HomeMy WebLinkAboutBuilding Permit 99-1398
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r:_~ , CITY OF PRIOR LAKE r4:
.l '~~ Final Permitted 0 Conditional C.O. Expires
14 ~I J"is Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
~ ,:~ certifying that at the time of issuance this structure was in compliance with the various ordinances of the
,. ~ City of Prior LaJce regulating building construction or use. For the following:
Ii.
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"-,', ''',,' E'"
.'. .
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Use Classification
SINGLE FAMILY
,Bldg. Permit No
99-1398
Occupancy Type
R'
Type Construction
VN
Fire Zone
N/A
Zoning District
R2SD
Legal Description
L3, B2, WOODVIEW ESTATES
Owner of Building
'lile Address
17277 SUNRAY CIRCLE
Contractor'sNamc&Address'MW JOHNSON. 17645 JUNIPER PATH, LAKEVILLE. MN 55044
ROBERT D. HUTCHINS
City Planner
Dale:
JENNI TOVAR
Dale:
ADDRESS
/ 7d.-? 7
DATE TIME
SCHED!-,LED ; 3~ ~ ~
,-Q ~
CONT~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
99-- /3ifY
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION .r
INAL N
~ITE INSPECT
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:([D~ ~,..J -ntt t7Y'--~,
c~;~:~.;;--~~
\,.....~~..~.-
o WORK SATISFACTORY, PROCEED
)tl CORRECT ACTION AND PROCEED
o CORRECT~, RK" C CALL FOR REINSPECTION BEFORE COVERING
Inspector: \\::7'11 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
..-"...-.-..... I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.:f5tJ!CJ!
(' )/d. ,
II " 3'<::1
ADDRESS
/7;;;' 7? ,SJtLP/ZAf/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~9 - /S,tf
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINALmI
,. MECH FINAL '<!'5.J
COMMENTS([J) 7~ ~ O'Y\.. ~ ~
,~~,~~~.~.
~,~~ ~ 7t "::.ti ~~
~. c:y- 0U-' ,
,
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULATION ~
~ FINAL
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Y CORRECT WORK, CALL 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
. - ""1"""'-" .. ,,",,", '
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED "~~/90 J:~a
~,~
CONTR.
ADDRESS /7~ / '/
OWNER
PHONE NO.
PERMIT NO.
q'l- r,?'l
o FOOTING ~ PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
o FINAL , (tr) "tillS PLUMBING FINAL
o SITE INSPECTION /0 MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:@,~ ~ ~
t!:) n.i:..c.- ~ ~' ~~
'~h~~
o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
/0" CORRECT WO'Ll.~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
- y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/~73 JqC;
DATE RECEIVED
, I
DEe - 3 1999
w '"""----..-___ ._~_.__.L.___
. 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
/7277
3. LEGAL DESCRIPTION
LOT 3 BLOCK
WOOOV I e;vV
SVNRRl/
elf<-
L White
2. Pink
3. Yellow
File
City
Applicant
/11ft/Ai Flf..;e q'f-!.3qro
Permit No. qq -/3 9a.-
/2250
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
ADDITION
2. PID 25- 2..:30 -ObG:,-O
b":::' 1M / (-~
13, TYPE OF CONSTRUCTION
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
MW -...JuH/I/~ON
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Chimney 0 Misc.
8, PROPERTY AREA OR ACRES
Sq.Ft.
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
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
bU~ial can revoke this permit f~st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1~.A--( tfl~ 3-(7-aC)
l>ignature ' , I License No, Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING -.S FA
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
Water Tap ................................... $
Builder's Deposit ............................ $ fl
Other ......................................... $
: i;;t/7)03"".~:1E~P-7,
t the equest in the above application and accompanying documents is in accordance with the City zonilg Ordi ance and may proceed rL requested. This document when
. Pia er co tt s a temporary Certifi jOf oni c liance and allows construction to commence. Before occupancy, a Certificat{~f Occupancy must be issued. ,
City Planner Oat Special Conditions n any
PERMIT VALUATION
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 ............................. $
A{o~..~
f)CpY . ~~
LJ~.~
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
J 00 . oD
IOn.On
A"S .SQ
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
if
71.of/(")
,
City:
~
" lV'
};
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
j," $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Bc..,-o. (90
IlJJ~a .ot3
45".00
/ 2C:; .O~
I . 2. ()O .l') C
, ,
,60.06
24 hour notice for all inspections 447-9850
"Heating Contractor
"Testers/Signature q,./... ~..
