HomeMy WebLinkAboutBuilding Permit 99-0620
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DATE TIME
CITY OF PRIOR LAKE /1
INSPECTION NOTICE SCHEDULED 7-?Z...e;g .?rl
,,.,.,. ~~~~
:::.0 :::0 'IJ- ,~
o FOOTING 0 PLUMBING RI 0 EX! LING
o FOUNDATION A~CH RI 0 COMPLAINT
o FRAMING :A.TER HOOKUP 0 FIREPLACE RI
o INSULATION SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS, ~ .. ..
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o CORRECT R
Inspector: Owner/Contr:
CALL ~7-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUlfEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V ,_on
Y, PROCEED
N A D PROCEED
,CA L FOR REINSPECTION BEFORE COVERING
JR LAKE
IN NOTICE
DATE TIME
SCHEDULED
11/5/"
. .
AM
JRESS ~31Dq r.l.t..l....."'T""" -ri..,,_
OWNER
CONTR. IAJE"Al~..A"N H...e:s
PHONE NO.
PERMIT NO.
o/i.t. ZI'l
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1lI.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'fit... EXIGRAD!FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(''\I'l4Clf.. ,<. A<G~=-M>, 1".
C.uIl.BClQ,( 1 '" ()"mA'T"I~..JAL
"'111...1'1"111.' "'c.... ~ VNTI\... <'l)~"'''
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: jJA,.rr:n. ~"AN':1. 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
/o-~-'n 9:'30
ADDRESS :3.3&9 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-!rJ 2-D
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
A-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)i: PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
A) GASLlNE AIR TST
("-f- .J:f...r, ~~ Fr7
... -
'11- Jz.~ I
COMMENTS:
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II
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40RK SATI
o CORRECT
o CORRECT
CTORY, PROCEED
TI AND PROCEED
FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-9850 FIR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~UlREMf'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ;Z..;l,~-oct
ADDRESS 33 fA ~LW~ r;.. ~ 11)
DArE TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq -~ 70
o FOOTING
o FOUNDATION
o FRAMING
o ~SULA TION
JYFINAL
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:
ts.SU p, C.0.
t' lCl~e. ~'Ip
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1?> I ~ Owner!Contr:
CALL 447.9850 FOF THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREME^ TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE RECEIVED
S/25/cn
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
11. DATE
5-,;15- <; '1
12250
I. White
2. Pink
3. Yellow
File
City
Applicant
StE~ ""',11/;.1 FI{...~11
Permit No. qq-(PZ()
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
JJt 7' G /v/V t...hdl'r
3. LEGAL DESCRIPTION I
LOT 3 BLOCK
ADDITION~
4. OWNER V (Name)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
Tra-; J
)yw
12. NO. OF STORIES
3
1ST
;LJ- 3f.;J- ()/J - 0
PID
Q,./,.I; 1,' D IV
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER (Name)
W{'NfmIlJVIV
N, m ('.$
7. TYPE OF WORK
New construction~
"jAddreSS)
1595 ''''~''-
(' tA 'I1/v
CJSeptic 0
Addition 0
(Tel. No.)
&51- wt
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Dr S..,'t.. .;JoO
,-/ytJ "
/JlIV .55/2 ~
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement CI
Chimney CI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished 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
building O.~ff ial can revoke this ~it for just cause. Furthermore, I hereby agree that the city official or a desi9.nee may enter upon the property to perform needed inspections.
