HomeMy WebLinkAboutBuilding Permit 99-1397
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DA-E TIME
CITY OF PRIOR LAKE ,~~ r\ =10
INSPECTION NOTICE SCHEDULED
ADDRESS l12.i5 S~. G:.
OWNER
PHONE NO. PERMIT NO. ~ 3CC7
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA TION,..J ~ o SEWER HOOKUP o FIREPLACE FINAL
~NAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
GJ ~V\~~c.U (~j ~. ~
(;;J Sod ONJ fras
(~l~-" t..e~S.\v~n- ~r, ~
\~.
_ n I
l.Oi tv
l6 ...5...,-10
/
ACTORY, PROCEED
o C RECT T N AND PROCEED
CORRECT NORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector: /(\) Owner/Contr:
CALi 447~850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.,
COD
lNSNOTI
-, I Y OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I, 2. 7 3
SL-vnrd
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
J>.. 0 SEWER HOOKUP
r ~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
\J)r~
r n
Ui~
Oll\.--
()
YUJJ
YlJo4
,,11
lJ L(1f?
V
/
/
/
/
/
e.
o CORR
Inspector:
Owner/Contr:
e/z~k
TIME
J 1:--(0
G;.
t:tq - 1397
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CAL 447-9850 F. OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
lNSNOTI
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-~'_._"'" -, --=.'''--'''''''-,..~'....
\ QATER~
DEe - 3 \999
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
/7275 .suN/2AV e/!ec-t-6
;
3. LEGAL DESCRIPTION
2-
f'/ooOV/E;W
LOT
BLOCK
ADDITION
4. OWNER
(Name)
5. ARCHITECT
(Name)
6. BUILDER (Name)
/VI W CJVHAf50N
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
2-
~7h I 6S
File
City
Applicant
MAIN PIL,~ C;Q-/3'ifo
Permit No.GQ-/391-
1. White
2, Pink
3. Yellow
1i;i3/C;1
Je25D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
25 - 230 - 00.0-0
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Address)
(Address)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SeptiC 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
17. COMPLETION DATE
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
bU~'ldi. fficial can revoke this permJJ..4>r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to p~orm needed ~pections.
X ( IrJ..M1r ~-/7 - U()
Signature 1 License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFA-
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 74. O(')()
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Water Tap ................................... $
Builder's Deposit ............................ $ft
,
Other ......................................... $
Total Due .............................. $ .5
Paid ~e-'""2 6 -S Receipt N
Date 31z1 / (J{/ By
st in the above application and accompanying documents is in accordance with the City zonin6 Ordinilce and may proceed requested. This document when
nstttut~mporary Certifi~ Jf l~ ;;Oliance and allows construction to commence, Before occupancy, a Certilicat of Occupancy must be issued.
City Planner Date Special Conditions ff any
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
~~.~
...'?u>4. 0.3
qA.S-O
100. CJ6
! ()(') . (5Q
::?s.~6
~~
ur Building Permit When Approved.
Date --.12- 1'3 -CJ9
Issued
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward ....~.......... $
Park Support Fee ................... ...... $
SAC ........................................ $
\
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ..~..~............... :
Meter Horn ....... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
As(), r'"YS..
( () c::,-o . a:J
'-I~ . oe
l -;;.~ _ W
Ir ").. c:JD . () 7)
I laD . {)()
24 hour notice for all inspections 447-9850
~
,.
.Permit#
"Job Address / ),,J -7-5 5 L.f 11 f'C< (/ r:
"Heating Contractor METRO AIR I
.Teste~/Signature (~. ./.
/.
/
Date
Time
Pounds
Pressure
.Gas Une
Pressurized
Inspected
"Percent CO2
PERFORMANCE TEST t')/
-t / fO 10. .PercentCO () 1,90
'7 (( ~ .Stack Temtv~
. Percent O2
Final Inspection
Dale
.,
Th. C.nt.. 0' Ih. Llk. Counlf}
(}(}-/397
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
/vl l/V
/2/3
I
. I
~:]-OH NS(>N
jqq
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//72- 75
SUN ~C I-rV'
/
r! I Ie .
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~t:R f,.~.&B't\t~NlU
Date: -4Lioo
1
Comments: SEE. B\JI~OtN(~ t'E/{Mlr #= qq- r~q~h,fl INFoll.t'\4nlW I A~""e:...>rs..-
~ ('"M"^E,.,TS_
, '
"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-/397
White - Building
Canary - Engineering
Pink - Planning
The Center or the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
jL1 W vO!-lN50rJ
/2/:3 /CJq
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/72 75 SU/\//E:./M/
I
e/ R... .
