HomeMy WebLinkAboutBuilding Permit 99-0736
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Qttrfifirau at ~(rupanry
CITY OF PRIOR LAKE
J)epartment of .utllling 3Jn~pection
~inal Permitted 0 Conditional C.O. Expir~.
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:::: I Contractor',v .P. ,,,... LANCE & TAMMY DORN 24201 E. CEDAR LAKE DR. NEW PRAGUE MN ;".;(
(? ~ ROBERT D. HUTCHINS t/>n, C'tyPlanner JENNI TOVAR : ,,"
. - I Jj~ding,Pfficial {.Lf-'- ,-'
(~. . 5/'}/O~ Date: I.~
\~..~ ~ . ~
(-: tm _ .__. / I POST IN A CONSPICUOUS :L~~~ . "u . ,. .HU.".,J ~~
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This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Oassificatiop
SINGLE FAMILY
Bldg. Pennit No 99-736
Occupnocy Type
R3
Type Construction VN Fire Zone N / A
B4 CARDINAL RIDGE 4TH ADDITION
Zoning District
PUSD
. ...",,,.' n...~.', ,'..
L8,
Owner of Building
(>:... i\....~......
,97h r.Rn~~ANnRA ~T ~F
~rd?1 4-:c.rO
697 to ~oSS,qN Dk!/!
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
AD MECHRI
)l:("WA TER HOOKUP
A~SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COM~E~T~: I, II
-SS .A&... QLc,...Xt. tto
~l~~
DATE TIME
99- 73b
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~VL-
~o~
(0 tbi.4.t W ~ ~.[.. bel( .Ju bo..d.<:.
- ~ tl~
o~
.....
o CORRECT
o CORRECT 0
Inspector: Owner/Contr:
I _/
CALL/447-985D 'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~EQUIR~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V lNSNOTJ
I
DATE TIME
CITY OF PRIOR LAKE c:::: JA ? J"" A
INSPECTION NOTICE SCHEDULED ~U T
ADDRESS 5q ry (~ Cr-n ~ ~c:v-O m
OWNER CONTR.
PHONE NO.
PERMIT NO.
99- () 7 :<,t.,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL ~ ..e;;ASL. IN AIR TST
o MECH FINAL ~ /\_
T t'-e_L '\
COMMENTS:
~ r'-" I./b-'
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::~O:ECT WO~~L FOR REINS::::::n::FORE COVERING
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
/z.(,.-e;,
(1A'7l~~ 5-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS S'l7t.
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
o WATER HOOKUP
A ~pWER HOOKUP
~ :..~UMBING FINAL
o MECH FINAL
DATE TIME
.....~
qq- T3{,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~iU~~
~
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(('J C4.JAt, +11Xfu,...,/>.
1$J.~~J ~~
(3J Pit?; AV ~ -hI r (fr.':fi1-h:Jh
1/ AllY Qzil L PI .-;)
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\I'~ ~A"':' CJA.J
CTORY. PROCEED
I NAN ROCEED
o CORRECT R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 .9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~NTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ 3:30.
5q7h !'.JetJS.JANfJI!!A Sf.
SCHEOULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q9-13"
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~NSULATIO~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL ^ 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION r ~ECH FINAL 0
COMMENTS: PATIO Dl>>It.- ~ '~5 4.-
~.O f-Nrb rotA En~,'v\~~V{l'\~ r.l.P~
Soa ~ &. tv-~ r:-- ~ 1 ~
1) R.uvwce.. ~I'\.:)kr~ "'"' r:I.~lof"":~
A,,\,h\.~n.vj) Evos;-vV\. Gsvd-r u-J(
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).' ~' Lo....-d.t-. \..-'h~;) ~ ~y
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k. m ~<:; ~~ ~\ FiN~
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~~ ,~w(., -R.xcRu:J Oo"Jt. CL-~ G..r
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~ (;)1I (JI'4J- ~s;r
RE COVERING
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
s~~
DA TF FFr.FI'lEQ.
(; /15/91
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq - Z3b
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
120 SITE ADDRESS
SQ'11n C Y"/')c.........Qr--0.rO\ ~". ~
3. LEGAL DESCRIPTION
lOT <t-- BLOCK ~ PIO ~~c::-~\C'\_
ADDITION--tn,,^~ 0 \t ~ U~ w...-\--~
14, OWNER (Name) ~ (Address) (Tel. No,) ~-s't-
\.A.r-r l' <\ "() ", ,'\. ~<y '""' .J~ F?l~. ~ 11I~1
5. ARCHITECT (Name) ~ (Address) W.uJ ITel. No,) ,
~\\- ~\II\Olj \'\l.c;.\(l.,r-.. \-:::'\0" ft.,:..r\t1.LL><"' , 1">(:1. 4Y'7-~'-l\n
6. BUILDER ""\) '(Name) is. (Address) fL... ~~el. No.) ..I
1.0 ~ ~ i.f.H-7ffl
1. DATE
(p Its l:; .,
pusD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
!!i~ f~!tl ~~
.12,; NO. QF STORIES ~.
