HomeMy WebLinkAboutBuilding Permit 99-0434
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l'~':- I CITY OF PRIOR LAKE ~~~;
-~ ' _f,' ~tpartmtnt .~f ~uilbin~ 3Jn~ptttion ~'\,',.~,~,:
~ - ~inal Penrntted 0 ConditIonal C.O. Expires 11;
(j This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code ~l
~ certifying that at the time of issuance this structure was in compliance with the various ordinances of the =;\,T)
City of Prior Lake regulating building construction or use. For the following: ~i,'- , ~
~
Use ClassificatioJl
SINGLE FAMILY
qldg. Permit No
99-434
Occupancy Type R3
Type Construction
VN
Fire Zone
N/A
Zoning District R 1 S D
Legal Description L8, Bl WILDERNESS PONDS 2ND
Dale:
Owner of Building ^
Contractor's Name & Address GILES ENT~~S INC.
J10~ERT D. HUTCHINS! J.
I / Building Official J City Planner
1z- t:t ~ Dale:
11 ., P~N A CONSPICUOUS PLACE
,)ile Address
16743 BLIND LAKE TRAIL
JENNI TOVAR
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*Permil"
*JObAddr_/~ 7F.? &;JM/~/~
*.Heating Contractor METRO AIR
*TestersISignatur~~
Q!!!
.Gas Une
Pressurized
Inspected
Ii!!!!
Pounds
Pressure
r.J PERFORMANCE TEST
.Percent CO2 >S I / , .P~rc~t CO c1)
.Percent O2 -V' '9 .Stack Temp, Zt;)-!i?,
Final Inspection
, Date
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED 2.:30
ADDRESS /~7Lf3 ELI IV 0 LK- -rk!..
OWNER CONTR.
PHONE NO. PERMIT NO. qq-t/3t.f
I
o FOOTING o PLUMBING RI o EXC/GRAD/FILLING
o FRAMING P. 0 MECHANICAL o LKSHOREnNETLAND
o INSULATION ~ WATER HOOKUP o COMPLAINT
o FINAL P. ~EWER HOOKUP o SEPTIC FINAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREVo o SITE INSPECTION
COMMENTS: _ n ;" .1
5D l ~ (JU....)(R 4v
t" l~f' \L G- VA
0r~ C5L-
Vile
- No
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SPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL J7-423 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ to 143
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
COM~N~S:
I of)
I
v
SCHEDULED
~t'h& Wu-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
1ft
TIME
4r
Ofj-4?A
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ · IGoo . Ou
~" l;rs;f- ~ c-~
~L~
Ii r ~
1SNOTE-- ~VL, ~
~ clLoc'b ';1- To.,r
\l
Inspector:
&or en
t \1 eUV-
t
NSPECTION BEFORE COVERING
Owner/Contr:
NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I to 7ef~
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)( FINAL
o SITE INSPECTION
COMMENTS: (.;I?IIJ/JL
CV~J(
)
DATE TIME
SCHEDULED
# 1J:tJO A1
~,JD L4KE.-
...-."!
7/14/ L
CONTR. ~ C,t...F$
PERMIT NO. ~9- '1-31
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
/<. Ck-
15
OIB2A17DNffl...
N4/1JT1I/J. J .<i.IJ::r fi/vc~ ~'L- _~
-
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~!k. Cllwer/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
QATE RECEIVED
APRlJ9I}
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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 lP74-.3 BL.1 ND LAKE "TR.Al L-
3, LEGAL DESCRIPTION
LOT ~ ~
ADDITION t<J~
BLOCK / _
po,d. :U:
,.
4. OW~ (Name)
<.oli&15
5. ARCHITECT (Name)
,.-" (Ad.dress)
j::" n 7'eJ-/J J-/ a. ~ ("
(Address)
6. BUILDER
(Name)
ell€!{
g);te
7. TYPE OF WORK Fireplace 0
New Construc~Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(Address)
~/~
Septic 0
Addition 0
Deck 0
Finish Attic 0
9. PROPERTY DIMENSIONS
Width
Depth
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- 434-
1. DATE
+/Z7/QQ
;( lSt
BUilDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO, OF STORIES
PID 2..5-3'3e-Ooe~o
Side
City:
\~, ~~
~0~
13. TYPE OF CONSTRUCTION
/Vt
(Tel. No.)
G/ d - ~9 - $..::J 7-1.
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
1'27- S'd 71t.