Accepted Accepted With Corrections
~
Denied
Reviewed By:
(?c~.
'-- ,
Date:
/2 -( ~-77
Comments:
See. --:g~:it 1:7 - 131 (p ~.. \r(tt-.s S,~c- Sorv--_),('
~.
"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."
612-452-0367
(TilE) 03, 21' 00 08: 12/8T. 08: 1 DING. 3561851904 P 3/4
_-IIILe'
.. : ~.
~ - ar----r
IICILD . ar.,
CITY OF PRIOR LAKE NO...93 -/3~7
SEWER AND WATLR PERMIT
NOTE: Sewer ana Water
contractors must
be reqistered
with the City.
,
APPLI CANT: W /./rV;y.1. I'l1PAItVYUA.-fZ-I1
ADDRESS: /~.s1 4/yJ.uJ7'I..,.U... U
SIGNATURE: ~n ,";t'. ~ja;-/lJ
SITE ADDRESS: 17&:275 ~ ~
FILL IN THE BLANKS
PHONE: &15/- ~5~-IShS
DATE: 3-c:i/-I-OO
BLDG. PERMIT "# qq-f397
PIot 25-230- 005-0
1. Estimated leng~h of water service
feet. .. 2 I 2000
2. Size of water service
/
inch(es) _
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC -$/ Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), loca~ed at
structure.
feet
from
==cm~_________~~~~_~~___~__~~=~~~~~~~g~~=.=.~~=====~===~~=~~m_~_~~
This
BY
es your permit when approved. /
DATE: 3/Z /fO()
I ,
~==-~~~~~~~~ ~~~~=~====~=========~===~=~==~=============~===~~~~~
FEES:
s
s
s
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is st,.~o plus
$ .50 surcharge.
· Sewer and water permits issued for new construction must be
recorded on the building permit card at the ~ime of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT *
AMOUNT PAID
REC'D BY
4629 Dakota St. S.E., Prior Lake, Mlnnesotil 55372 / Ph. (612) 4474230 / Fax (612) 447-4245
AN EQUAL OPPOlUUl'lfTV J;lOI~
~~~ Yru~~.
~ 7
- -,:
(3 rn
-.. HEAnNG APPLICATION I PERMIT
Dale, .~-,- ~ {) _ PIO" 2...5-2Z0 - 005- 0
St'teAddress. \ -, ~ 15 S~" ~ ~ l.~r ",\t. R2.SD
Lcr z. Block 2. Addition. W O()[)V i fJN E5TA1ES
Owner"s. Name, M ~ ~""'''-' t~
Address. \ ~ \0 \..\ S -~ "',,.,: \ 0-\ - <<c,,,'" Lt, \u. \)~ \\t.
Healing Contractor ,\~ 't~ \\, r- ~. '^' \
Address \ \1'\ ~ ~ ~l ~ L \ l Or.-y., ~ V \ 'lJ,,,: V"' \ l., )LL
Telephone' . ~ \.\ 1- ~ \:J."-\
Furnace Make & Model ,l ",. ~: l.;:,
Mod,ISlm, t~\1- \:)\ ~
Conn. Load. 50 c, ~ '\
Fuel ~ N~JueSize "-\. 'I
Supply Openings , ~
Return Openings, 5"
Inpllt\o~, \)\}~ Outp~IoL On Q
CITY QF PRIOR LAKE
162.00 Eagle Creek Av_ S.E. Permil No.
PriQr I 'lO~_. MN 55372
0/9-1397
Edr.
TYPE OF SVS'TaI
Warm Air Plants . X
GrMy,
Mechanical .
AJr Conditioning ,
Vent.. Syslem ,
HEAl1NG OR POWER PLANT
Steam .
Hat Wahl,
Radi.aion ,
Spec::ial Devices .
CIm"
\,'\t;
Olher Devices
TYPE OF WORK
.~.
Alttralians ,
Replacement
New Construdian
YVPE OF STRUCTURE
I.Pmk - FUc
1 Gs.. . City
l. )'ctI_ _ ,. ....... _ "
3:
D
;;0
Single FamDyX
CommerdaJ,
Tw~Famny
Industrial.
Mufti--Fa~ _ ,._.