'-\ \ 11\. - d.. '\\h~t I P
13. TYPE OF COrSTRUCTION n ~
14~A'A~~NTU~
----
~ Q:::, ~ '-\.
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
Newconstructi~ Alterations 0 AdditionD Finish Attic 0 Re-sidingD Finish BasementLl 16. p~.{T.COS~'Yp:LU~
ChimnnyO Misc. ~ \ t.f)JJ. V .
18. PROPERTY AREA OR ACRES 19' PROPERTY DIMENSIONS _ 110. CULVERT SIZE 17. COMPLETION DAT'E
Sq. Ft. Q...~'O Wldt~ Oepth \~ Ves @) C\ - ~()-C(\
I hereby cert~ 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 mentio property and that all construction will conform to all existing state and local laws and will proceed in accordance wi1h submitted plans. I am aware that the
:~::.. e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed j ~qons.
,..;;.. Signature License No. Date ~
15, NUMBER OF OCCUPANTS OR SEATS
~
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
:spa
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN 14'2 r OC:>O. <!)C>
PERMIT VALUATION ~t.JII .~
PLANS & SPECS 0
SURVEY 0
PLOT PLAN CI
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV WI"";"
Occupancy Group A B E F HIM Fr"s U
Division 1 2 ~ 4
Permit Fee ................................... $
City:
Amount Brought Forward .................. Of
Park Support Fee ........................... $ 8t;if).(")("')
SAC ......................................... $--Lf'\ 'f'i{).Or-;
Collective Street Fee ....................... Of:
Sewer Tap ................................... $
Sk" ·
Pressure Reducer .......................... $
<(<S." 0
Plan Check Fee ............................. $
State Surcharge ..................... ........ $
Penalty ....................................... $
',). c.c:;- .-:tS
Po"2;;l,.42.
7'.OD
Plumbing Permit Fee ....................... $
Meter Horn ................ ................... $
WaterMele' .~tI........................... $ l ?b. oCL
Sewer & Water Connection Fee ........... $--4-'::2 a"') -~
WaterTowerFee ........................... $ '?,('}('J ol!)O
Water Tap ................................... $
Builder's Deposit ............................ $-.1," .:;- b/'). cJ::)
Other ......................................... $
Total Due .............................. $~/{)4. /7_
Paid 7<?o</. /7 Receipt No. .5 ~(,,, ~
Date 7/..../f1 By A/~
Tfji' certify that the req t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a~uested. This document when
si ad ~Ianne onstitutes a temporary Certyic:r of ~I)i~ comPlia4jnp ~Iows con~tructio~ to :2m~nce. Be~re occupancy, a Certificate of Occupancy must be issued.
~. li't-ffJ /77 Ie. u.". L,.LJMf1 In I()'(,~d.-n
l./ City Planner Dale ~~-~;n-y --..
24 hour notice for aU inspections 447.9850
100-00
I nO .DD
35,<>0
40 .O()
Mechanical Permit Fee ..................... $
Sewer & WaterPennlt ...................... $
Gas Fireplace Permit ....................... ~
~~'S rlP"C..;~uilding ~:'':' 7..e~ ~~:"{?
Certificate of Occupancy
Issued
~~
qq -13 &
Th"('l!'nll'roflht'LlhCounlry
White - Building
Canary - Engineering
Pink . Planning
6.U.I..l.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LAN(!6 OO/CN
fo/IS-/tJCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5tJ7~ e!e.OSS,q-NDR-A ~ I
Accepted
Accepted With Corrections X-
Denied
Q OrZ-;*;, Date: (p -25 - 77
/
Reviewed By:
Comments:
I, l1ai"\o-,',,,eJ i"'~t6'\^. ~ ,'s. r-e.~L"'~
U
.z. <;'oJ. :r,.."",,~ 0.......,).. s \~ ~t"L~s"
S. ~eJ2..O::; D-e.r ~\J1o cLvt'S.\'av1. \O~"'^"- r-e."'LlI'M.J.
. '-'
I"'
M Iv\ ';2 :;; hLMk. Jio-<,'to.
q. Q.er~r~ a.l\ a+k.rW l"".....lm.:ic
S. Do lrlo~ c..llow Co. +"'~Ill. Q.,rl, ~"o""'<::...>.. "'.(:'
OCCLJt(Jo,......c-<~ ~Pt...Q.r-
"
"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 .
.-..-...----, "---'..'_._'
""""-"..~",:."--"_,~,'<~~""'-'"
--'~_.~--,~ ~,..""":,"",,,"
'--'- :;;_:r-"",-:,~_, ',",,~, """"".. -,~~,-,,~ '...'-~ ~'"
~\
//
1..1
.....
