HomeMy WebLinkAboutBuilding Permit 99-0693
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
6/z7
SCHEDULED /~/2/0{ /l.1',
tJ~~ ~,
J
CONTR.
OWNER
PHONE NO.
PERMIT NO.
qq - t,'1 3
o FOOTING
o FOUNDATION (1J
o FRAMING
o INSULATION
FINAL
~ SITE INSPECTI N
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 GAS liNE AIR TST
o
\
COMMENTS: ~ T,
, d~,~~
~ r"f- f"fr1i'
/'
"-'-J .,. ' .-r--
-IUlJl ;Q.>,lA O/l-lJ'"o.A. ~
V
~&uf
)1 WORK SATISFACTORY. PROCEED
(0 CORRECT ACTION AND PROCEED
:S:::O~ECT ~ ~OR REINS::::/::::FORE COVERING
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II
----.----..,---...--.-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-/3-q
/h+r
PHONE NO.
SIZ 7 w(.I["V'/c..J-r,~ C-r
"" -
CONTR. )(rv ~ 47-'1rf.'
PERMIT NO. .~- 03
ADDRESS
OWNER
o FOOTING
o FRAMING
o INSULATION
~AL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SewER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~~ING
o LK~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
G,.&<"./", - oK..
tI" ~,rT
*RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:" - - Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"
. ... _....._. ----...--.,..-----.--
SCHEDULED 10/17./17 3: 0 0
WEiLl NGTOtJ
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5/27
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~ v'Y
FINAL ,-,
~ SITE INSP CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A 0 SEWER HOOKUP
(I ~PlUMBING FINAL
A?-MECH FINAL
DATE TIME
99- h 1<.~
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(i) E'II!Jl ~ '7bi\^rCe(,~ ~
(~.SOd 0:-..& ~~ F decl&p/l'1cJ
(] 6v'a=.;0l'\ Ce",,-t-ro \ '
(~R~Vl- CoM ~~c..:(-fOvl d-dO,.,s. - ~~ k:,t-
!.w-<l o.&.ig~,^I~ ~k
(eJ. f. \/. ~-.J u.r ( -
(p t-\~ ~ <;:'-'/~ (AWe... l,"JO )
J1k... ~-
VhV\.;~ tr lAhCt' f..-.-rL .
(V C4tJ~- '- n~<'
r..,~ l..{)_ -h 7-1t;
(:V~ ~ ~
GJ~<;h...Q.Q WAJuA~ rLwd- ~
, ~ I
o WORK SATISFACTORY, PROCEED
!.:ORRECT TION AND PRO
ORREC W , II R REINSPECTION BEF E COVERING
Inspector: ~ ontr:
CALL J7.98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
'lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
Plq~ /: /S"
5/2-7 W eC.A...,f/J <SIVN c::r
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
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
DATE TIME
QQ-f,,'13
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
COMME~TS(j)J'/ ~L--. ~~ 'r:.", tJ,/P I~(;.!D. .J)
.JJ;;.,.",.,,~ ~_ .551~ cJ2<;1~
flIft;J~+ f~ ~ ~ ,,~~ y~
~}'Arn-t,N /,., ~n- ~ f.u:, -I~ I
rf/)SS/ .............<!A - tVe. ~ 'UJ _ 4'(
@ "l:P"- -fL..')I--' ~
~~ A. . ~ Lv A~ ~ ,...,~ ~o.~ojJ,
..-h- -J.o ~ ~ ,J;
\\~~
J ~ oJ' I
~?,
1.~\ ~ <<_1\
l~ ---V> ~ \/1.1....0
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
II
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(r 7- J1
$ - E. IZ/SL-
") .c:J38 0 I B-O
V' I
I
I
J.( r~e..-- L.e,,..sf. / {P?t/s- C-N1"<-S" ;....
