HomeMy WebLinkAboutBldg Permit 99-961 & Plg 00-128
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-'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED:2 -;J7-0-a
ADDRESS ~l ~ (lI\olls 1),....
OWNER CONTR.
PHONE NO.
PERMIT NO.
-9q -C(k,l
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
pFINAL
o SITE INSPECTION
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:
--
( =5>~u:e
c..~
C,Oc
~('fe
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOT' CALL FOR REINSPECTION BEFORE COVERING
Inspector: :B.. V~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /oh~ / :/~
'1 .
ADDRESS ..35/6; /7, /q" Z/ l3~V ,K/l/tJt..-t,.$
DATE TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t?9- 9SB,. S~
~O ~ ~ /
~OOTING U1\
FOUNDATION (BJ
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~WATER HOOKUP
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:
1"1';(1~ ~~ ~ - /2-' ~
(1~ I ~I/ IIA~ "L '1 ' ~ .~ ('~
-31'!ii~ J.~ ~~.!@
;#)1 ~- - 'dS-=n=--4- L1 ~
_ ~ ~ tJ r"-./~)
" '~
~/J/
YIf Pt/~ L.~ t/o - /2' ~ ~~
I.. J.ttr T!a"IC'" ~ ~ ~
~~ ~ ~. 20'c~~~
jJ ~ ~~-jJ - 'r6) v'
12 - -",A tl"..Z- -r.\~ "---/- ~ _ "'-
ORKSATISFACTORY, PROCEEDf~ ,_~ 1 ~_ O'--UL--
o CORRECT ACTION AND PROCEED (!Q ~~ ~ .
o 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS Z:;S:J} ~ KMl b
, . ~
OWNER
DATE
0-a
Dr
TIME
f:3D
PHONE NO.
CONTR.
PERMIT NO. 9 Of - OCf(,1
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION L r Ps
FINAL (.......
. 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
vt. 0 PLUMBING FINAL
'rCH FINAL
c;.,OMMENTS:
( I) ~O \L
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,.
~ ~ c11 -\-i-f'A.
(~Sroj ~ 0\-- ?\~
I![; ,,,^- I ~ tAf7..ft
~ f<-- ~~. ~
Ip) S"bJ c--d-- ~~ ~ <c~ &~~<-
t~\~
/
~ {).vet'
V
hv--.. -a 1
OK-
~~~ c.O~
, -----
#
ctu
----
C~
o WORKS)TI FACTORY,PROCEED
o CORREC" TIO ND PROCEED
~~ r RK, LL FOR REINSPECTION BEFORE COVERING
Inspector: '\ Owner/Contr:
CALL ~7-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R'toUIR' 'iMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
~ INSNOTl
356IL fuv .~nf)ll~
dONTR. ~ ~
PER~MO' 99 - o-w )
o PLUMBIN RI........ 0 EX/GRA~'~'~
o MECHRI ~LI""1.:lO
o WATER HOOKUP 0 FIREPLACE RI
~EWER HOOKUP 0 FIREPLACE FINAL
PLUMBING FINAL INE AIR TST
o MECH FINAL 0
( W<J; ~~
\ OK-.-- J
C)~ '-... ----- ~
13e.x- n , L-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION A
o FINAL
o SITE INSPECTION
COMMENTS:
L\J~ ~
(J J{j ~
~l L<R YiA"'b
/'
SCHEDULED
DATE TIME
. Iloa
, I /1
{v,Uf
M
IS ACTORY. PROCEED
AC ON AND PROCEED
, CAL9FOR REINSPECTION BEFORE COVERING
/ Owner/Contr:
Inspector:
CA L 447-98~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODk REQUJEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V lNSNOTl
DATE RECEIVED
e/ S/qq
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L While
2, Pink
File
City
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 /J
35;1.1 ~ V k /1/6 JIs /) r
3, LEGAL DE~CRIPTION .r
LOT t ~ Or t07 I BLOCK
ADDITION C /yA/ WA.f~r
(Name)
1, DATE
t-s-] ,
BUILDING INFORMATION
11 , SIZE OF STRUCTURE
(Height) (Width) (Depth)
$c~ '3,C; lif
12, NO, OF STORIES
I
JfT
PID .:JS- JSO - Dul, 0
C;~elJ t:tJ#
13, TYPE OF CONSTRUCTION
4, OWNER
(Address)
(Tel. No,)
14, FLOOR AREA APPORTIONMENT USE
5, ARCHITECT
(Name)
(Address)
(Tel. No,)
6, BUILDER (Name)
W~Nfm"#A/
).J (J flI of' .f J fA. /7'1' ;La 0 t' ~ 9 it tv
7, TYPE OF WORK Fireplace 0 Septic 0 Deck r;r/ Re-roofing 0 Porch 0
New Construction V Alterations 0 Addition 0 Finish Attic &' Re-siding 0 Finish Basement 0
Chimney 0 Mise,
8, PROPERTY AREA OR ACRES
Sq,Ft.
