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HomeMy WebLinkAboutBuilding Permit 99-0330 -."" .~tI"~ """".:':"-.r""'~'-' <!:",,-,,""'....,".... .. \:.'t,,;~~' "',,' ~t. , ,: l',.;;,"~ ;;';;'\:' ,;,1 ji .,' [. /,.~ ;.,-, DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ell3oJCJ1 2.: 00 3t/25 6LVNW~/bJe. 7ie... SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. qq~330 o FOOTING o FOUNDATION o FRAMING o INSULATION e FINAL ELO 4- ~ SITE INSPECt COMMENTS: \. (~u5-f2- 1 . SOt":> ~ ~. ~N0 o PLUMBING RI 0 EX/GRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP /l 0 FIREPLACE FINAL 12J- PLUMBING~ FL r~ 0 GASLINE AIR TST ~MECH FINAL A r\D . IN~ ,^,,-'P \J~\V\p ~ S~ \ (1.<-~> S(eo,J t)~ o WORK SATISFAC:~TY' PROCEED '9S0RRECT ACTIC N D PROCEED o CORRECT tiC)~.". . C L~ 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 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE il'AND UTILITY CONNECTION PERMIT DATE RECEIVED _'I. ~ , . 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 l-'i J 1 3y.l,f; /~ ~ 3. LEGAL DESCRIPTION V LOT / .s- BLOCK ADDITION ".I'fk~~ 4. OWNER ~) ~NIV q'f-32-~ MItUJ Ft~ 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq- 330 1. DATE Af-/;J.-? 'j BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES I Sf .y PID A5- JJ-.;;l- 0.31-0 ~ 13. TYPE OF CONSTRUCTION (Address) 5. ARCHITECT (Name) (Address) 6. BUILDER (Name) k.J~ }.J~ (Ajd~es:}.L. 18',$ I' ~r f>...- &~ ~ S5J.2~ V Septic 0 Deck 0 Addition 0 Finish Attic 0 7. TYPE OF WORK Fireplace 0 New ConstructiontJ....-"'" Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Tel. No.) (,5/- .yU" ~~(J () Side USE OF BUILDING flffi OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE ;).;J,5 600 en 17. COMPLI!fION DATE 10. CULVERT SIZE Yes No 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 building ~icial can revoke ~ permj)Jor justiJfuse. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X AJt:ZNY ~ Y ~ J'7.7~/:J /Yr~ ?-}2-" , ~nature License No. Date TYPE OF CONSTRUCTION: I II III IV{ V Occupancy Group A B E F'::{l I ~ S U Division 1 2 (J) 4 Permit Fee ................................... $ I, S \ 2 . '2. ~ '182.Q7 I l '2 . ~0 Plan Check Fee ............................. $ State Surcharge......................... .... $ Penalty ....................................... $ I (? 0 00 lo(J . C/O sS ,t:::;(J GaS~ir ~acep it ...~.... .............. $ 40.00 This i ti , mes . ding permi?h7 t:proved. By "J Date.... ~ ~ . , Certificate of Occupan Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Issued SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Side SOIL TESTS o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES ~as::ctXl. CJ Cl PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... $ 8~('J LOCf' SAC ......................................... $-J--cD SO .~ Collective Street Fee ....................... $ Sewer Tap ................................... $ ~~ t. $ Pressure Reducer ...:'/l'J.................... $ Meter Horn ....;;..."........................ $ Water Meter ..j~t......................... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ LIs .DQ l ~ 6 .on I . aOo .ao "l? Ar) .C)Q Builder's Deposit ............................ $ Other ......................................... $ I. vs. '<. '1 '2-- Total Due .............................. $ WO' J q... Paid 'i t)3. 'Z..- '- Receipt No. :J,y, I ""L Date 4-/3~/ II tj By UJ- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordilance aJd may proceed I requested. This document when s~~ltn r constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. - .. L.