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
1 O. CULVERT SIZE
Yes
17. COMPLETION DATE
No
/'1
S applic ' n which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
tion w' form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
se F ore, I hereby agree that the city of"7~~ffnter upon the property ~ ::re~:~~
L t> C/ ')'6nse No, / c:::' ~te "".-/'
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
5PO
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~: (')~~ ~ ocJ
TYPE OF CONSTRUCTION: I II III IV (:5l)
Occupancy Group A B E F H I M--c!!) S U
Division 1 2(!) 4
Permit Fee ................................... $
IOO.l90
loo.cO
3s-.s-o
Gas Fireplace Permit ....................... $ f../() . m
This ,G,1i~ Be, ~r Building Permit When Approved. -
By ~fdJJ-;et:; 'uu Date ~.5" ~9.?
Certificate of Occupancy
Meter Horn ................................... $
Water Meter ..:%..c.~...................... $ /2C: , ~
Sewer & Water Connection Fee ........... $~r<)~ . ~...a.
WaterTowerFee ........................... $ ~~. C!1lJ-
Water Tap ................................... $
Builde~osit ''{\-;':'';'::;;.::'~'' $ ( ( S""Ot> ..C)O_
Other ..1tzr;.L..t:JM'!I(:+t:I.~....... $. - ~ ,CX;;;D
Total Due .............................. $-1fJ1Y:. ~.)
Paid <1'/ I r. z... 2- Receipt No, "3 S" 'f 2-
Date ~/t t/q" By ~
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~s requested. This document when
,ign~l ~'I ner constttutes a temporary Certificate of Zoning complia",nd all~ws c~truction to commence. Befl'e O~culiii~ Cp.rtificate _o~, ,cupanc~s!, be issued.
~A.o. - ~..(,~51 ~CJN/N~ ~ V\AI-\'l~~
. lanner - - - Date ,. Special Conditions ~ any"' - ( \~
24 hour notice for all inspections 447-9850
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
1,0'17. 2.e;-
!t5~
?o. 50
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $ A'S'(') _ CO
SAC ......................................... $-LJ'> ~--O. ~
Collective Street Fee ....................... $
SewerTap ................................... $
I, $
Pressure Reducer ..?~................... $
4S.C90
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: C /{ ~Y'L.L)A-\e~ 1:>1 (1 ~ H-fz4
Address: ~ \ .U~J r-~-ori"'lJ 1\-1,-tJ
Signature:~A.~J~
Legal Descnption: Lot - 6 Block / Sub WIc.-O~Je lVf3l"r P~I1/D.J' 1ft
Site Address: /1 /J 7~ 61 -I nd Ca1LL lv-L. ,l(!!!!.J J' 0
Building Permit; C?q - LL~ t:..L PID # LJq) (tJ Prv,
NOTE: This permit will not be proce~sed ~ithout complete informati~ -338 -' OOB.... ()
FIXTURE UNITS
PPNo.
Phone: ~ L/1- <(q:f)
(.:)'.It'>[ ~..{J' q; ~ >>
1. Blue File
2. Gold City
3. Yellow Applicant
qC/-'8tt
I
Thr ernlr' of Ihr Lob Counlry
Quantity Type of Fixture Quantity
L- Bath Tub with or without shower ~Z
~
I Dishwasher J
\ Floor Drain
lJ Lavatory (bathroom sink)
, Laundry Tray (1 or 2 compartment sink)
) Shower Stall
1 Sinks
Bar Sink
'-~ Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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 $
$:50
PAiD W~E~M\'
BU\\-O\NG .
GRAND TOT At}- $
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing and the amenjimep!s thereof.
R 7/7/tf!!/- DATE
_ . - ATTEST
Call for all~~tions 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
...-i
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. t19 - ~3o/
Prior Lake, MN 55372
HEAnNG APPLICATION I PERMIT
(L Date ,- \ -" ~ PID' 25- 3'38- 008-0
[g sne Addr"s \ \e:::\\\ ~ ~ ~; ')..~ \(,. ~(J ,~.. \~.-I Ie/SO
~ Lot 8 Block I Addition f'JILD6JeIU6SS PdNOS 2ND
z ,-
Ownet's Name ',",,-,\LIt G.~W \
Address ~ '). ~S '" s · ~~~~..J{:\,,\.. ~~~; f\'~.\-~~:
Heating Cardracklr ~ ~~..-{') .{\ ~ r ~ n ( ,
Address \ \0 '-\ ~ (\ \~ \ " ~ .uN... f\ V L ~ r\ Of'"' { ~ \\2.. j
'" ~,. ~ \;}. \.\
Telephone #
Furnace Make & Model ('~".. r'\ 11.-
MoclelSfD ,~~ \f~~ ~ ~
SO ~~ ~
Conn. load .