X /I~ ~'T~ JH-7(,1:2.- /',/54' 5""..;L!>- '} 7
/ Signature License No. Dale
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Baok Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION I '"lD, /')fb . C) C) PLOT PLAN 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
:5FA
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV ~
OccupancyGroup A B E @I M (5) S U
Pe",,;' Fee ..........~~~~~...'.......~...... $ 'I I):?; f] _ '2.. c;-
Af\4.2"2-- Q \
~.rn O;\\6(\~~
I CO. <:.5t")
f CO -(SO
AS . '5"0
40.$&
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
City:
~ 50 .c:xr
/ D <,-V _~
Plan Check Fee ......................... .... $
Sewer Tap ................................... $
P'essu'e Reduce, .~.'.:............... : liD. ()CJ
MeterHorn......"?:!:....................... $ _
Wa'e,Me.e, .....~....................... $ /;25""": ~
Sewer & Water Connection Fee ........... $ /; 260 .. D-t
WaterTowerFee ........................... $ - 7C~. ~O
Water Tap ................................... $
Builder's Deposit ............................ $ - r"') -
Other ......................................... $
Total Due .............................. $ '" '2, 1.1 . 17
Paid ~ ?1/. 9'1 Receipt No. 1: r r(..JI
Da'e t,1z..dr;9 By A~
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'" requested. This document when
sig~y 1f'8 C~Plf1nJ16r constitutes a temporary Certificate of Zoning complia~ and allows construction to comme)lce. Before OCClJP1fLY' ~ Certificate of Occupancy must be issued.
~J/~a.u.,.-~ fr,r?-4f!L- ~~ :RP~ 'Yf- &21'1 -F;.t- ~I.. ~. "U~IAL'" .5Jv.
- City Planner Date Special Conditions ~ any r V I
24 hour notice for all inspections 447-9850
State Surcharge ............................. $
Issued
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Pa,m/I No. qt:J-fpZO
Prior Lake, MN 55372
Date
HEATING APPLICATION / PERMIT
CJ..:?] 9'1' PID'.ZS-.352..-0/3-0
33b9 Gb.hf.M1:Ier/~;j Ie~
.3 Addilion -4!y/llWI'f7"F:/e.. soU77i
(.A..j~"'I......vhl...L::'#.'1'-- J!.-rlf._LJ
Sile Address
Lol :3 Block
Owner's Name
Address
HealingConlraclor ~LLTED FIRESIDE dba FIRESIDE CORNER
Add,o... 2700 N. FAIRVIEW, ROSEVILLE, MN 55113
T olophono'. 6 5 1 - 63 3 - 2 5 6 1
J'1J' FIREPLACE ,
/iIJmI!!!IllI Mak. & ModeJ r.).d NC,4.,
(xJC
TYPE OF SYSTEM
Warm Air Planls
Gravily
Mochanical
Air Condilioning
Von!. Syslom
Modal Sizo.
Conn. Load
Fuol Ic){~
Fluo Sizo
Supply Openings
Rolum Openings
Inpul OUlpUI d 7. ",:.:.
Edr.
HEATING OR POWER PLANT
Sloam
Hol Wator
Radialion
Spacial Devices
Olho, Dovieos
Clm.
TYPE OF WORK
Alleraliol1s
xx-
Roplacement
New Conslruclioll
Ropair
Esl. Compo Dalo
Esl. Cosl $. / / ("y") '".')
HEATING PERMIT FEE $
ST A IE SURCHARGE $
TOTAL PERMIT FEES $
.50
q9-~ZO
~~\O 'l'J\~u.{t ,
\eU\\,.O\~G ~t:P'" J
Recoipl #
Building Pormij #
TYPE OF STRUCTURE
r rin"
2. GfU"
J. YrlllJW
1/1
rile 10
Cil1 "C
C1Jnlrlclllll" I
N
W
I
10
10
o
u\
Single Family.
./
Two.Family
Induslrial
Public
Mulli.Family
Olhor
Commercial
Fee Schodule
U1
'"
:l>
'11
..
,
ID
III
Induslrial. Commercial & Multi.Family
Residential, Heating & AC
Residential, Healing Only
Residenlial. Gas Firoplace
nesidenlial. Addilions & Allerations
Residential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$6450
$39.50
$39.50
$39.50
~.
0.
ID
n
o
,
~
ID
,
Remember 10 add Iho Slale Surcharge on Ihe bollom of Ihis applicalion.
The price of your healing permit includes one rough.in and one final inspeclion.
Additional inspeclions will be billed al $35.00 each.
House Healing Tesl Record musl be sub milled wilh b.uilding ~ numtw before build.
ing cerlificale 01 occupancy will be issued.
JjEAT CAt CIII AT I 'lli.S. R~OIlIRFCl wilh number of supply and relurn openings lisled po
room wilh CFM's per opening, New sl,uclures or addijions send Roor plan wilh supply
and relurn locations 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.
