Ihe
information above Is complele and accurate; thallhe work will be in conformance
with the ordinances and codes 01 the city and with the slale building/mechanical
codes; Ihat this fOfm does not become a perml1 until signed bV the BUJlDING
OFFiCIAL; that the work will be In accordance with the approved plan In the
case of all work which requires 'Bviewand approval of plans.
:z
o
c;j
-.J
()l
(' PAID WIT
-BUILDING PERMIT
-u
-.J
"-
.....
c;j
~i7j3~tje
Building 1Jlftcal's Signature
_, ~ /s,,~
3-(j/c;9
Date
4q -(J(r6
Tht Ctnetr of lht L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT IIU-ft,- l St.l1.aJ/L~t. i-bnus
APPLICATION RECEIVED d - d-3L{ Cf
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic~h is proposed at:
(cleft 1 (~
3L/Qg
~J;LlV~
~
Accepted With Corrections
Accepted
Denied
Reviewed By: (d-'} r?- . L k-
I
Date:
L. -2~-C;9
Comments:
\. S€.Q.. -g P::tb lcr - 0 II 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."
-'~"T'."-"'~-'-----'--"'~'.~'''''---''''-'~ . -'--,.,,,--.------,,-,,..,,,-..,,,,"--,.--
~""'._"~~<';.,..~,._..........,:~.
.1
..............
'. .""
;0 ,(' /1/;
. . . r I
...,
.;,
The ('tnler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT! .!! \ t {/ ( ; ( I t
. , / ",-
i.~; f j \~l ....)
APPLICATION RECEIVED
,.' '(I (I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic.~ is proposed at:
j, ;r
I , \ (' i
,
I/': j,.i( (
... . I' .,........
Accepted
~
Accepted With Corrections
Denied
~A.>-t' r~ Date
Comments:
~~ I~V~I~ cI. *~eJJ
~H'"4 ~ 2...- 2- 7 -qq. U
Reviewed By:
'3 -l -Cjq
"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
9rdinances of the jurisdiction shall not be valid."
1\"
{(q -0 (r2
Thr ('rnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I A}( ( I ~ L1Clll t l
APPLICATION RECEIVED ,) -)3 .L( CI
t-lc t'lU S
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity whic~ is proposed at:
;~ L/ Cg ~)IJ II tLCI 0' ( e l' 1 (U-1C,U,
)
Accepted
/
Accepted With Corrections
Denied
Reviewed By: tJlIf~7Et(. B-IIlE-'\MI4A11l1 Date: -3;/ ?/;t;
Comments: 5a P6U1li" 11=- Cf9- /lID (, 3<foc..J SP~I..u~ Q.C.EAl ('.Ir?t.u;) ~
JAJF~II.MI4"DtV
I
I' 1JM.....EIJ"T"'( ~ ATTd( tJlIU"'-AJ-r<:.
"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 8:12AM
GENZ-RYAN
NO.???
P.3/4
.~~
~~E~
..... . "'.
ftLLO. - .......ICAD
.... . ern
CITY OF PRIOR LAKE NO. Ctq ",0 I t ~
SEWER AND WATER PERMIT l
NOTE: Sewer and Water
'contractors must
be reqistered
with the city.
APPLICANT: ~- t ,~~ PHONE:
ADDRESS: I c..J 1 46 S. ~o bu-+ I r I DATE:
SIGNATOR~ -"~ . ~~.,.~ BLDG.
SITE ADDRESS :B4 09 ~I~ 6. ~ C-.i R..-lUuJPID#
\.J
FILL IN THE BLANKS
4 'd..~ - , 1 Lt ~
.s/';;1B I 019
PERMIT 1# 4,- 0116
1. Estimated length of water service
1-\0
feet.
2. Size of water service
'1
inch(es).
4.
Type of sewer pipe.
ABS
from s1;ructure
pvc 'X cast Iron
~D
feet.
J .
Location of any couplings
5. Estimated lenqth of sewer line
6. Clean out (if rt1iredl, located at
structure.
'0
=============-tS- ~-~~===============================
Thi~ applicati b C ermit when approveI' ~ /
BY ., . D~TE: -z,j '2--') 7 <t.,
=~===___===========~=___=_ --==============_~====~~1'-__=~===~
feet.
feet
from
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for eit~er sewer or water individually is $20.00 plu~
$ .50 surcharqe.
*
Sewer and water permits issued for new construction must be
recoraed on the buildini permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAID
REC'D BY
0Jtf
PAID WITH
BUILDING PEi'::::-:1iT
, 4629 Dakota St. S.E.. Prior Lake. Minnesota 55372' I Ph. (612) 4474230 I Fax (612) 4474245
AN ~QU"L OPPOimJI'lrTY EMPLOYER
C' o~ r-,""';'-'O J A.KE
I }:- ;-' r':.. i { i;i _' ~
B ~ - .
LD', I ';- RrvnT ;'LA.,\i REV1Ew
INSPECT
DATF. 2 ~ ?G. - 9 f:JP::::1MlT No.3 ~.-"a.ll7
o AC.CEPTt=D AS SC5i'vliTT::::D ~7 <B
..ID,CfEPTED WITH CORRECTiOrJS ,AS j\/OTE -D l (
t:;J NO I ACCEPTED-COR~;:CT & RESL'S:\1IT 7-0 LC 1
Tnfse comm,ents aie. for /.CUi ir.ronnation. /\11 v'Jork shall be donn
n. ull comp~/a~ce,wlth ail applicable building 3c zoning coda rn-
QUlreKmEents lnCIUdln.9iteO'1S not s. ;:"2cifGaily 10ted in this i'ovi';w
Eo THIS' P ".. -- --- r . . ,.
· I . '-.-.1" ~_. . .',: ~,--::: .\- .'1 L-/l\l-....
-'..~ ~-; ,\ ......;- I-'~ f-l._ I ~J,~~.
Separate permits are required
for Plumbing, Heating,
Outside Sewer and Water,
Electrical, etc.
8-e.~ t>\J'-\,\- '11 - 0 L I G:,
~+c.
~r VJIOM'5> I Spe..cs) 9ur-ved-' ~IM-wk-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~Lf 01'9 ~f)'\fl.A;\ Q-p.\^ (\ r.
NATURE OF WORK Jbu Q dY)C;~ h'1cl-trM_
USE OF BUILDING --5FA-
PERMIT NO. crq - (') I L~ DATE ISSUED 9. - ~~- 79
CONTRACTOR W-.Q.N\.S\MCUAM.~.f>.....
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I
J FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION(.,p ~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
(IT) ~h. Jq1
U b/~
\
~ - Z5-~7
(tJ) 6).&/'f1
J)(J. IJ/-vlj-q.~
1/ I
v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) , INB j) JI1)1"'\
BUILDING '/.(..,.tP. '/I{, /~IIVtVnt.- !Qj,),'f ~ \\ -,,'}.~
. I
ELECTRICAL
PLUMBING
HEATING
DO NOT
f}) "1 II,!;;' i1
I J
t./J. 7 I(~/~
i
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850