HomeMy WebLinkAboutBuilding Permit 99-0869
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~Ji CITY OF PRIOR LAKE ~~
't!' N.L lBtparlmtnl of JIluilbing 3Juspttlton ii-4.
\7'final Pennitted 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 Classificatior
Single Family
'~Idg. Permit No,
99-869
RISD
Occupancy Type
R3
Zoning District
N/A
VN
Type Construction
Fire Zone
Legal Description L4. HI. Rasnh"TTV llidlle Third AdrHHnn
15057 Aonaloosa Trail
Owner of Building ^ ~ite Address
C t to. N &Addr Metro CI/ s\ - ~ 8073 Heatherson Ridge,
on rac r s ame es~ . :~t""
Robert:\ D~ IHutching f"L.cityPlanner T4T1ni Tnv.'ll'r
iildin:Offic;jpl I)
q c; ()(J Dale:
I / po'ir IN A CONSPICUOUS PLACE
Savage, MN
55378
Date:
i,T' ,m''-i(,;;.lr;''~''J,;.7.'''->~'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I Stl S' '1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
- 9II_NSULATION A
~INAL
o SITE INSPECTION
COMMENTS:
.job
/
LK SATISFA
SCHEDULED
Arr.L.~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
pQ
~
TIME
II ':#0
'1l-L
~ . il:,Cf
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
:------....
Cl.o~ h U )
/
-----.....
t&lu4 "" ~LdM1\
...----d~~r )
'-- 1/ ~./
--" , .
U~
ECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-98S0 FOJTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUlREM;"TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTI
II
----_.,_._~
I I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ItI..z!'J''l~ I/I-so
ADDRESS 1)'0 t) 7 Appa 1,,1'>""" {;-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7'r-~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
;tl MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
[. fi"',....l(~~~. QJ..l tJ~ <jC/'7-'1rc.;50
2.~,,1 .+-~ O~F~~
3.C,.",..,t,>Lt::... ~,\-...t'>-.J~ ~ ~""""'I' ~r--
'I. T?,( k \ I- ~ d
/:.u
II S (')
+-0
~ - \. - 2~oQ
~ r.-\ -7. .
V;{~ !JA~ J>fc,~J..
. \
o WORK SATISFACTORY, PROCEED \
ORR ,';:'\,j'''~'''''~
, CALL FOR REINSPECTION BEFORE COVERING
GAl.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IHSNOTl
I r
I I
.-RIOR LAKE
wTION NOTICE
SCHEDULED
DATE TIME
/O/2.~:/?' I!'?D P"1
I
ADDRESS }"505'7 flfPlTLO:lSA 7if'1'ttL-
OWNER CONTR. /If.PT7(n r1 A<SK'
PHONE NO. PERMIT NO. 99- R(o ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!(.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ IS Ik&7'A&E
aull.B&>x. 1<; OPmflnn" 1.4/
1'1J1t.rrIf/A I S'LI r&'d:. UNn L Sal\{lr:"1\
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ~(.I.~L _ nwnAr/r.o'!!!:..
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
,I
"--..--r--'--
I I
DATE TIME
/~~b 3~UJ
/5l) 5 7 /1P/'/1LOos,;4
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
CONTR.
OWNER
q <9 - e~q
PERMIT NO.
PHONE NO.
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
AD SEWER HOOKUP
WPlUMBING FINAL
rD-MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
~OI\llMENTS:
( iJloe.~
Arr-MY\
q fJo ((r~lJI\.(
;y...s\<.QkJ ~
~.,.,~II \,^_
~uUu^
61'\.
Vc.c .t..-~ k,,,.u-J...._
~T hl\.-L
~~
CLt1X'A I )J 0_//
)} (f~(r
/ v V
/
o ~SA I F
~;~~~CT TIO
o CORREC K.
