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Home My WebLink AboutBuilding Permit #99-0314 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /1- J'J 51'1 ADDRESS 3'113 s~ (~ (A OWNER CONTR. PHONE NO. PERMIT NO. (,- 31L/ o FOOTING o FOUNDATION o FRAMING o INSULATIONiii') pJ FINAL ~ o SITE INSPECTION 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 GASLlNE AIR TST o COMMENTS: ~ ~ m4J_~ d- ~ C.O. ""!'1'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., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl ~', p', ::-.,_,~~~\:\':f'_ "'.;'..,,,1!l'ft>f>1Io, "':i'.~~'~<'!kl{~!t"~~"!~>"" "" ~,;.l.;;. ." '~.:r.;.~ ,~ '., . ., DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3 '1/ S SCHEDULED 1(;,191 q :on S,oI4NG G~6lJ OWNER CONTR. PHONE NO. PERMIT NO. qtj-314-- o FOOTING o FOUNDATION o FRAMING o INSULATION )i FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL A- }J MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: \, ?i b~ F=t'lAcJ_ ~t;:,' "2.. ?~FJ'AQ~ "'0- ,.I- CPk "). -r:~,-- o WORK SATISFACTORY, PROCEED o CORRECT AC Y CORRECT. Inspector: ~ L FOR REINSPECTION BEFORE COVERING Owner/Contr: - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE f'c3cJ-9J} /1 : 0 CJ 0P 12-1 ,JG G L6l'J CJ t2(!L/5 SCHEDULED ADDRESS $4/3 OWNER PHONE NO. CONTR. PERMIT NO. 99 -3/</' o FOOTING ~ PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION '~ MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP~ 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP ~J 0 FIREPLACE FINAL o FINAL )I!ClLUMBING FINA 1"1 0 GASLlNE AIR TST o SITE INSPECTION 0 MECH FINAL 0 COMMENTS: RE - d~ 13 ~ ~-/ ~ ~-.c1q"eJ) fiJ) ~ ~ ~. - v' .~~ - dL o WORK SATISFACTORY, PROCEED o fORRECT ACTION AND PROCEED ri CORRECT W'1fK, CALL FOR REINSPECTION BEFORE COVERING Inspector: fI11- ( Owner/Contr: 'v CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl DATE TIME CITY OF" PRIOR LAKE INSPECTION NOTICE SCHEDULED /0/21/91 ADDRESS 3t+, 3 SPit. I tJ u c: 1.-EN C I fl.c. t-E OWNER CONTR. IAlhJslU ANAl J../ of'l1E':S PHONE NO. PERMIT NO. 9?- 31" o FOOTING o FOUNDATION o FRAMING o INSULATION '1( FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: GaA[:)E. l~ ACGE~6L.E. CuR.R~)( IS Q)6Q.ATIONA<... )( WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: NSitiJ;r J.",_ ~r/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl .- CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~ECEIVED . 9_ DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) Y- 7- '7 ? 2. SITE ADDRESS 3~/3 SL7r~'h"j C/t"/V ('irc/~ 3. LEGAL DESCRIPTION t7 LOT ') 7 BLOCK 2. PID .25"- 3.51- 0 ~ 7- 0 ADDITION Cf"--V-- r.J ~~ 4. OWNER {Nam~ (Address) (Tel. No.) 5. ARCHITECT (Address) (Name) 6. BUILDER (Name) W f'NJ/I'J tr;N~ }-JtJ m ('.s (Address) 1895 1'14z,;" Dr f' a -Y~ N /7J IV .