-...J
N
cs;)
cs;)
cs;)
?ublit _
Other
Fee Sdledule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
ResideniaI, Helting Only
Re.sidll1liaJ. G.as Rr8pIace
Residential, Adcfllions & Altel3lions
Residential, AC Only
N
IJl
N
"1J
3:
1'YD of job CDsl (S39.50 minimum)
S99.50
S64.SQ
S39.50
~9_50
$39.50
3:
fTl
-i
;;0
o
D -
H
;;0
Remember kl add the Slate Surtharge on Ihe botlom of this application.
The price of your heating panni! includes one rough-in and one rNl inspection.
AddI50naJ inspectiDn$ win be blled at MI: "tl each.
House Halting Test RecOrd th!St be submitted Vfftb hllil~/'1 nPrmit nllmhp.r before buDd-
ing cer"tr,'..,.. of occtJpancy wiK be issued. .
!:lEp.T .C':AI ~ /I mOM:: Rcnr IIRR'l Witb number olauppty and reb.lm openings listeci per
room with CFM'I'" per openmg. New Itn.actu.. or addi60ns "nd Door plan wfttr sU])FNY
and reJurn locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPUCATlONS MAY BE MAn.ED TO THE CTTY OF PRIOR lAKE, '6200 EAGLE
CAEEK AVE. s.E. PRIOR lAKE. MN S5372..
City HaJl ~ness hOlIes are 8 UL. - 4:30 p.m.
A1J. WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY IiAU.
447e4230
z
o
CD
cs;)
W
"1J
W
FROM WENZEL MECHANICAL 612-452-0367
(THUl04. 13' 00 o9:o5/8T. o9:o4/NO. 3561851196 P 3
ell f OF PRIOR LAKE
PLUMBING PERMIT
APpllca"f.:J,lJ~ m.lIh6/nul~.J) .Phone:
Address: I 'iS9 ... J), ~1J1::lJAI- LA-
Signature; )( 4Iuh1. ~,. @~/I.I~ :
LegalOelcripticn: Lot _ d.Bloek,? Sub vJOOD\f\ EW O"TA\F;>
Site Address:. 17;'"7 !!~4~ /I~~/.,-), .
Building Permit # 99- l<q7 PIO# QS-~~-COS--O
NOTE: This permit will not be precessed without complete information.
FIXTURE UNITS
nw C:ftrlft' ., ..... .... eM...,.,
Quantity Type of Fixture Cuantlty
I Bath Tub with or without shower
/ Dishwasher /
/ Floor Drain
I Lavatory (bathroom sink)
/ Laundry tray <1 or 2 compartment sink)
Shower Stall
/ Sinks
Bar Sink
/ Water Closet (toilet)
FEE SCHEDULE
'.
Industrial, Commercial & Multi-Family
(1010 of Job c;ost, 539.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
599.50
$39.50
GRAND TOTAL
PPNo.
I. B.... PiJe
2. a.... e"
:I. yen- App&a.'
9 Cf-/3?7
Type of Fixture
Rough-Ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflcw Assembly (RPl. Dauble Chedc, PVS)
Backflow Assembly TAst
lawn Sprinkler
Other
s
s
s
s
.50
s
~/
~
~
This pcnnil is granted upon the: express condition thai said
conltllCtor. 'haJJ comply in all r9plll:ts whh lhe ordinances
~...s":' ~umbl= ~ 1J2~7fi;~~
~I / ru.. h' @:1ST
C fo all inspections {4 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An EqlJaI Opponunity Employer
I. ftaIl . Fill
2.... . CIJ
3. yeD.... . c.-
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit Na.G. ~.., \ ~ ~ 1
Prior Lake. MN 55372 .
TYPE of: STRUCnJRE
Single Family X
Com~al
HEA'TlNG APPLICATION J PERMIT
~'at. .~-\- ~ \) PIO. G?S-;;;) .~f)-OO S""-()
~. .
SitaAddress \1'11 ~ 54" '"""'- ~ l~r \,~.
~d d... BIoc1< d Adcrllicn _' 0 ~rl_:, ^ PiA I ~~
~>wne"slllam8. ~~ ~()~ b~
Address \ ~ \0 ~ S S "'''''\ 0-\- <<t,~~ l.t,\u. \)~ \\t.
H..in; ComradDI S\ ~~ ~ r-- ~ '" \
Addr.ss. '\ \n ~ 'I. (l ~ L \ t Onv. ~"l 1->....: V"' \. 1.1 ~ ,
Te\tphDnl _ . ~\".1. ~ \~'\
fumaal MakJ & Model l",,. ~; ~"...
