HomeMy WebLinkAboutBuilding Permit 99-0148
QLtrtifirau of ~rruPQntY
CITY OF PRIOR LAKE
^ j'./ Jlepartment of ~uilbfng 3Jn~pection
~al 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 o/the
City of Prior Lake regulating building construction or use. For the following:
UseClassificalion SINGLE FAMILY
~ldg. Permit No
99-0148
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUSD
-j
Legal Description
Owner of Building n ,)ite Address
conlracfr's~ame&AddreSS C&M HO~ILDERS INC. 2849
RdBERT D. HUTCHIN~ )
. . City Planner
[Ii 13 fAIl BUIldmg Official V .
Dale: \f -n Dale.
L2, B1 WINDSONG ON THE LAKE 2ND ADDITION
15354 SCHROEDER CIRCLE
NW 86TH ST. MEDFORD MN 55049
JENNI TOVAR
COMMENTS:' .~
2,.1" ~~
~l> T~~
tJ ' ~1Vv
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I ? 3 5 Lf
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
(J
(i;) RrM ~
t)~
n
t~o
DATE TIME
SCHEDULED
'I-/'1-f1
.4r-
&..k~
~
CONTR.
PERMIT NO.
99 -ILlt'
o PLUMBING RI
^ 0 MECHANICAL
"'~ATER HOOKUP
t;",NER HOOKUP
/'b SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
40
Vrr~
rvc-
No
~
r: u
~~
CwJo
~
bop(
~
ff-{ iVVWl<~
/'
/
/
o ~ORK SATISfA RY, PROCEED
~ORRECT ACTI I J PI D PROCEED
o CORRECT WO( CA . OR REINSPECTION BEFORE COVERING
Inspector: \; I Owner/Contr:
CALL 44 ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
T'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /-'2.~ I'. c;o
ADDRESS I ,c; <..s ~ ~ ~ H"l<:: &v ()..,
OWNER CONTR.
PHONE NO. PERMIT NO. '1<1 ~1C.1&
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
o INSULATION ~ o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~ PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
~ENTS: () L
\_ l ~ -t.~ K'\UM.o
~ b rffeuV\
~~ ~cl.o
1'1
~(Al! ]
(Wb fQ
_~,~, Cla~_
r:7lA.
/
D
NSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7 -~'1 l h~)
ADDRESS ) 535 4- Sch r 0 e.d(l\.. CiA.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
9q - l4~
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~ULATION ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL N ~ 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION "P'MECH FINAL 0
C,OMMENTS: f Ml.o Gozn.. ~ v/.-S C:5 k-
r%)finJ) DfA ~ VILUilr-"'- d~ .
~~~~ ~ ~~vl1~
(1J ~~VL ~~\Y\.u.;hon d~....["'<
~ ~. (-fA~ ~.-JVtrL, ~
1a;~ ~~/ ~~ ~~cf)rc.o.-..
~ <EA~ ~I 10w..86lA) Mc.-s~ ~
\ r. i.. 1,Jp",~~ ,j^.. ~t · CLo ..
'i,) %"-"'""6 -~'uuU d.fJ ~1 j
~ W OV
/
COVERING
Inspector: \. ner/Co :
CA L 447-~850 FOR THE N~ INSPECTION 24 HOURS IN ADVANCE,
COD~U[REMEN7S ARE FOR YOUR PERSONAL HEALTH & SAFE';"
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/()"o/91
.IIl!t
ADDRESS ~l./- .sCH~EbCA. C,ItCc..L.
,
OWNER CONTR. (J ~JII1 J-/,,~ J5u!J-/)EA.(
PHONE NO.
PERMIT NO.
