HomeMy WebLinkAboutBuilding Permit 99-0329
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
;;3 tj;2..)
SCHEDULED 7-d&,--O I ~_..;C:(:;;
~/) /va 1tL~
, - fONIr/
OWNER
PHONE NO.
PERMIT NO.
99- ~~9
;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
^-~AL
rr 0 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:
, S~ tA~
. )
I
.~~
~
C~r)p
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Z1-r~ Owner/Contr:
CALL 447-9850 FOR T -IE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
~- ------.' -,_._." I
CITY ~F PRIOR LAKE
. INSPECTION NOTICE
SCHEDULED
OWNER
ADDRESS ~ ~LVAJWI4TEJl. 7iAIl_
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
~..~ IS-O~
~AOE' f?K:
DATE TIME
.
CONTR. ~AI I/.a""es
PERMIT NO. 91- f1..'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)It EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: iJ.~ p~
Qwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-'Z.1- '1'1 M: io
ADDRESS 342,1.... ~l(Z3 + 34Z~
~V\ UJ ale&- T/,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qe;- Jz.". ~'$o ; 3., I
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
~ECHANICAL
ATER HOOKUP
SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
tit ~cJ-~ bkok.- ~S
a~ 40 PVG
No ~
34U - ~O(
I (( T~~ \L
y.l./V' ~ of-
~ wc,..l:i-.--
tv Gv-~ c () . .
; A-2-:J _ A~f ~~
\~ll~~ l{, ~
'~ ~L' \~~
. -
$~-z.- <E, C; s' ~ ~ A-c
~/~ ~ ~r ~ &~k.
~ ! t I
.Iv / ~
~w K SATISFACTORY, PROCEED
ORRECT ACTION ~OCEED
CORRECT WORK, {/, ~PECTION BEFORE COVERING
Inspector: V, ./ Owner/Contr:
CALL 447.J.30 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,
~. ~ I~ I--~l/I
~~ +- M(.r..,1...k ~ fooK
40
tu
-
C:>.ra..-eU-
Atv Of.;.....
4:)o-CJ k.
.-.-. .-...1....-... ..... ..
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
113/01
(6:30
ADDRESS
3Lf z- r
J)~~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
'19 - "3 2.- ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
k;g' PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: _I _
N\d.mJlAAf!~ Ok::
JA1P~..f' ~eaJek/
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK0,ALL FOR REINSPECTION BEFORE COVERING
,-;7
Inspector: ~::) ~ CLA..Ad Owner/Contr:
CALL 447-9850 FOR THt NEXT INSPECTION 24 HOURS IN ADVANCE.
i
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t::uJ JV r.J
'Y PID :1<3-. .]5.;J. tJ:;,f - 0
~
DATE RECEIVED
-..
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS ~
jy~/
3. LEGAL DESCRIPTION
LOT / J BLOCK
ADDITION ~~ I s1'
4. OWNER V (Name)
(Address)
5. ARCHITECT
(Name)
(Address)
f~dreSS) "
159'..$ v/l
~ 55/~~
Fireplace a if Septic a Deck a
Alterations a Addition a Finish Attic a
6. BUILDER (Name)
iJ~
LJ~
7. TYPE OF WORK
New Construction~
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
,1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QCf- 3z.9
1. DATE
f-/2- ? f
~2SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
651' ..yo~ - ~Y'O u
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing a Porch a
Re-siding a Finish Basement a
SEATS
16. PROJECT COSTNALUE
.;2 25 () ~ i) v'O
17. COMl"'LETION DATE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I hereby certify that I have fumished 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
building icial can revoke ~~. pe nit fo~st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X . oE ~ :J".7"/~ /Y.5r r./~, "
/' t Signature License No, Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
BUILDING DEPARTMENT VALUATION
USE OF BUILDING .:) ~
OFF STREET PARKING PILING LOGS a PERCOLATION TESTS a
SPACES REO. PLANS & SPECS a SETS
SPACES ON PLAN SURVEY a COPIES
PERMIT VALUATION ;:2~~a'X). 00 PLOT PLAN a
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
Plan Check Fee ............................. $
115Td-. .~S-
9a~ .'11
11 ~.5'o
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
too. 00
100 ' on
35",SD
Sewer & Water Permit ...................... $
"" Z'i p",,,, '"I''~''' ........ · 4fl . (')0
~~i~~~r Building ~:tr:it Wli~ i~~~Cf
Certificate of Occtncy
City:
~~
.~
Amount Brought Forward .................. ~.