(1\
U1
'"
City Hall businass hours are B a.m. - 4:30 p.m.
(1\
W
W
III
III
III
l>
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HAll
447-'1230
I hereby apply for a mechanical syslems perrnil and I acknowledge Ihallhe
inlormalion above is complete and accurale; (hat ItlS work will be in conformance
wilh Ihe ordinances and codes of Ihe cily and with Ihe slalo building/mechanicel
codes; Ihal \llis form does nol become a pe,mil unlil signed by Ihe BUILDING
OFI'ICIAL; Ihallhe work will be in accordance wilh Ihe approved plan in the
case of all work which requires review and approval of plans.
Building Ollica!"s Signalure
ql-nh
. . Dalo
q .h..3/9?
Oalo
iJ
o
'"
.
....
o
ll.
HEATING APPLICATION I PERMIT
PID.. 25-352- 0/3-0
r;/""r..,;f;A ,1].,.~. /i?2SD
(/
Addilion
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. 99- 62-0
Prior Lake, MN 55312 -
'<t
III
III
III
l'l
l'l
ill
N
....
ill
Dale qh jqq
'f')(pq
lOI ~ Block .3
SOUTli
Sito Addross
Owner's Nama.
/J....J;.-1l...."..,~_A...
aLVIVWA7Et€
). !uJMi~
Addross .
HealingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNEll
Address. 2700 N. FAIRVIEW,
Telephone' 651-633-2561
FIREPLACE
/;WoW", Make & Model JJh' 101 Cot..,
Model SilO ll'A -rl> I"
. .
ROSEVILLE, MN 55113
TYPE OF SYSTEM
Warm Air Plants.
G,avily.
Mochanical
Air Conditioning.
Vont Syslom .
HEATING OR POWER PLANT
Sleam
Hot Walo,
Radiation
Special Devices.
I-
OJ
t:
I-
o
U
OJ
"0
Conn. load
Fuol ~, r
Supply Openings
Relurn Openings
Input OUlput <A::L rLD
Flue SilO
'r"
'"
OJ
I-
Edr.
Other Devices
Clm.
'r"
I.L.
<(
'<t
N
TYPE OF WORK
Alleralions
Roplacemont
Now Conslruclion XY
ill
o
C\
C\
I
i'o
o
I
0-
OJ
VI
Repair
Est Comp. Dalo
Q/.r/99
CJ9- ~Z.O _
(r' p~\O~ ~
\ e\l\\,.O\NG flEp.~t
Recoipl ,
//(111,1)
Est. Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMITFEES $
.50
TYPE OF STRI,ICTURI;
I.Pinl:
2.{"__
J. Ydl"
nk
0',
Co..act.
Single Family
Two-Family
Induslrlal
Muhi.Famity
Other
Commercial
Public
Fee Schedule
Induslrial, Commercial & Mulli.Family
Residenlial, Healing & AC
Residenlial, Healing Only
Residential, Gas Fireplace
Residenlial. Additions & Alleralions
Residential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 10 add the Stale Surcha'ge on Ihe bollom 01 this applicalion.
The price of your heating permil ;nctudes one rough-in and one final inspeclion.
Additional inspeclions will be billed al $35.00 each.
House I fealing Tesl Record must be submilled wilh buildioo I!IUIliIIIlImbI! be/ole build.
ing cerlilicale 01 occupancy win be issued.
I:IfhT CALCULATION.'1 REOlJlR"''1 wilh number 01 supply ond return openings listed pe
mom wilh CFM's per opening. New slruclures ,n edditions send 1100' plan wMh supply
and relurn locations 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.
Cily Hall buSiness hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
441-4230
I hereby apply lor a mechanical systems permil and I acknowledge thallhe
inlormalion abo\fe is cOfllplele and accurate; Ihat Ihe work will be in conformance
wilh Ihe ordinances and codes or the cily and wilh Ihe slale building/mechanical
codes; thatlhis form does nol become a permil until signed by lhe BUILDING
OFFICIAL; Ihalthe work will be in acco,danco wilh the approved plan in the
case 01 all work whIch requires review and approval 01 plans.