<19- /tlt
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}l 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 GASLlNE AIR TST
o
COMMENTS:
"Ml)~ IS A((.EU>'T):f1~I.L
~~. !:> OPE:/1A-r'&NIIL
.1iw1& 's. ~ ~ IlAClI..JG WIoIIC::w snJ.s.- tJCo.s "Tft taKE.-
f't..Ac., eN -.-... e ~f'uE".LOPM~ l\.&uTT"INf. "'(1-Ie adcJ::
OJ."" IHIS (..OT "Tb Ir'IiIPlCo lJ E 1tJt:: J) 12 A 1,.J14G, E:. _ tls
aF" 1D~'r' "ffiJ.$ Wo~ c..J~ NoT ~l~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: au)....""'1!/. ~
Owner/Contr:
i
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE . SCHEDULED A-,
ADDRESS 1 S 354 ~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. qq - I \./ ?{
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~NSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~(J)
G"rnrldw
~
f:~-c.-
L.a.
.
~~
~;f-
- r
4 hi., ~ (dtA
. , ,
tS5Lu {CLet <;
~;\
+u
(,
--?
o WORK SATISFACTORY, PROCEED
o CORRE CTION AND PROCEED
FOR REINSPECTION BEFORE COVERING
COD'
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Inspector: I Owner/Contr:
CAL (447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
_SJOOO
, 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
15i5'V
3. LEGAL DESCRIPTION /
LOT 2. BLOCK
iJ.Jj/O 5"ur-!' '5 otJ 71\... lAir&.
(Name) ,
If;t'\t- BJl<-IJU"J
(Name)
<) J, t'\) o(dl.J t/'
ADDITION
4. OWNER
GrM
(Address)
::fjv-
(Address)
M.C{)Pol.{)
;l3 l./q /II tV
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPA~
S~
16. PROJECT COSTNALUE
'(1/ D~ DOO
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10, CULVERT SIZE 17. COMPLETI~N DATE
Sq. Ft. 1'-/ 7 '13 _ Width OJ Depth ISO . Ye~ ,4V., I fqCf
I hereby certify~hat I have fumished infonnation on this application which is to the best of my knowledge true and correct. I also certify that I iIn 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 official re k s pe for i'lt causll. ~hjrmore. I hereby agree that the city official or a dpsignee may enter upon the property to perfonn needed inspections.
X '~.tr LJ "5/ ~ -.3- r- 7Y
Signature License No. Dete
5. ARCHITECT
6. BUILDER
(Name)
(Address)
7. TYPE OF WORK
New construction~
Chimney 0 Misc.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
1. DATE
3-"-- 7'7'
Pus 6
C I" {''-}l...
PlDd~- 3/;)-OOd-Q
'3-d- A-QO.
)V\w
(Tel. No.)
6'" 1-..h :J'T
(Tel. No.)
5'''50 Y' ~
(Tel. No.)
7f?O .- V'Ll L
Re-roofing 0 Porch 0
Re'siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
Side
Side
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ~lOJ Cl(Yl. f'l (')
S~
TYPE OF CONSTRUCTION: I II III IV ( v.l..
Occupancy Group A B E F H I M"'i:iV S U
Division 1 2 Q 4
Penni! Fee ................................... $ ,14 :~l1-;2-':;--
<1 ~'I. "2"2-
1(')").00
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
l fr). ot3
J fJO.l9tJ
Sewer & Water Penni! ...................... $ ~h. 5~
Gas~~'rePI e enni~t ...... ................ $ t.l.o. ()t"J
This . ~com i1ding Pennit When ~pro~d.
By _-1 ~ Date 3-ll-cr"T
Certificate of Occupancy
Plumbing Pennit Fee ....................... $
Mechanical Penni! Fee ..................... $
Amount Brought Forward .................. $
Park Support Fee ........................... ~
SAC ......................................... $
Collective Street Fee .......................~.
Sewer Tap ...................................~.
c:L" $
Pressure Reducer .1fj.................... $
Meter Horn ......~..a...................... $
Water Meter ......~......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
City:
\'t\ {~
U"~
~
1. White
2. Pink
3. YelJow
File
City
Applicant
Permit No.
qq-(L{~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(~h~ (Wi~ ~ (Depth) 5"2.