lAddress)
Iff$" 1'/(J2-~
Dr
(Tel. No,)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
/,SJ- 'Yut.- YY(lb
SEATS
16. PROJECT COSTNALUE
9, PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
17. COMPLETION DATE
Yes
No
I hereby certify that I have fumished infonnation on lhis application which is to the best of my knowledge lrue and correct. I also certify that I am lhe owner or authorized agent for
the above menlioned property and that all con truclion will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware lhat the
building~icial can revoke lhis petit for just use, Furthermore, I hereby agree thaI the city official or a designee may enter upon lhe property to perfonn needed inspections,
X /1 ~ J~S-j> ?-S-99
- /' / ~ignalure License No, Dale .
v
v
FOR ADMINISTRATIVE uS&....
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
SPA
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO, PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
AIJeoo.oc> PLOT PLAN 0 ./
PERMIT VALUATION
BUILDING DEPARTMENT 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
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
II $
,
Pressure Reducer .......................... $
Meter Hom ................................... $
WaterMeter ................................. $
Sewer & Water Connection Fee ........... $
8~.O~
/1!J6'n .00
Plan Check Fee ............................. $
1 ~ . 5"0_
LCl..'1 , 6' 5
'40 .& ~
State Surcharge ............................. $
:::~:~.~~~;:~~~.::~:1~(::: : I~O L 0 0
Mechanical Pennit Fee .'(r.-:'.f~r...... $ I t:>O _ tDe:>
Sewer & Water Pennit .. ff ~~(..... $ $<;;' . 5""0
Gas Fireplace Pennit .t'l.1id....... $ q () .06
This ~1i9fi~mes Your ~i1ding Pennit When Approve<b,
By ~~. _"/Eo Date ~ -{8-ccr
Certificate of Occupancy
"'-. 7 (J . 00
,
;lSD.o&
I. 200 · 00
f T]()() . OD
0-
c:70+. (J)~
l'
24 hour notice for all inspections 447-9850
'"
..
(J
J~b Address25Y I f ~ Jlno 1/ I
Heating contrac<<i('C ~P""
Name of Tester / ji':t,
(5- I/P-Or?
7
CJ:>
<g
~/13
Date
Percent 02
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec, 606
Input
"
DEC. 14. 1999 5:00PM
GENZ RYRN 6513226147
NO. 163
P.9/17
nc c_ ..r 1~' LI. (;g.nl17
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant: (';~.J"2. - ~
Address: 141U';' 5n ~ Tl2L
Signature: lA l(j ~ _
Legal Oe5C~ , Block I
Site Address: 3r:::>2..l;cc.y \.c..v'1:;)/ h. lJY02-
Building Permit # 9Cj - q~1 PIOt_aS'- 350
NOTE: TIlis permit ~ill not be precessed without complete information.
I. Bbl mil
2. Ciald Oty
3. YaDow Al'Pligat
ClCf- 9ft:? /
,
#
Phone:, loe; 1* 4 "Z ~ -IILlL/
R.n~J (11 rtJ.(\./ ~~
.Sub
(',., 'ff'tA..1A~ 15T
-t\f'l f --0
- ,
.'
Quantity Type of Fixture Quantity
t 8ath Tub with or without shower ~
-
r Dishwasher 1
, Floor Drain tl
"0 Lavatory (bathroom sink) \
I Laundry Tray <1 or 2 compartment sink)
1 Shower Stall
, Sinks
Sar Sink
Z, Water Closet (toilet)
FIXTURE UNITS
Type of Fixture
Rough~ins
Water Heater
Water Softner
Stand Pipe (washIng machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVS)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Mf.Jlti-FClmily
<1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$
$ .50 -- ,
~- PA\R:~M\,.'j
\~U\\..Oh... .
$99.50
$39.50
,
""'~_.
This permit is grnnted upon the express condition that said
contractor, shull comply in .ul respects witll the ordinances
of the Stare Plumbin amendmc}lt:l thereof.
,-Lzft.~/q9 DATE
, ,
An'EST
Call for all i spections 24 hours in advance.
"1\m (C :, ~"r; o.
} _=0 . , .
1\, DEe I 5 1999
J~.