1l1".J.~" Jl.-/-r.-
~
JfIl1\lng Onicar. Signaluro
'1!71f'i
. Dale
9/7/99
Dale
CITY OF PRIOR LAKE
18200 EIIIlIe CIHk Av, a.E. Penn" No. qq - "ZO
Prior Lab, IIN 55372
HEATING APPUCATION' PERMIT
5J~/qq pm. Z5-~2.-0/3-0
J!\\u~~ ~ ~~
AdeI,e.
HealinG ConI/actor
Addresa
Tellphone. ,
! Furn_ Make a Model ...h;...n.n 0 'i..
ModelSlza ~ - 1('Xj
CoM. load
FU8I~II1.SID -
Supply OpenIngs , :21
Relum Openlngl , , 0
ZlputJm~puI-9.\ .('fYJ
~ J ,
'f'dr.
N
z:
hl~m.
TYPEOF........d11
Warm AI, Plante
Gtavfty
Mech8ll1ca1 .....---
Air Condllklnlng
Vard. Syalam
HEATING OR POWER PLANr
SIBIllJ
Hot Wa1IIr
Radlalion
Spedal Devices
Oilier Devices
TYPE OF WORK
E
crlllarallons
If)
IS)
i;;lepalr
...
R.pllll:emanl
Est Comp. Dale
New CQnslruction ~
ofsI. Co6t S
(J'>
;'lIEATlNG PERMIT FEE S
9"1- (c z.o
...
. iTATE SURCHARGE
z: .
c;-OTAl PEAMITFEES
Bulldl'9 Parmh. ,
"Q.50
$ .50
, 100.00 Receipt .
PAID WITH ,
BUILDING PERMIT
IYPE OF STRUCnmE.
1.-
2.,"
1 Yen..
-
Oly
~
Slngla Family
Commeraal
)(l
MultI-Family
Pltiic _O~
Two-Famiy
Indullrial
Fe. Schedur..
Induslrl8l, Commerdal & Multl-F8IIlly
Realdantlal, Hsallng & AC
Residential, Healing Only.
Resldenl18l, Gas Mleplace
Residential, Adrlftionl & Alleralfons
ResldenUaI, AC Only
1% 01 Job COlli (UG.50 minimum)
$99.50
Ill4..5O
$39.50
$39.50
$39.50
Remember 10 add \he Slale Sun:harge on lhs bollom ollhla epplcallon.
The price 01 vour heeling permillncludes one rough-In end 011& ffnal Inspeclion.
Additional inspBCllons wijj be blUld al $35.00 lNICh.
Hous. Hsallng Test Record musl be aubmlMId wlth.bu!lllJog IlIIDIlIIlIIIIlIIIIl: belore build-
ing cartilicale 01 oocupancy will be Issued.
I:tEAICAlCULATIONS REQUIRED w~h number 01 supply and relurn openings l!slldper
room whh CfM's pel opening. New structurea or eddilions send IIoor plsn wHh supply
and relum locellone shown. HEAT LDS5 CALCULATIONS, PAYMENT AND
AJlPUCATlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 1&200 EAGLE
CREEK AVE. S.E. PRIOR LAKE", MN 55372.
CiIy Hall busfness Iloun are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAl)- CALL CITY HALL
44H230
I hereby applv lor e m..chanleal syslems permll snd I acknowledge Ihallh..
inlormalion above is complets end accursle; thallhs work will ba In conlormenea
wllh Ihe oJdlnanees and codu of lI1e clly and wllh lhe sial.. bulldlnglmachanlcsl
codes; Ihalth's lorm does not becoma a permll until slgnlHi by the BUILDING
OFFICIAl; Ihal the work will be In accoldance wilh Ihe approved plan in Ihe
caa~;~d ~pprovalol PI-; I~~ ffL
~~ "/3~iq9
~ Bunding Offical'. Signaluls ' Dam
JUN. 1.1999 10:05AM
GENZ-RYAN
NO. 925
P.8/11
_-ou:
"'UOW-~
lIOj.D . err.