12. NO. OF STORIES
"2,
13. JYPE 9F CONSTRUCTION
,jIJAdc... Fd.JI1j" r
14. Fu50R AREA APPORTIONMENT USE
.."..-
/'
.-
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Asn .C)e
, o.5iJ .1">(')
I
46.aD..-
L 25.nr1
.(\ d..OO . t")~
1fJO .<0a
Water Tap ................................... $
Builder's Deposit ............................ $.1; S" (') (:) . (~r.t
::31Y~;.:::::::::::::::::::~:=;~: ~ '?t~ . q 7
Date '3 -{ 1 ~Cj 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 requested. This document when
sig~City PI ner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
JV' ...c..-1A.. ~ ~ CV1J
, C' Planner - Date Special Conditions K any
Issued
24 hour notice for all inspections 447-9850
Ck:
H
<I
o
Ck:
I-
W
E
Supply Openings
Return Openings
InpU1~~',~
Rue Size , <; JI
\~
'&
Output '\ \ '\ ~~
Edr,
Cfm. \,,^ 0
'"
MAY 2 .7 :999
,
"-"'
Remember to add the Stele Surcharge on the ootlom of 1his application.
~
TYPE OF SYSTEM
Warm Air Plants
Gravlty
I MechanlcaL~
Air Condllionlng ~
Vent S~stem '
HEAnNGORPOWER~
Steam
Hot Watar
Radiation
Special Devices
I
..
The prfce of yoor heating permit Includes one' rough-in and one finallrlj:iection.
Additionel inspections will be billed at $35.00 each,
House Heating Test Record must be submitted with ~Ilfl"!~,,,, nllrmil numb9r before build-
ing certificate of occupancy wlll be issued.
HEM CAl mJI ATIONS ~F011l~Fn with number of supply and return. openings listed per
room with CFM's per opening. New structures Of adcfltions send "oor plan with supply
and retum 1000000ns shown, HEAT LOSS CALCULATIONS, PAYMENT AND .
APPLICATIONS MAY BE MAILED TO THE C1TY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Other Devices
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
0..
t'-
"'"
N
Reptacement
TYPE OF WORK
N9W Construclion
x
I hereby apply for a mechanical systems permit and I acknowledge that the
information above rs complete and accurate; that the work will be in conformance
with the ordinancss and codes of the cily Bnd with the slate building/mechanical
codes; that this form does not become a permit unlil signed by the BUILDING
OFFICIAL; Ihat the work will be in accordance with the approved plan in the
case of aU work which r8r\ires review and approval of plans. _
\/'{\~ ~ ~_. db ~ '\.
~Si (,/;a/&19
~ - eurtding-otficafs "Signature Dale
Alterations
Repair Est. Comp. Date
Est. Cost $ ~ \) ~~ ~ BuUdlng Permit .
HEATING PERMrT FEE $
STATE SURCHARGE $ .50
(J)
(J)
(J)
~
l.D
N
>-
<I
E
TOTAL PERMIT FEES $
q,\ - \~'8
~. PAID WITH
BUILDING PERMIT
Receiplll
~ ~ ~~~
ell f OF PRIOR LAKE
PLUMBING PERMIT
Applicant: '5 c.. n(lf" ~V'"" 9\ um b ::~
Address; L4~QO ~driaf'\ C, ~ S~
Signature:~ Cf~
Legal Description; Lot 2- .Block JSUb_ WIND:50NC;
Site Address: 1 5 35 Y ~roedQt- a fn:J e. PUSD
Building Permit. q9--!!:1:f3 ,PID # 2...'5 - 3/'2.. - 002-0
NOTE: This permIt will not be processed without complete information,
FIXTURE UNITS
I. _hie
2. ClQId
3, Y~lIo_
File
Qty
Applicant
# qq-/~
Phone: Y l..4 ,') -G;:? 3 Y
.p r ior La. '4.
Tltlf C....fe" at 1'" LaJt. C...".,.,.
Quantity
Type of FiJrture
Quantity
Type of Fixture
'"2..
(
"2-
I
{ Bat" Tub with or without shower --.3 Rough-Ins
-
Dishwasher I ( Water Heater
- -
, Floor Drain Water Softner
lavatolY (bathroom sink) I Stand Pipe (washing machi
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Baclcflow Assembly (RPZ, Ooub
SInks Backflow Assernbly Test
-
Bar SInk Lawn Sprinkler
ne)
Ie Check, PVB)
L.