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
8 SO . cs:e2
I~SO.e~
t:d_ ' . $
Pressure Reducer ...~.lf)................... $
Meter Hom ................................... $
Water Meter.. '!It;. ~'........................ $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
45.0CL
( :>.S',OO
I J :;;toO .00
'700.00
WaterTap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. ~,
Paid g 3 >,. 'L '"'Z.- Receipt No. '3 OS' II "2-
~ I~
Date ~ "30 'i By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning' Ordin~nce a d may proceed ~ This document when
si~~er constn.utes a temporary Certificate of ~on~....~ompliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~ l{,-\\,'-"1-{
City Planner Date Special Conditions ~ any
1,5:a) .eil
)(~53.;J.,.J..
24 hour notice for all inspections 447-9850
T --.--....
,.
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...
Job Address'3'!!:it ( ~ 11 wJ.t /
Heating contra<:to~ ~,.r--
Name of Tester R_ t.
Date ~-(1.Q ,
7
(J
"f
Percent 02
Percent CO
Percent C02
Stack Temp. I J 0
Combustion air IS adequately supplied per
UMC Sec. 606
Input
.",
CITY OF PRIOR LAKE
18200 Eagle C....k Av. S.E. Permh No, qq....3Z 1
PrIor lake, UN 55372
PID.. 25- 352. - oz.e - 0
Lot
Owner"s Name
CoM. Load
FuaJ(\ai hahlFfu8 SI18 '
Supply Openings ;). ~
RfllumOpenlngs 10
Inpull mlYf)OutfxJI q ',ay)
~ ...
TYPE OF SYSTEM
Warm Air Planla
Gravfty _
Mechanical ~
AJt Condftlonfng
Vent. SVstem
HEAlINO OR POWER PLANT
S1eam
Hol Waler
RadiatIon
Special Devices
Ed,.
elm,
Other Devices
TYPE OF WORK
Alterations
New ConstlUctiDn ~
Replacement.
Repair
Esl Comp. Data .
BulldlngPermilll, 99"'32.9
qq.SO. "~PAIDW'T~
50 BUILDING PEr.;" ,,-
. . I.. I I
TOTAl PERMIT FEES S I ct:) . C/C) Aece!pl , .
Est. Cost .
HEATlNG PERMrr FEE $
STAlE SURCHARGE t
I. PIIIII
1. Ole
3. YcllL
j
\
TYPE OF STRUCTURE
File
a..
Ctllllndar
Single Famify _
Commercial
v
Two-Family
Induslrial
Fee Schedule
IndlJStrlal, Commercial & MlIJtl-Family
Reslden"a', Healing & AC
ResidenUal, Heating Onlv.
ResJdePlllal. Gas Fireplace
Residential; Adtfiliona & Alterations
Residential, AC Only
MultI-Family
Public Other
D
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......
......
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\.D
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1 % 01 Job cost (139.50 mlnlmlm)
$99_50
$64.50
$39.50
$S9.5D
t39.50
......
......
......
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flememb.,lo add Ihe Stale Surcbarge 00 the bottom of lhis application.
The.price 0' your healing permU Irwludes one rough-In and one flnallnspaclton.
AddiUonal inspections wIll be bIlled al 135.00 each.
HOUII HealingTesl Record mull be submitted wRh ~,~!lr4I-"", PII1DII ..II"",""'. before build-
ing certilicate of occupancy wiU be Issued.
~1=4T ~AI fl. II "Tlnt,l~ A~(l. ',I~Fn with number of supplV and rebJm openings Ilsled per
room wilh CFM's per opening. New attootlllsa or addltJons send floor plan wlth _upply
and retum locations shown. HEAT lOSS CALCUlATIONS, PAYMENT AND
APPUCATIONS MAV BE MAilED TO THE CITY OF PAtOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. UN 55372.
CiIy Hall busIness hours lU8 8 a.m. - -4:30 pm.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
I hereby apply for a mechanical syslems pennlt and I acknowledge that the
informatIon above is complete and accurate; that the worle wltl be in conformance
with the ordInance. and codes 01 the clly and wllh the staiB bulldInglmechanloal
codes; thallhls form dOBB not become 8 perml1 until signed by theIJUILDtNG
OFfiCIAL; that ahe work will be in accordance with 1he approved p'an In the
calle of .All werk which ,equlres review and approval of prens.
,-//QI/qq
Date
-"1
APP~r8
BUlh~-Oflicar. Slgnatura
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Date
RPR.21.1999 1:11PM
GENZ-RYRN
.NO.666
P.7/10
..... . .....
YIU._ . APNCAIIT
GOLD . ern
CITY OF PRIOR LAl(E NO. qCJ "" :3;J.tf
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be reqistered
wi-ch the city.