$"$1.1)- (/ Septic 0 Deck 0 Addition 0 Finish Attic 0 (Tel. No.) (Tel. No.) ~ .;-1- ~(I' - "lito,; 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 10, CULVERT SIZE Yes No I. White File 2, Pink City nn , 1/l~Y:~w (Wlicant ''''l'''t-3CL V r ~ t1'lL Permit No. CfCi - 31 '-I BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE f'ouop elti I 17. COMPI:ETION DATE 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 am the 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 bUil~icial can rev~ thi~ermi~r just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ~;;Z I ~ J' '.71, 1 ~ Iy 5"" .y'- 7 - 9 " /l' 17 Signature License No, Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION USE OF BUILDING c,P1+ 't~JO'X>'~O TYPE OF CONSTRUCTION: I II III IV CQ Occupancy Group A B E F HIM W S U Division 1 2(];> 4 Permit Fee ................................... $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty..... .... .............................. $ ~3tr. ~5" ~"q.~~ Ll "-. CO lOO.OO LOO.oo 35.50 G"A...""~~:...... $ I.j (J . ClO_ This ~~ come . ing Permit W~h,en ~~~ ~~ Dm q-/~-17 Certificate of Occup ncy Plumbing Permit Fee ....................... $ r- \ fAC\. ~,V Mechanical Permit Fee ..................... ~ Sewer & Water Permit ...................... $ Issued MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 Side Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer .~&~~.................. : Meter Horn .....i!i...,......................... $ Water Meter .. ::'lPJ.......................... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ 24 hour notice for all inspections 447-9850 Other ......................................... $ Total Due i'1..n...................... $, F) ~ 7~ . 'tl Paid .~7ot-77 Receipt No. 350J7~ Date I.j It'J ji 7 By (ii!LJ 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 r~~ted. This document when sign y C' P ner constitutes a temporary Certificate of Zon!nll. compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. .M4A. L1 -I 6"' ~<1l nner Dale Special Conditions if any T .., e 5'0 . ('Y") I C2SD . 0r1 liS.ot:l , ~ S . eo 1(108 :~D ~ I I I I I I I I I I I I I I i ! i I I i I I I i i I ","" .~. ,ry1fl..,,-,1I,""'~'il 1""',' r:"'!, "T~-'- - ~--~-- -~1~'~:'''~-~::,,,,'~ i~>;..':' 't?""' , -'\'~ . -,' "<:'Jf",- ,~l, "'."~-' /. .... I i ( " !' I .-" I , "'" 'l&O. The (""nfer of the Like Country White - Building Canary - Engineering Pink - Planning .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED, I \ ; ( { (." I I 1(( I ({ 1 ,./" " /, t/I I I, . I I i i, ; , , f ") r 1, I I I_I ._ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: " -, /' '.. , (' i,.., ('I I / I I I ...'.... I', I ' "'l : ," . (l I I, . " I .I '\:'- I f - "___', ~-.- \ I Accepted ~ Accepted With Corrections Denied tk~~ Date: iLl... t L{ - qc, Reviewed By: 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." '. ./, qq -.3tc( The' Cf'nlrr or 'hr L.kr Count". White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED lA }f VIS YlIlCLv(yt L( --C( L[ CJ ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: btelll (!L. :sLl 13 ( r " )~Vlij Accepted Accepted With Corrections Denied (J fJll Reviewed By: ~A_/~. Comments: Date: t/-/5= 77 ~ ~Pit-cz,cr-~~G +C;r Ql~ ,'~J'J. ,f S}urO/ tic. "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." " 00 -3/C ( Thf' ('eontrr or the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t A J{ 11 Sl11GU1LJ_ L ( -.f( -tiC; iliJt u5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '~lll'~ ,C\fJJU( Litj lr-; (e i l eL. / Accepted With Corrections Accepted Denied Reviewed By: JJA LTER.. E ~RE..