Water Closet (toilet)
Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
ResIdential, New One & Two Fa
Residential, Additions &
State Surcharge
$99.50
$39.50
$
$-
$-
$ .
.50
GRAND TOTAL
$
This pennit is grlUlted upon the express condition that said
contractor. abalJ comply it) all laJ'Q:tS with the ordjnancc.
.. of the State Plumbiq Code IUId the alnllll~~ thereof.
.'.'~;; ~ /~t:;." DATE
-;:~- ATl'BST
Call for all ~pections 24 hours in advance.
PAID WITH
~ BUILDING PERMIT J
16200 Eagle Creek Av. S.B., Prior Lake. Minnesota 55372/ Ph. (612) 4474230 / FAX (612) 447-4245
An Equal Opportunity Employee
.1
,~~
'~'_ '}~~.f",":~'~_~~-',i":"~~"_Jjj;U ; "hT<'i"'l"'\~ ;~,.' I", 't'..' :)<j.,).-,i.'-~4:~"'. ';" _, ,~." _ :,.._
/(' It
'\0.,
The ('enter of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
,BUILDING PERMIT APPUCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ I' J
I ..! I
' ; ,: !
f
if; /'
1,...(" f r~
II - 1.' -.,.....)
."..- //'.
/1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
/
J ,. " f I
l '{ .
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~~~~
Date:
~ -~ -0
Comments:
"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."
LfCf-ltt?
The ('"nler or Ihr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT Ci 111 ~ 6)!cfq-s
APPLICATION RECEIVED 3- S -99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1635"[/ :SLit r~r t!.L.
Accepted Accepted With Corrections, -=><..
Denied ~
Reviewed B(~Q ~A;
Comments:
Date: S '((-9 ?
\. <S~ct .\-T~~ ~t- ~~ ~\~
2. Ma~,^,~~v\ C~ CrTlA~h-I (
3. ee~ oJ\ u.-H-o.~ ~~
/
"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,"
99-I,/f
Tht C tnlt, of lht Lakt C.....II')'
White - Building
Canary - Engineering
Pink - Planning
BUIL..DING PERMIT APPLICATION DEfARTft4ENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[{Ii)
. I J I,
1/t:rlllL OJ / Irtf' (f S
'7 - c,.
:...,,- ~ .' /(/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5'557-/ 5( It r(t,(~/ r (! L .
Accepted
./
Accepted With Corrections
Denied
Reviewed By: i-JAL.TEIt E'UI':"SWI ANN
Date: '3/ "/'9
. I
Comments: ~F'': tfifwr Elf:..
~.N~t!!.."JE.I> ;;, AAJO II~ j)~I"1wt'ti.E. AAJb
J)rlL/7"f' tE"4sEM~ 14s ,c.tVcH "" PA."'C.T~"''-,
,5E IL '1Jf" ottl\4. AT"loAl OAJ REu~E. SlOE,
Sf:;€ A. d~: I. F;,J/L Ca..q6.1IIf.J IIIJ~oN ~FoIUl4.""""l)"'" z.~ 1L.w
.3- EAas,OA.) f'.IIITYtOL r11EA!:.Ul~"
1/ ~ IO^-.J COAJlrlOc... ':;>!AAJ
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
---'--- I -.
, .
.. BUILDING PERMIT APPUCATION DEPARTMENT LUECKLIST (CON'T): .
, ,
ENGINEERING COMMENTS
. .. ~. . .. .
.' '" .' .' .
. . - . .
. .. . '., .
, Surface. sto~water dr3mageflowing. to the perimeter of this lot to and from adjoining properties . . .
niustbe conveyed to the roadway andlorto the rear of the lotm drainage swales withiri the
draiIiaQ:e easements. All. bare soil : areas . must be 'proteCted from eroding into, neighboring.
properties thr.ougb.the installation .of nronerlv installed silt fence or bales. ,The silt fence required. '
. by the erosion control plan muSt be installed prior ,to any earthwork being started. . The rock
.. construction entrance must be installed at the time ofb~cldil1.i.Dgofthe foundation." ,
<.~ ~ ~'..
, ,
..,
'. ,,-'
..