7. TYPE OF WORK - Fireplace [j Septic 0 Deck 0 Rs-roofing 0 Porch D
New Construction ~ Alterations 0 Addition 0 Finish Anic D Re-siding 0 Finish Basement 0 16. PRo..u=)C8T COOSTON AOLUb
Chimney 0 Misc. 1
. I
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.FI. IS-I ~2 7 W;dth Oeplh Ves No /0- 99
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 thaI all construction will conform to all existing slale and local laws and will proceed in accordance with submitted plans. I am aware that the
building official ~~~~_ this ~~t tor just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp~ions.
X 4"'~ ~.-:d~ ~_ ()..,J,^~( t: - 7 - T '1
s~re License No. Date
~1
DATE RECEIVED
JUN - 8 1900
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
5'/27
Go ~r--{-
ADDITION
LJ d l.'~ +-0 "-
::l
p ".d.s
~ID
'J.-"''''
3. LEGAL DESCRIPTION
LOT J 0 BLOCK
W: \&.r-~ <!:-SS
4. OWNER
(Name) (Address)
l'1,d..-\-... K<>-'lO...... J(,...u,..r '" 't'1 S- CII_So.~
5. ARCHITECT (Name) t..- (Address)
F,..~ v'I\~.,,,,r-
6. BUILDER
(Name)
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-(/13
1. DATE
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Heighl) (Width)
(Depth)
12. NO. OF STORIES
:z
(Tel. No.)
~N7-S-?"1
(T.1. No.)
jftfo-nlJl
(Tel. No.)
13. TYPE OF CONSTRUCTION
S.'I\C, [eo- .Q~/'y
14. FLOdA' AREA APPORTIONMIif\JT USE
15. NUMBER OF OCCUPANTS OR SEATS
~
22(,- s-Lf7d
OCCUPANT~
SEATS
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FilED WITH APPLICATION
Front
Bad<
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
5FD
11'If),OCO.Q:)
o
Collective Street Fee ....................... $
Sewer Tap .....,.......,.,...,............... <l:
(. $
Pressure Reducer ~..................,.. _It '--IS". 00
M.te' Hom...<'f..,.......................... L_~J 2<::; _I'],>
Water Meter .:1t't>.,......................... 4:
Sewer & Water Connection Fee .........,. $ I. 2~. 0-0
WaterTowerFee ........................... $ 7C)1'l.00
Water Tap .......,.............,.,........... ~
BUlld.r~M .....i7\~:~::.:.;:........ $ f I ~ .t.JCl
Oth.'.\.~/.ee....,~~$ " . ,~
Issued :::: i~:0tn......::;~I~;~0$1!~~~
ThIS IS to certify that the request In the above application and accompanYing documents IS In accordance with the City ZOnl~g Ordinance and may proceed as reqUested."Q.~ls docu~nt when
sign lanner constitutes a temporary Certificate of zon~omplianc~d allows '1(lstruction to commence. Belor ;'CCu. pancy, a CertificatV\' Occupancy': '}:1ust be issued.
~ -'==-1..-1. -:\ :::-r~ J." v^.J;; C,(,..,. < -'<J~\l'\'~o..r I ,r~ \L
C Planner Date 1 Special Conditions ff a~ ...j
TYPE OF CONSTRUCTION: I II III IV (V J
Occupancy Group A B E F HIM '1B' S U
. ON'"," 1 26 4 267 7..c:;-
PerrmtFee ................................... $--1- . ~
I
Plan Cheok F.. ............................. $ ~ ~(" .IL
qO.M
City:
""%~
,.\~A~
W\O~')
State Surcharge ............................. $
Penalty .........,............................. $
Plumbing Permit Fee ....................... $
100.0-0
(60.ntJ
s5' .50
lfo.O()
Mechanical Permit Fee ,.................... $
Sewer&WaterPermil...................... $
Gas Fireplace Permit ....................... $
ThlsV'!:P:~ecomes Yo~ng Permit When :;rroved.
