HomeMy WebLinkAboutBuilding Permit 99-0185
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
8-'G,-q~ ,: '30
ADDRESS 14 II..P 9 H u.. W\. M.. I tJ c=t ~ lit..{)
OWNER
CONTR.
PERMIT NO. 9tl -{ ~S
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING \ 11\ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION AJ.... 0 SEWER HOOKUP 0 FIREPLACE FINAL
K FINAL 13(...~ ,- ~D PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION H FINAL 0
COMMENTS: pC(tu ~ ~.~ uK-
~~'t cS ~~cev-""'t ,~ ~
tL(1 5~ ~e.w~
Q.~OV~ ~/'1 d~.r'\.'
. 1:-rv:flG-Clt 7S , \ (~~61 at- ~~ ~
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COVERING
Inspector:
E NEXT INSPECTION 24 HOURS IN ADVANCE..
IN$NOTI
Job Address IC/ 161 p~,f,/j or
Heating Contractor >~.
Name~Te~er ,~
9 ~(}-9r
<jJ.t%
O~
1~9~
- ?~$'~
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequa~,~~upp'ied per
UMC Sec. 606 b
Input II (f>>(J
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
Inspector:
DATE TIME
I~ /1{;/17 / : 3()
/L.j./~q J-fuMn I AlG; 13/IGD ~
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
^ 0 MECHANICAL
"" ~WATER HOOKUP lAeT
~SE~RHooKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
\L.-
pvc
- No
qq-/85
o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~
. /
tL tyc...J.tL-
CALL 44 (-4230 'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
4-0
~
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........., /'
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INSPECTION BEFORE COVERING
Owner/Contr:
COMMENTS: t n n .
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~~ T~~
(0~ W~
(~~
~ 4- ~WL
Ok S1vu)-
~~~
/
/
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D,^,ORK SATISF
hORRECT A TIO
o CORRECT W RK
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-~~""", - ""i~(-.~',-"~,,_ : f&~N.;.>..,;"'~"~(?"~.,~i,,'!:i.;It,\.!'.d';
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CITY OF PRIOR LAKE
INSPECTION NOTICE
I .
SCHEDULED
DATE TIME
/O)~/?9 A;/.
/
ADDRESS
./4/t;9 N(/H/'1/;1/Gd/~ C/
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: f2<)_~tll ~ ""
~ ~ -- ~ .:.a ~ '-k /~
~ c5J .J!A- /'~ ~ c4, ~
~ ~ ~ I~~' -'
(!/J ~~' ~ ~:I?--J -?~ I~
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/1 (i () K#!..
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:;J/Jl
~~
I
9?- /13S-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE..AIR TST
;e S6~/7ZE6
~~
~~
7'"~
--
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO{7' CALL FOR REINSPECTION BEFORE COVERING
Inspector: v:r . Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE L
INSPECTION NOTICE SCHEDULED ~ 0197 d2: 30
ADDRESS /q'/~q /-!U/"?HI Nc::1t5/,.e.O
COMMENTS:
Z. 'S OS) tJYo...
~
QJl~ ~~
W~
(i) fw ~
~h~
Nol
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
99 - /85"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
"~PLUMBING FINAL
XMECH FINAL N A-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
L'1 0 FIREPLACE FINAL _ _ _ _ 1
.,.......:K"'GASLlNE AIR TST ~
o
^N~
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~-
If) {
/1 w.ty?
v (J
0;...
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~/
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D.K SA ISFACTORY, PROCEED
~~R~E ~ D PROCEED
o CORRE.. W R , CA FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~~~ PRl009 \. CIlY OF PRIOR LAKE Me
u fT'- '6200 Eagle Creek Av. S.E. Pltrmil No. qq- /f3S
Prior Lake, MN 55372
~ HEATING APPlICAllON I PERMIT
Dale. b -,30 -",9 _ PID'. 25-.34-3 - oz~-o -
She Addre$S /9/& 9' #u.h'11U1",r-iH,...C:/ 7;-e:V. / tel FeeSclledule
. .....i
Lot /1. BIoct\ 2- Addition. MrJPt.,E; H/(A... 2 AJP Induslrial, Commercial & Mulli-Family
_ ~_..... J,/ V7 J..s Residential, Healing & AC
Owner's Name CD! ~"'7J cY. ,-,...r7 o/.t,- ~ .
