The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT #99-0259 f ~'':''''-'''!'""""'''''''.'''' ~..~--""..,<t:~.'... ~ ,""',:.~ '._ '_,-",'-,,,.--c'." ~ ..,.,.....' - ........."... t ',.,;,f.Jo..:.......!..:J ,;:..:;,;.:..:...o..;.jo.:.:...-.l....~~_~,'...J. ._'.;~'.". ~.o:w \"'.~~~..;j:;;~-:.:J.,.i,'~..a ...'"j..:.!.1,~:< t;'~ \.;i':' ,;';;:;;,1',,:...;,; ,'"~,;;~".j.:";;'i~"'::,.;L': 'i.'s'''~ ~"iO> ';"'i..,;.':.J" i,'-..' ;:;;M.liLi~.....C~h $;..,~;~~, .;.,~~.,,~'::hl,"'''''''~':.'.,.;_~~1J APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor _t::t..cmAlJ..,)..,Al Name of Tester ---12b~,J Date 7-2fo'~1 Job Address II/Sf S jlD~IJ~ ;:>,1.. Heating Contractor mC,tc.l'>Js;J./ Name of Tester ,).4IZ.U"/ Date Percent O2 Percent CO 7' ;:t." - ~.,. r.j 1" Percent CO2 Stack Temp. Combustion air is adequately supplied per UMC Sec. 606 7-~ j., .v- 7~:J. "r Input DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE (- '2(,- cr~ 3':00 SCHEDULED ADDRESS J<l.S 71:::) b l.J.:JMJaR R.d. OWNER CONTR. qS --~ 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 AD SEWER HOOKUP .Jl! PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o t/h~TS0f~nvf ~ ~~ ~U',~ \ A1^+.- ^ ~ ~AA 00 ~ 01(,; /1 ,J~ ~ u tZvJi ; r(rv 1 ~ // / ~RK s1 CTOR PROCEED ORREC CTI N AND PROCEED . CORREC' WOR . CAL FOR REINSPECTION BEFORE COVERING \ Inspector: Owner/Contr: CALL ~7-985~ FOR THE NE;(T INSPECTION 24 HOURS IN ADVANCE.. CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSNOT/ ~ TIME CITY OF PRIOR LAKE AI INSPECTION NOTICE SCHEDULED Gt IS '" ADDRESS 1451 S Rcsewccd f2cJ OWNER CONTR. PHONE NO. PERMIT NO. ~~ . ZSCi o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP . D..)NSULATION ^ 0 SEWER HOOKUP }i?J FINAL t"\ 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS::::OO ....N I \b f' I Lclrk~!~ ~ ~-y-"- d^, {LJ:>Xt. n (;l ~ J-") L b ;/,1 - Q TWt-h l.--t l CMr c:; \ \" ~O.s:::.~ 1- ~ V -'\ / ,---~ \\~ r o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o -; " / / ~/ ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: THE NEXT INSPECTION 24 HOURS IN ADVANCE.. INSNOTl TS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 7 . ~ ? -t:t~ c[~oo ADDRESS I (,(5" 7'5 ((0 s.e~oxi R.J. . OWNER CONTR. PHONE NO. PERMIT NO. 1'1 ~15 z ~ '1 o FOOTING o FOUNDATION o FRAMING o INSULATION 1!{ FINAL o SITE INSPECTION o PLUMBING RI LJ MECH RI o WATER HOOKUP o SEWER HOOKUP ~UMBING FINAL ~ ..._CH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o OMMENTS: .:D~O ~ ~n~I\,\(A ~ . _ ~ Cw.-~ ~..~~( .~ c:::le1J& \?meAJ- 3) ;6)") CPr'\.. fro _ I B ~ f1Y~ ~(F~~ ~Y1. /7 SAuL, ~ ~ ~ r\~. c-o_ ~ O~ q- / s- -q1 o WORKSATI ACTORY, PROCEED o CORRECT C ION AND PROCEED ~RRECT K. C LL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 44 -98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI Cl1Y OF PRIOR LAKE INSPECTION NOTICE ADDRESS ..J" S'l <:. OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULA nON )( FINAL o SITE INSPECTION COMMENTS: ~1t4 QIItJ f. DATE TIME SCHEDULED ~-Mt R(u~~OM\ & CONTR. B 4 EAlAJ ~.t. ~II"'~"- PERMIT NO. --.!}j - 1. S' 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 {' ~tl~'l IS c:2tfAAT~""At- .~ Al'L ~PTM8., F" XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: tJ.