l. y"J
/)
t~ .d1
o~
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Inspector: . OWner/Contr:
CALL(447-9860 Ft)R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE kQUIREM3NT.S ARE FOR YOUR PERSONAL HEALTH & SAFETY/
~ INSNOTl
II
I I
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DA Tf RF=r.!=IVI;J;l
-;7 /13jqCj
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
/5057 -4,P~/JL 00.5/9 77f?/JIL-
3. LEGAL DESCRIPTION
LOT 4. BLOCK /
ADDITION R;q~P.B6R,ey R/06E
4. OWNER (Nam.) (Address)
5. ARCHITECT
(Name)
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99- fJf.?C]
1. DATE
7 //3/90;
~/SD
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 25-.3t.f2- ()()t./-O
77;1/ ,eO
13. TYPE OF gONSTRUCTION
(T.L No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
6. BUILDER
(Name)
I
~13 (Addr.ss)ljl/S- -(" (CO DI2.(T.L No.) c;'5 3 7 'i
~'l5J;' I-It9'I7H&e7Z>N eIOr!',~ s/'tv/1r;;e:-
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
/'fClil! 0 aAS5/ e, ,I
7. TYPE OF WORK
New construction)(
Chimney L) Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations 0
Septic 0
Addition Ll
Deck 0
Finish Attic 0
1 hereby certify that I have furnish
the aoave mentioned property
building official can revoke
X
Re.roofing LJ Porch LJ
Re.siding LJ Finish Basement LJ
SEATS
18. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINiSTRATIVE USE
OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll
SPACES REQ. PLANS & SPECS Ll SETS
SPACES ON PLAN SURVEY Ll COPIES
PERMIT VALUATION ~ .~n PLOT PLAN Ll
Front
Back
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFD
TYPE OF CONSTRUCTION: I II III IV ft\
Occupancy Group A, B E F ..tl.. I M~ S U
Divlsion 1 2 8)4 _
P.rm;tF.....u...uu...uu.uuuu....... $ '.1/::2. ,;;tS
7'J.o;).. ,'1~
'7A..50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ..fqfl~'."."" $ I ()O. e:c>
M.chan;cal P.rmrtF.. u~1M......... $ / i<Y'\ . (')0
S.w.r&Wat.rP.rm;' J~c.~M........ $ ~C::.~O
Gas F;replac. P.rmrt .,.qt~.Wt..u.... $ L{ 0.00
This i!1~eoome!.-~~ermit;t:lhel).(\pproved.
BY~~ Dat.'.J-bl.'-~
Certificate of Occupancy
Side
City:
CUI
1 ~;l11
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA CJ
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ...................uuuuu...uuu... $
Collective Street Fee ......... .... .... ...... ~
~"\I').f'Y"'I
OS)':) .OD~ .
----
Sewer Tap ................................... '*'
~ $
Pressure Reducer .,..................... $
Meter Horn ................................... <I:
Wate,Met., ufa.u...u................u' ( 2.5.00
Sewer & Water Connection Fee ........... $-1, 2. CO ...c:::x:>
."700.~_
"'5.00
Water Tower Fee ........................... !to
Water Tap ................................... <I:
Builder's Deposit ............".............. $ t, 5"'00.. ~
Other ......................................... CI:
Total Du. .uuuuuuuu............. $ 7 (,.,5_':l... '-,
Pa;d '7" !5.:3. 2- J R.c.;p' Ilo. .:35l3::3 0
Issued -
Dat.8/-t/"l'i' BY.~
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
sign~ the City Plf"ner constitutes a temporary Certificate of Zoni~compliance and arrows ~~~to cOJUwence. ie.tcr.~ lpev, a Certifisqte of Occu~ must be issued.
. ~"'\ 4~L . ~-Cft\ ~_ U,~- (XN.J{J~.~ ~--- (,.,yyJJ, t&1c~
Cij~lanner Dale SpecJaI Conditions if any
II
24 hour notice for all inspections 447.9850
-,--_."._~"_._..__.._.__.-"-..._-_."...._.._--_._--,_..-._"~..-.,.".-----------_..,
'''''",~i>-<,', 'W ;'i'_",~,~.- ~'.....--".,~~+~".,- '-'. ~"f)Ollll>,~.,...~~.~.:.<'-,-"~-"~""'" -"~ '-~..-.. _""~_:"",....,-:--..,,.,,~..,.-';lI!, ~..I ..,<,...,<fb.
"'''f,",''''t:'.'~.,~.'''<:-'''''' :e""'i
Tht ('tnll'rof lhl' L.kt Counlry
,
/
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
/
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
~~
Date:
7-;0-'1<;
Reviewed By:
Comments:
r; t-f t=~ 1/\/\LvV<.~{AIiI\ ~hVeJ/Vv.-.u LIl) rd~ "r
(dr~\ I~ viS~'rf}Q-'Al~ It'
~v ~wh"\\&-'l'Ml\ ~~~ ~~A ~
01I\c..Y~~ ~\A~() L~e/I'<9v- ~tA~
J - U
~~/.uk<: .
"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."