Resloential, Healing Ontt
~ ~rJ.5.'/ ~ - / /~ . Residenlial, Gas Fireplace
<"~ / __ _./ , ; fi L I _ Residenlial. Addilions & Alleralions
Heating Conlrac:1.Ol. ( .L.7 vlT-A- /r~tt't!Jr.." r ~ (~rdcP'V-S Residenlial. A.C Only
/k31.9" I/"~~',,,- ~,,-v-< Se ;:! L.
Iltephone" . ~~C/ - 863/
Furnace MaKe & Modal ...&. .-.,...--e TYPE OF SVSnM
. /. ~ ~>L War'f1 Ail Planls
Modll Size _ /1. L:V /-' Gravity _
MlIChanical
Air Cond'.ionino
Vent. System.
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Address .
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Conn. loac
FUll /J..~.
AUB Size
Supply Openings
Reluln OplnilYJs
HEATlHG OR POWER PLANT
Steam
Hal W"'er
Radiallon
Special Oevices _
Inpu'
Oulpu, .
Edr.
Other Devices
C1m.
TYPE OF WORK
x.
Aheralions
Replacernem _
New Cons1luc1ion
Repair.
Esl Comp. Da18
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. PAIDWITH~
BUILDING PERMIT J
Bu~ding Permit II
ES1 Cos\ $
HEATING PERMIT FEE $.
STATE SURCHARGE $
TOTAl PERMITfEES S
"
.50
en
en
Receipt' .
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2. Ora:.
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File
Cuy
CoatnC\IM
TYPE OF STRUCTURE
Single falTll1y .
X'
lwo-fam~y
Mulli.family
Other
Commercial
InduSlrial.
Public
1% of job co 51 ($39.50 minimum)
$99.50
564,50
$39.50
$39.50
539.50
Remember 10 add l"e Slale Surcharge on ,he bottom ollhis application_
The price 01 your healing permll Includes one rough.in and one /inallnspllC1iorL
Addilional inspec1ions will be billed 011 $35.00 eactl_
House Healing Tesl Record musl be submitted wIlh bI.~lnina oermi! number before build.
ing certificate 01 occupancy will be issued.
c
f:ifAI CALCULATIONS REQUIREQ w~h number 01 supply and relurn openings lisled per ~
room wilh CFM's per opening. New s1ruclures or adClilions send !Iocr plan with supply
and relum locations shown_ HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO lHE CIT" OF PRIOR LAt<E. 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
"7.USO
I hereby apply lor a mechanical s)'s1ems permit and I acknowledge Ihal lt1e
inlormalion above is complele and accurale; Ihallhe work will be in conlormance
with lhe ordinances and codes 01 Ihe city and wilh Ihe slale building/mechanical
codes; Ihalltlis torm does n01 beCQme a permil uf1lil signed by Ihe BUILDING
OFFICIAL; Ihat Ihe work will be in accordance wilh Ihe approved plan in Ihe
case ot all work which requIres review and approval 01 plans.
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Dale
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, Oile
Building OHical's:s.ignalure
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MAY-06-99
THU 09:34 AM HAROLD AND RUTH SCHLINK
218 845 2833
P.01
U :;:l)U /101" 'nlll Uy: ~7 r'AX Ul~ Ii 1 T .1:4 10
r.:.1'.1'~ U~. )o'J:UU~ LA.l(ll;
NAY'"
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CITY OF ~R.IOR LAKE
PLUMBiNG PERMIT
Applioant: ~tl -r-A /1U~4...;c..;~e:. ~ Phone:
Address: /~jl/8 ~c~_,.,__ C!cL--~->G
Signalure; ./7 4!..- P? , i _" r...,;)e:.::...~"~
Ltlyi::tI Db.5criptiQn: lot /7 J~Jock.. 2. Sub t1APU::: iii '-I.- ?N.E.
Site Address: /~/~?' .A/U:...h7~>-,. <&>-0/ ~.t.c. _7'.
8uildlng Permit * qq -/8:)' Plr.HF .z.:5 - 34-3 - (l2.'- - Q
NOTF~ Thil) pGrmit will rIOt b. prOCosced withouL uUlllp/ete InforM~tlol't,
t. 'lJ.lUO
~, (;tld
). V.U"w
I'u.
l;:ilT
"',pU6W1l
# 99-/65
~~& - 8"63tf!)