The- C'fnlrr of Ihf Like- Counlry
White . Building
Canary - Engineering
Pink . Planning
BIIILDING PERMIT APPLICATION DEPA.RTMENT CHECKLlSr
NAME OF APPLICANT.
APPLICATION RECEIVED
/ j
/\.,
/ / I
,,-
, ,. /
;' , ,I
;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
(
z.
I'
;
, .--"
/;J..-1
-"
I
Denied
v
Ll ,t)! ~
~ Afc (nit cannot
c:.L 10 ''') e-.+badL is
Accepted With Corrections
Accepted
Reviewed By:
Date:
v/)')/c;Cj
Comments:
be.. i n ~idt.l{Cvrds, aQ
r(~c/i/~d.
"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 ~ny 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 - 13 (/;
Th" C..nlffOrlh" L.ak"Counlry -
While . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
, - I
L/I/VCc UORA/
?://C;- /9q
I '
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is proposed at:
SCJ7C::
Ck'()SSANDRA ~ I
Accepted
,/
Accepted With Corrections
Denied
I
Reviewed By: l.J.4...reR.. E..."F'~""A^,N
_ J 1_
uate: ~I Z-W/Y't
Comments: /?~AJoF'''' ,.,ysr :ire:
(!oNJE.'T'E()
..,-,. "All:) AL<:!:J.AU. f)~ "",.JAfS
t UTIL.ITY ~iF''''''~.AJ"'T'\.
I'lS
Muq..t
A"
Pr.l.Ac.Tlc..AL.
--4~E~
1A.JF='oA..MA'T,.AJ
.oN
12_E:1Je:R,~~ c.....,E
<.r:'I= ,c2"T",t:1t..UMl!:,J"T"'< '. 1. F:AJAl aRAO'-"- JI4Js.pr=.c..nal\J JAJFetl....Ar'D^' 2, ~ItIt-OI,.;(A K"'N
'3. f ...D~'O..J C'.oNT4.0L t'1t<..sv...",r
tf. FI2'OSICllN r..sA.JT'7t-,.L- R./f,.J
"The issuance or granting ofa permit or approval of plans, specifications and
computations shall not be construed to be a pennit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Pennits
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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#9973,C
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*JobAddr_ :S-~7('".. I!.,c#",zcJi.JVL1,A .0;'1""" ~~"
*HHting(,. .,. ~A--rr.,.::tn.r" ttt,5: ~~r.S"
.T......,Slgn.lUr. @ ':" .f..,etfl.
Poundo
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-Gal Une
Pr......zed
I~
PERFORMANCE TEST
-Percent C~
*Percent ~
F inallnapection
;?..7.:
Ph
.Percent co
<7%
.StackTemp. ,.2.7.y~:;:::",
Oat. T$h'1
LLOYD
EXCAYATING INC 612 440 3036
, I I,ll I J\ ~ I ,L\ 1...1J.~t.
SEP-13-99 04:46 PM
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E:ITE
l.
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5.
6.
C!T~ or PRIOR ~E
SEWER ~ND WAT~R PERMIT
NOTB. sewer .nd~".
C!ontrllC!~or.'"
bill l'.lJ~~' .
\lith the- ,"'C
.\~< .'.~;:j",'i. \
APPLIC~N1':.' tloyd_&.~ PHONE: ?t4l~' ~o.~,~tt'
ADOR 1':,<;5: "} 7.~Q.._l ?~...IJ.t C'1'r/d~ J( I"" CA'I'E I '7 -/1 '99:f .
nGNATURE: . ~~<'2 ~J ILL)(;. PEJQt1:T * ?~~?t?
AD:mEc{ 51 7~ .~""'.Il_'~ ~< <:;}'-.>.t':PID' 2S~322.- 0.31-0 :1.) ....~.
P(fSD~'"
I"II.L III THE Bl.ANK9~Z ''''
F:..r.\ 'n," t..,[ llInqth of -:atllr ""r...ioQ t, I'J feet. .'~::':"
};
Size or wat.er Sllt:...il~.'
I
inc:h(U).
P.B2
~~~~~::~:~:;::.~~:~::::~~::::::~..__......
t'E!:S: !i 35.00 Sewer I\nd Wilt..," line ~:onn..cticn p..rmit.
i .~o su,"charge
S 35 :';;;0- 1'OTAL
. """ rnr ..ar.",.. '"<;>"02'" or ~Iilt'n' 1ndlvidu.ally is HJ.4'o plll.
~ ,50 o\)roh~rq~.
f
r..et.