, ,
v
_,_ L/
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-42~S
An Equal Opportunity Employer
Date
CITY OF PAlOR LAKE MC
16200 E8.Qle Creek Av. S.E. Parmit No. tic; - 9 ro I
. Prior Lake, MN,55372 . - . f7 ' . ,.
HEATING APPllCATION I PERMIT
1- 7- OiJ PID. 25-360 - 001-()
35;)./ ~. ~blQ 'rj)/U,tL'c, /fe2.SD
~' ,
?'
1ddilion, GLI/ N tV /17'EJe... / ,sr
(,(ja-/ft:nW!ii1h
Site Address
Lot
Block
Owne(s Name
Address
HeaUngCorltraclor ~LLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N, FAIRVIElol. ROSEVILLE.
Telephooe# _ 651-633-2561
FIREPLACE I J I ~
~ Make & Model tJi,L! / j 0Lc
,- -
~L750
MN
55113
Model Size.
TYPE OF SYSTEM
Warm Air Plants
Gravity ,
Mechanicar
Air Conditioning
VellL System
Cilnll.load.
Fuel
G.r
Flue Size
Supply Openings
Return Openings
Input Oulput ..;l3cw
Edr.
HEAllNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Clm., '
TYPE OF WOnK
Alterations
)4
Repfacemenl _
New Construction
Repair
I-II-C.o
Est Comp. Date
-.,
Esl. Cosl $, 1/ (.If), ffi
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permit #I
qC/- 9?7/
.' -
.50
~ PAID WiTH
laU\LD\NG pC.'" ..iT
Receipl # ,
Singls Family
Commercial
L Pi nl< Fire
1_ G...." - C1l,. -..J
J. Yel'- - Con!!.. I
TYPE OF STRUCTURE :::j
. I
ill
Two-Family MuRi-Family lfl
Industrial Public Olher ~
j:l.
m
)>
3:
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Healing & AC
Residenlial, Heating Only
Residenlial, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Onty
1% of fob cost {S39.50 minlmum}
$99.50
$.64.50
$39.50
$39.50
$39.50
"
:u
o
3:
Remember to add the Slate Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one Dnal illSpeclion.
Additional inspecllons will be billed at $35.00 each.
House Heating Tes1 Record must be submilled with building nl'l.,mrt number before bui
lng certiffcale 01 occupancy will be Issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings Irst~
mom with CFM's per opening. New slruclures or additions send floor plan wilh 8uppl,
and relum 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.
City Hall business hours are 6 8.m. - 4:30 p.m.
.
ALL WORK MUST BE INSPECTED {ROUGH-IN AND ANAl) - CALL CITY HALL
447--1230
I hereb)' apply for a mechanical systems permit and I acknowledge that the
inlormalion aoove is complete and accurale; lhallhe work will be in conformanc
wilh the ordinances and codes of the city and wilh the stale building/mechanic
codes: Ihat this 'orm does not become a permit unlil signed by the BUllOIN
OFFICIAL; that the worT< will be fn accordance with the approved plan in the
coo. DI~D'.k W~iCh '.~ulr.s re.lew ami approval .1 plans. .
jj/l~~ U~ /- 7-OJ
/- APP~At~ure Dale
1/10/00
- D'ale
iJ
CITY OF PRIOR LAKE
, 16200 Eegle Creek Av. S.E. Permit No_
Pilar Lake, MN 55372
q?_9~;;.J
l'-
M
"
(T)
Il.. Date I -I II U VI"'" PJD ,
Site Address C6-z.- \ ~ l{ (Yn II s- 11~
(T)
~ Lot I BIodc I Add~lon h r .HVl f .( Yl. rf if... I <... ,.....
Z OWner's Name lA ~ Hl~rrlJ. .AI11f'-, "Lh~S
Address r~~ ~b? k tj\(l. Src. 2rD Cf1E:,/11\.\
Heating Contrador htn1...- - tuan
Addrass IU1~r; m ~ ,e..L t2S.'YI1
T9!ephona I __,_I(l51=_4~~ /"1 f\ .II J
~C;C)!r)('
o
:,M>dsl SI20 (::;H
-' '-,-; -:;:; ~
v..iJ un I\j I F kl n ls
Conn. load
["- 1 G
':t Fuel I\ P:1 :.....:::.r1c:.~F!u;;q, n
.
Machan1ca1
AI, CondRionlng . X
Vc',f. 8\o"~llOm
:J.ppry 0;,,'-"":
I
_" __--L.::-L
'.--" ~
,.-
tk".,
il
!) Edr.
W
19 efm.
C'1hu Deylc.es
TYPE OF WORK
x
~
0::
CD AIIaratlons
LJ)
Replaeemen1 New Construction
E!l. Comp. Dale
..
