HomeMy WebLinkAboutBuilding Permit 99-0369
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;t:~! / CITY OF PRIOR LAJ(F. ~J
:.~~.' ~.- J)epartmtnt of Jiuilbing 3Jn~ptction 1l6~~I'- 'I
(tl::.~l.- . ~~ermitted 0 Conditional C.O. Expires . '
a;': ;?/ ~.
I-t) This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building ,Code l;-,
>'f~ ce.rtifying ~hat at the time ofissua~c~ this structu~e was in compliance with t~e various ordinances ofth~...... .~.
)( -..J;.::-I City of Pnor LoJce regulatmg bUlldmg construction or use. For the followmg: . ,', .~~
~~' , ~
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( ....(.f UseClassificatior Single Family Bldg. Permit No. 99-369 _"
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, ". .' R ' . N A ,.. R1 I .
( . .1:...;~: Occupancy Type 3 Type Construction VN Fire Zone / Zomng DistrIct : ji!,
(&".-.' . . L3, B4, Woodridge Third Addition : 1~.'
. -W'' , Legal Descnptlon : .... ~
(j;-~' 4610 Parkwood Drive J\~.
~ c' Owner of Building .. C:h Address ~:,~'
<<,,,;....:. Contractor'sName&~H..... Joe Mah~~ 4096 174th St., Prior Lake, MN t~!
~..:~~' Robert D. Hutchins 'I AI r' PI Jenni Tovar ! {.
<<"". . j,i Ity anner l~)
(v -: BUn,n! O..(&ial). It.i;.
~ . 0 r l , {A Q Date. . ~
\]'~ Date: . '-I \ \'
(~ ". '.' ,........ ......., .~STlNACONSPlCUOUSPLACE _ ~r'
(--~ '.... "--"'" ~~..~=+~~,....~wr~,.~~~:~....,...'!~...._~,.,.. .....1. "'.., l.~~W"~~"'~~.~+~~ ~~ ~
(~. . '. .~. ~~.. ~~" ~~..~. ...'~ t~. .. .... ".. ':.:a~ . ,:;.li~ t .~ .~. ~. ..... .~:iE~ · ..:.a::.".dt
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- -......:::.'- - - - - -. - - - - - ~ - --="'" - -~- - - - ~- -~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
0-l-9'1
IO:Cf)
ADDRESS ~[O
ParlLwocd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"q - ~q
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
3- MECHANICAL ~
}!J ;:JIA TER HOOKUP
,. SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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01 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR!!1ALL :~ REINSPECTION BEFORE COVERING
Inspector: _ '1 Owner/Contr:
CALL 447-423 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS
40/0
DATE
SCHEDULED ~
P~,e.K-WOOD
TIME
CITY OF PRIOR LAK!
INSPECTION NOTICE
J (SiJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QC)-3fP9
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
1iff)~IREPLACE FINAL
~ GASLlNE AIR TSlS'
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
e.. FRAMING L..l-' 0 WATER HOOKUP
~ INSULATION 0 SEWER HOOKUP
o FINAL ~LUMBING FINAL
o SITE INSPECTION ~ rECH FINAL
COMMENTS:@) ~ ~, ~-v-r +0
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o ~RK SATISFACTORY. PROCEED
Ii' CORRECT ACTION AND PROCEED
o CORRECT 1.jK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: V.y _ Owner/Contr:
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
~-Ll-qq 9:'CO
ADDRESS ~LO ftiJ-~
OWNER CONTR.
PHONE NO.
PERMIT NO.
cri - 369
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
J\E~RHOOKUP
~ ~.':.':~.BING FINAL
o MECH FINAL
o EXlGRADfFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
&JMMENTS:
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Inspector:
OwnerfContr:
CALL 447-9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUIRE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V lNSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
15. NUMBER OF OCCUPANTSPR SEATS
OCCUPANTS /
7. TYPE OF WORK Fireplace~ Septic a Heating a Plumbing a Reroofing a Porch a SEATS
New Constructior; Alterations a Addition a Finish Attic a Residing a Finish Basement a 16. ESTIMY,~ ED VALUE
Chimney a Misc. f.}"SeJC) 0
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS - 10. CULVERT SIZE 17. COMPLETION DAl},
Sq. Ft. II; / 7 J- Width fd U Depth 13 f-J Yes (N~') .7 ~5/??