{~,q~99 City Planner Date Special Conditions ~ any Front Back BUILDING DEPARTMENT VALUATION City: ~~~~ A' v0 1k ./~ 24 hour notice for all inspections 447-9850 " ---~- - .----- '" Date JobAdd.... 01J~I1u/~ teating Contracto~I'A.I' /1 ~" . ame of Tester ;?, / . ~-.;!.y.44 7 c ,. Percent O2 Percent CO Percent C02 Stack Temp. ~ 1;'5 Combustion air is adequately supplied per UMC Sec. 606 Input , ~ "',"",,' "''''''',-='' I, ~",~~_ ~ ...., I' '" " II',"""" .- , - , White - Building Canary - Engineering Pink - Planning lhr Crnlr. 01 thr Lokr Country ,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT, APPLICATION RECEIVED. t\f',i f"\\(~ ,/ 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: ~ 1!?'AAA../AA.-. Comments: Date: L/ - {q ~Cf1 ;'1;: "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-330 The Cf'nfer of the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W~NSHAN HOM E:S 4-/13/qq . I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted /- Accepted With Corrections Denied () Reviewed By: ((u.. -e Il Comments: Date: 4-( q --7-1 "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." 1q..330 Tho C..t., .f lit. uk. CO..II')' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPYkATlON DEf.ARTMENT CHJ;CKLlSI NAME OF APPLICANT APPLICATION RECEIVED \\E.I\l'::rIAN Helvl ~S 4/1":5/CfCJ , i ' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 342:5 (;Lt,JI\JWttT€1t TR.. Accepted / Accepted' With Corrections Denied Reviewed By: jJ~I-T6R. E....R.EslIC.fIlNN Date: 4'%.2./<;9 i Comments: $EL gvIL.O''''~ PEQ.r4Ill, #- 9'1- 3Z.<j- (34/2.1 ~L~.AJW1Jra TiiJ 1 ron.. CO"\.l'Y\E'A1TS _ J.l\JFetf..MI4T,oiJ f ArrttfU/""ErJr-S 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." ~., . CITY OF PRIOR lAKE J ~ 16200 Eagle Crek Av. S.E. Plrm" No. . qq- 33 0 PrIor \.aka, UN 65372 \D ...... ~ HEAllNG APPUCATlON I PERMIT ~Ie U! 9 I I ~ PID '. 2.5"':362.. - 030 - 0 ~.Addr...?*-IQb ~ ''j1UO o.hA. ~ . rull I 2,)6 _ 4 _hk~"u\a~ "M. qy,,~ OWns'" Name U.)d) J\. ~ ~rY\.. \l 1) ) Addreu_ \ c:;{C\6 r-p \QJJ~ ~. "....lIIg Con\faclor ~ D.n D - ~-' Address. )WIL)S S~SU+ T,I T'-,phOne' , t.+~!3-114tf FurnUlft Make' Uodtl h oflJ1() 't.. Model Size ~QtrA~4- 'CO CoM. Load . Fuel nnJ hnJRue SlI, o . Supply OpenlnQs. Q ~ zRltum OpenIngs, ) 0 ~'nput/rf>, cnJOUlput ql ,CCO r!..; ,; ~Edr. l!) crm. TYPE Of SYSTEM Warm NI Pian's Gravtly . M.echanlcal, ",,- Air Condblonlng . Vent. System. HEA11NG OR pOWER PLANT Steam , HoI Waler Radlallan . SpadalDevices. - Olher Divas E Il.. N ~ Aheratlol\5 ...-l TYPE OF WORK Replacement New ConsllUction ------ EsL Comp. Dale . qq - :33() Repair. 0) ~ EsI. Cost $ . BuildIng Permit It , c;j HEATING pERMIT FEE $, C3jq. SO g: STATE SURCHARGE ~ .50 a: . TOTAL PERMIT FEES $/00.00 RecelpU, ~ PAID WITH BUILDING PERMIT rvPE OF STRUCTUR~ SlnQI8 FamiIV Commerdal, v TIHO-faml\y Indll6lrlal, Putmc Fae Schedule .... ..... Qt. ~ 1. Ora ,. y.u.. Multi-Famt\y _ _ OUlar Indus'rlaI, Commercial & MuiR-FamIly RllidenUaf, Heating & AC R8I1denIlBl, HealIng Onl'f Residential, Gas Fireplace Resldanlial. Adrlitllllls &. Allerations Ras[dential. AC Only I" ollohCOlt ($39.50 m1ntmuml $99.50 164.60 $39.50 $39.50 $39.50 Remember 10 add the Stale Surcharge on the bottom of this applica~icm. 1be.prlceClI your heating permillncludes ona rough-in and onelln.' InspecUon. AddiUonal inspections wBI be billed at $35.00 each. House Heating Test Record must be submitted wiIh ....\~Irllno rp,.