Fuel N ~t Flue Size S II
Supp~y Openings . \ ~
Return Openings . J
0::: .
~ InpUl~~ _ C()t\ 0uIpuI \ \ ~C\
o
0:::
I-
W
E
Edr.
ctm.
'lV\t'l
TYPE OF SYSTEM
Warm Air Plants, ~
Gravily
Mechanical
Air CondiflOnlng ~
Vent. System
HEAnNG OR POWER PLANT
Steam
Hot Water
Ra.diation
Special Devices
Other Devices
TYPE OF WORK
E
([
(J)
(\J Alterations
(J)
x
Replacem ant New. Construction
(J)
(J)
(J)
...-i
Repair Est Comp. Date
r-. ~.- 'S~~
Building P8fmitll" 99- 43t.J
...-i HEATING PERMIT FEE'
:5 STATE SURCHARGE $
I-J
TOTAL PERMIT FEES $
-.
".50
PAl D WITI-1
BUILDING PERMIT
,
ReceIpt #
TYPE OF STRUCTURE
I. ....
2. ana
3. YcltGw
- Pile
Cily
~
Single Family
Commercial.
x
Two-Family
Industrial
Multi.FamUy
Public Other
Fee Schedule
Industrial. Commercial & Multi-Family
Residential, Heating & AC
Residential, Healing Only
Residential, Gas FI replace
Residential. Additions & Alterations
Residential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
139,50
Remember 10 add the Slate Surcharge on the bottom of this application.
Ttle price of your heating permit includes one rough-in and one fin al inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted wlth bulldino nermil number before build.
ing certificate of occupancy will be l.ssued.
HFAT CALCULATIONS REaU'R~D with number of supply and return openings listed per
room willl CFM's per opening. New strucbJres or additions send f100T plan witll supply
and retum locations sbown. 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 INSPECTEO (ROUGH-IN AND FINAL) - CAU CITY HALL
447-4230
I hereby apply 'OJ a mechanical systems permit and I acknowledge that the
inlormation above is complete and accurate; that the work will be In conformance
wIth the ordinances and cedes 0' the city and with the state building/mechanical
codes; that this form does not become 8 permit until signed by the BUILDING
. OFFICIAL; that the work will be In accordance with the approved plan In the
~h r:9:~roy~ 01 ~n:.\ _ ~ ~
~/~~ Dte'
,1'(/VVf/lV ,~~ 7///"1'
BuUding Offlcars-stgnature Date
From : JECHEEXC
PHONE No.
612 8926396
Jun.03 1999 6:10AM P01
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YtlLOW . ua.LICA.7 ", 'i$:~ ,I, ' ,
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GOLD - 017" ,,", '!-h,t,",
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JJN - 3 1999
1" \.:,'.;:
CITY OF PRIOR LA~B
SEWER AND WATER PERMIT
',.1"
NOTE:: . '
Sewer and W8te~
cont~~ctorQ mugt
bl::! rcg1::i1tcrecl
with the city.
, .', '~;'~":",:"
I', ,~... . .
-.....
APPLICAN'!':' ,,) e..Q...lt, ,.-" E.~ 'J..(> . .~__."_._....'",. _~"__,,,pnONI!::..!J$. nY7...:1JL.t...>
ADDRESS:, J ~ L.~rV'in, (~9J1 \'P lIti.kL__,...._....... '" M_..___._DATE: __~-<J '~'Lq .
SICNATUnE: V Jt1..(l:-~kr('lJ'Vl,/ BLDG. PERM 1'1' # Cfq..lIL1.
<",":}.~::.:~[~~i::,>SITE: ADDRESS: ife!)j u~ 161 I'~l d l.a Kt TifflJJI I .e/SOp1D# 2.5-.33(3;- ooe-o
~?:~~fC,;~,(l. .. ~atlmu ted length 0 /:::a:N a::: i:~NK~~"<':aet. qq - 43'1
.' . ~". ::.......::' .
i>,',:',2.',:;-.'Slze of wat.~r service
::' .,.~:~.;<:. ,.":' ;:::}:. . '> .\ :,'; ., . .