~~ c!i . CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: - CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI " DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~-I4~Cjq II: 30 ADDRESS 14575 Rosewood Qc\ OWNER CONTR. PHONE NO. PERMIT NO. qq _ tS't o FOOTING o FRAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIRE PREVo o PLUMBING RI o MECHANICAL ~~!"ATER HOOKUP .-,~SEWER HOOKUP of ~ SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLlNG o LKSHOREnNETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: 75l 5~~J vv(l, Lfo ((IIC-. J" .. It fypL {t '1F' I~' I I fJD ' ll~ lL ,5 baY A if 1\ l \ {lt1JT r k. {At V' b ), 0 t ~}Y ~,~ hk. / )( WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :::~W03Y: RE~SPEOT~N:::RING CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! T ~REr:Fl\~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant APi 19Jj qq-z<1t Permit No. 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 /'I.)7S- ~()S~WcJO'() I'OAt? ..5 1. DATE /I-Iff \<\ sD BUILDING INFORMATION 11. SIZE OF STRUCTURE (~31 ~i'l! I ~:u / 12. NO. OF STORIES 2... +- LO"K-Of/i 13. TYPE OF CONSTRUCTION :J/~t..f... Wd()tJ ~'21) - FJtrv1JOf 14. FLOOR AREA APPORTIONMENT USE 3. LEGAL DESCRIPTION 9 .K AJol3 zS- 3'/0 ozcr () LOT BLOCK PID I-f/ tL ADDITION 4. OWNER (Name) SA-mZ-- liS 5. ARCHITECT /t.../[;JOO 6. BUILDER (Name) L .. ),Address) f) r/JUJ ZK- (Address) (Tel. No.) &;51-J;SZ~7Z.tf z}/3IJsl)~l/vi-. u/~~e~~1J-7 7'10 1fu~'L ~.J 72- t ' 15. NUMBER OF OCCUPANTS OR SEATS bUvN~ (c;vsr: ;rAre . OCCUPANTS SEATS Fireplac~ Alterations 0 7. TYPE OF WORK New constructiOrp( Chimney 0 Misc. Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 16. PRf/S3;~Z{f 17. COMPLETION DATE ,ft';CMX JW(/ /??i 19. PROPERjY DIMENSIONS. 1 10. CULVE63T S E Width /Z.~ 0'/ Depth ItPl r- Yes No ..;- YO 1Il.T" 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 that I arn the owner or authorized agent for thlOl above ..u.;,:.;.~j ";j":~~;~ons tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the :uilding offici o.s ermucst . Furtherm;t~:ebY agree that the city Z~ 47fii~m.3 enter upon the property to perform ~id~'9ons. v Signature . License No. Date I 8. PROPERTY AREA OR ACRES Sq. Ft. 140 s'l FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o Front Back Side Side PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION )f{> PLANS & SPECS 0 SURVEY 0 SETS COPIES USE OF BUILDING I S{,.ocf'J . t") d PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV ~ Occupancy Group A B E F HIM \.fir S U Division 1 2 (j) 4 / "..-- Permit Fee ................................... $ " J c.rz . '2 <s 'l42..lf7 7)", <:;-0 Amount Brought Forward .................. $ Park Support Fee ........................... $ 1'/50.00 SAC ......................................... $ I u::x....; .0-2 Collective Street Fee ....................... $ Sewer Tap ................................... $ 5//( $ Pressure Reducer ....le!.................... $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ '10. CJ'L- Penalty....................................... $ I 06 .<.?~ (CO .DO '35. S-O Meter Horn .....r:;t~........................... $ Water Meter ..-:/a........................... $ 1;;20.00 Sewer & Water Connection Fee ........... $f. ? t=)(') ~ 00 'f WaterTowerFee ........................... $ let:? .r~ Water Tap ................................... $ Builder's Deposit ............................ $-'+5t){") ~ 00 Other ......................................... $ Total Due .............................. $ ~r70Q. 7;)", Paid "7 -,05' ,f"2- Receipt No. 3~1 o-z..... Issued Date ~l z,Ji I q1 By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~ Ordin~nce and may proceed al'e~uested. This document when sig~~ the CiJV anner constnutes a temporary Certificate o~Z~ compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. /' .:-r;a:::;/~ "{ -~ "f/f. Y , Planner ~ Date Special Conditions ~ any ~.I.F" ~vV~ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fire lace Permit ....................... $ 4- () . 00 This pp . mes ~r Building Permit VYl}en :pproved. By . ':J!;- Date 'i ~ <JOl ~ CJ q -7 ~ ~f Certificate of Occupan6'y 24 hour notice for all inspections 447-9850 r HEATING APPLICATION I PERMIT &- -j'.-Cj'C;. PIO # 25-3/0 - 62.9- 0 /l/575 r---m.&l...JeD..C r.~ab , , , ICNOf3 HIL-f.- ~)LL1:~ r-I o , Q. Dale CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Permit No. qq - 2SLJ Prior Lake, MN 55372 Site Address Lot q Black _~ ~ddilion Owner's Namw:'--'./ :-t:5JibL?1i'1 Address. 2700 N. FAIRVIEW. ROSEVILLE. MN Telephone # 6 5 1 - 63 3 - 2 5 6 1 FIREPLACE -11 , ","1'3 Make & Model ~rAA J...j h Lv SL_ 7sTJ V IX) IX) IX) Pl Pl \0 N r-I \0 Model Sizl! . TYPE OF SYSTEM Warm Air Planls Gravily Mechanical Air Conditioning Vent. Syslem ~ Ql t: ~ o U Ql 'U Conn. Load Fuel 0, G_y' Flue Size Supply Openings Relurn Openings Esl. Cost $ J } no uo HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ 'r- Inpul ell Ql ~ 'r- LL. Q. en N Edr. Clm. Alterations r-I o en en I Pl o I t: :J I") Repair . Output ~3QJ) HEATING OR POWER PLANT Steam Hot Water Radialioll Special Devices Other Devices TYPE OF WORK xX Replacement New Construction Est. Compo Date !cip/9C; , qCJ- 25q I ~ PAID WITH BUILDING PERMrr Building Permit II .50 Recaiplll TYPE OF STRUCTURE I. l'ink 1. GItt_ J. y.,lI_ Air City COI""ct", Single Family _ Two-Family Induslrial Multi-Family _ Olher Commercial Public Fee Schedule Industrial, Commercial & Mulli-Family Rcsidenlial, Healing & AC Residential, Healing Only Residential. Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % 01 job cosl ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add Ihe State Surcharge on Ihe boll om 01 this application. The price 01 your heating permit includes one rough-in and one Iinal inspection. ^ddilional inspections will be billed at $35.00 each. HOUSE! Healing Tesl Record must be sub milled wilh buildina ~,",il number before buHd. ing certilicate 01 occupancy will be issued. HEAT ~ALCULATIONS REQUIRED with number of supply and relurn openings listed pI room wilh CFM's per opening. New struclures." additions send 1I00r plan with supply and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE. 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a,m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGIHN AND FINAL) . CAll CITY HALL 447-4230 I hereby apply lor a mechanical systems permit and I acknowledge that the information above is complete and accurate: Ihal the work will be in conformance wil" lhe ordinances and codes of the cily and with Ihe stale building/mechanical codes; Ihat this form does not become a permit until signed by Ihe BUILDING OFFICIAL; lhatthe work will be in accordance with Ihe approved plan in Ihe case 01 all work which requires review and approval of plans. /? . /it d.....tl F.......'