~" "umbM bafcw buDd. ing certlfic*e 01 occupancy wL'1 ba issued. ,..FAT r..I r.1 I' .TlO"'~ ~F('\\ URFO wilh number 01 supply and return openIngs Usted pili room wilh CFM'. per openlng. New s'ruclur81i or additions send fIaor plan whh supply and r.,um locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND APPUCATIONS MAY BE MAILED TO THE CiTY OF PRIOR LAKE. 16200 EAGLE CREEK A.VE. S.E PRIOR LAKE, MN 55372- Cily Hall business hCNm are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CA_. CITY HALL 447-4230 I he.ebv apply for a mechanical system. permil and l a&knowladge thai the ilI10Jmalfon above \s complele and accurate; thatlbe work will be In conformance wl\h the ordinances and codes 01 'he cUy and wllh the 6'ate bultding/mechanlcal codes; 'hat this form does no' become a permll until 81gned by the BUILDING OFFICIAL; that the work will be In accordance with the apPloved plan In the caS8- of .U WDrK which reaui,es review and approval of plans. '1/9.1 Jqq Dale Date --RPR. 21 . 1999""" 1: 22PM GENZ-RYRN NO.66? P.2/6 ell v OF PRIOR LAKE t a E.- . PLUMBING PERMIT f qq- ~.~ Applicant; h 01l.4 -- ~ ~ .PhClne; 4'd.'?-. -l \ L.\ \.{ Ad~ress: . ~L\ ~ .~ b .qJ}i, ~ Signatura:~~ ~ . Legal Description: Lot M 16 Block W ~SubA ~ ~m.1JL ~~ SiteAddreS$:.-!~LlQ~ ~ ~ . Building Permit' ,PID' ,;)5" 352,.- 0 30 - 0_ NOTE: This permit ~i11 not be processed without complete information, FIXTURE UNITS 1'11. C.nlCf Qf lllf La~ (;DIInl" f Quantity \ J I 1f \ \ ( 3 I ) Type of Fixture Bath Tub with or without shower Quantity Type of FixtlJre Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector eaclCf10w AssemblY (RPZ, Dauble Ch~ PVB) l3acktlow Assembly Test Lawn Sprinkler Other - -, -EL- -L. DishWasher Floor Drain Lavatory (bathroom sink) _----od>..... - Laundry Tray (1 or 2 compartment sin") Shower Stall Sinks Bar Sinlc Water Closst (toilet) - FEE SCHEDULE . Industrial, Commercial & MUlti-Family (1 % of job cost, $39.50 minimum) Residential. New One & Two Family Residential. Additions & Alterations State Surcharge $ ~ _qq.'SC $ $ . $99.50 $39.50 .50 GRAND TOTAL $ J/)0..00 This permit is grllntecl upon Lh~ CJiprc5S condition lhat S:lid CQntrlactQr. shall comply in all respects with the ordinances of the StlllC Plumbing Code :and the 1IR'~"9 ~~f. _ P.E\.lfY"~O' . DATE lV/fA. / ATTEST Call for all inspcJi:,ns 24 hours in lldvnnc:e. ~. PAID WITH ,BUILDING PEr:::' ".,. I. ; I 16200 Eagle Creek.A.v. S,E.. Prior Lake. Minnesota 553721 Ph. (612) 4474230 I FAX (612) 447-4245 An Equal Opportunity Employer -RPR. 21. 1999 - 1: 22PM-' GENZ-RYRN NO.66? P.3/6 .... . PW.E "a.I.D. . ....ucAIIT GOLD . err. CI'l'Y OF PRIOR LAKE NO.gq.. :330 SEWER AND WAl'ER PERHIT NOTE: Sewer and Water contractors must be registered with the city. APP~ICANT: J:j ~ -R..M().,4IL) .PHONE:~Q3:.lI~ ADDRESS: 14145 ~ _%~~ ~_DA'I'E:~~Ll39 'r.) 5 IGNA~ .1>............ _ _BLDG. PE1>lIIT # qq. 33 () SITE ADDRESS: a.::f.t.,{,~Wo# Z.S'" 3S~ -030-0 3-IQ5 IN THE BLANKS , I LJO feet. 1. Estimated length of water service J inch (e:;;) . 2. size of water service 3. Location of any couplings from s~ructure 4. Type of sewer pipe. ~BS pvc~ Cast Iron ,//'0; 5. Estimated length of sewer line ~ .feet. 6. Clean out (if required), located at structure. feet. feet from ~;=====D===_=~==~===~=====~==~==~=====C=:==-==.==~==========~==== This application pecomes your permit ~hen approved. BY D~TE:.. =====;;;;==;::;;=:;=========..:=...==...===============-==""'=-- ,.