,<~i;,:::) ~', . Locat~on of any couplings
'..{\~:.:":;': " ,
;4. Type of sewer pipe. hBS
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, ..
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:~__:~:~:~~:::__~~:_ r:::~:::~~__::::::_-=_________::::__::::__ .'~;,~~l
Th i::l ap~t b .,. ~ur parmi t when approved.: : ,,~i::';;t<'J
,.~_.. , ,~.\..~
,0:," '~::'4:,;' BY , DATE: r; /3/99 " :->;;';:,\~
;' . ',:: ..AV~' , . ':;,{::;.,.,:.,'.~:
~ \. ~"". ""~"~'1 ts'!!!l!:!!I!_=:;:;;:ZC'c:::::~===;:;;;;:;;;;piiili...';C==C======;::;;;;;;;';;;;;_ii:ii'===::::=====:=!.==;;;;:;'=====;;;O..__z;;:!;...1!S_!!!!::~~~~===========;;;;--;;g \ y;J, ~ ih.'
~~~A~:~~s,~ee.5'of!rsuerc:th:na:er~g:es.e.wer!:~~::~:: W::::V::::l::nn::tl::0~::~i:l~t~~!'1
... ~I"::,.:' v .. ",.< '
'.', :":.": '" Sewer and wate~. permits iS~Utsd for new.construction must' be ,,~'~D{:,i.
~~~~~~~I~H:~~i~~e o~h;~e n~.~i ~e~~Mt;mi ;e~:~d :~d th:a~~~" ~;rmf~:ua:~: ':.~~L.
;r~fi~!f::::l::I: ::~T B:A~$*~ ",
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,-"./.:.'16200 Eu.gle Creek. Av. S.B., Prior Lake. Minnesota 55372/ Ph, (612) 447-4230 I FAX (612) 447-4245
. '. An !!qual Opportunity Brnplo)'cl'
inch(es) .
s.
'J.::stimQted IGll1gUl uf
from structure
PVC./ Cast Iron
"
/)'0
'Cr
feet.
'. >
1:
::sewer
line
feet.
':.-.'.
:-'p ""15
:~- .' - --~. -~ '~m-..~gw~liY~t~;':'~:<!Wf~~'iiY}=:~::"--i~MU~~F8T!~~~;~~._.--;-':.:-',
=;:,!HEA11 0 ERMI'J'. ~,~-. _ t~~"-'.c-....;~a..tc"';'-"-" .. "<7~..,.?-..~{~,..c:~i~~-~M~""'~",_-,,-,~;;:~,
___~d IN.- .- .' ~....:~ ,.....;;.~...._I. -~~~ '" ~dlndu81r1aJ . . ....'t.".~.".J'.~Pu..1tc ~...', --.\rl"ft.i._I..-r-.-. :~.t~~
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, 'li':~:'-:- ,.;..' .. - 'L.(:;.- "...."'<$"~- .:~"":'~ . ~ -"-:~~~ .<~ ,; .~\-:~~~-<~ -'. ,- . -'.:.i~~,:-:!::;~r -. :,;-?-":;.:.~:--';1,~~:'} ::",;~':: '~:-~::::-.<~::',"':;~,. . '-, <i;-';:-,'- _: .:? : ,~ ..:. :'~":'.:' .:~-;'~-,'~-.:~
. . ':..s...;;.' -. ,~ f (,.,7.3 . ~ - . .\..~#lS.'i': "" -.1:> -I SD ,~- ~-"edul. ' <,. .~:.-.~ '_ _' ;. . _ ., -. ~ ":':. '''':. . -:.: . '. . ...
-~. .... -- ~ . -- - - - .. .. F 'V,1: r.~' . '"t....-.a ~n ~_ ~4 . .. ._.... .. _ .,,-.y; . . _ "
~ :-- -~':;~1~~~~B~<" i ~ "'~4~~'" ~'i~~F~1:t~~~t)~..~: 2:NO-'- " - -: ~'.~'~~r~.~J: ~~~~a~~ ~~~~~y..:- ~~ .";~% 01 j~b ~ri&t~(~.60 ~ini~~~)'- ",.. ' .;(
o. . . -. . : " -, '.-- .-" - - ':'\i' \\ ,-, ".- .'.' '." - , - ' R...lJ-....aJ Heating & AC . -' ..! ."9 50' ~ - "- . .
z.. "- - -.'., .:>'fI"<I.-.....,.~";.t"-... . t... l.":'o.".t'I;o.'..l\':l- /<., -' . ....1WlI1I\', '9V.-
. awnefs Name '" ." ~ "l"" I. "010-. x,.,. "~ " ." . - .'