APPLICANT:~ ~a...n PHONE: u.a.'3.-\ 144
ADDRESS:...1!::/ 7 4!5 ~. ~ ber +. J r I DATE: 4! Q \ q9
SIGNATURE~ ~.~ . BLDG. PERMIT # q9"'J~
SITE ADDRESS: ~Q\ ~wcd--e.r JrJ TUIt!lPIO# 25.352 -02.8-0
FILL IN THE BLANKS
1101
Estimated length of water service ~
I II
Size of ~ater service inch(es).
1-
feet.
2.
3.
4 .
Location of any couplings fro~ s~ructure
feet.
5.
Type of sewer pipe. ABS PVC )(
40'
Estimated length of sewer line
cast Iron
feet.
6. Clean out (if required), located at
structure.
feet
from
===~====~=--=*~====-====_=====m:=====_==========_~_===_~===mw=====
This application becomes your perMit when approved.
BY
DATE:
==-~~===C====~~====~====~====_D===========~======_=__~~==_~~====.
FEES:
$
S
$
35.00
.50
JS.SO
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 construct1on must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and waterAPR~~!~ are
issued.- L ~ IWj
" PAID W'T/-I
,BUILDING EfI~;\jIT
AMOUNT PAID I
RE:C'O BY ~
DATE PAlO
RECEIPT #
. 4629 Dakota Sf. S.E.. Prior lake, Minn&5ota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN EQUAL opporm..'III1TY EMPLO't'!R
APR.21.1999 1:11PM
GENZ-RYAN
NO.666 . P. 6/10--
,
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~-~
Address: _ I Y' L.T6 S. ~ ber+ -r r J
Signature: ~~n.n ~. .
Legal DesCription: Let l~ Block 4 sUbG,l\.JnwtO-..u- ~~
Site Address; 3~ 'a \ ~ \ \.j 1"\ u.) ~ ~ ~ W _
Building Permit # PIO # 2. 5" .3.5Z - (;12..[3 - 0
NOTE: This permit wjll not be processed without campl.te information.
FIXTURE UNITS
I. Blue File
2. Gold CIIy
3. Yell_ 4ppliQaI
., 99--32q
Phone: 4Qg-1I44
n. Cn,,,. Dr .., Lok. C."Rl"
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heater
I Floor Drain , R./ Water Softner
4 Lavatol)' (bathroom sink) I I I Stand Pipe (was/1ln9 machine)
I Laundry Tray (1 or 2 compartment sink) I I Sewage Ejector
I Shower Stall I Sackflow ~mbly (RPZ. Dauble Check, PV8)
I Sinks I I Backflow Assembly Test
Bar Sink I I Lawn Sprinkler
3 Water Closet (toilet) I I Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cast, 539.50 minimum) $
Residential, New One & Two Famhy $99.50 $ crq.SO
Residential, Additions & Alteraticns $39.50 S
State Surcharge $ .50
GRAND TOTAL $ IOJ.OO
This permil is gr:intcd llpon the "press cDndition thaI s:lid
COnfrattDr. shall tOmply in IIll respects with [he ordinllnces
or the S~IC Plumbing Code: :md dlt: IIPR'd!c& .f,
RECI NO. DATE
/ ATT'EST
Call ror all in
PArD WITH
LBUIlOING PER~!ilT
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (6[2) 4474230 I FAX (612) 44742~5
An Equnl Opportunity Employer
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. qq ..32-1
Pri(J( Lak.e, MN 55312
HEATING APPUCATION I PERMIT
Da18. /;J.-t,-t?t; .PIOt 2.5-352.- 02.8-0
Site Address 31;rJ.../ W..I..,nfAJr.#-.PA /7),aAP ,e 2.SD
Lot /3 Block t./. Addilll 6LVNWA+~ sofJTfI
tU~~' ~~
Owner's Name
Address
Healing Contractor ~LLIED FIRESIDB dba FIRESIDE CORNER
ROSBVILLR. MN 55113
Address _ 2700 N, FAIRVIEW.
Telephone'. 651-633-2561
FIREPLACE
fDnIl9 Make 8. Model kJ.u.r;J r;;c.c
Moder Slle_ 11 D-1 --rJ?.c-
Cono. load
Fuel ~
Supply Openings
Relurn Openings
Input
Edr,
Clm.