'7 Repair
en Est. Cost $
en
en
~ HEATING PERMIT FEE $
'7
~ STAlE SURCHARGE S
u
w
CI TOTAL PERMIT fEES S
Bulldlng Permh 1#
99- 90/
.50
~ ~O \N\1"'r\ '.
" . f>~ ",'G \,~'0~~'\\\
~U\\..t?\\' .
Rec&lpt ,
Single Famllv
Commercial
Fee Schedule
TYPE OF STRUCTURE
I. Piu, -. filii
1. Gnl ~ Cfiy
3. y~) CtdnI:Id
)(
Two-FamMy
Indus1rial
Indusl,ral, Commerclal & Multl-Family
Ae~id~ntial, HeatTng t "c
Ht*ldenlial, Heating Gniy,
Aasidanlial, Gas Fireplace
Residential, AMl1ions & Alterations
Resfdantial, AC Only
HHfemher io add th0 Sl"lG SU[rh2:,
House t-'e::itlt:~~ TIJ::l RC-~--;i~'~ :r,',:-~ ~c ,',.;l~: ,I,~
l.g Ct; rtilio'.dte 01 occupa,1cy "'" 00 i~5'"
".
"rr. '
'...~.11 i ;:-.j ..,.....;i.-_.....~ .\....,..; 'J;\...-
J"; ~ \. ;t:o:'CH1K 1:nST ~- ~;;}'~;T'~,-'
r
447-4230
Public
Multi-Family _
OIher
!f; .
1% or lob cost (M9!="o ""'f)rrr~.l!n)
r----
$64.::0
$.39,50
$39.50
$39,50
! 1- ~
UEC I 5 1999
, j
-' 'w.....
,lh
,I ,;
I hereby apply ror a mechanical systems perml1 and I acknowledge thai the
rnfofmallcn above is comp!ele and Beculala; Ihallhe wOlk will ba In canlormance
wUh the ordinances and codes or the oily and with the 51ate buildlng/mechanlcsl
codes; that this form does not become a permit unltl sIgned bV Ih& BUilDING
OFFICIAL; Ihal the work wIll be In accordance with the approved plan In 1he
cas& of aU work which requires review and approval of plans.
(1 I.n~ fL-
-( Ap ~iC'"
Bul ing Offlcal's Signa1uf&
(2' rlJ /qo,
Dat~ i .
I z,/t rl 17
Date
OCT. 1.1999 8:22AM
GENZ RYAN 6513226147
NO. 077
P.2/5
..... . ....
\'B.LGW - API'LICAIIT
lIOUI - aT"
CITY OF PRIOR LAKE
SEWER AND WA.L~ PERMIT
NOTE:
NO. 99- 9~ I
Sewer and Water
contractors must
be reqistered
with the city.
APPLI CANT: tI Jfd....l.u JHV PI In ~ Hn::s PHONE:
J s~t
ADDRESS: 'U.,u~ ~ ~ TaL ~,'DATE:
SIGNATURE:~~ . BLDG.
SITE ADDRESS: ~.J Ob2...l &fl.( Ji.volfs:. J)y'L PIO# 25 -350 - 001-0
4.7~ - Il.!::iJ./
(0/, lqq
PERMIT i, q'q - 9tP /
1.
2.
3 .
.--.... 4.
)
,- 5.
6_
Estimated length of water service
, II
Size of water service inch(es).
FILL IN THE BLANKS
I-fD J
feet.
Type of sewer pipe.
ABS
from st;.ructure
PVC Y Cast Iron
,Ir;'
f../I J feet.
feet.
Location of any couplinqs
Estimated length of sewer lin~
, -
Clean out (if required), located at
structure.
feet
from
______=====_________--....... __-:s.:~)___~'~-:-~,~,-_===_ _---=~__=~
This apP~~i96'1be~r pe~it when approved.
BY' ~~ D~TE: /0/4 "/C;q
. - ,
===~==:iI~;;;;;_===-
----==---~=====
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharqe
TOTAL
,
. -..
* Fee for either sewer or water indiVidually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction ~ust be
recorded on the buildin9 permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
issued. . --'-"
DATE PAID 1<HOUNT PAr~i~~~)
RECEIPT # REC'O BY \t\\)\\"O
. 4629 Dakota St S.E., Prior Lake, Minnesota 55372 I Ph. (612) 4474230 Fax (612) 447-4245
AN EQUAl OfPORrUNITV EMPLOYER
~
9?JlG /
Thf' ('f'nfer of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
71/13/115 MAj\/N
~/~/C;q
I I' I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
352/ 23/lY KNOl-W 01<...