. ." . ';;.- " ~ ~ r. . I 1_. . - ResldentiaJ, Heating Only $64,50
-Addr~u"'j") ~). - ~~-t,..;.'. f.\~ .~c..~ ~1 ~\\\" Residential, Gas Fireplace' ::::r - $39.50
. . - . ~ n..l......:..,;. I\. \ r : -\ If'\ I Residential, Additions & AIlendions $39.50
Helllng Contractor 1(;-t.. \ I ~ \ _ -.l.. v 1.1 f _ ResIdential, AC Only $39.50
Adchsa . \ \o.~~(\ \\\1 \ \ l.ON. :f\VL ~I\.trl 14\\o.}
TaI.e II . '" \.\,.. '& \ ~ \.\
F"~m"'; Make & Model .'f l\ V-\) ~ 0
Model SIz. (CAr.,.. l' \.V'
Conn. Load ~a~ \.\ "
Fuel \\J 0. \"- Flu. Size , <; II
SU~1y OpenIngs t \ S
~
Output ) \ , \\'\\ ~
~
H
ex:
o
~
~
W
E
Return Openings
Inplrt ~ '6 , \)(}J
Edr,
Cfm.
\") "'.~
MAY 2 7 mr.
"-
'"
Re1MI1Iber to add t~ State SUlCharge on the bOUom of UlI8 app'icallon. ""
TYPE Of SYSTEM
Warm Air Plants
Gravity
Mecttanfcal X
Air Condlllonlng X
VenL System ~
HEAT1NG OR POWER PLANT
S18am
Hol W.r
Radiation
SplClal Devices
f
The price of yaur healing permit includes one' rough-in and one final irl~8ctlon.
Addltionallnspec:llons wDI be billed at $36.00 each.
House Healing Tesl Recold must be submitted with ..,1'''1"(1 D&rmil number before build-
ing certiflcale of occupancy will be issl1ed.
HF~ CALCUlATIONS RFnlll~Fn, with number of supply and telum, openings listed per
room wiIh CFM's per opening. New structures or additions send floor plan wiIh supplv
and retum location. shown. HEAT LOSS CALCULATIONS, PAYMENT AND .
APPUCATlONS MAY BE MAILED TO THE C'ITY OF PRIOR LAKE, 182.00 EAGLE
CREEK AVE, 8.E. PRIOR LAKE, MN 55372.
CiIy HaJI business hours are 8 am. - 4:30 p.m.
Other Devices
AU. WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL crrv HALL
447-4230
E
[L
IJ'\
.q
N
Alterations
TYPE OF WORK
Replacement New Construction X
/--- PAID WITH---",
BUilDiNG PERMrr.}
I hereby apply for a mechanical systems permit and I acknowledge that the
in'ormation 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 B permit until signed by the BUILDING
OFFICIAL; that (he work will be in accordance with the approved plan in the
~~J all work whicl1 ']'.. ,,",,ow and approval of ~~n;\:,_ 9 ~
. pll S - Date
51z7m
----ouildlng OfficarsSlgnature -- - Dfrte
IJ'\
IJ'\
IJ'\
..-t
Repair Est. Camp, Date
Est Cost $, S S C) C\ ey Bundlng Permb It . c;." -~ ~ \\
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
U)
N
>-
ex:
E
.50
RecElipt fI
('1(1 _ /),+'
! 'I i-r,_-,
, '
Th~ C.nt.r of Ihe Lake Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMeNT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
Ii I Ke (IIL-ee-
/2.7/r]{:j
(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
; ( -/ ,'7
J L /"T....J
1 ' I" 1.-' r""\ ll/',:'-\~ ---j -I", _," L\' \ L
. "L\ 1 () ,-_'_-J
Accepted /
Accepted With Corrections
Denied
Reviewed By: ~r!~
........ - - -
~ p~(jWD~
Date: ,~- ~ - ~ 4.
Comments:
.-::rr6e- Ww~TI9VV<~ ~ -;;;;~ ~,<_ 2-12.