I hereby certify that I have furnished information on this application which is to the best of my k.1 . .,,}J true and ww....wL I also certify that I am the owner or authorized agent for
the abo~-.tJ"'''''' """""""'.. """"'" ".. -... -... """ -..... ."_..J " ....-'"""'........-..... I ~ --......
:i1ding .~ can r oke ~~ fo~use. Fur., .:. I hereby agree that the city official or a ~ ~)enter upon the property to p -t'# V /Wns.
/ ~ l.Icerf8e No. . Daie I
,MJR \ 5 \999
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRES~ b /0 )!Y~I'qJ t:1 /L
3. LEGAL DESCRIPTION
LOT -3 BLOCK i../
ADDITION Lt' ) A-C-PJ.;~~ Q .3 RIJ At) IJ.
4. OWN~ ,J J <11ame) (Address)
cJ?J '€IKA--/4fv"-V L/ t? 9(; .-/ 7 rj 51,
5. ARCHITECT t (Name( (Address)
6. BUILDER ( 1 (Name) (Address)
'ii/yip?
fZ~
PIDP.. ~{3/?{);l Yo
I?/;~)--)L J.~ A4(
(Tel. No.) . _
6/:1' ,/C/c.> ., 53:; <f
(rei. No.)
I ( (
1. While
2 Pink
3. Yellow
File
Cily
Applicant
Permit No. Ci C{ ~ 3rcC;
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hel":J-. ~..r-;,( (Depth) S ()
12. NO. OF STORIES J
13. TYP~ CJF CON, STRUCTION
IV ~tr
14. FLOOj jRftfPORTIONMENT USE
V
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Amount Brought Forward ......... .... ..... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap .............t:,'.n................. $
Ucense Check Fee .. 7eJ;;;;Y1........... $
Pressure Reducer .......................... $
Meter Horn. ..~..... .... ......... .......... $
Water Meter ..1'&........................... $ I ;;2, S' _ C)C)
a Sewer & Water Connection Fee ........... $ J. ~ DrJ . ~()
a Water Tower Fee ........................... $ . t'z OC .I!"'rr'\
Water~ ..........................r....... $
Other .~.\~J.~~....~.~.t...... $ It.e:;'l)tJ . aa
Other ....:T.r::~~fr.HI:..~.~U~...... $ l<\oo, tV
Pakj ?~~~.:1.7.....~~~~o~ ~~;/X' Cf1
Issued Date 5-5~ 1C) Bv (J}(Lt..J -
This :70 rtify~t ~eq in the above application and &........... ,Jing documenls is In .....w..;ance with the City Zoning Ordinance and may proceed as ~ed. lhis document wi'
signed By he n ftutes a temponil}' Cer1lllcfate of Zonlng compliance and aIIO'NS construction to com , ... Before occupancy, a Certlficate of Occupancy must be issued.
, - 4/ ~I f?::;.
'-r' City Planner -+i 0&&1' Special Conditions hny
24 Hour notice for all inspections 447-42309:00 a.m. '10:00 a.m.
v
Front
Back
Skle
Skle
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET ."-
USE OF BUILDING ,"). plj
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I O'J. " rY)(') . ~ n
TYPE OF CONSTRUCTION: I II 1II1v{)1
Occupancy Group A BEl H~ M
Division 1 ~
Permit Fee ................................... $
City:
~t"f.~s-
.c:rA3 ~ ?:l-
~c)1 . DD
I on .00
3b.~
l eO .t9'O
Check if
Deferred
Plan Checking Fee ......................... $
~j!3
State Surcharge............................. $
Penally. .. .~b............................. $
Septic s~em ~.$:t.'0.............. $
Other ..y..(~.... .................. ........ $
Subtotal............................... $
:~~I~""~"':7~~ 'l~
Certificate of JS;:cupaooy
MATERIAL FILED WITH APPUCATlON
SOIL TESTS a ENERGY DATA a
PIUNG LOGS a PERCOLATION TESTS a
PlANS & SPECS a SETS
SURVEY
PLOT PLAN
a COPIES
a
fi'Ql? nn
I ('}<;r). 00
L/S. ()l)
~
._ ~ __,,,'*.' -::.aLo~-'-" --...... -- --'..- ---
,.