By "u__ Oat. (P-I .f?
t1 '
Certificate ot Occupancy
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
Amount Brought Forward .................. $
Part< Support Fee .... .... ................... $
SAC ......................................... $
j:).,Q') .t') 0
I 0"''''' i"!lO
.... ---rr--'-"
24 hour notice for all inspections 447-9850
-T
.
"
..
.Perm;r"
"Job Add,... S-I ;)... 7 1NeLl/~Tcrl G T.:
"H,,';ngConuOCl"'~ t:Jt~.
'"Teslelll/Signalure ~
"Gas Une
PrltSSuriZed
Inspected
"Percent cO2
.Percent O2
Final Inspection
Q!!!
Pounds
Pressura
Tl!!!!
PERFORMANCE TEST
/0/1
DO. .Percent CO
~-cJ/o
6%
<t8-
- .Slack TemlJ.
. Date
\
CITY OF PRIOR LAKE
16200 EIl!IIe Creell Av. S.E. Pennil No.
Prior Lake, UN 55372
/..~Rio~
.((l.~~-~il/ I......
k~~'7\
{j( ~)
\. '
---.n.'-/ HEATING APPLICATION I PERWT
Oalo .il:.L-.-2- ') PIO" .7-5 - 336 - D{ S - 0
SilllAdclres9 ---5"L2'2- We...I\I'~ f-u.~_ - ;:2./~D
Lot .ly_ lJlnd< 2:.. Addition ~Lf&7CIJ6S2 PON'!?5 ~tf2
M A--+1- l( r'l. e '7~ I\.
Qc;-fcC!3
-----
Owner's Name
Address
r.---
Llrt.
. R 4c.4.V'\v \ \ \.(.
Healing Contradll It- v1 '-? r5"' r1 S <f"J A\~1.
Ac!d,ess _.~2 ~J'r/l-1I ~r (, I/.. ;1 J
Telephone It. t.. I).., ~ ~ L( - 7'7 '3 c;
FurnaceMak8Ulodel QIlV..v\l nPEOfS'lSTEM
Modol Size. \~ 3 )( <4 J ~Ll.~ t\ :a:ilyAlI Planla
Conti. Load III ) Mechanical
11 . I 4 Alr toodlionlng -
fuel. . JJ..r Aile SiZe _ S- VGflI. SyldtIm .
Supply Opeml'fils I tt(" HEATING Oft pOWEll plANT
- SI"",
) Hot Wal~r
Radiallon _--
Special Duvices
Retu", Openings .
Inpm JlfJ:($)D _ OIllJN'
is ,000
Edt
<'1m,
Other Devloes
"M'E OFWORIl.
Replacement NIIW Conslluclion X--
Est Comp. Date
AIlllnllions
Repair
Est. Cos1 $
HEATING PEl1Mrr FEE ,_-
STATE SURGW\RGE ~
.50
99. (cCJ3
f'1>-\O~';)
\3\.lI\.OING ~Ei\~\'
R~1f
Ilwldi111 Permit ,
TOTAl Pf:AMIT FEES 1.___
1.01Ctllo (jly
3 Yell"""" C..am..ft"Wr
"
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o
'"
TYPE Of $TRUCTU~
Single Family ___~- Two.Family.. Multi.famlly --' ----
Commefcial____.__ Industrial ___._' __ PubOC .___ OIher -'--' ---"-
Fee Schedule
1% of ~ 00,,1 ts39iW~I;::-~,:':-
I " . ('- ~ . -~ '1 \",' : ';2' ..
$99.S<l' : ,.",:, \~' L'J U D L!.:::J .' ,;
$64.50 ~ ii
$39.&0 NOV - 2 .. Ii
$39.50U\ . ,,,)
$39.50 I l'
IndllSl,ial, conmorcial &. Mulli.Famiy
Residential. Heating &. N:;
~idenl18l. Healing only
Residential, Gas Rreplaco
Residential, Addilions &. ARlIlalions
Residenlial, N:; only
RenKlfJlber 10 add lh& Stahl Surcharge on lh& bcJI10m <If this .: ~ ,- -,"on.