Model sa ~ '\\ \l ~ \), ~
Conn.LDad So ~ '" C\
Futal ~ N~. S~. \.\ 'I
Supply Openings . ~
Re\um Openings 5"
ll: Inpu1\.o'\, ~~\ ~(P. Q\) ~
H
a:
o Edr.
ll:
I-Cfm.
W .
I:
Two-Family
. Industrial
. Mu1ti-Fam~ _0.
Public Other
Fee SchedtJ1e
Industria!, Commercial &. ~FamiIy
R-;.u.mial. Heating & AI:.
Residenlial, Heating Only
p..,,;oI._ Gas Fnplace
~esidential, Additions & Atendions
Residential, AC Only
, % of job cost J!3t50 rN~)
$99.50 ; . .
S&4.50
S39.50 ~ 2 8 200l
S39.50
S39,5O
Remember III add the Stall Sun:hayg8 on the bottom of this application..
TYPE OF SYSTEM
Warm M Plants X
GnMty
Mechanical
Air Conditioning
Vent. S,stem
HEATING OR POWER PLANT
Staana .
HalW_
p..,!':..'.'.'n
Sptc:iaI DtMces
Tbe price of your heaI1n9 permit includes one rouvh-in and- ane fNl il'tSpKlon.
AddftionII mpections wi be bIled at $35.00 eId\.
HDuse HMIilg Test RecoJd must be submitted will hlM",,, PI."". "nmn"", before tUG-
il\Sl ~rificaIe 0\ occupancy wi( be isAred.
~~AT (';., (';1 'I .T1rnt~ Rl=nlllP~ wlIh runber of suppty and ralUm. openings istec:i per
room wiIh CFM'r- per opening. New structuJa or " oIi ",I' 'ns lend IIaor plan wJItr suppty
and rnmtlOClllions IIbown. H~ LOSS CALCULATIONS, PAYMENT AND
APPUOOlONS MAY BE MAIlSD 70 THE C1TY Of PRIOR lAKE, 162DO EAGLE
CREEK AVE. &.E. PRIOR LAKE. MN SS372.
City Hall ~_ houri ani e LII\... 4:30 p.m.
AU. WORK MUST R INSPECTED (FIOUGH-IN AND FINAL) . ,.." CITY HALL
44704Z1D
cu.r Devices
\\~t;
.
TYPE OF WORK \.1 I hereby apply for I. rnac:hanical systerns ,.rmit .nd 1 acknowledge !haith,
I: AII&Jmians RtpIIIcIm. New Consuudian ~. . .in~rmdDn above iI completa snd accunde: tbll 1tI. work wIll_ in cDnfonnance .
~ 0 .' '. . wilh 1ht orcAnances and DDdea of 1ht ~ Ind wilJl1he ~te bulldlnVlmecbanlcll
~. RlpII, .. . Est.. Camp.. n.. .. .. codes; 1hat lhlI form d08l not become a p8nplt until -.8,..6 by the BUILDI NG
~. ~.. \... \. ob. ........ . OFFICIAL; 1hId Ihe YlCtrk will ~ in accontanC8 with the apprDY.d pllIn in tbI
EiL ~ I' ~(\ C\ - ~icIIng Permit I ~ - QC.\ \ ~~I cue of an ~rk ~~ r.qllires review and apprwaJ or pi...... . .
~:..~~GP~FEEI '/ BUI~Z'GWliH ~~~~..,' ' :'. ~-.l.. OQ:.>.\ ;
m 'STA1ESuRCHARQE. /.50 . PEFlM/'1' '.' Apprc:ara~) . . ". DId8.;...
~..~'ioTALP~FCES'/ . RlIC8P~ . _, l~A' ~'~'.~:'qi..,tAY.j.l:J,j~ i;/.;;)~)L;ff".
..., -~ ..... .... BIIld~ 0JIic:Ira SI~ . I Date .
::;0 i~~':::,,:...:ol.~'-'!" .... ':~".".;.._.;." ~.<:o: ..>- ......: "~.~ . .....'. .... .'. ~.;:.. ':. ." ::...... .~. . "':.. '.:.::'~. ~...'.
