HomeMy WebLinkAboutBuilding Permit 99-0846
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CITY OF PRIOR LAKE :~
! . al Permitted 0 Conditional C.O. Expire~ .
This 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 lAke regulating building construction or use. For the following:
Use Classificati"'"
SINGLE FAMILY
Bldg. Permit Nr'
99-846
Occupancy Type
R3
Type Construction VN
Fire Zone
N/A
Zoning District
Rl
Legal Descriptiop
L5, B2, PHEASANT MEADOW
Owner of Building
~ite Address
17038 PHEASANT MEADOW LANE
ST., PRIOR LAKE, MN 55372
DON RYE ~
Cj A7 /CSD
ContraclOr's Name & Address SANDAU CONSTR.,
ROBERT D. HUTCHIN~ (, jl~
Building Official
6885 BOUDIN
rity Planner
Date:
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
\1035
OWNER
PHONE NO.
o FOOTING .I"D\
;l(' FOUNDA TIO"-IY
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CATE
SCHEDULED ~
Ph.ta.sw M~
TIME
lo:~
CONTR.
PERMIT NO.
't't- ~
o PLUMBING RI
o MECH RI
IR/i{ WATER HOOKUP
~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ,')0/ I ~ r""; _ /~ ~.L fl,~
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N ~ L: ~. ~~ rL-'-.
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,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I II
INSNOTJ
TIME
/0 -/q-o{) Ifr
J/) a 3Y r:p h ec25ttN+- IJ1.eo_dotU
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
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o CH FINAL
COMMENTS:
/
rr'WORK SATISFACT
o CORRECT A 0
o CORRECT
DATE
qcy - '8' Lft::.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
RY, PROCEED
D PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I II
(/~k /:38
p~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
ft;t'J38'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION l\
~ FINAL f'
/D~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
11 -R'I.{ ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS(flJ ~~ ~ ~~;,~_
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
j!:J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~(
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I II
0/ TIME
CITY OF PRIOR LAKE ~'2 II :50
INSPECTION NOTICE SCHEDULED
ADDRESS 11038 p~ ~
OWNER CONTR. t
PHONE NO. PERMIT NO. 'fC1- r4G
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION ~RHOOKUP o FIREPLACE FINAL
o FINAL LUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~
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t'lAE f/wA ~ ~
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/
Inspector: Owner/Contr:
CALL J7.9850 F ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RkQUIREfrENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V 'NSNon
I II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
&/Z7/1JD
.
ADDRESS
1703g
?J/fIls.+.JT t'f 610 o.J {,ANE
OWNER
CONTR.
SAAl""I/J {!''''Hr"
PHONE NO.
PERMIT NO.
91-X'/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)1( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
}l(. EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
J<.<u€'<.
ON
5/9/00
/ N5Pr"cTln.,J "''''vI:. REcN
~.
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:k~_ ~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
I II
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~;j,j(J()
ADDRESS 17031 P"'E"AsAA/'T t\1rli\o.1LI LA/oJ~
OWNER
CONTR.
~AIl\Au C.....~r~
PHONE NO.
PERMIT NO.
'f<I- g.,~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)llf.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)i EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
t.tlMf: nlC PElt I~Z.' I"~ I A1S/I€C1"I.....r
-SJLT ON Alm4<IW1" 8,,,,,,,,,..J..,,~ PAnl .......~,. ~ ~"h
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11'L4/llCt/) W'TM On~ "",")
"'AwnltN <:'L'f t="'aLF~ Uu'rl, ~aJ>J;t>
/")1( -.0 SO"
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~" :...,_,IContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
I II
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~1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
.-81999
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 I .
11 0 3e, PH EMRn( Me.tt1?tll W€
3. LEGAL DESCRIPTION
LOT 6
ADDITION(11r.tWr t1M~
4. OWNER' (Name)
111J1/J11v CoN/7TII-Vc;r/c,rJ ~.