,.4-,--- L.-.. k:..R
" "'II" (',.nur u( ltat .,tI"l' <...n..,,.,
"
Quantity
r
I
I
~
I 3
t _....u__~J ___'
I
"f
T ypa of Fixture
I!IXTUA! UNITS
I
Type of Fb;tura
Quantity
Billth Tub with or without showlr
Dishwasher
Floor Drain
/
nough-IM$
Water Heater
Water Softner
Qlsmd Pil-'u (wQehlrl~ ~A~~rM)
Sewage Ejector
BMkflrlw A$wmbly (RPz, DuuLla Chock, PV~)
-.
RrlGkflOW Ass@mblyTratt
lawn Sprinkler
~avatorv lbathroom ~Ink)
Laundry Ttay (1 Ot 2 compartment sink)
ShoWI' Stall
Sinks
Bar Sink
Watsr CIOS/li~t (toilQI)
I
----
Qthf!r
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
~ll)ElidcntIQI. New One 8. Two nUi'lily
Residential, Additions & Altl9rations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
cnAND TOTAL
$
This permit i5 granted upon U\e c><prcss condition thl\l said
eonlr.ctof. "h.:111 COmply in 1\11 re.1j)~~I:> with the nrdil1"n"r.:~
of the Stl\tl/l Plumhlng C.ode and the amendmcnts thereof.
R~J1. NO, S/{,/99 OATE
~~._./ ATTBS'r
Cal. for all inspections 24 hours in advance.
.' / t>~\O '1J~f\~\'t
( eU\\..O\NG
\.:
16200 Eitglr: c'rr:r.k: Av. S.E.. ~rior Lake, Minnesota 'J'j"j'/2 / Ph. (612) 447-4230 I FAX (6 J 2) 447-4245
A.n Eaual Onnnnl1t.i,,, lO__I_"h
1'l~
GREE. - fILE
YELLOW . APPLlCA.T
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. ({C(-{~
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: Q..50}J EX.c..A VA-T(f\..f5
ADDRESS: ~ Co 111 f\~\6 L -5'\ ~
SIGNATURE:~~ ~
SITE ADDRESS: ILlf G;;. 't .fIu~INc.. \PI\. J c.... 1-
PHONE: qt ~b3lf S
DATE: 3-3t - '1)
BLDG. PERMIT # en -I~
PID# ~c;'-343- O~-()
1.
FILL IN THE BLANKS
I/^~
Estimated length of water service TV
I, (
Size of water service inch(es).
Location of any couplings from structure
feet.
2 .
3 .
feet.
4. Type of sewer pipe. ABSV
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
--------------------------~---------------------------------------
1 .
This appli~t~on~'c~~~~~J#r permit when approved.
I~N ,,~~
BY I ... .. .' ~ DATE: 3(3 ( (q C1
. .,
------------------------------------------------------------------
------------------------------------------------------------------
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 must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
(" PAlD WrrH
l eU\LD'N~ peRM\T
AMOUNT PAID
REC' 0 BY 3"3 ( I q 1
, ' ,
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
C1l- Ie s-
Th. ("r.'.r of .b. uk< CO..lry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f). . I / I ' .
/~J la / ltL <.. /1/ let ( 1~(;J'1
~ - jf--f7
~j
rJifht:J/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4ft:. Y 1;1/1/1//1:;1,1 Ii{ -Ie( (IT
v
Accepted
./
Accepted With Corrections
Denied
Reviewed By: 1J~l..TE:{{ EHKESMfitrJrJ
Date: 3/z~ifj9
Comments: RuNoFF
I'i~,-
fSe: (! ewlJEv'€O
10 AAlO 14L.ol\Jf:,
DfdIAlNL
,
*
U'-,'-fTY E'I4Se:l"iE~ AS r4i1lal AS RtAC.TICAc....
REAtt. c,'Mb KvAJQFF "'''sr.
:6E. Co"'V'?~E'()
"T CO) '"Iii/!
f.!.,f\'\MON PI? OPEATV COR..AJE.A$ ~ LtI rio,
Us F: C -AuT I.!li:J
W~AI Co.u~t'lIll.Tlo,v ik:IJ.JlLrr' ~Ct...I)(l.$ NE"AIl... l.ATtH
eA~IN~
ott.. M.qtJHOl..ES .A~ "'-0 AIo'T" ~"'Gf:. -riffM.