Alterations
Repair
E51. Cosl $ Jim rD
HEATING PERMIT FEE $
STATESURCHAAGE $
TOTAL PERMIT FEES $
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air CondMioning
Vent. System
HEAllNG OR POWER PLANT
Steam
Hot Water
Radialion
SpecialOevices
OUlput l/a ~
Other Oevices
TYPE OF WOnK
Replacement
)(jc
New Construclion
Est Comp. Date /.J/ qlQ9
f (
BuidingPermh'. qq-329
~- ~)~
.50 ~.< 'f~O rJ.~
-,\~\~<
Recelpl V
TYPE OF STRUCTURE
I.Phk . I'8e
1.~. - 011 m
,. Ydlow - CNtr.c .!.
111
I
-
(D
(D
111
W
I\)
00
)>
3:
Single Family
Commercial
Two-Family
rnduSfrfaJ .
Mulll-FamIy
Public
Other
Fee Schedule
industrial, Commercial & MuIIi-Family
Residenlial, H9atlng & AC
Residential, Healing Only
AeskJenllal. Gas Fireplace
Residential, Additions & Alterations
Residenlial, AC Only
1 % of Job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50 .
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3:
Remember 10 add Ihe State Surcharge on the bonom of Ihis appUcaUon.
The plice "r your heating permit if-'. "'S one rough-in and one (mar Inspection.
Addilkmallnspections w~1 be billed at $35.00 each. .
House ~allng Tesl Record muss be submlled with bulldim pl'trmil "r'~~ before bun
ing cerlificale 01 occupancy will be issued.
HEAT CAlCULATIONS ~F01 IIRFn with number of suppty and reun openings fisted
room wilh CFM's per opening. New slrudures or addilions Bend floor plan wilh auppty.
8{1d return Iocalions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE WULED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE, S.E. PRIOR lAKE, MN 55312.
Cily HaD business hours are 8 8.m. - 4:30 p.m.
I
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) . CALL CITY HALL
447-4230
I hereby apply (or a mechanIcal systems permit and I acknowledge that Ihe
inrormalfon above is complele and accurale; lhallhe work win be In conformanc
with lhe ordinances and codes of 'he city and with Ihe slate burldfngJmecttanic
codes; that lhis 'orm does not become a permit until signed by the BUILOIN'
OFFICIAL; lhat the work will be In accordance with the approved plan In lIle
case of all work which r.qurres review and approval of plans.
~1I~
^%1//lr-B
ar Offleara Slgnal1JlB
(;)#../91
.. ;.1 Dale
/z/fp719
/ (Yale <
'U
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. qg ~ /):5::9 9
Prior Lake, MN 55372.
HEATING APPLICATION I PERMIT
f1 JI'1 ''-TO PILa cQ~-~~ O? -lJoI8'"
SileAddlBss 34~J L~~u~lr.
- v
lol loalock .l1 Addhion C....,I.t^Y\Vfl~ ~
Owner's Name ( .Llcu'"\s y~r\ ~~~
Address 1f(C,~ ~kr 7 c. Dr"" $-~(', &-1 1+..uJ) rujJ-
Heatirg Conlractor ALLIED FIRESIDE dba FIRESIDE CORNER
Dale
^d~e~. 2700 N. FAIRVIEW. ROSEVILLE. MN 55113
Telephone' 651-633-2561
FIREPLACE \ L -
1Xn~ Make & Model ~.i ~-U..(-'l~
Model Siz2r7ff. ~ "laoa....~-e,
Conn. Load
Fuel f'Jo.t Cw~lue Slzo
Supply Openings
Relurn Openings
Input
Edr.
Outpul
Glm.
TYPE OF WORK
Alterations
Replacsmonl
Repair.
1
Est. Comp. Date
Est. Cost $. d... J-r:x. J t;B;L
HEATING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES
TYPE OF SYSTEM
Warm Air Planls
Gr avily
Mechanical
Air Condiliolling
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radialloo
Special Devices
Other Devices
New Conslruction
7hd 9'99- 6<'5019 ~
PAID WITH
BUILDING PERM'T
Recalpl tt- .
TYPE OF STRUCTURE
I. Pinll
1. Gottn
1 Yell_
en
[1)
File ::l
Cily rt
Con!rKlO{ OJ
'<
Single Family
Two. Family
Industrial
Mulll-Famlly
Public Olher
"
1-'-
-,
[1)
CJl
1-"
a.
[1)
Commercial
Fee Schedule
n
o
-,
::l
[1)
-,
lnduslrfal. Commercial & Mulli-Family
Residenlial, Healing & AC
ResidenliaL Healing Only
Residential, Gas Fireplace
Residential, Additions 8. Alteralions
Residential. AC Only
1 % 01 job ros! (139.50 minimum)
$99.50
$64.50
$39.50
$39.50
S39.5O
JUL 2 0 2000
Remember 10 add Ihe Stale Surcharge on the bottom 01 this application.
m
111
~
The price of }'OUf heating permit includes one rough-in and one Dnal inspection.
m
w
w
^ddilional inspections wm be billed at $35,00 each.