The price 01 your healing permll includes one I'OIJgh.in and one finel mpeclion.
Additional ilspectlons will be bi~ed 81 $35.00 each.
House HHling Test Recolll mllSl be submilled wlIh !lYiIdinlI.1ltIIlIil ""mb." belore bu~d.
ing cerlillcale 01 occupency will be Issued.
~T r.A1.C'.IltATIQl\5, ~FDlJIRED with numller of supply ancl return openings listed per
room wiII1 CFt"'s pel' opening. New &lNClUf8S or addil\OnS SIllId floor plan wilh supply
and return locations 8hoWll, HEM LOSS CALCUU\fION5, PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 1tl2OO EAGLE
CREEK AVE. S.E. PRIOR lAl<E. MN55372.
City HaU businflSll hOUIl' "'" 8 a.m. . 4:30 p.m.
ALL WORK MUST BE ItlSPEC'fa) (ROUGI+IN AND flNALl- CAll em' HAl..L
447.J1230
"
D
X
Z
P
I hereby apply lor a mechanical systems permil and' acknowledge that IhB iif
information above is cOlflpletB and accurate; thallhe work will bB in conformance ~
with the o.dinancos and codes of !he cily and wi\lllhe stale buildlnWme~enical I\J
codes; Ihel uns form does nol beCOfl\& a permit until signed by tile BUILDING W
OFFICIAL; that the wDl'k will be In accordance with 'he approved plan in Ihe ::0
case of all work W;I"icl1 r8Jilf review and approval of plans. ~
'\}.r-- ..! ~ 11-1- f.1._.____ ~
........ App~~.r,atufe Data!:8
~ __ _/.!.!-1--/99 '"
Bullfihy Officars Slgnallll8 Date;S
...
ll.
~
A~~' ''I/~ ( CITY OF PRIOR LAKE
(&1 ~ \~'I 16200 Eagle CreekAv. S.E. Permit No. Qr-iRt!,3
\ " .,1 Prior Lake, MN 55372
~ HEATING APPLlCAnON I PERMIT
Date 'J-)-J.-)l9 PIOf.25-.338-0Ie-O
SrteAddt'ess. ,<)/;)7 {)JQ.II,:u,k..J ('oul1r te/:5D
,
Loi /0 Bklck Z. Addition IVII.DGRNP--SS PollloS 21010
Owner's Name Mt4-f-f 1(tf.1A~9q,,-
E
a:
I"l
N
(J)
~
(J)
(J)
(J)
...
I"l
...
l-
ll-
a:
Addr&ss
4rlJ1~/Z')ci>V /-L ~
Address. .~3 UrA.I/w I-I-,{. tJ /Cd
G, t), <'/} l.( - 793 9
Furnace Make & Model R~T
Model Size ~~n !,OIl,.u C) Lj).O 9/
,........
LVI.- '-
~L1l{tvS<J/}/~. 5:S:3J)
Wiw
Heating Conllaclor
Telephone II
Conn. Load
Fuel/lA-1- FllIe Size S"tl
d Supply Ope nings . J<"
z
x '7
a: Return Openings.
lJ.
Input 'l~1 (]q) .Olltput 7o,l/00
Eer.
Cfm.
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical
A"rt Conditioning
Vent. System
HEA nNGOR POWER PLANT
Steam
Hat Water .
Raeiation
Spedal Devices .
Other Devices
tyPE OF WORK
)(
Alterations
Replacemenl N..w Construction'
Repair
_ Est. Co mp, Date
Building Permft II
9q-~9.3
/- Pt.\O W\il"-I
\'BU\\..OING pE.I".::rT
Est. Cost $
HEATING PERMIT FEE $
E
o
'"
lJ.
STATE SURCHARGE .
TOTAL PERMIT FEES $
.50
Receipt /I
TYPE OF STRUCT~
1.PiIlk
2. Greul
J. j.e'!lo....
nk
Cily
Conttacto,
Single Family .