1 ...~~~.::.;.:ro.,:, . :"'~':'::""*"'::~-':;'"~~~'~p'2l":c'::"'.J.\"td..'.a .......: ....~.... - .'~\~ '. ....~~.:~.{.;.""~""~.. -Yo ._...::.....~...:.-....:,~,....,.:~:\~~w~':....&~~~. ~ =~~
=--...., <?'..:- -.1/ .. ...... .;r,........~..~ ...._-..{-zg~,.~.. '......~~"'l 'Z" ..~J~..,,~ ,--.-; ...-:-..... 4~ .i~ ..\~ .. ""\,,:...s,,:I"fI:i~- ';'JIQlii ,: ~~"J;i iQ ..
. !"":.';., ....~. . ....-... .. \::.!:-,..~~...~:r.~_ ...~a~_'..~~~.~~~...., J 'i ~~~ -.:.~.~ ...:,.;.;' ~-.;:...~... ~~~~"'i:~-'if:l.'~0:.~''''-'t. ~~~" !!
"..~..~ ~ .. . -. \.. ~ ~ ....~ ... ......) -... ...... ~ - ,:.. ~ ...., ......'". ...... .. !..t!::...... . .... ...,' . . .
. -,... . ..
FROM WENZEL MECHANICAL 612-452-0367
(MON) 12, 18' 00 15: 45/8T. 15: 44/NO. 3561851295 P 3
TIIo c...... ., ,,. ..- c-...",
ell f '-JF PRIOR LAKE
PLUMBING PERMIT
,.pplfc.at"1t;...JI.J~,?~_1 Pl.I..lJ~~J)
AddreIlS;~? h.6.L47fV-~
Sign.ture; K.il>!.c.Z::1-J~. c;~'J'~~ - -.
Legal Dleil;riptlon: Lot ~ ,Bleck p1. _SUbWOOD\f\ E.W t:.:S\A1I
Site Address: F/'.'i. 75 _..::kIAlj}L.!.f /I-'Al'.J~ -
BulldlngPermiP 99- I'<.Q7 ,PIO' ~~~Zl)-ros-o
NC~: Tt'\ls par ...,11I not be processed \lfithout complete InfcrmaUcn.
'- .'- I!De
I. ChtId c;.,
,. y... /WI'.'.'
9 C(-ISi7
PPNo.
,Phone:
FIXTURE UNITS
Quantify TJpe of FI:dure Cuantlty
I Bad'! TlJb wa" or wirhout sho"'"
I DlstlwBshl!!r I
....
I Flocr Drain
J La.tatory (~athrcom !Oink)
/ Laundry tray (' or 2. compar :~rlt sink)
Snower Stall
I Sinks
Bar SinJc
I Water CloJlet (to list)
Typ. ot Fixturw
Rough-InS!
Waler Heater
Water Softner
Stand Pipe (washing ma~l".)
Sewage EjedGr
eaddlCM AssE!fTlbI'1 (FlPZ. CClIJ~ Ch8dc, PVB)
BljlCkflow Assembly T .sl
u'lltn Sprinkler
Other
FeE SCHEDUL.E
Industrial, Commercial & Multi-Fy
(' -to or lob cosl, 5;39.50 lT1inimur:
Aesidernial, New One & T~o Fa:, ,)' $99.60
Res/denEllll, A,c:otdi1ions 8. Alterati'$ S3g.S0
State Surc;;narge
5
S
S
$
.50
GRAND TOTAL
$_
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16200 Eagle CreekAv. S.E.. Prior L<J..~''', Minnesotil 553721 Ph. (612) ~7-4230 I fNl( (612) 447--424S
i,,'l Equal Oppommiry- Emplo}'t::r
P R 10 R LA KE DEPARTMENT OF ~re
BUILDING AND INSPECTION ~
INSPECTION RECORD t'~
SITE ADDRESS J7"J.,C; S)II\.\'^--7k' ~ ~
NATURE OF WORK N-ew 0nu5b~
USE OF BUILDING SFIt-
PERMIT NO. ,<1- \3 97 DATE ISSUED /:2.-/3-77
CONTRACTOR ~M~)" \~lf\c.tTV1 ~.w,-q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) I ( I Lj /07/00
PLACE NO CONCRETE UNTIL AEt6VE HAS BEEN'SIGNED
ROUGH - INS
vJ/~ 4-~'3~oo ~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
:: fij-J.~-OII fA-,
I.. i ~/26/1>6
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~.D t~ t}."....J 1-tiLt 1 \'fIoWY). ~, 4'kd dd
~ 1 I
FINALS
ClJ I/lVI <q
~~ ~tJt;
~1>>Ip;
l'~
.. ~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING Hr. 3S. ;0
HEATING r7
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electric;al 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