-=====---======""'===== * 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 cuilain~ permit card at the time of issuance to insure that no dupl~cate sewer and water permits are issued. r'/ PAID WITH DATE PAID BUILDING PERMIT AMOUNT PAID APR 2 3 1999 RECEIPT # REC'O BY ~~ $ ~ $ 35.00 .50 35.50 Sewer and water line connection permit. surcharge TOTAL FEES: . 4629 Dakota St. S.E.. prior Lake. Minnescta 55372 I Ph.. (612) 4474230 I Fax (612) 4474245 AN EQUAL OPf'OFmJNrTY E.'4fl.DYeR CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. qq....3..n Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Dale /}/; jq9 PID. 25-352-030-0 . t" . SUe Address 3C;d)C) G~nFlI..Jnt-R/\ r;j)1.~J-e ~ZSD Lot /5 Block L/ Addilion U 6LVNJ1//Jr~-c.rvn-I Owner's Name & )O~ML.- ~M~~ Address 2700 N. FAIRVIEW, ROSEVILLE. MN Telephone II . 651 - 6 33 - 2561 FIREPLACE IMlWlJP Make & Model ci I,,~ A1 t;/":-. Model Siz~ .;ST -'JV1/'_ Conn. Load TYPE OF SYSTEM Warm Air Plants Gravily Mechanical Air Condilioning Venl. System Fuel ~ Flue Size Supply Openings Return Openings Inpul OulpUI i.A1rm Edr. HEATING OR POWER PLANT Sleam Hal Waler Radialion Spedal Devices Other Devices Clm. TYPE OF WOAK Allerations Replacemenl xX' New Conslruclion Repair Est Comp. Date 7/.:Jm . . . QQ-330 PAID WITH "- BUILDING PERMIT] Esl. Cosl $ I 1M. a) Building Perm~ , HEATING PERMIT FEE $, STATE SURCHARGE $ TOTAL PERMIT FEES $. .50 Receipl" TYPE OF STRUCTURE. I. PiI.1< 1. el..,." 1 Yell"", L c: File ..j 01, I Call1ncl' 0 I-' I \C \C o 0\ " ~ W )> "TI ..I. Single Family Commercial Two-Family Muhi-Family Other Industrial Public Fee Schedule InduSlrial, Commercial & Mulli-Family Residential, Healing & AC Residenlial, Healing Only Residential, Gas Fireplace Residential, Addilions & Alleralions Residenlial, AC Only 1 % of job cosl ($39.50 minimum) $99.50 $64_50 $39.50 $39.50 $39.50 "1 lD III ..I. a. lD n o "1 :3 lD "1 Remember 10 add Ihe Slale Surcharge on Ihe bollom ollhis applicalion. The price 01 your healing permit includes ono rough-in and one Ilnal inspeclion. Addilional inspeclions will be billed al $35.00 each. House Healing Test Record mllsl be submilled with buildinq mmnill'll"""'" belore buile ing cerlilicale 01 occupancy will be issued. HEAT CALCULATIONS REQUIRED wilh number 01 supply and relurn openings lisled Jl room with CFM's per opening. New slructures or addilions send lloor plan wilh supply 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. 0\ I-' I\l 0\ W W Cily Hall business hours are 8 B.m. - 4:30 p.m. ALL WOAK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 447-4230 00 00 00 I hereby apply lor a mechanical systems permil and I acknowledge thallhe ~ informalion above is complele and accurate; Ihatlhe work will be in conlormance with the ordinances and codes 0' lhe cily and with Ihe slale building/mechanics codes: thallhis form does not become a permit unlil signed by the BUILDING OFFICIAL: Ihallhe work will be in accordance with the approved plan in the case 0' all work which requir,s review and approval 0' plans. , lit /'19 . Dale 7 II 199 0all 11 . o I-' Building Officars Slgnalure r-t o . 0. CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Permil No. q 9 - 330 Prior Lake, MN 55372 V IX) IX) IX) l"l l"l \0 HEATING APPLICATION I PERMIT Date l-d\- Gte. PID" 2.5- 352- 030-0 SiteAddr~ss 3LfjS 8L.fNNLU~ DnvJL.. ~2SC> - I Lol /6 Block 4 Addition G'-VN'f1/'rrre,e" !so u-n-l Owner'S Name .uf o...n~(Y)CO...ry) .fur\t....L ~ ~-~ r-t In \0 Address HealingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER Address. 2 7 00 N, F A I R V I EW, R 0 S E V ILL E, M N 5 5 113 Telephone". 