CITY OF PRIOR LAI<l!: NO. q9-~ZO
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
l:le reqistered
with the city.
APPLICANT: ~ - ~..oJl PHONE:
ADDRESS: 1~14~ ~. ~b.e...(+ T,I DATE;
SIGNA'l'UREC- '-/~ ~ BLDG.
SITE ADDRESS: ~J/l'lq~\tJn.wa::l.ul. ~~\ ~~# 25-352.-0/3-0
FILL IN THE BLANKS
40J
~';;L~-\I WLI
'S \ 'd.~ 1'19
PERMIT # 99-b20
1.
Estimated lenqth of water service
t' II
Size of ~ater service inch(es).
feet.
2.
J. Location of any couplings from s~ructure
feet.
4 .
Type of sewer pipe. ABS PVC~
11""
Estimated length of sewer line ~
cast Iron
5.
feet.
6. Clean out (if required), located at
structure.
feet
from
;=~~~=====;==========~=============================--
This app~a;i~~e~~r per~it when approved.
B~ .~ ~ D~TE: ~/3o/q9
--===!!;!l:=:::::;C:;;;;
=======~:=======~~~~~-----======~----------=======------========~=
FEES:
~
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
PATE PAID
RECEIPT #
AMOUNT PAID fp.>Q~~t",~,\\"'i
REC' 0 BY \.",\)\\S)\~
, 4629 Dakota St. S,E. Prior take. Minnesota 55372 I Ph. (612) 4474230 J Fax (612) 447-4245
I'll ~QUAL OPPOlmJI'IJ'\"l' EloIPU:lVER
ii~1;
Q9-b2-0
White . Building
Canary . Engineering
Pink . Planning
Thr Crnll'r of thr takr Country
B..Ull.PING PERMIT APPLICATION DEPARTMENT CHECKLlS't
NAME OF APPLICANT
WEN5H/l/VN /-ION6S
S-/2-S-/qq
, I .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3301 6LV!Vw;=rTE:K 772..
Accepted
Accepted With Corrections
\L...
Denied
Reviewed By:(j& ~
Comments:
Date:
t"5-<Ji
~e. ~Wik g 'f - (,11
{;;,
(?/~ I ~O;"
flo.-<A.....~1s . ,Q~, t-fz .
, t .
"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."
--_.~--"-~--,---,--~..~.,--------'''---,,---
JUN. 1.1999 10:05RM
GENZ-RYRN
NO. 925
P. 7/11
TlIr C.nlu llIf ,... I._lie Ca"",,,.
CITY O'F PRIOR LAKE
, PLUMBING PERMIT
Applicant: ~ - 12..... a..n Phone:
Address: lL-liLt':-S '3. 'l<bb~("-t Tr I
Signature: '>l~ ~
Legal Descriptie~: Wlt ~ Bleck.3 SUbJ--\\unLDa...-te..r ~~
SiteAddrBss:~q ~ lui'\l.()o.;k:.9.JL ~ \..)'\...L':)
BuildingPennit# qq-(,2-0 1'10# 2.5-352..-013-0
NOTE: This permit wJII net be precessed witholJ1 ccmplBtB informatIon.
r'A' ..IRE UNITS
1. JItIo
2. G.'~
J. Yclh~w
I'1lo
CiIy
AppIi-
# qq- C,ZO
L\ ~9..-1 \44
I Ouantity Type of Fixture Quantity Type of Fixture
I a" Bath Tub with cr withelJ1shower 3 Rough.ins
I l Dishwasher I Water Heater
I l Floor Drain R..l Water Soltner
I aLl Lavalo ry (bath rcom sin k) 3 Stand Pipe (washin\! machine)
I ) Laundry Tray (1 or 2 ccmpartmBnt si"k) Sewage Ejector
I \ Shower Stall Bacldlow Assembly (RPZ, OOYblB Check, PVB)
I I Si"ks Backflow Assembly Test
[ Bar Sink Lawn Sprinkler
iL Water Closet (toilet) Other
FEE SCHEDULE
Industrial. Co.."mercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
ResidBntial, Additions & Alterations
Stall! Surcharge
$99,50
$39.50
$
$ qq. SO
$
$
.50
GRAND TOTAL.