/ .
Date
-./
"Perm~#
"Job Address
..
"Gas Une
Pressurized
Inspected
"Percenl CO2
"Percent 02
Final Inspection
/7:J 77 ~t<l')r~< V
METRO AIR
Time
PERFORMANCE TEST
J. t)'!....
L-. CJ 6-;~
"Percent CO
"Stack Temp,
{f
Pounds
Pressur!!
6"7 b
:/3/0
Date
f'
.L '_ _______,'
,,~-. _' ._--,,",..~~'t
Th. C.nl., of th. Lak. Country
(/1- 13CJB
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
~T[)fl/V ~:C; tJ
Iqfj
/
/ll {V
I
/2.../3
!
APPLICATION RECEIVED
Denied
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"72 ~77 S{.//v/c!/IY (!.I K..
I
\/
Q-~~
(/ ,
Accepted With Corrections
Accepted
Reviewed By:
Date:
3/ ,-doo
. .
Comments:
i
I
"The issuance or granting of a permit or approval of plans, specifications and
computations shall J:1ot be construed to be a permit for, or an approval of, any violation of
any of the provision$ of this code or of any other ordinance of the jurisdiction. Permits
presuming to give Huthority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction Shall not be valid."
QQ-/3CJg
The Crnlrr of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/l'1 I/lI J uH AI SO tJ
/L/3 /qq
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/72 77
SV/V/2,4Y
~/~
Accepted
Accepted With Corrections
<
Denied 7 J2.
Reviewed By: C~ ~/
Comments:
~ ~~ \\ c(9,- 1~9~ ~ ~o-.s,,, Sf'US. C~
-r~c.-
Date: /2 - 13-7'/
"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."
. 'Td
C;C;-/399
Thf' Ctnlu of .ht LII,,: Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
It-; vv
12/'3
J
I
'::TVH/vsotJ
/CJC;
/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//'72 77
SU/l//C!rly/ C: I K
/
Accepted
./
Accepted With Corrections
Denied
r-. . I r-"
Meviewed By: IVALTU tull€SMANtJ
Date: 3h.ioo
. .
Comments: SEE.
13UIL.C\I..Jc'" PFRMIT" ~ 1<J-/3<f1,
Foil llllFofOt-ll'1TIOAl ArrACI-/"'ttJr!
, "
AND C~ME.tJn
"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
(TUE) 03. 21' 00 08: 12/ST. 08: 10INO. 3561851904 P 2/4
_ -..u!
'ftL&aW _ ...-~
... . CITy
CITY OF PRIOR LAKE
SEWER AND WAT~R PERMIT
NOTE:
NO. .!1.9 - f 3 Cfi;
I
Sevar and Water
contractors must
be registered
with the city.
,
APPLICANT: ..k/.t(~n,L/I~
ADDRESS: /'15;'_ ..:tI1.4.l.U7U!1!- IlA
SIGNATURE: flVU.-n Jt. (?~,?;;/~L~I1-,)
SITE ADDRESS: 17~77 ~~/
FILL IN THE BLANKS
PHONE: ~S/ -4Sd - IS' h S
DATE: .3-~.l-oo
BLDG. PERMIT #..!1J -/398
PID# 25-230- OO~-O
1.
Estimated length of ~ater service
inch ( e5) .
feet.
/
NIR 2 I aJlJ
Size of water service
2.