. f./ &lpl" , WS'h9 ,. , Date 6/~/q9 D's 18 Building~Onical's-Sig1fa ture CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. CJ::l- 25C1 Prior Lake, MN 55372 . / HEATING APPLICATION I PERMIT Date (-13 Jqq PID# 2.5.310. 02.9.0 Site Address . J4-?aS f2.0cLwcod ~. K./SJ:) Addition heres //11' I$()UPOS By-~ Cfins-fr-u.Cf\ (Yn Address. 21.~ja V~ ~ t>nDv' ~ Heating Contractor ~ V; (.-leSe n it e.LlnY'Q <j- A I '-- Address 3:lt6o ~~<L Dv~- ( e~ <.061 - '-Is d- - :3- i'7b u Lot Block G~ n!kl .&. -_ N~rl1e Telephone # . Furnace Make & Model (rJrri~(, TYPE OF SYSTEM Warm Air Plants Gravity Conn. Load 1/1 (X() LSTa U{[XU Mechanical -L-' II" Air Conditioning Fuel/1.h t f.a~Flue Size S Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices x Model Size 'X Supply Openings IS A Return Openings Input. Output. Edr. Other Devices Cfm. TYPE OF WORK Alterations Replacement .l~ew Construction .X . Est. Comp. Date. '1/1'5/ qq .Q,.J ., EP _L'l1 00 cJ~ O~ 2 ~ n ;:.n Building Permit # "7"7 - ~~., qq. 5D ~ PAlO W\T~ ~\,. .50 l eU\LO\NG pE.R It/J - Receipt # . Repair Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ TYPE OF STRUCTURE ~ 2. Green 3. Yellow File City Contractor Single Family Commercial x , Two-Family Industrial Multi-Family Public 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 t-. 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 permit number before build- ing certificate of occupancy will be issued. HEAl: CALCU'=ATIONS 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 447-4230 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 the case of all work which requires review and approval of plans. ~iW Building Offical's Signature b -t.f ..q 9 Date ro //tJ /9q [J'ate . qq'-;)<;7 T_ C..,or or 1_ Lab Co...ry White ~ Building Canary ~ Engineering Pink - Planning . .a.u.tLDING P~MIT APPI..Md'TION DEPARTMENT CHECKLIST NAME OF APPLICANT .' ~'llitLti-l CC\ t'-J..f.- . L(-I-C{1 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: It{~-7S ;I0S{~cc( Rei Accepted ./ Accepted With Corrections Denied Reviewed By: ""lAL..7?It. J;"l-/tf€s,c..rJlJAlAI Date: ",/7/,9 I Comments: ~oF': If'Iusr ll€. CC:WUE~ To A.;u(j Al...ON6 D,q"",All'J6E. I Eo d-nL.u-"" EA-SE f\1E..-JTS AS lI1uoLtJ~ ..;:n.1lc...TK'1I L _ , ..sfE '^,FO~MII4TIl}'\J ON RCoJl!.Il:!.E. SIDE... SE'E Amtfa./W"le'AItS: J~tA.... (11l~E. J""gccrItJM JAJFotllMrf:D.JuJ 2. ~,q~^IA.. R.t:I"oJ ""3. rno<1SlA." l'oftN"rItOL ""E~ 0/-. ~~ [lDA.J~ 'RAAJ 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.. '-.-"T--"--._'-"~..'- -,--- --" qC(,-J57 Tht' ('enter or the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT bllht(AiL~ ~S..J-, Lf-( --q 1 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f Lfs-7 S !fo:-~U)[X) o( r<d Accepted )L Accepted With Corrections Denied /.: '7 -.i--- Reviewed By: ~a,^\ Comments: I. Ncu\A \.e. \ \A ? ~cJ ~ (rJV\- r c:fh r-h uR 2.~~cJ2Qa_J{-QcW ~ .., Date: L/-$,-CZS "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." /)'1 r -.' <I The ('rnler or the L8kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1 ( - ;' ',' l.: l, J, t\.. { I ( (; I) I ., . ' I, t.'