~ ~j ~.t)3 u tJ~_~:
It- 2-b 4 ~k. -\- 'T'WIY.. 18 ,. ( 3(0") ~
<:W-e-e...<, t..nlA }D.v~ lI'e.v'.lv"e V'{2/IAM~
!Jv- ~ ~H1~ ~~ ' - ({~~ct~
( 20"+ 30" =- '-~ " - S.s "-",- 3' H vt4blu.eJ)
-It- W""~ ~ .Qv~1 ~c..vd I~ Ia., M
.J- ~~~_ v~~. J-DHf~~
wkh\i6v'\&_ 0/" _:;; :s J4 ~l9'\~ ~ ·
~~"t~~ ~~\/4 ==- tl,~V1
"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[...5 C~hJ~e-r ~~ ~ '\11'~ V~~1
~ <pvez \t fr>p ~ \/It)'te4 I ~~ ~y~
... - -
c'Q-43L-
Tilt C..I.. 01 'h. t.kr COU.lry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKllSI
"
lvi I ~e: 6 j L,cS
, i
4/27/qq
J I
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ',~
I (C,74-3 eiLIl\l [J U\ I<..E TRA \ L
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ).J. '-Tel<.. ~""AI!',,...,t4NN
Date: 5//lh~
1 I
Comments: Kul\JaFF J:!lusT"
$E. ColJlIE,VE.l:i ro I'lNO ,qL.J'l~ DMtAJAtJE.
~ l>T11..,rV E;.<kF"'~"'" iU MlJC.H A.s fkI"tT'CtfL.. .l)1t1"''-tIOI4.... CA.J OtrJl..V REo
A Ma't ,tIlU~ r>t: Z lJ · AT 7H e:.
?~oPfR:TY LJAJE..
.,-'"'~iAbE A..,- 1"'HE
Nct\TIo\ CAst"
DFFSEI
HlJ8
S H()\JL.. 0
Br::
C-Jr ~c.oJtll A~c"-,
_ ~ FeE:-r.
., ,..: DAM At\E.n
(}.ONc..A.ETE: WI'\l..K: f?qNEt,S WI...<..
'BE.
'RE PLt\C.E.b ?~loiL 10 F;^,At.. s,~r-J ~f"f"'.
see IAlf:ot7.MA'T"fOtJ OtV
.RE~USE s. bE '.
SE€. A1i'Att-\Hf'NrS ~ I. hlJJ'tL.. ~t't~ IAJSPEcrIOIJ INFof'.."'4.l4T1oAJ Z. a~"'lwJ(;l RAN
'3. fAos,oN CO~TlC.at.... M.fA.~o)~cs.
tJ. C/tOSIO,,) C.NTAOt". tt..AN
"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
G'Q-43L-
Thr Crnlrr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MIK..B G(LES
4/ 27 /qq
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l!o 74-3 ~LI ND LA l<-E:- (I<A \ L-
Accepted
Accepted With Corrections ~
Denied
Reviewed By: .Gl0 6~ ,~
I. Mcu' \.\~ o...~ \^. ~ ~(\.cA.r7 Q~J\):; 0 J
2.~o~~\DoO.b ~~,~~_____
3.~~~~~~
Date:
5""-S-77
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1l1l'74:<; f;l,'v& ;e~ tt:o.i \
NATURE OF WORK New C'cJ1As\t-lX-L-cJV1
USE OF BUILDING StD
PERMIT NO. S<7 -LJ~lf DATE ISSUED ~-c; ~97
CONTRACTOR r:..iIJ~ ?v..~errJtVZd .
NOT~: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING 1J.\l. 15"1i41
I FOUNDATION (Prior to Backfill) (2ii5 $/~ I
PLACE NO CONCRETE UWiIL ABOVE HAS BEEN SIGNED
ROI),GH - INS
SEWER I WATER I SEPTIC f ,// & /(:.,
FRAMING ell> 7//'5;/9'7
INSULATION t f:P ?/:l4/1'5"
:~~~~~~~AL (;0 , "~if,r'J (J) ~ j, 1;it ~
HEATING (if required) cJ1}~'i/tf 7 (/ I I
FIREPLACE t;:-~t ~~, &v WX-~ v~ 'jljl, I
GAS LINE AIR TEST ~ trlv k3, e: (J ~ - (.-~i
"-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
W- HO I I
FINALS
GRADING (Prior to Sodding)
BUILDING;- C 0 To / o~ ) 7'1avk)
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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.
C-G e 8h7 /c;q
/
v
V5:, , (1, '\ tq1
Jl4i ~(~\w\
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850