Commercial
x
Two- Family
Industrial
Pubic
Multi-Family .
Other
Fee SchOOwe
Industrial, Commercial 8. Mufti-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, AOdilions 8. Alterations
Residential, AC Only
1 % 01 lob cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39,50
Remember to add the Slate SUll:harge on the bottom of this application, .
The price of your heating permit includes one rough~n and one final inspoclkln,
Additional inspections will be billed at $35.00 each,
House Heating Test Record must be submilied with!ll!iJlHng I!mnil """,h.., before buRd.
ing oerliOcate of occupa~ will be issued.
I:lfQ: CAtCULATIQMS. flFOIIlllFn with number of supply and relurn openings listed per
room wllt1 CFM's per opening, New struclores or additions sene rloor plan with supply
and return locations shown. I-IEM 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 INSPECTED (ROUGH.IN AND fiNAL). CALL CITY HALL
447-4230
I hereby epply for a mechanical systems permit and I acknowledge that the
information above is complete and aCCllrate; Ihat the wlirk will be in conformance
wilh the ordinances and codes of Ihe cilyand with Ih& slate building/mechanical
codes; thallhis form does not become a permit until signed by the eUILDING
OFFICIAL; lhal the work will be in accordance withlhe approved plan in the
case 01 all work which requires review and approval of plans,
J)~>. A-~
ApplfW('s ;tL>fi'
iilldlno"lfli....ars ~_
9-,).;;.-~ 7
9/ ;;'lr1
Dale
~1
I. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT
udi'7 PI.v41!bJ-2
';60 - 0 U<lc'f. ~ ,/I-ve..-. ,)o~ '" IA.... ~,55-~
(1 JJ/iM 1Jr0 iI/A.../' .e /t~,...r / ~
Legal Description: Lot /0 Block 2- Sub W/(J)E)2Ai6SS' 1--'0/'-10_\ 2M2
Site Address: )" I)..... 7 _Gv4\ i-1} ~^-- C {. ~_ Eo. fJ.'::. ,e/5J)
Building Permit # 99~u'1.~ PID#.2.."S-3"3P>.O/A.i"'l
NOTE: This permit will not be processed without complete information.
Thl' Cl!'nll'r of tht Lib Country
Applicant:
Address:
Signature:
PPNo. 19-1013
, .
Phone: tlf Z - ;Lt.:z.t
FIXTURE UNITS
Quantity Type of Fixture Quantity
/ Bath Tub with or without shower (l!J
2. Dishwasher ;<..
3 Floor Drain I
~ Lavatory (bathroom sink) I
2.- Laundry Tray (lor 2 compartment sink) t,1f
2..- Shower Stall ;;:z
/11 Sinks c7
1 Bar Sink .B
0/ 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
GRAND TOTAL $
This permit is granted upon the express condition that said
H contractor. shall comply in all resPf.~%h he ordinances
( PAID WIT T of the State Plumbing Code and the a nd nts thereof.
l BUILDING PERMI REg:~~o"1 DATE
,ft-{/rrr ATIEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 553721 Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
~. ~,
OREIE. - PILlE
YELLOW - A,nICA.r
GOLD - elr,..
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. qq- (/13
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: K ~ K C::>("TII.f\c.:n0b T....x
- ,
ADDRESS: 3Z&.R \ ~ ~~
~~-
Nt:"I..{
PHONE:Wld -758-~7
DATE: p,. d - Cj9
BLDG. PERMIT # 1ft; 9~
PID# 25:339 ''OJ Bo
SIGNATURE:
SITE ADDRESS: Sl~'l
(J0c.wt2l..::. ,\D.,.:J C /1
FILL IN THE BLANKS
1. Estimated length of water service ~()
\ \\ .
2. Size of water service ~nch(es).
3. Location of any couplings from structure~/f{ feet.
4. Type of sewer pipe. ABS Pvc~cast Iron
feet.
5.