3. Location or any couplings tram structure
feet.
pvc L/
4. Type of sever pipe. ABS
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
~=*~---~=======-~=--~==~~-~-~~~-~~~__~5____~__~_~______z_~aa_____=
This apPlicationj~#~e5 your permit when approved; j'
BY (f1JJJt.-. DATE: 3/21 00
==============~=======-========-=-==================~-===========
FEES:
S
$
s
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $t,.~O plus
s .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the ti~e of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAID
REC'O BY
4629 DlIkota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 4474245
AN J:;QU^'- OPPOkTUNrTV EMPLOYER
mE OF STRUCTURE
Remember 10 add the &.ala Su1d\arge on me bottom of 1his application.
The price of your heating permft includes gne ro~in and onl final inspectkM\.
Addftional inspections will De bJBed at m.DO each~
House Heating Test Record must be submitted wIh h,Jlrlin" n...rmil nllmhfl!r before built-
ing certificate gf r ~"':' "'''ICy will be issued,
HFATf"'.A1 r.111 ATInN.C:: ,R=nl "~::'F") with number 01 suppty and !Bturn. openin;s tisIed per
ll:lOm wtth CFM's- per opening. New mudures OJ addJtions send floor plan with'supply
and FIlum IDeations shown. HEq LOSS CAl.CUlAnONS, PAYMelr AND
APPLlCATJONS MAY BE MAIlED ro THE CTTY OF PRIOR LAKE, , 6200 EAGLE
CREEK AVE.. s.e. PRIOR lAKE. MN 55372-
City Hill ~ tlouI1 an 8 a.m. . 4:30 p.m.
AU WORK MUST BE INSPEe1m (ROUCiH-fN AND FINAL) . CALl. crrv HALL
447-4230
J hereby Ipply ktr a mechanical system, permit and IlcknQwledge IhaIlhe
.information above i5 complete and acCUnde; Ill! the work Will -be in confgrmance .
. " wllh the ordinances and eDdsl of lbe city IUld with !he ~te building/mechanical
' Rop;r. '. . Esl. Clomp. n... - . "cod.., .... 8O. ..... d_ no! b~..... a p8I1)lK until .Ig..~ by "'" BUIUlING
".' ,-l ~ tb. /] ,?I") - . OFFICIAL; IUd the wort( wilt be In accordance with 1h. ApProved plan in the
Esl. c..o s :""\ ~C\ ~ - IlUId1ng P...... ,... - ..,'1-!J..,'?; .... oIa. work _ ........ ....... and "",,"',a1 01 plan..
.'~~PERMrrFEES, '. - ~--""IOW\::q ':1' -~ - ; \- "\::,'"". . " ;-, _.j_ '()Q:> '.
. . ..-'" G p~" -' \~~, .::>.
':~AlESuRCHAAGE I, .50 ~\.1\\.on~ '-:.. ~.~ Ap:'~.'. . -3' ;/. D~.D" .".:..
. ~ ". 7 0 '.-
...... . -. '. ."
. TarAL PERMIT FEES $ Rece", ,. . _
--.~.;. ;..".. . . " - BuD; ~gnBSU... nata . "
~~::.". ';';,.- .. :"" <." ;.,.:.: ,.,:. '.. . , . ,., . ..... .'. . '. :':',.";- "':: '., . . " ; . .. .., ....:,..;.. ...... ,
~~~...... ","::,:.1 .r....... -....~ ...~.~..'Bili~.. ....~=....,.I.......~"'...~.. ..... ~... ..~ ..--.... ........ .. . ...:.~'""'. ....,... ......a........ ,.-....J.-..f.,.... 'r/.. _ ,_.. .~.."I . "'_'~' .... ~.. ........_ .......f.Ii':,~t--~-
"'-'~7 .". '. . .....' ....., -................"...:-..,. '''.c'' ....... _ -. ',._ _~. "'-~:<'~~':J"'" ..r...-,..... '_,"'. ,. ~_ o. '.'_-'":.,~" '._=-...~
~1~O:: ::':>-. ' . .: "'.. "-:.-, \S~~;~..._.. ';,:;;l,~~~'.(~."",'~~"-:-::-~l':'i~' ~~ ;:- ~.:..: ....,...ii~:~t'l~~dl~..:..!u:~~1.~~..:-~ ~~;:;'.' .~f-.:u ~~:;:. 1.-",::~_...., --.,
.., ~' . "'." '..."......-.... ...:- ". .. ,.o;_~...._ woo. _'.,~ .. ....-..:;:.^~j':'._ .::~~""':':.:'_~.,:;..~_-.._._... .. _
~~~. ..