651-633-2561 FIREPLACE ~ ~ tWmQl9 Make & Model _ N Model Siz~ lQ.(X)() -rer 0 S- QJ l: S- O U QJ 1) Conn. Load Fuel _ N .\-ilh TYPE OF SYSTEM Warm Air Planls Gravity, Mechanical Air Conditioning Vent. System Flue Size Supply Opanings Return Openings HEATING OR POWER PLANT Steam Hot Water Radialion . Special Devices .,.. Input. oUlputdl \000 J VI QJ S- .,.. ll. < r-1 l"l .. IX) o (J\ (J\ I r-1 N I ,... ::l F") Edr. Other Devices _ Clm. TYPE OF WORK Y- Replacoment New Construclion Aile rations Esl. Comp. Date !-~lo - 9 '1 \ \ 00 .00 Building Perm~ 1/. 99.- .330 ~,' -- ,-. PAID WITH ~ . BUILDING"PERMIT J Repair. Est. Cost $ HEATING PERMIT FEE $_ STATE SURCHARGE $ TOTAL PERMIT FEES $_ .50 Receiplll , TYPE OF STRUCTURE I. Pin. '. 2. (imu ' .1 ], V.lIO'" Single Family Two-Family Industrial Commercial. Fee Schedule Induslrial, Commercial & Multi-Family Residenlial, Healing & AC Residential, Healing Only Residential, Gas Fireplace Residential, Additions & Alterations Residential. AC Only Multi-Family / Public Ot"/ .",1 1 % of job cost ($39.50 If'" $99.50 $64.50 $39.50 $39.50 $39.50 Remember 10 add Ihe State Surcharge on Ihe bollom 01 this application. The price 0" your healing permit includes one rough-in and one final inspeG1iO(\' Addilional inspections will be billed at $35.00 each'e bUild- tJ8lo1 House Healing Test Record mllst be sub milled with buildino Dermit numbeJ. ing cerlilicate 01 occupancy will be issued. \is\ed pe iogS IV HEAT CALCULATIONS. BEQUIRED with number 01 supply and return opei' .",\'0 SU~ room with CFM's per opening. New structures or addilions send 1I00r pla~o E and relum locations shown. HEAT LOSS CALCULATIONS, PAYMENT A~ ~l;. APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 162OV- CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. . 4:30 p.m. , . \"'11 \\~l\. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CAll C~ 447-4230 \hll\ the e dg8 I "\la"ce I hereby apply for a mechanical systems permit and I acknowlecftJ." ,0 CO" 0 \I "ical inlormation above is complete and accurate; thatlhe work will be i~ ~\d\l\91l1\~ll~\NG wilh Ihe ordinances and codes of Ihe city and with the stale bUildi,,~f~"'l \M B . the codes; that this form does not become a permit until signed by tllYc::::-~ed pia" III OFFICIAL; thai the work will be in accordance with Ihe approveC1!i cr 01 a II work which requires review, and approval of plans. ~e- , ,/ .../~... ',. '. ...... rl {lBta Building Offical's Signature 7~e~ PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 3<1;2<<\ G''t^ ~ NATUREOFWORK _/J~ ~ USE OF BUILDING SFA PERMIT NO. c:r ~ -'TsO DATE ISSUED t..(-/(,-79. CONTRACTOR L )o..J\A.VdPJ' 1/\ ~ /' , NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT It:, INSPECTOR DATE . FOOTING (~~'r.<<~./I. I FOUNDATION (Prior to BiCkiiU) t'~' I (~ &-1-99 v A~~ ; PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC .f;q.:h 5-,),1 r<jJ FRAMING \,..\,,~\ '6"?(~'\ 0) 7/~/rf INSULATION Vh~~(!l/10q'l L.\.-' ~. ~-"2.~ ELECTRICAL PLUMBING t(:V1)f)/1 ~,g-~<{-'11 HEATING (if required) V vt ?-1#?''7 L..t... ~~, ~~1r ", FIREPLACE (\,\ ~7Vl;"'~ et..S,.z.,." (/VP "7J~1 &,0, 0...\. ry"'~7-" W:'i f>.l'~..v' tj GAS LINE AIR TEST v COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED "M._~_VJ"\nD I I FINALS GRADING (Prior to Sodding) BUILDING l' cO. tu fl/11 qLi ELECTRICAL ' PLUMBING HEATING DO NOT OCCUpy lV E I~'~ r-'!~ (;:J)3h6/<f9 () ~th 00/1'7 {L ~ ~ I >>.(~ti ?tV ~h,/"f tLH ~ ())(~ UNTIL lABOVE 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