III
III
House Healing Tesl RecOld musl be submilled witll buildin(] '1P!r"'!it number before build ~
iog cerlilicale 01 occupancy will be iss\led.
HEAT CALCULATIONS RFOUIRED with number of supply and return OPeflings Usteil P'
room with CFM's pBr opening. New slructurEs Of additil)/1s send floor plan with supply
and relurn 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 55312.
L
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.....
City Hall business hours al8 8 a.m. - 4:30 p.m.
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ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAl) . CALL CITY HALL
447-4230
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I herelly apply for a mechanical systems permit and I acknowledge that the ~
informalion above is complete and accurate; that Ihe work will be In conlormance~'
wilh Ihe ordinances and codes of lhe clly and with Ihe stale building/mechanlca
codes; t Ihis form does not become a permit until signed by the BUILDING
OFF! IAl, .hat nle work will be in accordance with the approved plan In the
cas 01 all ~or~ r~qUifeS review and approval of plans 'I.
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( . J ~l\w'n.'OI'}fig~lure (.... -..... - - / Oal8 ~
- /I r'J ~ /I A. ,--/, Iii .,( ~;j .) 7 /~-;;; M)
0.. BulIdlng (J,/ ~_UI& "/ """oF
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9'1- 3Z.q
TIw C.n'.r or ,.. Lak. CO..'fJ
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEf,ARTI\IU;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
',; (('2 1 b I LJ 1\ tV(.c~' i[ 1 i< (,,0:
Accepted
./
Accepted With Corrections
Denied
Reviewed By: j,J,I!H..,-~R. ~'.U~.E:SM"'NN
Date: tj /1.2../ ,.,
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Comments: K\JAJoFF t'1.\Jsr ~c
l!O'Uc.JE....~O
To ANi) F1LO,yl_ j)Q AtAJ14 MS.
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UTIL..,TV €'A~E""~ A~ Mtlc-Iot ,q~ PRAC.T1C.At."
s~e:' Il'IfollMAT,al\l ctoJ
I~EvEll.sE 511::l.E..
...sE~ ATTar HI'lE.uTS ~ J. F;.....AL (;/l;4()f!.. J.Udl~C7'O^-1 l1JfottMt4noAJ z- aJt.AC,,,Jl... PLA",j
3. E'ROSIC..J ~ OM.,.,U l- MEAJ.cJ~E:S
'I. E Ros to~ {!OAJT~O'- ?LA..t
"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."
White - Building
Canary - Engineering
Pink - Planning
Tho Conlo' of Iho L.ko Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \J\Jel.tShitaJAlA. ~S
APPLICATION RECEIVED ~ - 13-qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~4"21 bljhLU~tr.Wr
Accepted
Accepted With Corrections )L
Denied
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cJo ~JfC1:-cW
Date:
t/- /9-77
Reviewed By:
Comments:
I. ~ec..et
~~
"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."
,.,....".,....
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.......
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr or Ihr L.kr Counlry
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
nVtt.\U
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I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
v
Accepted With Corrections
Denied
Reviewed By: 9-o.AJ...LA_ t!..r~
Comments:
Date:
L{ -lq-Sc;
\
"
"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."
,-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :SQ21 r:1\~ 17 t-- ~
NATURE OF WORK rip!. \ ~.
USE OF BUILDING -5F-A
PERMIT NO. '19 - 32 ~ DATE ISSUED (!..../Ca- 99
CONTRACTOR ~~ lA.~c.
.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PER~IS BY SEPARATE DOCUMENT
D5GJ:- ~ . ?Ir~ -r T INSPECTOR DATE
I FOOTING ,t/, S/~ I __ ",/~)/?/ (, I
FOUNDATION (PN6r to Backfill)(J~~ ~)f. ~~/--97 I
PLACE NO CONCRETE UNTIL Ai:36vE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~4-
FRAMING · ~~PA~
INSULATION r 0//1l/1f/ff;
ELECTRICAL vY
PLUMBING ({L)9/1~/14
HEATING (if required) (/ I
FIREPLACE tt)) rz/JI)1~
GAS LINE AIR TEST fV 9ft~/ff
COVER NO W~K UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
5-,,:J7- 9;7
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I 10 we< ~~lOl
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
\N~, 1Ji'-'1
~~1 'J\~Co\M
~,~Il>At\, 4>\I"\~\
\ /b\)CWL\ ~'i \~Co\o~
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