crrv OF PRlOR LAKE
16200 Eagle Creek Av. S.E. ParmitNa. q'1 ~/39B
Prior lake, MN 55372
Single FamDy X
Cornmertial
Two-family
~duslrial ~
Dale ...I - .- \.J v PIO # . 2S .2.30 - 00 (e _ ()
Site Address ,\ -,~. )) S~" ~ 1 l,.r \.\.0.. 1<..2. SD
1m :3 Block Z- Addition. W ~OOV I 'r:;vJ ~1ftTSS
Owner"sName. \"\~ ~ b~rY \I~
Address, \ ~ \0 ~ ~ .~ ~v....', f~-\ - ~ (,'r ~ \...t\ \u \)~ \\t
Heming Contraclor S'\ '\. ~ \\,,... -1- \"\ \. ,
Address _ \ \1'\ ~ ~ t) '\.l L \ L Or..v. ~ Y t V,,,; V"' \ 41<.{.
Telephone # , ~ ~ 1_ ~ \ ~'-\
Furnace Make & Model ,lc.......r; \.r-
Model Size , ~ '\\ \1- ~.. ~
Conn. Load. SO C, '-\ '\
Fuel ~ N ~Iu. Size l.\'1
Supply OpenIngs . ~
Re1Um Openings. 5
Inpul\o ~, ,y.:) ~ OUlp~lt,. \l\) Q _
F~ Schedllle
Industrial, Commeltial & Multi-Family
Residential. Heating & At
Res~nfjal, Heating Only
Residential, Ge.s Fireplace
Residential. Additions & Alterations
Residential, AC Only
Edr..
TYPE OF SYSTEM
Warm Air PlInts X
Gtaviy .
Mechanical .
Aft Condilloning _
Vent Syslem ,
HEAnNG OR POWER PLANT
Steam .
Hot W2l1.r
R" .,r..,...,.'1.
Spe:ial Devices .
Otm.,
\\'\t;
Other Oavic:as
TYPE OF WORK
.~.
All8ratilns
Rsplllcemll'll,
New ConSbuc:tion
1. PWl - File
1. Ci=:I . en,
3.YdJ_ . ~
3:
D
;;0
MuIli-FamiIy _. "_.
~ublic Other
....:J
N
~
~
~
1% of job cost ($39.50 minimum)
599.50
S64.50
S39.50
539.50
S39.50
N
U1
N
""'0
3:
3:
f"l
-l
;;0
o
D
H
;;0
z
o
CD
~
W
""'0
U1
CITY OF PRIOR LAKE
16200 Eagl. Creek Av. S.E. PermhNQ. ~~.. \ '1 ~ ~
Prior Lake, MN 55372
TYPE OF SYSTEM
Warm ~r Plants , x:
Gravlly
Mechmical
Air CondUming
Ven\. $yslRl
HEAlING OR POWER PLANT
StHl!l
Hot W..,
Radiation
SpIlc:iIllDwi:as
TYPE of: STRUCnJRE
1. PiaIr . F&t
1. CinD . CiIy
1. Ydl_. ., ,
Single Famt1y X
CMnmetciaI
Two-FamDy
lndvstrial
?ub6c
MultI-Family _.__
, Otter
HEATING APPLICATION I PERMIT
~att -":>- --,~ ~ l) PI,. ';:). 'f) - f)A () -tTrTb - 0
~ '
Site Address ,,-.n-, S\..\" ~ i l~r ",\t..