Accepted
Accepted With Corrections
/..
.......
Denied 2
Reviewed By: ( ~_ 0 L ~)>'
Comments:
Date: cg -I C5 -? ~
~~ :tS~::ti
99-'15B -h;. ?Ls-, =?"""-c3/ ':)(),..~ 1:..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."
tJtJ, C)G I
White - Building
Canary - Engineering
Pink - Planning
Tho Conlo' or tilt Lob Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7/ {/ E IV3' IL'j rl Ai I\.j
Y; / c; /C;q
I / '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35 L.. I 23~} Y K IVOL LS Ot<...
Accepted
./
Accepted With Corrections
Denied
D"...,:",.._""'" 0.... .,. ~-- C -ii-=c- '11/
I 'C>YIC>YVC>U uy. --'YJIl~1 e.A LH,~""'I4tY.'
Date:
- I I
'6//81"
. .
Comments: _ <\EE
8Vfc..D'.....~ frlt....(r :It 9<1- 9S8 (.:Js/s i1~r..j(/I.JII."'S Dr1)-.
,
I Al F D ~ tfIf (liT If) ^ J f 1'c:J_.... C/J7!5:
~n. c..D......M€,.J~
\ (
"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."
'....M..;., <~~'I:"'" ,"'l, !>"' ."..l~ ~ .,~'\,_.. ~~
...., ;'-". ..,';'--.'';'' --- ',,;,",'";
,/'"
Tho Conlor of tho Llko Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D~PARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED.
"
,r
:' /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.t:.._ ,(
"
'..
I l
..- I~-
Accepted
~
Accepted With Corrections
Denied
Reviewed BY:~ I~
, .
Date:
j3- I { - ~q
Comments:
Artv&t~ <::;U~~L'\ q--o (' ../..vvl~v~ #{
'P\P CeJ,t:. l ~l ~fYV6Ve<'J ~~ {Jt:Et-
~ 6-v~ ~ ~ (.9-~~ LFM.L,
"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."
't~ ...~,
~'-oe,.
QCj-y(pl
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: .~ 0 ~ ~uJtd
Address: ;)';) (/J- ~ l).lll-k rtv1. lV(
Signature: ()~J1C'./Ci -1)1-
Ii
Legal Description: Lot Block Sub
Site Address: .? ~\) l K rY-I'L h.lJ-t.kJ J:)n, RZ~
Building Permit # 60 - () 12-8 PID # Z5 -350 - ODI-O
NOTE: This permit will not be processed without complete information.
I. Blue
2. Gold
3, Yellow
File
City
Applicant
PPNo, 00 - 0/28
. Phone: fI / )- -0'....] v- tf S....) ~
J1L-QW fkiiL
The Crnter of the Lake Country
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
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
l/tJ~ ~
$
GRAND TOTAL
This permit is granted upon the express condition that said
contractor. shall comply' all respects with the ordinances
of the State Plumbin e ..;m%dhnts thereof.
-=? t?q;. "3 . -1fLo/ () 0 DATE
ATIEST
Call for a . nspections 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
'T
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION-
SITE ADDRESS ~\ . ~ \L...A"'\\C- 1)\-
NATURE OF WORK ~P( j) e-)-,~,
USE OF BUILDING .cq FA
PERMIT NO. 't (-~L,\ DATE ISSUED R-/A-99
CONTRACTOR W..pJ L~~ Cr"l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~~;j--' -&1 JQ
I FOOTING I p~ - I 10- ~
FOUNDATION (Prior to Backfill)~1" ~Q&t' btl I {)-~"1&J ~I !ir.h lo-~!,-9~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC ~(.@ ~/ Id-ls-~'
FRAMING l. . (... z.,/,~j) fCN l/i,/IV
INSULATION ~ 1.4:/'lrtJ
ELECTRICAL I
PLUMBING c.. . L- . (J 'l,/,/do I ctJJ / / '//~ (/
HEATING (if reQuired)t-.(..l.4! .MIld/) I W I/U/uV
FIREPLACE l...L . ~ ~/d() 1,,17. (1J 4./../01
GAS LINE AIR TEST v M MI/~JrJ-f}O
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I ~J(3
( ) ~ . I
/\I)~ f\::.. - BJ j6j), '
V 'f I . I~
UAfrf
OCCUpy UNTIL ABOVE fi ~S BEEN S\GNED
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.
GRADING (Prior to Sodding)
BUILDING-rw
ELECTRICAL
PLUMBING
HEATING
DO NOT
I J - d 7 ~o (
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850