'..
BOSJON.DOC
".
c;c;-/w
LII rOF PRIOR LAKE
Impervious Surface Calcubltions .
,.<ro. be ~ubmitted ~tth B~ilding Permit Application) . ..
For All Properties Located in the Shoreland District (SD).
The Maximum Imper,ious Surfu.ce Coverage Peniiitted hi 30 Percent.
Property Address /515" 4 .4~#~ep&J:Z C/~
Lot Area /4- 7 4~ Sq. Feet x 30% = ........~..... 4--~ ~'2 , '9
*****.**************************************************************~***
LENGTH
WlDTII
SQ.l'~L
HOUSE
AITACHED GARAGE
x
x. .
x
=-
=.
... ". ~
TOTAL PRINCIPLE i:)l.KU\..l URE........_.
Z:'~
DETACHED BLDGS
(GarageiShed)
, - '--' .,..,~...
x
'. ..
.~AVEDAREAS
(Driv~a~ed or not) .'
~ideWa~ing Ar~)'
TOTAL DETACHED BUILDINGS...._.._
pA
~ x t~~ -Sl> : ~~I-: b
, . x . -
~x 4- = ~
,
TOTAL PAVED AREAS....-..-..........
7 JjtJ. r;
PATIO~RtHEjoE~KS
(Open Declcs ~.. mm.opening- between
boards. with a pervious surface below,
are not considered to be impervi~us)
l4- X }4-
X
= .-ill"
=
X
=
TOTAL DECKs
'I '1ft,
OTHER
x
X
-
=
TOTAL OTHER.
~A
TOTAL IMPERVIOUS SURFACE
~OVER.. ' J-
PreparedBy ~ I~
Company~~L' .~~ "',~.
" .;I:
I z.r ~2 ' b
lY:11l. 3
Date...2 -2~ - ff
Phone ff. tf.~2-~d:1cJ
03/31/99 WED 08:36 FAX 6128621223
03/31/99 WEl) Ull~U FAX 6U.UU~4S
JD EXCAVATING, INC.
nTI: OF ffl.loll L.1.EE
141002
~OOl
4PR~
i~7/,:\~\
.~ / \ ~
U/ \r.r,
~~..~
-...u
.....lUI'-- .. _ r ~..,...
.... ---
CITY OF PIUOR ~
SBWER AND WATER PERKIT
!lOTE:
s.w: No.. qq ...( L{q
Sewer and Water
cont~actors ~U$~
~e reqistered
with the city_
x APPLicANT: 'J'/) EtCJltV/ttT/ NG. lAIC. :rpRONE= fro,.. -438<-
x ADDRESs: /"1-42.. - /3'2.Ni) AVE ~ (CON ~ftPI /)~ DATE: 3 - -3 I ~ 9'7 _
~ SIGNATURE: &'c:... ...._ ~, ~ BLDG. P~IT # Cfct-(Lf(
X SITE AnDRESS: 15 354 S'c.ttl?.CE~~~ U) ~P'IDf ~-3 (~- DO~-o
FILL IN THE BLANKS,
1. Estimated len9th of ~a~er service
fe.t.
2. Size of ~ater service
inch (es) .
J. Location or any couplings tram struetu~e
feet:.
4. Type of sewer pipe. ABS
PVC X
cast Iron
5. Estima~ed l.ngth of sewer line
'feet.
6. Clean out (i~ required), lo~ated at
structure.
feet
from
1
~~QC=~=~.----=~-=__=_. _..__ ~_~===_ '~---~-==~==e______
" .~,,( ,
This. _ i ~our permit
B'i
-
~---=----
DATE:
when approved.
~/ollq1
;===~:==---;~==-==--~-------=-===~a._____ ___==-----=~_~=_~==
FEES:
$
S
$
35.00
-50
35.50
Sewer and water line connec~ion permit.