~)l g 81gck ~ ' AddbiDn .IN 00 ~ Uv ~ ~~
21Wn,tsName, "'~ ~b~ b~
Address \ ~ \0 '\ S ~ ",,,,,,' d)-\ - <<G\ ""'" \...t\ \u \)~ \\t.
Healing eomTadDr\'\. '-~ ~\,... ~ \,,\ \,
Address "\n ~ it) '-l \.\ l Or-v. ~,,\ V,,,,; V'" \ ~ k.t,
.
T"~.. , "-\~1- ~ \~'\
FmlllOl t.bk8 , Model l "',., r; ~ r
Mod.1 S~. ~ '{\ \\ - ~ -, ~
ConI\. Load 50 ~ v. C\
Fuel, ~ N ~U8 Size \...\ 'i
S"JIPly Openings C\
Retum Opening; S-
~ Input\g~. ~~\ ~(p ~ 0'00
t-t
<I
o Eelr.
~
ti Ctm.
E
Fee Schedule
Indus1ri1l, Commect:ial & Mutli-FlIIJlIly
Residential, Healing l ~
Residenlial, Heating On'Y
Residential, Gu Fnplece
R..;.fanIiaI. AdcItions & Altetations
Residenlial. ~ Only
1% of jab cost ($39..50 mirimum)
SGG.50
S64.SD
S39.50
S39.5O
539.50
D232000
Remember 10 add the SUda Stln:harge on the ballDm of 1his application.
The price of your hlllin9 penrit IncIudls one ~in and Oftl finI[ inspection.
Adl1iliobBl iIspections wi( be bll1ed at $35.00 ea&:h.
House HIIfing Test RICDCd must be submttIed with ....~ N'IIII1t "'ft\~1 before ~
lag cartlliClla of occupancy Willle issued.
f'll=AT "JIll" II mn~~ ~~ ,,~ wIh number of supply and raIUm. openings ist8ci per
room wIb CAII's'pw operin,. New structures or .xIiIions nnclloor plan vritlfsupply
and rnun IocaIons -"own. I-t&J" LOSS CAL.CU1.ATIONS. PAYMENT AND
APPUCRlONS MAY BE MAILED 10 THE ClTY OF PHIOR lAKE, 1G2QO EAGLE
CREEKAVC- S,E. PRIOR LAKE. MN 55372-
cay Hall ~ hours ... e Lft\..~:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ~ .. CA1.L ern HALL
4C7-4Z30
lYPE Of WORK \..1 I hereby appl)' for I mechanical systems permit and t acknowledge that the
E . ~ . .informafion above iI complete and 1CCU1aIe; thallhe w~rk wll_ in 'contonnance .
~ ~~ ~,rj New CoMInrdSon , . . wlUi th, onIiNlrlOla and codes of lb. clay and with &he ~" ~ltdlnglm.chaniQJ
~ Repair , . . Esl CDInp. D1d8 . .' . codes; Ihat Itils form does ftO\ become. pe"1'1t untl .i;~ by the BUILDING
l'-'. .' '\...\ ~ ...... . OF.RClAl; ht 1he work ..11 be in .CCOrd....OI with the IfJpnweCl pi.., In the
~ ~ ~ ." ~ ~ -. ~~ictlnlJ Pmml' ..:!III!- ~~... \~ <18 cue .of an ~~ ~~. ~~iru rIM.. and app~ of plan.. . . '.; ~
re.'~~GPERMITfEE$ /. D.. PAIDWITH ~~~~'..' .'~-'1''O\):..'..,
..~ ., . . / lil\iILDING P . AppIic:urr.~ DatI .
~~;,~;~==: / -S? -.,.. " ,EAM/i_ '(/I (),~q,'tij'('~~ ~j~,i:;j,j,'
"":~,;_:"" - ~ " a NdIng~~,., . D"'~ . '.