"Pennit#
.JobAddr- Lfblb~vol) tlfLt
"Heating ~ AN~<7Jt?"J A, (t "Wi ,
"Testers/Signature ~
Q!!!
Time
Pounds
PreMUre
"Gas Una
Pressurized
Inspected
.Percent 02
PERFORMANCE TEST
? /lI .Percent CO . O~
0("04. ' .StaCk Temp. ,3;J.~ "
"Percent C02
Final Inspection
. Date.
, ----- '. -, ...
(/1'3&4 .
Th. e.n... ol.h. uk< Coun.ry
White - Building
Canary - Engineering
Pink - Planning
BUILDjNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I . I
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APPLICATION RECEIVED
......
The Building, Engineering, and Planning Departments have reviewed the bUilding permit
application for construction. activity W~,J"Ch is proposed at:
(j & t{) .fa I kLL"lJtJd !JI/ v^<-
Accepted
../
Accepted With Corrections
Denied
Reviewed By: lJAc.. "'-~':'\'E~It~~M.A""~
,Date: -I/3()/'i f
. ,
Comments: RuNoR=' ;11(.1""" .f3E:.
(! eNeJE. Y€O To A,J() ALOI\JG. Pttr't(IJIlGc::..
,q.....,(:) UTtc..ITV cA$E:M.5.lTS ~ MUCH ~c
?41'9C1?c:A L ,
-5IE '^JCo ~Mffl1..Qo.) ON R€:"'~E; SltJE.
5€..f:- A'1'TIIc.,:!~,ENT~: J. F;Nr'\t.. t1llAoE.. JN~pecT/(~^-J JNF<J~Ml4-n~N Z. (;]I(ItOINt. PLJlfI\J
,<, ~IOIU CDNT1tDL M~~\JttE'c;
Y- ~SID A.J C~A.T7 ~oL R.RN
"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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Thr ernle'r of the' Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ck l11tlk~
</-/4 -ff I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w.?jch is, proposed at:
!../& (t) fftM kuxJdc/ IJtt' ~
Accepted
Accepted With Corrections X
Denied
Reviewed By: r? c-O ~-y~
Comments:
\. ~o~ ..l- +t-'=--~"'- ~R,j d~u~lolf'M.~ r!o...-..
L. Ma..l~k:~ ~5~ W--~
.3. R e0c9. ~J \ ~+ta..c.l. ~cn.J:. s
Date: 4 - ~ 3-9CJ
"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-
....._'._4'~......
lI"....r!Jf'~i~.,I:,~-~;i>'~~.....r:~~_.'~ "_''/'.~~''-~~,'F':''1
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Th. C.nl.r of Ih. Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUIl..DING PERMIT APPLICATION DEPARTMENT 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:
-' " ... -
/" ,/ / I .,,", II../>~ I " "./. ..: A.. ~
i c.' ! { J( I ( , " /;/ /- <.
Accepted
/'
Accepted With Corrections
Denied
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(I II
J ~ d d ~J -~~ ~a! [J-fr,...I/>-<--
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Date:
t-( -~]-cpj
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."
Tll< ("~I" ~, .... I...b C._"'"
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: :5c.t-ar<lY ~\umb\~
Address: ~CO ~r-iOf'\._ (\ (<'ell) ';) s::
Signature: '- ..lQ..U..1\O '1---:\ .~
Legal Descriptlon:l.Jt:ot _ ..3. ,Blpck --9- Sub ty'OOf)f!?-IO~ G ~ r;rTGS
Site Address:~ p(\V'~ ,e I - ..3 12-0
Building Permit # 99~ 3~? ,PID # 2-5 <'5/7- tJz..+ - 0
NOTE: This permit will not be processed without complete information.