5. ARCHITECT (Name)
I,
2-
BLOCK
6. BUILDER
(Name)
/I
II
File
City
Applicant
1'1'" It/' I1t l.ItS
Permit No. q CJ - f34h
1. White
2, Pmk
3. Yellow
1.CATE
R./
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) .,(~Pllh) ~_ tI
2j' 28' " w
12, NO, OF STORIES
I
PID 25~328-01t'c-O
13. TYPE OF CONSTRUCTION
~ F,ylftl1-
14. FLOOR AREA APPORTIONMENT USE
/370 ~ FT
It
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
(Address) (Tel. No.)
I~ tI8B'7 PxJtiPl,J4;.~cd,,/t€. #7-fttVl
(Address) (Tel. No.)
,/ (t
(Address) (Tet. No.)
SEAT~
7. TYPE OF WORK Fireplace CJ Septic 0 Deck 0 Ae-roofing 0 Porch 0
New construction)l. Alterations CJ Addition CJ Finish Attic 0 Ae-siding 0 Finish Basement 0 16. PROJECT COST~LUE
Ch;mney" Mlsc, * I:u>, 000 .
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq,Ft. 3O~'I' ~Fr Width 3{,' Depth M' Ves No ()C,T 1'1'1'1
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 ment~' n ~: and that II constnJct;on will contonn to all ax;sUng state and local laws and will proceed ;n accordance with subm;tted plans. I am aware that the
bulld;ng officlel ce v e this pennl jus use, Furthennore, I hereby agree that the c;ty offl~al or a designee mey enter upon the property to perlonn ne7(!9pect;ons,
X " 7).?1 7/1 <)
- Signature) License No. . Ie
SETBACKS: Required
Actual
Frnnt
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
USE OF BUILDING
.5 j::" A
OFF STREET PARKING
SPACES REO,
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA 0
PILING LOGS " PERCOLATION TESTS "
PLANS & SPECS 0
SURVEY LI
PLOT PLAN 0
SETS
COPIES
SPACES ON PLAN
PERMIT VALUATION
II s: 0(113. fi, 6
~:UVLJ~
Water Tap ................................... $
Builder's Deposit ............................ $. / ~ FJ190 ...-.D-Gl
Other ......................................... $
Total Due .............................. $
Paid '7-;;; 90, 7 <...- Rece;pt tJq,
Issued --- .
Dat. "i" /Ic.j If"i. By ,1iy--
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 "~uested. This document when
signed City P nnar constitutes a temporary Certificate of Zort'.a ~omPlia~ nd allows col}lirtructio~ comQce. 'lffc nCY,l\ Certificate of OccuPlncl m~st ~ Issued.
,,o.!.AA A. ....:)-I)j.vvJ_ I],c_ V~ r j/,,). .~q,../"I' ~(,"_
a ar 15ate'" ~ 'Special onditio if any
24 hour notice for all inspections 447.4230
TYPE OF CONSTRUCTION: I II III IV (:;!;;2
Occupancy Group A B E F H I ~ S U
Division 1 04
PermitFae ....................................If.
G:>.- -::> -.--
lTI J. '-':..J
Plan Check Fee ............................. $'
~':'.77~
~
_.....:.. $)0
(tJ() .19 0
100 .~i"')
State Surcharge ............................. <:
penany ...r.I.~.......:l.r.<.$.t?..... ·
Plumbing Penn;t Fee :tt:\5.~1.~.. <
Mechanical PermitFea ..................... ~
Sewer & Water Penn" ......'l.r..!..~... . ~S-. 51'-,
Gas Fireplace Pennll .......'lr..~I1tP... $ /.ff') ,0(\
This ~Ii~~ Bro1mes Your Building Permit When Approved.