~Y'tA"'N Date: 't/Il,I" f I Comments: SE.! BtJIl-'>,N('l ;::>,cA.M ,r;f/:. rt- 3/'z.. (31./0, SM I-u(, BLE-A) Cta.J toit. COMM€A.I-r.s I I IAJf(,(t MJ'lTiOI\J , 4rn9..L""IMEAJ7'S_ "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." '0'( rnl~" CITY OF PRIOR LAKE ~ 1121111 Elgl. c,.... All. S.E. P...Uo. qq ~.314- . ~ Pdor lake, UN 55372 HEAnNG APPLICATION I PERMIT .-l ~I 4 '~I Iqq PIO' 25-.35/- OZ7- 0 .-l _ . f~ Add,ess ?+II3 SilJVJ\.o. ~ \ a n ~~ t\)W ;b ::J7 Block bL Ad~ftlon ~ -t~n u) Ci.-i ilL W e~-+ ~eflName, lA ).e..n~"'a...nn \-m meS '~I.U I <i1q~ r-rta..a".(L ~R. f--O-ao.n 1BtIIl9Contrsctor. Q,....orn- RuOJ'l u '474~ ~.%hU+-T(-1 4!J'?l- llY4 Idl.SS 'ephone" , rnaca Make & Mod.1 ~ I .n fl r-." ,dal SIz8 Ol;)':J.(:;J~/~ - ~16 . .. nn.uad at N M . ~"'Ylue SIze ppfy Opanln~s II tum Openings, 4- ul1 f':>..fX'XJ OuJpul { ~~ (Y'("") LV' z a: >- lk: I No Z W (.!l TYPE OF SYSTEM Wa,m Air PJanla GJavllv . Mach.nIcaJ ...--- AIl CondiUoJ1Tng Vent. Spit., . HEAnNG OR POWER PUNT Swam , Hol Waler Radlallon , Special Devices, OIl1er Devices TYPE OF WORK 118110n !I E a... (J'lr "'", ~OIIS , Replacement Esl. Comp. Dale Building Pelmlt" , CPo SO 'a'iING PERMIT FEE . (J'l - (J'l -;1: SURCHARGE . .-l ~LPERMITFEES $ lk: a... a: .50 1ct).OO Naw Construction v-- qq- 3/4- PAl i) WITH BUILDING PERMIT. Recelpl , . I. ... 1. DR 1. Yd.. .. all c~ TYPE OF STRUCruRE Slngre Famll~ _"........... Two-Famllv . Commerdal Industrial Fea Schedule Industrfal. Commercial & Multl-Famllv R :.....1: ntia'. Healing & AC Rasldanlial, Healing Onlv nesidenlfal. Gas Fi,eplace Residential. Adtfitlana & AIJeratlons Residential. AC Only Mu1tl.Famly Public _ . Olher 1% 01 Job cosl ('39.50 minImum) $99.50 564.50 139.60 $39.50 $39.50 Remember 10 add Ihe Slate Surcharge on Ihe bottom of this apprrcation. The price D I your healing parmi! Includea one 'Q ugh-in and one linal Inspection. Addillonal inspections will be billed al $35.00 each. H QUS. H/tllllng Tlsl R SCOld musl be lubmlUed with 'wi'rI'../) IWmf1 number lJelore build- ing certifJcate or occupancy wUI be ISlued. ,wFAT,rA' ~I n .TlnM~ ~Fn. "~Fn wllh number 01 8upply eM relum openings IIsled per room with CFM's per opening. New .tructwe& or additions send lloor plan wlb aupply and ,elurn locallon. shown. HEAT LOSS CALCULATIONS, PAVMENT AND APPUCATIONS MAY BE M"u r=n TO THE CITV OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. Ciay Hall bu~Ine&s hOllrs are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGK-JN AND FINAL) - CALL CITY HALL 447-4230 I hereby applV fOl a mechanl<:al Ivsl8m. palmlt and I acknowledge thai the information above Is complel. and accurate~ lhallhe work will be In confo,JJllRce with Ine ordinances and codu of Ihe cilV and wlLh Ihe alai. bultdlftglmech8nlcal code.; Ihallhls lorm d08S nol become e pelmil until Iloned bJlthe BUILDING OfFICIAL; thai Ihe wOlk wIll be In acco,dance wllh 'he approved p'an In the C':.:):: a:::~: an: ~PProvll.' P:i~ II qq V Applfcant's Signature - . Oate - Buildfng Offical's Signa lure Date APR.21.1999 12:48PM GENZ-RYAN NO.661O -P. 9/110 _. .... 9IU.01Ir - U9u1:AIn' lIGLD . err, CITY OF PRIOR LAla: NO. qq - .3 /4- SEWER ANO WATER PERMIT NOTE: Sewer and Water contractors must ~e reqistered with the city. APPLICANT: ~ - ~ PHONE: t.4 'd.~-ll ~ L{ ADDRESS:. \4,1-\6 S.' i<D be..R.