~e: II\JFolt.I'\.q'r.oll.\ 'll.) KEI1EUE. Sll'~
:5f:€ ~M5JT:S: I hl'lAL ~AOlJtJ~ IAJ~c:notV INFoIt....t'tTrOA,j z.. ~"'~I^'(, R..,,J
3. .f"({OS;ooV tON-rtt OL.. ME"ASrJttES
4. F~/OAJ tJtI~TItOL.. it",^,
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."
qt? -/~'S-
Th. C..I.. of Ih. Lak. Cou.lry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
&a'1di )rlcLDt<:ft:v7 l-i:rw4/
\ 3-/8--71
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / C -I .' .
/-// r;, 1 y/r Ll'JtP7'Z/2/t t7 k''{ d
j'
(I~T
Accepted ,/
Accepted With Corrections
x.
"
Denied
Reviewed By:
(fJ fi;k
Date:
3-23-7;7
Comments:
I. ~ c;. ,0_ ~ ~ ,-Qoh.uJ).." j~ ~__-;.
2. ~a ~_ ~ a::;;,j~
?j. ~ aJ2fL C( nJW ~ __.0 ~
.:--
"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."
-'
The Cenler or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, '
.I ,(: C,:, if:'
I I
I ,
,.I
'-.~~-"'-
~.>. /~
{' ;/1./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
f; / ,"
, .-': r'f'
I
i
-;F'
f .
Accepted ~
Accepted With Corrections
Denied
Reviewed By:
~t~
- ,-
Date:
'3-L2--?J~
Comments:
~~ \fW..M,.
cA;l LU-vb
2- t..{ 'F-"\ W ~J-~
k,L..a "i l~ .
~D'V ~~
- I
'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-/f~
Tho Conlor of lho Lab Counfry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/3 101 /(({ Ai 1((( l'dctl
3-/g--fl
;ifhCJ-/
.I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
jI.j/tJ; I.JIIJ II I I;/r /if 'rd {IT
Accepted
./
Accepted With Corrections
Denied
Reviewed By: jJAc.."iE1't tHfte:SMANN
Date: 3/2.~J?9
. .
Comments: RuNoFF
fIi~,..
BE. (! t!WlJEv'€D
70 A/ILb ,q L.cUl' (;,
l')tAI^,~
,
e
UTf~'T'r' E'Ase:.vltE.AJ13. AS ""'!Jell AS RtAcr,c:Ac-.
i<EAtt. YAIl.O K.JiJoFF "'''s''-
:6E. l',ot'illEyED
j"e .,.......e
~ot"\MON PR 0 pe..:rv (!CR.AJEJtS 01= L() r II!].
use: CrDtuT'o~
W.Hf.A1 Co.AJ...,-nlll.Tfo"'; ~7ftllrl ~OL.utlS NE'AIt.. C.ArtH
'BA~,^,.s.
eil.. MAN HOL.ES A,) 1"'e A..Ic:rr
~14(j~ -ria"" .
.s.tf. IN Folt.l'\A'nON OA) I?EIlEUE. Sr..DI!.,
~f:.~ a"M'A-fJ.4.M5J'r.S: I hNAL.. ~,qO/AJ&' /AJSp~Cn()N INFo~MftTrOI\J z. a,MDIi'\Ib R",.v
3. Ea.oSto.v eON'f"ft OL.. M/E"ASoJttE'S
ct. F~/o,u e()/'JT/tO,- ?"''''^''
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."
JIM.
MAR I 8 1993 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
j lfl ~ ~
3. LEGAL DESCRIPTION
/7
ADDITION ~
4. OWNER (Name)
f3,.~ ./AM.U50 ^ HoMe.c;
5. ARCHITECT (Name)
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qC( - ((: ~-;
H fA" M YYL t' I'UJ h; r J.....
if
(Cu....t-
1. DATE
3//~/'19
~(
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigh~~ rNidth) ~ I (Depth)3C, ,
12. NO. OF STORIES ;;Z
13. TYPE OF CONSTRUCTION
SJu:.K r;1It I11..IL-
14. FLOOR AREA APPORTIONMENT USE
LOT
BLOCK
I-l,' J I
~ PID 2.. s" 3 t.f) O"2--c, ()
? ~ A.d.-A,' f-,' (") tl
(Address) (Tel. No.)