/I r( f. t The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ) " , J' I , /' /t'~r I Accepted V' Accepted With Corrections Denied Reviewed By: <:: j) A. Mk (JV'"V'-l , ~ Date: L( ~ S-~~ 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." i &~ ~NE:;9 GREEN . fILE YELLOW - APPLICANT GOLD. CITY CITY OF PRIOR LAKE S.W. No. qq - 2-5j SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: ~~ ~ ADDRESS: 101J SIGNATURE: l .~ SITE ADDRES(, :::;-75 PHONE : ~y- Lf 1'19 :Tih, DATE: 6--- '7-99 ., BLDG. PERMIT # QQ-Z5'7 i WPID# 25-310 - 02..9-0 1. FILL IN THE BLANKS Estimated length of water service <j 0 J l } Size of water service inch(es). Location of any couplings from structure feet. 2 . 3 . feet. 4. Type of sewer pipe. ABS PVC ~ Cast Iron 5. Estimated length of sewer line Yo feet. 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ This appli~atiO ecomes your permit when approved. BY DATE: S~~/qq ,. , ==========-======================================================= 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,/ ,~O~~\1 AMOUNT PAID RECEIPT #\e~\~\~ REC'D BY 16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer "r- ,- 05/07/1999 12:05 T~. C..I., of Iht l.k. Counlri 512-8947972 LAKESIDE PLBG PAGE 01 Phone: I. II.... !-lle 2. Geld City 3. Yellow AppliE:al;lI # qq -..~s1 {p I L -8- ~ 'i::2J, 0 0 .CITY OF PRIOR LAKE . PLUMBING .PERMIT Applicant L.. '" t,.,,_ ,i .I. - pr~ ~- ~ ~ Address: ./..2~~:.d~'" A~ Signature: ~ . ~~ Legal OesC~ptlon: L.ot. .Block Sub Site Address: J'-/S"~ ~l,~~OCJe:I ~ F,t- Building Permit # L{lf- 2~1 PIO *06-3 ib :o;it-o NOTE: This permit will not be processed without complete information. . .. FIXTURE UNITS ~'("e"f'e'- CO/\.S~_ r 9 Quantity Type of Fixture -J D vJ 1\ -<"If"~ I 5 \ -3 Quantity Bath Tub with or without ~how9.r Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) : Shower Stall Sinks Bar Sink Water Closet (toilet) ,)- I J-naQ.!)n "1 I Type of Fixture Rough-ins /;.,) 't' {,/ Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler - Other ~ _#~:;.e.b.'~ I I:) t.~IfJQ:J.'" 1- I t.e. ,....ff",. J.... ~ $ $ Cj f S-() $ $ .50 tf:>i:I $ IdO,- ~. PAIDWITH BUILDING PERMIT' This pemtit is granted upon the ex.press condition that said contfllctor. shall comply In all respects with the otdinances of the Stale Plumbing Code and the axnendm,-nts thereof. _ RECErPTNOrW -\..{LDATB . \j'U^ \ ATTEST Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opponunity Employer FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of Job cost, $39.50 minimum) . Residential, New One & Two Family Residential, Additions & Alterations State Surcharge ~99.50 $39.50 GRAND TOTAL PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS -/!!~)~ egS(Ll~JcCJ~ !4- 0/ NATURE OF WORK Net..tllCM.o, ~r-uC..J'L~ ' USE OF BUILDING S FD PERMIT NO. 9?- 261 DATE ISSUED C(~-9:? CONTRACTOR i3r-e~vu.r ~~W~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DO:UMENT ~ DATE J FOOTING I -~.qq , I FOUNDATION (Prior to Backfill) t:1 u... I J. \-( . I s ...~~ <S""l/,,~ PLACE NO CONCRETE UNTIL ABOV HAS BEEN SIGNED ROUGH - INS I -.1-. \\. SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE (2" \. \-lO oW; t..nJt' ~-17~'" m I GAS LINE AIR TEST laD ~ ~J ~~ ( I' V S""""'- J Y -c,q {, ~'t ~.. q, ~~2~ *' '1'1 I b- 'tl.,qOj I ~ ---tt l "'1 q I I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING i.t-.f) is'. ~-J~-~q ELECTRICAL PLUMBING HEATING /f/ DO NOT Itb J 1- I:). '''7 I (/[) 71a&/1~ (/ J.~. 1-,}1-~~ 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