+ Tr I DATE: 4lQ) Jq~ SIGNATURE~~ ~ ,BLDG. PERMIT # QCl-314- SITE ADDRESS:_~ 13 c?-'9r\'r'\Cj ~\rn QJR NW.PID# 2S-.35/-a2..7-0 FILL IN THE BLANK~ 40' 1. Estimated length of water service feet. 2. Size of water service J ., inc;h Ces) . J. Location of any couplings from structure teet. 4. Type of sewer pipe. ASS pvc)L Cast Iron f' ^ I Estimated length of sewer line ~~ feet. 5. 6. Clean out (if required), located at structure. feet from =~~===========~=====~~=~==_.====~~~=====~~======~====_a~=====~:=== This applieation becomes your permit when approved. BY C~TE: ============-~=====~====~~~====-=~.._=-========C=Q==========C%==== 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 S .50 surc:harqe. * Sewer and water permits issued for new construction must be recorded on the buildinv permit card at the time ot issuance to insure that no dupl~cate sewer and water pe~its are issued. PAl D WITH BUILDING PERMIT DATE PAID AMOUNT PAID REC'O BY RECEIPT # 4629 Dakcti! Sr. 5.E.. Prier l..3ke. :vlinnescra 553i2 I Ph. (612) 4474230 I Fax (612) 4474245 RPR.21.1999 12:48PM GENZ-RYRN NO. 660 P.8/10 ~- - CITY OF PRIOR LAKE PLUMBING PERMIT # qq-314- Applicant G,...A.J'\.4.. - ~ o..n Phone:~~~-ll L.l4 Address: ~4/Y~ So %bu-+ Jr-I Signature: r-;\A"1'-C'\ ~OJU Legal DeSCription; Lot:2./ Block ~ SUbQ lunlJ..Jo:te..r vJ ffit Site Address::3~ ''3> '5 ~ ~ li.n (\ ~ N W . Building Permit' qq- .3/~ PIO# OZ5'-.351-(J2.7-0 NOTE: This permit ~ilI not be precessed wIthout camplete Information. FIXTURE UNITS I. .... 2. 01114 3. YlIIIow .. QIy 4pplic::lU Tll. ern.... of .... ....... e....",,, QuantIty Type of Fixture Quantity I Type of Fixture \ Bath Tub with or without shower .3 I Rough-ins 1 I Dishwasher I I Water Heqter 1 I Floor Drain ,E:..I I Water Softner :;2.. I Lavatory (baltlroom sink) I I Sland Pipe (washing machine) I I Laundry Tray <, or 2 companment sink) I Sewage Ejector I I Shower Stall I Baclcflow Assembly (API. CCluble Check, PVB) I I Sinks I Backflow Assembly Test I Bar Sink I Lawn Sprinkler d- I Water Closet (toilet) I Other FEE SCHEDULE Indusuial, Commercial & Multi-Family C1 % of jab cast, 539.50 minimum) S. Residential, New Ona & Two Family $99.50 S qq,so Residential, Additions & Alterations S39.S0 S Slale Surcharge S .50 GRAND TOTAL S 100..00 Thb permiE is gr:u1ted upon tit. I~P~$ condilion IhQt said COnl~ctar. shall comply in all respeca ~1h lhe ordin::Jnccs of the SUle Plumbing Code ~d the 3mcndments thereof. RECEIPT NO. DATE PAID WITH ... BUILDING PERMIT ,AIIQI Cllll for 311 inspections 2..J hours in l1d~ce. L6:00 E~!!le Cre-:k Av. S-E.. Prier LOlke, Minneso[:J, 5537:! I Ph. (612) 447-4230 I FA..X (61~) ~i4'2-+5 A:'l F~lIal O"",nn"nir: J::TII"II,.,v,.~ M o . c. qq ~ 31 t.j. CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Perlllil ND, Prior Lake, MN 55372 v 00 00 00 M M \0 N r-l \0 , HEATING APPLICATION I PERMIT Dale (0--\ ~ - C~ C\ PID" z.'S-.3S /- 027- 0 Site Address ~ \~ ~(j{,~ l'\(.,nn Ll rL-C...-U- I<2.SD . -/ lot Z 7 Block. 2.. Add~ion 6'-V N tV ATtS/€.. VV 6- Sr I \ \ \_ Owner's Name \U,~~~(l -r1l":..{)'\JL ~ Address HeatingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER Address. 2700 N. FAIRVIEW. ROSEVILLE. MN 55113 Telephono#, 651-633-2561 FIREPLACE \\. IMJWIl9 Make & Model ...