Surcha rge
TOTAL
~ fee for either seVer or w~ter individually is 520.00 plus
$ .50 SUrcharge. --
*
Sewer and watQr permi~s is.Ued far new cons~ruction .ust be
recorded on the buildinq permit car4 at the tl~e of iss~anee
to in$ure that no d~p11cate se~er and ~ater permi~s are
issued. ,r PAID WITH
DATE PAID BUILOIN~ PERMIT
RECErPT #
REC~D By
AMOUNT PAro
g4J
16200 Eagle Creek A"tI. S.E.. Prior Lake. Minnesota 55372/ Ph..(612) 447~230 I FAX (612) 4474245
An EqOIlJ ClAmnullil)' Enaployar
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~e.r flumbffic:t
Address: !:L8 00 j?! ci r (a (\ ..Ie {rc Ie. 5 i.
Signature: ~IJ..! ~dh
Legal Desc I : Lot 2... Block I
SiteA,ddreS8: )5~5t.J Shltlf?Jar r:.,'rd~,. ~
Building Permit # gq -I t../-8 .PIO # 25 - 3/2...- () 02.- - 0
NOTE: This permit will not be processed without complete information.
Tb. Con... or I"" ..... C"'"~"
,r\ ~ rD
L-.- y.~ s
I. lIhae
2. Oold
l Yellow
AI.
CilY
IqIplicall'
# C1.3-14B
Phone: 44'7"'~'73'1
fn'or IAIu... mlU 553fJ~
W f N 0.50 N (!j 0 ^' 77'fc; I..ft K.E
_SUb~NO FtDON. .
Quantity
FIXTURE UNITS
QuantIty
TYJ'e of Fixture
I
I
I
.2.
I
!l
I
Type 0' Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 companment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
:J-
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of Job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
I
I
Rough-ins
Water Heater
Water Saftner
, Stand Pipe (washing machine)
f Sewage Ejector
J BackfIow Assembly (RPZ, Double Check, PVB)
, Backflow Assembly Test
, lawn Sprinkler
Other
I
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
lbls I/' ........it is granted upon the exp~ss condition that said
conU'actor. shaJI campi)' in aU respects with me ordinances
of the Slate Plumbing Code and me amendments thereof.
~fl~~O. +kL/q'1 DATE
/l~ ATTEST
Call for all r.{spec:tions 24 hours in ~vance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
. ... ..- --- .. .._w_,.,
~IOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 153-5'4 Sc:L roeci.v- r_,
NATURE OF WORK JJ~\.J c.CT\AS~l'-IjA-t'tl\A-
USE OF BUILDING SFD
PERMIT NO. 3'1- ~ DATE ISSUED 3-tf-1!
CONTRACTOR c;+\\ ~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I ~,lA. Is--Ic~
I FOUNDATION (Prior to Backfill) I fP UJ- 1- Cjq liP t1 ~ J.4 - q 1
PLACE NO CONCRETE UNTIL ABOVE' HAS BteN SIGNED
ROUGH - IN,S
SEWER I WATER I SEPTIC 4~ f\!f\11.sri
FRAMING " I JI ~') h'- /) ~ 1 CiJ
INSULATIOt(~) ~:t V:> - (0 -99
ELECTRICAL
PLUMBING 0-) &/5jfICf
HEATING (if required) tJ
FIREPLACE (, _ ff/~}!'C"'\ ~:\~~~~, ry/(J?-11
GAS LINE AIR TEST ~ .1// r/3/1q
COVER NO WORK U-~IL ABOVE HAS BEEN SIGNED
..... I I
FINALS
GRADING (Prior to Sodding) \ ,~ J1/6 10/13119
BUILDING T.c'.o, 10 ~ tt_\S'C<\~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
eo "1/:;'1,/1 '\
)
-[;1ti~ 1C
BEEN SIGNEr>
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
~
.
"Permit"
-----.-.....-:.r~ ~ ----...."'~~
"JObAddreas!53S'1 :sd,a'th/
.Heating Contractor METRO AIR
.?~
.T esters/Signature
.....
.Gas Une
Pressurized
Inspected
.Percent CO2
'\
.Percent 02
Final Inspection
!2!!!
TIm!
PERFORMANCE TEST
7'~%
- ,
,~%
/
---~
c~.
Pounds
Pressure
, .Percent CO tt:::YJt
.Stack Temp.ca;z~
Date
i,
"\