~ocation of Rny couplin~. fro~ QtructurQ
Type of 5e~Qr pip.. ^BG PVC~
Elitil1lllt"d Il!n"t.~ ('l~ ..e.....r 11".. i /)
Cloan cut: (if rCl'1ulredl. locaLsll
struc.,:Lur ~.
cut Iro"_
f..et.
r)
feet
from
at
_____~~___~___c~=~~_~_~a~~~~_~y_.=~~.~~====3~__..__.__-_&_=..._..~.
,.1'
.
,~
!leWQr and loJatet" parmito i.sued for new constrl,lction muge b.:
rQcordcd on th" cuil<lil1'3 p.lI,rnit card at: the LimB or I.euanee'
to ill,;UtlO U,Kt"" dllplicate ...wer .MCI water parmib& are
lss\lQd.
DATE PAID
~ECEII'T ~
AMOUNT I'AID ~,t'
REC' D BY~' ~O '!l~~~\I\\ \
;nW"-
fJ~\"" .
11621J O.kota ~l s.~.., PI"'! l"~", Mlnn..uta ):;l72 1 Ph. (OL2) J147..a~O.1 F". {..21 ~1'7.~2~6..
N~ I.!OU~\' QrF-olITUl'lrTY F~Ir.NPJt
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. qq - 73h
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PID# 2,5-32.2..- 03{-O
('K05.5AA/O~A S-I SE PU!5J)
Addttion (J.1'1R.O/lV'ffL R.tD6i6 4-!!!
'9/!//9q
I f
Sfte Address c:; 9 7 t:.
Lot 12..... Block 4-
Date
Ownefs Name /A.u,..r D.,/N
Address ~97~ ('7'~""_.do/")/A ,<;"'1 >~
Heating Contractor ,",-?"2rT&"I!.../-r>>r 4.!!: GJ.:rc&'J"
Address, '<?~<-'.2 ~A-.A.H <'/ 51.,,(
Telephone# (':;;/~/ <r~7-7A?~
Furnace Make & Model J?::o,"",/
-I
Model Size 395'CAI/091
Conn. Load
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condttioning ? '/- .-r-;,. _ Ll/~
- - ~ /
Vent. System
Fuel /t/. /6],< Flue Size _'<)~~
/~
_ oe:;-
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Supply Openings
Return Openings
Input 1'-: ao.")
Edr.
Cfm. /0/"00 (' "c:-/?
Output 7...-. ,?o 0
,
Other Devices
TYPE OF WORK
Aherations
Replacement
New Construction
/
Repair
Est. Comp. Date
Est. Cost $ ;7000. =
HEATING PERMIT FEE $.
STATE SURCHARGE $
~<::~MIT FEES $
q9- 730
Building Permtt #
.50
/ P","\O WII'.-I ,
R . ( .,' 1\\.Oli'olG 1-''-'' ,. :YI
ecelpt # ,,,v
TYPE OF STRUCTURE
I. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
./
Two-Family
Industrial
Public
Multi-Family
Other
Commercir ~
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential. Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50 1,(1
$39.50'
$39.50
I.
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina oermit number before build-
ing certificate of occupancy will be issued.
j-IFAT CAI ClJLATIONS REOlJlRFO with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return 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.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) - CALL CITY HALL
447.9850
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case o~ork W~iCh requires review and approval of plans.
f/ ~ Y,LLL Ph//~9
V"r'~lfant~!SI~twi. - / /.Date/
~ Ii"-,~ ~hl IqCJ
Building Officar's Signature ' Dl1te
~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS .597~ (\~~ SJ.
NATURE OF WORK Ne.t...l Cm..dr-u",t,'d\o1
USE OF BUILDING Sf'\)
PERMIT NO. 9'1~~to DATEISSUED (n-2"5-'79
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I GRADING (Prior to SOdding)
I BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/ "'\ INSPECTOR OATE
I FOOTING (_J) 7 /1/ ~ t
I FOUNDATION (Prior tocSackfill) H7 7/I'I/~ 7 I
PLACE NO CONCRETE lJ.N"fIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC VD ~,11/9'f ~ ..
FRAMING (/ .. :1-"
INSULATION r\P> b:t.-, /D R~..9
ELECTRICAL ~ . , 7 1
PLUMBING nt. I 9/9/9q
HEATING (if required)\.l~ ~ q. 1-9~ (?O '1I1I/f4 I" oJ
FIREPLACE ~I<S 11.:1, a... Cj-Y1?~, 11/ fPJ fu.. W2r 9'7 I
GAS LINE AIR TEST ~ ...r. ~ q))~II~ 4>>/''''
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~..J~w..P'(~)tP/~, I~, '1. {t>.Q9
FINALS
alii Cf/tz Joe
1;9, r!., () l ~ I '5/ Jill D
,
Vf) 1<V"'/11 I
r fA? 1oz..1 t-o\~
OCCUPY UNTIL ABOVE HiS BEEN SIGNED
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