\t.c..u ~ l o..Lc TYPE OF SYSTEM . C I _ --...- D -!) Warm Air Planls Model Slze_ c~. I ..) I L...... Gravily Conn. load Mochanical Air Condilioning Fuel ~w-l"", ':Flue Siu Venl. System ~ Ql t: ~ o U Ql "0 'r- 1Il Ql ~ .,.. lL. <( II) o .. 00 o en en I r-l N I c:: ::J r") Supply Openings Return Openings HEATING OR POWER PLANT Sleam Hol Waler Radialion Special Devices Inpul Oulpul ,~\ CJ...'D -.. . Edr. - Olher Devices Clm. TYPE OF WORK New Conslruction ~ Co -d '-.\ -Cl C.I CJC;-3/4- Alteralions Replacement Repair Esl. Compo Date \ \CC~. . C{} Building Permil # Est Cosl $ HEATING PERMIT FEE $ ST ATE SURCHARGE $ TOTAL PERMIT FEES $ .50 i PAID WITH lBUILDING PERMIT Receiplll TYPE OF STRUCTURE I. I'lnlr AI<< 2, Clrer.. _ 01, 1. Yellow C....clor Single Family Two-Family Industrial Mulli-FamUy Other Commercial Public Fee Schedule Induslrial, Commercial & Multi-Family nesidenlial, Healing & AC Residenlial, Healing Only Residenlial, Gas Fireplace Residenlial, Addiliolls & Alterations nesidenlial, AC Only 1 % of job cosl ($39.50 minimum $99.50 $64.50 $39.50 S39.50 S39.50 nemember to add Ihe Slale Surcharge on Ihe bonom of Ihis application. The price 01 your healing permil includes olle rough-in and one llnal inspection. Addilional inspections will be billed at $35.00 each. House Healing Tesl Rccord musl be submiUed wilh buildino 'l"rmil number be/ore ::JUild. ing certilicale 01 occupancy will be issued. HEAT CALCULATIONS, REQUIRED wilh number 01 supplv and relurn openings Iis.d pi room with CFM's per opening. New structures or additions send lIoor plan with surP'Y and relurn localions 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. Cily Hall business hours are 8 a.m. - 4:30 p.m. . All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL- 447-4230 I hereby apply lor a mechanical syslems permit and I acknowledge that tille inlormalion above is com pie Ie and accurate; Ihatthe work will be in conlormFBnce wilh Ihe ordinances and codes 01 lhe cily and with the slale building/mecha1nicl! codes: Ihal Ihis lorm dDes nol become a permil until signed by 1he BUllDJIN( OFFICIAL; thatlhe work will be in accordance with Ihe approved plan in \'the cas~1 all w'ork which ,requires review and approval 01 plans, , . - Lv - \~ 11(=1 Date ~/2.//qq Dale PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 3L{ 1'3 Spj-I\~ G{~A. (l;-. NATURE OF WORKn-P't'\ (\~Jt--UL~~^- USE OF BUILDING S FA- PERMIT NO. crt - '(,1 L{ DATE ISSUED 1./ -15- C; I - , , CONTRACTOR ~h~'Ma..-"" l~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING :i. 5. I ~-.,:)"7-~~ , FOUNDATION (Prior to Backfill) I ~ ..5. I .r"S'-'1P, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING r ~\~ eA}t. t')~2~J1~ ~ INSULATION~~~~ 1-~-1? c;r ELECTRICAL PLUMBING K\. .IS, 7- 4-~? HEATING (if required) FIREPLACE ~~~~, 1-lR--11 ~V 7~/9'; GAS LINE AIR TEST ~ ~1rlt,r9~' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ,.. iI_~ AD I I FINALS ~ GRADING ~qor to Sodding) BUILDING w.- ~ ELECTRICAL PLUMBING ~~ h-0 I lv;3J /1; HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE g~kr't. C;P, g/;o/c; <J (jf) v/t () () (7!) !';/o ff/J rf 6 ./f"""l /0("7 h<r 1/' a ]~ i"r IY'-I< 1/- ;(3 .-Sf '1 .If\.t\. /1 - ~ s - YCf HAS 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