Estimated length of sewer line 40
Clean out (if required), located
structure.
feet.
at }...[/ II
~
~ Te:JV~
feet from
6.
------------------------------------------------------------------
------------------------------------------------------------------
BY
application becomes
('LC~
your permit
when approved.
't b)"J'"
DATE:
This
, ,
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $*',~O plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
~o insure that no duplicate sewer and watepAI~~~s are
~ssued. ~/3 /qq ,BUILDING PERMIT
DATE PAID '/ -L-f. AMOUNT PAI~ . W-
RECEIPT # REC'D BY ~_
_ c. ~
4629 Dakota SI. S.E.. Prior Lake. Minnesota 55372 I Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
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T
'19-&93
Th~ ('pnl... <If l".l..". Coun.,,-
While . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
KtWE:f.'.Fi?
(P/'6/'19
(!o-ust"_
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/2./
(,j ELU 10(" TON
CO<->flT
SE.
Accepted
./
Accepted With Corrections
Denied
Revis'Ned By: ;...J,a.,-n~-~ EHI2.F.~1lA~/VN
,
Date: &'Jz.'/ / 99
Comments: J<u^,OFF
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Sf:E ATTlitH-ME.-JrS ~ J. F:NAL.. Qo1..AOE INSPECTI&N IAJr::o~,.."t9r,(J1\J 7 41l.~oJ/'J~ P--1/IJ
3. Ell." ,$,"'" C "NTl?o L ""~SU"-€5
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"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."
. .
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Th~ C~nt~r or lh~ L.kt Country
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White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
1-
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"'-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ r '
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Accepted
Denied
~,/
Accepted With Corrections
Comments:
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,Mlt~\':vu.v.,.. ('t/lVe.W~ (J )~d)~
Reviewed By:
Date:
t:.. \tvD .
l- 2 '-04
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"The issuance or granting of a permit or approval of plans, specifications arid
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,"
L% 11
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~\
99'0Cf3
ThrC..nlrroflhrl.lbCounlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
J:::.R UE6 EJe {!L)NSTf2--.
(p /B /qq
, .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5127 W6L-UN677JN ~( sC:
Accepted
Accepted With Corrections
K
Denied
Reviewed By:
Q() ~~
Date:
&-17-9;
Comments:
~Q. a.ll a4"..W ~
"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 S'IQ'l lA\oIlI'^;"\-InV\ n",,,,~
NATURE OF WORK SrD I'\f~ (\,,,,.J_
USE OF BUILDING Srfl
PERMIT NO. q<J-~ '1-Z DATE ISSUED In-I7-'7/
CONTRACTOR ~ r- C:M.J. .
NOTE: THIS IS NOT If. PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/ DAte
1/ /(p 19ft
. .
, FOUNDATION (Prior to Backfill) (~) I ~, I ~ 3 - '1Q
PLACE NO CONCRETE'UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC .rh., ~,_
FRAMING 6'111' 9//);,;'191 W Q.., \,IjS
INSULATION f2) t,..{oj,'i 8)'/1'; /'14417/11
ELECTRICAL V
PLUMBING 0'"J ./I7/f1
HEATING (if required)t'.sM7'fZ7r;,4J-lj
FIREPLACE .i3m:rVP //~jq"l
GAS LINE AIR TESt' (~ 1(),47~( I
COVER NO WORK UNTIL AVOVE HAS BEEN SIGNED
I I
FINALS
N r,
r{ll
/ I?\\;. n\ n, ~
OCCUPY UNTIL ABOVE lis BEEN SIGN D
NOTICE
I FOOTING ~ ~).P \t" tr./-. IC7' (fi~ I
,
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K~JI
INSPECTOR
12'-/O-"'J9
0-((-CfS?
,~,..--- - - - .:
GRADING (Prior to Sodding)
BUILDING 'fU,--fl) 7/;"-/d1J
ELECTRICAL
PLUMBING
HEATING
DO NOT
q- 1"3-01
/3-:r" I ()/ Z/d r
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
II