I. JJUI!
2. Gold
3, Yellow
Pile
Cily
Applicam
# 99..3'- q
P~ne: 4Llf)-~/734
~rfcr I u.~ .
)~~
~
FIXTURE UNITS
Quantity Type of Fbdure Quantity
I Bath Tub with or without shower ,~
1 Dishwasher I
( Floor Drain (
:l. Lavatory (bathroom sink) /
( Laundry Tray (1 or 2 compartment sink)
;}. Shower Stall
I Sinks
Bar Sink
d-- Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPl, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
other
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alteratl
State Surcharge
$39.50
$
$
$
s
.50
FEE SCHEDULE
GRAND TOTAL
/ i'.~~O ~~RN\\\
\ e\l\\..O\N
This,;, ..,.,jt is granted upon the express condition that said
contractor, shall comply i all respeclS with the ol'dinances
of the State Plumbing t enJn:..e1;s Ihc~f.
- . 8.t.J..Qj9'1 PATE
ATI'BST
Call for al~pec:tions 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
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq- 3& 1
Prior Like, MN 55372
HEATING APPLICATION I PERMIT
Date. ~ "10- 99
Site Address l/ b r 0
-.
Lot .3 Block 4- Addition. h'IJOO..€//21h tC;S7')'lT5S
"JOe.. M,a.~M.If ~ }
~
o
o
~
PlOt ~-31 -; _ 02-4- -I')
(),tJ-Ilk.~c,)~~ Vltt~ ;e /
Address -
Heating Contractor. 1--vtt1~(LSU..,J A.~'1.I 1:'vc
Address<b3 I )~~l ~ '.!,t..,. If ~ BIPtW3fJdlt
, '
Telephone #I. ~ ( ). ~~ c.j -7 9 3 9
Furnace Make & Model KIO/ M T
- .
Model Size .~<i3/~ t4.0 03b07o
tlO
OWner's Name
u
Z
.....
~
.....
<:
Z
o
en
~
~
~
z
<:
Conn. load,
FU8II\~~
Cl
M
Cl
r--
"'"
Cl
00
Flue Size ~
q
Return Openings, 4
Input b~~cJCJ) o~t, ,5~!q(p
Supply Openings ,
Edr.
Cfm.,
~
<:
(;I:..
,3J€!.O
SS3;) 7
TYPE OF SYSTEM
Warm Air Plants,
Gravity ,
Mechanical ,
Air Conditioning ,
Vent. System _
HEAllNG OR POWER PLANT
Steam ,
Hot Water .
Radiation .
Special Devices ,
.
Olher Devices
lYPE OF WORK
v
..
Cl
o
Replacement New Construction
M
lI"J
Alterations _
Repair,
Est. Cost $ .
HEATING PERMIT FEE $.
Est. Comp. Date
Building Permit # .
&J9 -?b 9'
Cl
Cl
"
o
~
"
00
o
STATE SURCHARGE $
TOTAL PERMIT FEES f
.50
PAID WITH
. BUILDING PERMIT
Receipt' ,
I. nua.
2. Greea
3. Yellow
Oty
CoRJrKtDf
TYPE OF STRUCTURE
Single Family k
Commercial
Two-Family _
Industrial.
Multi-Family ,
_ Public Other.
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Areplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
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 i~spections will be bUled at $35.00 each.
House Heating Test Record must be submitted with l,t ,i!rlin.r" nArmit number belore build-
ing certificate of occupancy will be issued.
HEAT .CAlClJI ATIONS R.FC'l IIRFI1 with number 01 supply and return openings listed per
room with CF~'s per opening. New structures or additions send floor plan with supply
and return locations shpwn. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.~. - 4:30 p.m.