$ JOO pO
PAID WITH
'l'hil pmmit is srllll1ecl upon the 9PI'O$' conclilion that said ,BUILDING PERMIT
COIlll"'lCror. sh'lil comply in all respe<:lS wilh the ordinancos
or the S.... p~bingiiie IIIIcI. the amondmeJ'lS thereof.
RE NO. t, /3ol1Q DATE
'( A'TT'EST
Call for all ins~ctions 24 hou!'S in advance.
16200 Eagle Creek Av. S.E.. Prior LOIke. Minnesot:l55372 (Ph. (612) 447-4230 I FAX (612) 4474245
An Equal Opportunity Employor
Th.. (""",,,. 01 lh. 1-.b Counlry
Q9-?z()
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKI.!SI
NAME OF APPLICANT
APPLICATION RECEIVED
J I J ,- '. ,{ ~- , . I'
I II t::: / (,/':" ILI/-1 /\/N /-/(J I'! C S
5/2 ~:;/q0
/ ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
33 ro q 6 L YN' " V /j IE 12..T7<:!..
Accepted
./
Accepted With Corrections
Denied
Reviewed By:.hImJ:o E:titu.SMT-INN
Date: (PIN;'''
Comments: RuroJeFF rf1.I1-r
,
Rtf. CfJAJJET€'/) "TO AAlr. JlhOAJr. [)(>A,,,,A<.F.: (
V'T'LI'rV EAs~....e:JJTs ~"~ I"tuu-l
"',
PIt14c..nC:AL .
SEE.
JAJf="oR.r"1ATIOl\J ON
Rfo.Jt01t.5E
SloE.
.C:;;EE Arrnt~"'€"-'T5: I. F,........ a...lloE /,'U!.E.CT,oN /!!I.Fn/lIl(AT,,,,,j Z. altAfl.'IUG. R...",
3. En.0510N
(!o..rrao<- "1Frl/su/l!ES
t/. E:Ad~/DA' (J.,vTA.IIC- PLI4"/
"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'''"-,,,,"",~~.,...,...--'.' ~ ~,~
~. ,;",' """:'Y'O:: ':"~"''''''~,''''''l''-'''~
"""~iT....-::o..""'<:t~"";7!"~''''''''~'."'"' ..........,,,,,',-
~~
.."
Tht ('tnltrof lht L.ktCounlry
White . Building
Canary - Engineering
Pink . Planning
DUILDING PERMIT APPLICATION DEPARTMENT CHECI(LlSI
NAME OF APPLICANT.
APPLICATION RECEIVED
I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
(.,
. (
,
,
/ '--
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
. ~ L~'~~~
Date:
(b -C{ '-1 '7
Comments:
;2 Y r- ,. 1V\?tX..~ Mv-eJ ~ LJ uJiJf. /kr- M/b ,
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."
PRIOR LAKE
"INSPECTION RECORD
CI 'L4..v-~.
C'~.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5<'{ ,., C,
NATURE OF WORK lJ"kl
USE OF BUILDING ~FA
PERMIT NO. QCj'-(,,70 DATE ISSUED . r,.,-2-C:; 7
CONTRACTOR L.l. ~<:. ,~'^ ~ "';,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING'(~ ~-@ ~-v.-~'I 6lr. I [It,C5. 1"7-12--9'
I FOUNDATION (Prior to Backfill~#li. I&.-. I ~ ~ ,;2;)- 9?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- .
SEWER I WATER I SEPTIC / ~ / 7/,,7// q b'
FRAMING 6w.~, /D-5"-'I" :g:7/ "l1<//f9
INSULATION , t)II}1f' ~,&, /ll-51-~'1
ELECTRICAL . I I
PLUMBING ( A7 '1;(/0/11 I
HEATING (if required)~, &-:n 1~"A:J91 I
FIREPLACE I I
GAS LINE AIR TEST (4) f;1.l/!1 I
COVER NO WORK4fNTIL ABOVE HAS BEEN SIGNED
I W -~-"p I I
FINALS
I IJF:
I
I ~
: tV lo/~l'l1
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
lote- -dR
.
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