:~::--r;:il;:""':::":",.::" . :.:.:__ ' . '.: '..:: .~: :........ ,. . . ....,...,:: . ':. ." ::..._.. .' ' "':.. '.:~:':.:.. .... .
.,,,..Iy-'.::::.' ':'.,~., :.~.:.,.:~..~...;.:;~o.:,;~""':';iih"':";:",,-:.l.....::A.'- -::...:; .....~. ", - _~...'..", .:: .!;;".~:,.c..":A-i..;::,~~.. -? ,-"f.':"""~:-~)""_."~:.i.'~M'W ...;.:::"..~.:.~:'_~
~~"'~-.... . ...... ':ii". :-'~'.";i;(ZW";:S:; '.It.'..;,'i~ 'lr~~..""~' ~1lo-;i' .... -.-.. ...~, ~i:~ ...~,-: '.. '''",::J.!~~..~~....,...~.. ~... ~;;c
'~"- ,'.,. . ...... .... 'i....~;o,;;a{'W....&.."~~_ '\_..oo!.....-:....7..;I.._~.". ~ '. ...... ~~. ,,".r'll:l; 1;:.;.:-"'-'.. ...~~Ut...~...-:t1tt...~;, w' . '{!'Y......., ~
'"~.:.:.\.~... . a. '-...... . '-- .... t ...... ....-.~ ___.. ~..:.. .......... ..... .t!...., "-=--a.'r.:. _
\\'\~
Other Devices
r
FROM WENZEL MECHANICAL 612-452-0367
(THU) 04, 13' 00 09: 05/8T. 09: 04/NO. 3561851196 P 2
1. Bille '""
1. Galli Oly
], Ydlow ~Ii.-t.
PPNo 99-/311
~Pho"e:~ ~I "IS",J.- /~"5
CII f OF PRIOR LAKE
PLUMBING PERMIT
Applicant; tu-lA'!.~, ~
Address: -1.,.1)9 .#/1AbWlIU- ~
Signature: ~Il~ 1L. (j-l.-:Ii:i'4IAN;)
Legal Description: Lot 3 Bleck ~
Site Address: 17;L 77 ~A~T ~;,~, ~
Building Permit # qq ~ I q XPIO #. '2 D - :2 ':i) - (Jl')~ -0
NOTE: This pe""it will not be processed without complete information.
RXTURE UNITS
n. c-,... of I.. LaM C.....",
Quantity
I
I
I
/
I
I
I
Sub W ()ClOVI EW E~TAT~
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or witnout shower
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machl"e)
Sewage Ejector
Baddlow Assemtlly (RPl, Double Check, PVB)
- -
Baelcflow Assembly TesT
Lawn Sprinkler
Other
Dishwasher
Roor Drain
I
Lavatory (bathroom sink)
.
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (teilet)
FEE SCHEDULE
..
Industrial, Commercial & Multi~Family
(''-0 of job eost, 539.50 minimum) S
Residential, New One & Two Family 599.50 $
Residential, Additions & Alteradons 539.50 S
State Surcharge S .50
GRAND TOTAL S
This permit is granted u.pon the ellpn:1S conditio" rllat said
contt:lClor. shall comply In all respects ..,ilh the ordinances
. or [he Swc plumb,itlg Code, UJd rlle,Y"1fi;fr,
_ / A ~ECE~" . DA~
I -.AI /(I..{ ~T
~ ( /
all fi all inspection's 24 hours in advance.
/lA
'1(>/.
d<10
16200 Eagle Creek AV. S.E.. Prio ake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
/Ul E~ual Opportunity Employer
FROM WENZEL MECHANICAL
612-452-0367
(MON) 12. 18' 00 15: 45/ST. 15: 44/NO. 3561851295 P
4
~ ~ _". La'" c_,..
CII f OF PRIOR LAKE
PLUMBING PERMIT
APplican(;~~"'-.J
Addre"" Ift!:~q~
SiGnfltUr1!l; fUY/ !L, O,;~
Legal Description: L~t ......3 . Bloc:~ a.