Ihbf'oblJ,,, hD.t.. 14M.- I ~t)) <6'1f'''' 0);)0
(Address) fJ t.A-.. If~V II J e. (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
.Jk1LTLd-"A^d"-r~^ lkMe6 III:, Co"M~6!rJl1e LAne.- UO)-fi:i'-o ?-36 SOECACTUSPANTS
7. TYPE OF ORK Fireplace 0 Septic 0 Heating 0 Plumbing 0 Reroofing 0 Porch 0
New Construction fi1 Alterations 0 Addition 0 Finish Attic 0 Residing 0 Finish Basement 0 16. ESTIMATED VALUE
Chimney 0 Misc. / lJ 7. tJ()JJ
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETleN DATE
Sq.Ft. 12,012.. Widthl(r~ Depth rrre.q. Yes No #1.4- 7//S-/'l'l
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify thlt I am th~ 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
~Uilding official can re~m~ermore, I hereby agree that the city official (J ;~npay enter upon the property to perfor3e~7 ;~ect;ns.
Signature License No. Date f
SETBACKS: Required
Actual
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
~)FD
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
IloS',cXJO
State Surcharge ............................. $
.fleIl8IIy .B.J?\................................ $
S__:>" ~ .S.~.................... $
GJa:lgpo,. 8. tJ............................. $
Subtotal............................... $
Thi~ti mas -12 Building Permit When Approved.
By{fc-. k Date 'S-'23-'t.7
Certificate of Occupa
TYPE OF CONSTRUCTION: I II 11I1J.:]j
Occupancy Group A BEl ~
Division 104
Permit Fee ................................... $
Plan Checking Fee ......................... $
City:
Amount Brought Forward .. .. . .. .. . . ... .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......1;......... ........ $
Pressure Reducer ..~.................... $
Meter Horn .................................... $
Water Meter ..:./e/......................... $
l26.oo
I ~ '2llCl .60_
/)M,CP
~.~-
I. r)~f').~
1,'212.2S-
78~ ,(<)0
81 .f")(\
~:t\
~
Lf-'b"eo
I l') 0 . (")0
~5.~
(05. DO
o Sewer & Water Connection Fee ........... $
o
Check if
Deferred
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ 1 t ~o 0 . ex)
Other ......................................... $ - - - 7 7--
Total ~ ...~......................... $ / () ,"").J
Paid . - / 15::;' 7~ Receipt No. '6 '-t?.3 /
Issued Date 3f? J jq 7 By (J~
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZoninQ Ordi~nce and may proceed as reqU~ed. This document when
si\ined~i lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ 3>. .2-2.-4Q,
Planner - Dale Special Conditions n any
24 Hour notice for all inspections 447-42309:00 a.m. '10:00 a.m.
PRIOR LAKE
.' .
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~..
SITE ADDRESS ILl \ Lo9' HUIMIM\~\o'~ ~ r d:-~
NATURE OF WORK JJePrJ ~5kJ-c'o1_-1
USE OF BUILDING S W
PERMIT NO. 0/1- (8.<3 DATE ISSUED 3-;:('-}-iOZ
CONTRACTOR ~~ A~ /I-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I FOOTING I I L ... \".l.f ~
;fl ,
FOUNDATION (Prior to Backfill) " 1/1// '-1--'2 9 9 I
PLACE NO CONtEREI~,~NTk ABOV HAS BEEN SIGNED
0' Ii ROUGH - INS
SEWER I WATER I SEPTIC ( /1-1 "jl6/ qq f\
FRAMING l/ ~ )
INSULATION ( ~
ELECTRICA4 lJ
PLUMBING ~ fJ tn 1-- 1-0)'1 (!) 1/81'/1
HEATING (if requi~~d) U
FIREPLACE
GAS LINE AIR TEST ( If) ~/IO/11
COVER NO WORK U~IL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soqding) hi ~ Cf!;)A.!q'j
BUILDING -rco. TO ?/~h,.,J".l-ltr9C\ Q,'~l ~, 1f)-1't-~1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
,~ I-q ~
)-'"2.-9-'7
, ,
iUH . ~ /1<6/ q ti
\ . .
-
(jl}/Jv~ fA
t~\., y\)
UNTIL ABOVE H~/)
NOTICE
a-l~.orC
BEEN 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