By ~~ Date 7-{~'7''7
Cenificate of OCcupancy
. --: -~---'- '--.--
City:
cr Ca"2. .'ZS-
(p zs. 47
5"1. sO
tv:)
'11't~h\
Amount Brought Forward .................. $
Par1< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ...~.~:................ :
Meter Horn ... ................................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
8'>0.08
105"0.00
qE). t')/'J
/2S: t'JC:>
(. 2.-0(1 . (!) 0
, 7rJ() .<!>6
7S1~.1Z-
..sG U/ 4--
HEATING APPLICATION / PERMIT
Date 10- \ a -C\L1. PID# 25-<110 - ot'iS-o
S~e Address n ()~, ?\\eD..&"J\t \Y\f'I'Ao\nl~ RI Fee Schedule
Lot 5' Block Z. Add~ion PII~5A-JVr nGA 00 W Industrial, Commercial & Multi-Family
<::::) r, ^ ,..\ ^ f'l ~ ~ ~_l Residential, Heating & AC
Owne~s Name ,-, U \l.Alcl J ~ , LlZ:lI"\: '" . , .
- - Residential, Heating Only
Address (...Q~"7S, ~ df'\ st, K:'.;L, ~orlCv~ Residential, Gas Fireplace
" _\, ')^ ^ \-LJ ^' {\, v- ___. Residential, Additions & Alterations
Heating Contractor \-'r( l\. (J..A 'IT~Q, \-\"\" VAt:: J. R 'd t' I AC 0 I
(j' eSlenla, ny
Address ~~~ \?Jr,-WI ~. U). ~'raJhc"".bQ.SLJ
Telephone # Y-L\0- \ qDo '
"\ I v...\ \lv '
Furnace Make & ModelT\A 'AJj'U)
Model Size '1:{) I ceo
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
'1q- 8tjlb
Conn. Load
Fuel D0-~
TYPE OF SYSTE!A
Warm Air Plants hM(\~
Gravity
Mechanical
Air Cond~ioningT\Y)JV<-, ::J -\-{,\I
Vent. System
Flue Size
VII
~
Return Openings '6
Input 'ro ,tcCOutput ( 0<....1 ,OCe)
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Supply Openings
Edr. ,
Cfm.
Other Devices
Alterations
TYPE OF WORK
Replacement New Constructi/
Repair
Est. Comp. Date
Building Perm~ #
9Cj,JO
,/ PAlO WITH
BUILDING pE.RMIT
Est. Cost $
q9-64-~
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
100. OU
Receipt #
r/--
~ jy{~
TYPE OF STRUCTURI;.
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single FamiIYrC"'
Two-Family
Multi-Family
Other
Commercial
Industrial
Public
1% of job cost ($39.50 minimum)
~
$39.50
$39.50
$39.50
OCT I 4
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 huildinn oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCIJI ATIONS REOUIRED 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.
C~y 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 of all wbr\< which requires review and approval of plans.
~ /r:)-/;r-/7
'e Date
/O/z,O/9Q
Da~
.
IJlrC.."'''rfdl''''I.....C."..lI.....
CITY OF PRIOR LAKE\\(\~ t ~:.L ~~:Ii,,"'
PLUMBING PERMIT # q9~B4b
APPlicantJ.//1//4/L ~//7rJ/'~? .Phone:h'Y'?-<",/?/
Address: ~. /" W /// ~/? /7 / K' .
Signature:~ /'/f/7/~ //7//7/?/A
Legal Description: Lot Block Sub
Site Address: /.;:1,6 '::f,f> ~h//~A;"/ /71'/J/;4/Y',) ~
Building Permit # qq - 04-/" PID # <.. 6- 32..R - 0/10 - ()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity - Type of Fixture Quantity
?: 8ath Tub with or without shower '(
I Dishwasher
/ Floor Drain
,~ Lavatory (bathroom sink) /
/ Laundry Tray (1 or 2 compartment sink)
J Shower Stall
) Sinks
Bar Sink
:3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
8ackflow Assembly (RPZ, Double Check, PV8)
8ackflow 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
PAID WITH
$.... "L...'~Ir:; PERMIT
~Vl b..
This permit is granted upon the cxpres.l; condition that said
contractor. shall comply in all re.'pects with the crdin.1nces
or the State PIUim.n8mC and lhe amcndmCJ}15 thereof.