Site Add'ress; 17;;L 77 1G~~A"r ~;'~'..I
Suil~l"g Permit It qq - I q X ,PIC ft.. -a s - ;J.'XJ - ~ ~O
I'iOTE: T1'\ls p~1Tr will net be processed wit"Clut c.cmpleta informaticn.
I'P No.
Phg"fJ:.!..:r /
1.... ....
%. ChlJIII CIJ
J. T.... .."..-
C{9-/31t
,,~_ - 15'"'-$
_Sua W ~16W J.::~TJ+ll;S
AXTURE UNITS
QuanUty Type of Fi,ctu",
I QIIlh Tub wft:h ar wIthout 9nCl....<~
-
I Dishwasher
I Aoar Crain
I Lavatory (baUlrgQrT'l 3ink)
I .
Laundry Tray (1 or 2 c::omga(1, .nl sInk)
Show.r Stall
/ Sinks
B.r Sink
/ W.l8r Closet (toilet)
QUiltltltY
Type of Fixcure
Rough-ins
/ Water Hellter
Wl!lter Softner
Stand Pips (wa.sl'1ing machIne)
Sewaga Ejector
Badl.1Jow ~~ ~pz, Double ChfJl:k, PYBl
6ac::kflow Assembly TesT
Lawn Spnnlder
Other
FEe SCHEDULE
'.
frtdustriaf, Commercial & Mulli-F J fly
(1"/. Clf job cost. $39.50 mlnirnurri;
AesidRrtllal, Naw One (. Two Farr,iy
Aesldll"tial, AdditIons g, ,Alteratior:s
$99.50
$39.50
s
s
S
5i
.50
State Surc:narge
GRAND TOTAL S
ThlJ pc:rm, ,<. gr2lU~ lI.pcn the: t:JCp~s~ candida" mu said
can~C[cr. ,hLll crlmply I;' all rr:sfl~"'u ....iib II'\C crniinanCl!!J
.r... SW" r>om';.. Code ..... ... ~~.r,
I 1 - aEC~. DATE
J I I'
'="" :-~ (/4. ~I~T
~O' ,.i1 inspc:ti~r6'24 houts in ad"anc;c:.
16200 Eagle Creek AV. S.E.. PriM~/(' . Minnc5CJLil55372/ Ph, (612) 4474230 I FAX (612) 4474245
,,",1'1 EqLlal OpportQni~ Emplo1~r
4/J1(
/.!I
~
P R I 0 R LA KE DEPARTMENT OF
. · BUILDING AND INSPECTION S re
INSPECTION RECORD ,AtN
::-,$
SITE ADDRESS P)d.. f-J,? Su,^,o..'() ~l"'.
NATURE OF WORK ~eu\ Q..av\s-\-t-~ iCJV1...
USE OF BUILDING -Ja ~~fA:
PERMIT NO. 9'7-I~qR DATE ISSUED IL-ls-~cr
~ . "
CONTRACTOR J--\ W '~"'\^'^<L.O-A ~ l-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
INSPECTOR
DATE
FOOTING
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'lL. ~r, +'4~rH
~IH-.
R. rt,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
1/ Ji.f /1ft
I r-;/i}-i(('"
fL J-
l~~.,o-lv r~ Lf.//1-rJOI ~j)~AI//1h
~'/Pr-; .f,I/~"6 IV~. t4~1W
f!J:n b/;;.a- / /7fJ
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WAtWialMB(l U,J,~. NuJr I Tik ~ ~ tilE'JtDO
FINALS /
GRADING (Prior to Sodding)
BUILDINGTh.O' ~ 81//0{ ~, 3/9fJ/tJ,
ELECTRICAL
PLUMBING
HEATING
t
I '1/ff~
I j/fillol
, ,
BEEN SIGNED
DO NOT OCCUpy UNTIL ABOVE HAS
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