ALL WORK MUST BE INSPECTED/(ROUGH-IN AND FINAL) . CALL CITY HALL
r '447-4230
i
I hereby apply for a mechanical sys'!!!!,$ 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 cRy and with the state building/mechanical
codes: that this form does not become Ii permit until signed by the BUilDING
OFFICIAL; that the work will be in accordance with the approved plan in the
cas.~O'k 77fi.~: end .p~ov~ m ~.n1_(O _ Py
ApplicNlt"l 51g' Date
{3;/IO/e:; e;
Dafe
...0:- ~I~t..! .\I"',,~:.~ 1....'-.. .........)'"' r."'W~ \.'.......,........
4PR~
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NOTE: Sewer and ~at.r
contractors must
be reqistered
with the Ci~
~?~B'
APPL:tCANT: 4~,;to ~I//.II-A/ SepJ(~.; PHONE: ~/Z-~-:L<j3'i1
ADDRES6:..5'~fO ~ ~0t6 D~TE: ..s-/Zd/Y~
UGNA'1'lIRE. /7~-.4> r~ d 5!ST7",BLDG. P~:tT' t qq-3f<,<f
SITE ADDRESS. 4 ~. PA.R. /((..Jl'J() J /lr p:tOi 2.5--"''7- au - () .
, FILL IN THE D~KS ,e/ '
I
1. Estimated length ot water service ~~
/'1
~. Size ot wmter serv1ce_ inch(es).
CI~Y of PR~OR LAXE
S.c...,&'(. AND WATJR pemaT
LI'I 7-- Lj d '!~
NO. qq.. 3'"
~/fi)
feet.
3. Location of any couplinc;rs from st:ruc'ture teet.
4. '1'YP61 of' sewer pipe. A1:lS PVC >< Cast Ix-on
5. E9timated lenqth of 5e1Jer line ~~ .teat. .
'. 6. clea.n out (if required) , 10cated at /P(;} feet rrom
\ gtructura.
------------====------=------=---=-~----=----=-----=~-=#~-=-..---
This ap~c't~-:~~Qur permit when approved.
8Y ~~ DATE: ~h'/e:J1
~.__-=_-_-_--_===-=-._---=--=--===m---------------------~----==_c=
*
Fee for either sewer or water inQividua~lY' is $20.00 plus
. $ .50 surcharqe.
Sewer and water permits issued fer new construction must be
recorded. on the building permit eard at the tiltle ot issuance
to insure that: no duplicate SQwer and water permits are
iacuec!.
DAn PA:tD AMQUN'J' PA:tn ""o~
RECEXP'l' . REC'O BY ..)IJ\\S)\~ '.
$
$
$
3!5.00
.50
35.50
Sewer and wat.er line connection permit-
surcharge
TOTAL
FEES:
*
16200 Eagle Creel< Av, S,E.. Prior LakJ:. Minnesota 55372 I Ph. (612) 447-4230 -€x (612)-;;;-4240
An Squill Oppol1.unlcy employer :;./
.
t 'd
Xl:::l.::l
~t:~t 66. 0c ~~W
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~/JD POJ"k~, \)..
NATURE OF WORK (')eu.,) 0..cmJ\'uc{fOYl
USE OF BUILDING ~ t=' [\
PERMIT NO. <1'1- 3~9 DATE ISSUED 4--;J~- c;/
CONTRACTOR ~"" Ma.\^~,
NOTe: THIS IS NOT A PERMI'flFOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'~O.
,
, FOUNDATION (Prior to Backfill) I \, I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC l ~9t=;~, ~~ "(~
FRAMING l;~
INSULATION WiGtf~) [.,.L,~~ ~':;"-n It){. l.
ELECTRICAL - , . -
-
PLUMBING W .h ;/91
1
HEATING (if required) l@ ~/;/Iu
FIREPLACE . ru ,,;',/4" r.q. (>4. ~. e-k -,9
(/../
GAS LINE AIR TEST (K; (
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL~\J '
1/)
W !IM~1 (
(/ I
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I FOOTING
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING@ ~ - ~. ~'7,.o,'1
DO NOT OCCUpy
DATE
I 5-5-~'
r;, - ,.::} - 9 '1
~..1,t~ f14
10 .. Z,J-9'
~ /Z-'1 ~1'
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