-- '. :&lYrIbIO. 1~/Z4/qq DATI:
t:f ft_ ^ TTEST
Call for all i spections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
An EquoJ Opportunity Employer
11.'1
.~.
....-. .......--1..--
\\~
GREEN - FILE
YELLOW - APPLICANT
GOLD. cn.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. QQ-f3t./.0
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:,J.!;//tJ,1 .PI///Y1'7/U"/YJ'l PHONE: /.!../92-c:./2/
ADDRESS: );fiJ/J /!JJ/U/;(t!~ /7// ~~t"DATE: //-/? 79
SIGNATURE: ;1,j~/;" ~?/7/--;; BLDG. PERMIT # C?9-f34b
SITE ADDRESS: / ;Z/J~~.f? PA/J///V/A'l/ /7/.v-,/'/.l'/lJD# Ad, 2.5-;:;2.B-OI0-0
/<!!.,I
FILL IN THE BLANKS
1.
Estimated length of water service
Size of water service ~
...? /t)
feet.
2 .
inch(es) .
3 .
Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC /~ Cast Iron
5. Estimated length of sewer line ~/L)
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This applicat~~~7;omes your permit when approved.
BY ~ DATE: /1/Z4/QQ
===========~======================================~==~===========
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.
DATE PAID
RECEIPT #
AMOUNT PAID,...- rN.n\l'J~\~_,
REC'D BY (e\.l\\.O\NG .
,,'
..++
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
.... ......._--..L..._.
o~ PRIO~
S~\E
OREEN . FILE
YELLOW . APPLtCANT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 91rf1 ~
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:. nAJIIL ?:.t'/h?E IAJc_ PHONE: //'Yf)-/5d J
ADDRESS: jJf) .Bq:L JD PIPIf.vt L11<v.;JJAJ DATE: "/ /~/97
SIGNATURE~.mH:/;#;Jp)d~~ BLDG. PERMIT # 71-cr~t,
SITE ADDRESS :/7~~ /'IIE3<1S11/1}r ft1E;7/ttJl>uJ L/9/Vt1.D# Z.5-32.B- Of (0-0
tel
FILL IN THE BLANKS
l.
2 .
Estimated length of water service ;PL)
, . I /I .
S~ze of water serv~ce ~nch(es).
feet.
3. Location of any couplings from structure if
feet.
#
4. Type of sewer pipe. ABS
PVC X
Cast Iron
5. Estimated length of sewer line
tJ ..tJ' feet.
6. Clean out (if required), located at
structure.
-
feet
from
==================================================================
This apPli~ati~~~~YOur permit when approved.
BY ~ /~,p DATE: Clp<,?/C;CJ
==========-=======================================================
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.
DATE PAID
AMOUNT PAID
)\'''1'H
REC'D BY """,IOYII 'Y
\ r' "'C' .
. ~\.l\I--':'
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
vQt'~;<'\-"1;~~-.'~?1.~,~~~;--ffl!:r~r,,'~';~':--C~--""M<P"_'1"J.:f~";-""""---""''''_~t'''''''''''1I'1'''''';'''':'!f7,7:':_c...t'''+~---~~..~",.-,--rf':-.~''''''V!''~~,~~~'
" ,
..
.lJ'If.,..~,~.,..~,VJO~~
~~
/-/
Thr Crnlrr of thr Llkr Countn
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~
NAME OF APPLICANT
APPLICATION RECEIVFn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
.~
Accepted With Corrections
Denied
Reviewed By:
~11?~~
(/
Date:
7-} L-{ ~0t1
Comments:
S'J~~~4 ~t1I/L-'Vt ?W'\r\/.oa~~_r'lJBJr
(),f/~ I~~
2-Lf f2-~ ~ Ov~~J //\Je,,!'l""h
rS r~yb , r),vIi'u-€JAJ4 ~;:r;t..cN1 L
~ /~E'f)ro 1-,~~~ ~tCZ:-~JJJy~(
"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' 01 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."
9q-Bt/~
Thr ('i!'ltll'r of lhll' L.h Counlry
White - Building
Canary - Engineering
Pink . Planning
]WILDING PERMlLAPPLlCATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
S/'l/VO/1U (!.,oNST72.-.
7 / g / q'f'
/ '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7~3f3; 7>#81.9't/l./'/ /"Ic:?700W L.-N.
Accepted
Accepted With Corrections
P<L
Denied I JIlIJ
Reviewed By: ~-!
Comments:
/
Date: / -I S. -'7'(
~. W 0 II Q~
:;J. ~o.J c....-J ~
.~~.h
~ ~~9(~_
"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."
1"
~
....
'~
~G PRIO,,' ,
. ." "'~~" <'\
.. -;. ti1
...- U
\. .
;,~p
K '0 1 .,
o I." ,h
/OJ'''
(?C)' P. L/r/
Th~ ('"nlff of the 1,lkt Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.:5/I/t V/JU ('.L IV:: I/<:::-.
7 / {-/ '/7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7(.'~;:e /~/{jJ-:;/JA/ 1'/t/JLA:;il/ [;\.../.
Accepted ./
Accepted With Corrections
Denied
Reviewed By: ~F'1l ~,~... OWAl
Date: '1./..,,/'1<1
I 1
Comments: 'lito",
a......ikE:.
of
KOtlE/!. tI
AAlt:>EASON ~ As.or;oc.,I'trES'., C>l~&E~
,....11' ~"l! D,J'.510N GRACI,>!,. f'LAAl AtJCI _~,,,:Z"E:Y To (V\ATVI 'Tilt;;;
P..Jl2 Po';' F..b
8,ll<..0 , "',.
,......P~.
1>11::
f""'AL. IM.AOE:
EJF I>//s LoT"
Wh_L
~E
ailtlc>E:l>
g'1' THE
R""Lai"1l..
10 y\oI\AT'~H TJol.e: €'ll.lsrINC..
,Qc>:rAeE>!T uoTS .
C;E:E
'NfORMA,..,o.u ~.., KELI !OR';' E S,n~_
\
Sg ","",r~"'r::'."."': I. h,",~L auOI" J.,SI>~ToO^" JAJFo/l.M."'",Al 2. .. f.1J.1I0'4J(" R.,AtJ ~
S.\Il.III!'t' CtlA^,~ES. ?e:f:!. Tlloy G"""lkE S. &0510N Co~ll.ol.- vi1CA"',4E"O
</. Ello~lo"" C....TOl.Ol.- ?...<'\-.u
"The issuance or granting of a permit or approval of plans, specification~ 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 J~O?:8 ~J ~,J E-.. .
NATURE OF WORK klPUJ C'ro,,,)h-,c-!.f?>-,
USE OF BUILDING s r:J+
PERMIT NO. iq_Rt( G,
CONTRACTQR S''''~ c~J.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO~ /
!< f-:/-
I D~E
I 7 jr(d{t(
I FOUNDATION (Prior to Backfill) (1) I ~, I 1- ;]0, 9/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC (J\)) \b..
FRAMING fh Il.fl~
INSULATION VJ) V /; ~Io 0
ELECTRICAL (/
PLUMBING CO Izlr/." .~
HEATING (if required) I/{ 1) /2/~",A') ( )
FIREPLACE rJ/I/ 1(/1 {(}{) -
GAS LINE AIR TEST dA- /z//~/'f' :hI. ,*.J!-/3-bo l?r,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
GRADING (Prior to Sodding) filE- flA7/()'ih.fL
BUILDING 1.0. fiJ1 ttft/I1I ~. ?Iujf~ [---'M"
ELECTRICAL
PLUMBING 8 $/OIa.b
HEATING m l,/rWtH
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
DATE ISSUED
I FOOTING~ ~.\O'\"I~
;-/3-'71
q ~.'l? ' 'fJ
(
10 (11 ((,
l
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 cabi~et 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
I II
'T-----'....-....--