Tht' ('t'nlt'rof lht' L.k, Counlry
CJ9-8(PCj
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT AffI,.ICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
1'1 En::. 0 (!LASSI C/
7/13/99
. I .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5057 AP;:;11 L-005/1 7lefl / V
Accepted Accepted With Corrections ~
Denied
Reviewed By: V 9 ~~ ~
Comments:
Date: ?-:2l-i'7
I.
~rY0
f) 0 ~ ,,-UorL~QLL (~d) fC)( ~
"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."
I , -'--~-'-'-~---'-'~-~-'--'~""-'-'-'-"-'---'-~-~-"-"--_..._-~._--,-_.._~----._,._^
u~\
CJ9-&fcC(
White . Building
Canary . Engineering
Pink . Planning
Th" C"'lIrt or 1M u.... COallll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I/E 7kC (!L}-I~.s/U
7/13/99
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5057 ;:-) P;-J;-l L CO.sI-l RAt L--
Accepted
,/
Accepted With Corrections
Denied
Reviewe.d By: i.hll.rF1i
.-
CuREs".. _AMI
Date:
I /
7/ Q./!i1-
.
Comments: D,hVEkJA'< {A., ONLY O. ~_--21-~B.t.''''~.l. ~E ?</.' ~ 71/E:
PttoPE.RT'I L1iJF..
RdAJeFt: M.u~
13..
(J.-NVf-I('U 70 AAJO J4L~.N(..
DQ.AIMA'..~ -",.Job ""rlL.I,..1,"
EA>.. ...Eur~ 14~
~'hJ.e.M 4<;
PIlAcTlCI/L
..5E:E. -J^-1FDd.,&4.t4'T"'IA...J 0...1 1?(:"IIEAsE SJ.I1.~.
s,E:E A1'rACo.l"'E.JrS', J. Po"'AL (J,IlME JNSPEcn"", IAlJ;,I1M...r,o^, z. GltAOIN(.. ?"A^,
.3. E'll.-ls,o'" C..........llOL y'vfEAs./tE"
<I E'(.!"~ION t....rll..,,- ?,,,...
"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."
I I I -r----
.h~~_'~'___.
...,...._._._~,..._....w....
..
*Permit#
-.--------------.-
.
'JobAdd,..' /5657 !J.,afJahsc
METRO AIR
-
*r esters/Signature I~.
.Heating c.
*Gas Une
Pressurized
Inspected
"Percent c~
"Percent O2
Final Inspection
IT
Q!!!
TI!!!!
PERFORMANCE TEST
',761r
~.?~
rr
Pounds
~
'Po'cenl CO 6 "'to
.StackTemp. Ob2yo
Date
From
JECHEEXC
PHONE No.
612 8926396
Sep.171999 1:57PM P01
I~",I""'.:!,, ".
",,".1,1'"
'.:i'''n:~,~~.
service
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t
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,,]'
,;
.' :.~:
)'srt }Y'O;)
fILL IN THE
-';,
inch (e. sl..~ '.. ".;.:~.:i;;':.~:f>.'. 'w.:"
". j , ;':"'~I1'"j'J'" ;.I".!" ''",I;......,...,
'L'&'\~'i':~ ! (,1' oJt~(.: k~';:", ',;~:i,,:
;-11. "^~" , ' 1'" "',. . ,'." , "
from structur~: . ,,"';,/:',.. ,.'t.
x, , ,tX; . i:~:,,/',.n~ """/l"':"~ ~ ~ ,.
, ."'." ....,~,' I,Ttrt '\"""', \
PVC . \.,', .\.:t:'a.~:'. .
line.... ""~f;X.,.;~~.,
" ':.', ':r .'i,f.
loca,te.
f:':}:\~ ,:>..'f
-=-=D:-I:::::==al'l:l';:;;===_====lIIIr_~r#~'."~~__'~!f~.. ...;~".
; ":: ,::.>ti:..~" ~:I'~'~" 'i~'(;"~". J",~~I.','I,I::, ~",
. . . '.1'" :'!-(;;-"'1.',,, . ':1:,.._-.1;.,f. ~.:".,j":l'J.J"h''t.,)"
"'^,~,'-'.' " 'j',,:'_r_':,)j~"""',:"~'.
. '. s you.r permi t ::::!aC~~~~~f12~,~,~. ,
=:;;.&e:====---=;=IIl;\=....s;;;==:;:.:O';;;;;;;;:l.':::====~~==;;J;Il====~__~=a_.~~-;-~__~~I!-~,. .. _.~,
#" $ 35,00 Sewer and water l1necOri~~bti~.#;'~~:BI.':f{;:~~'
$ .50 surcharge. ;.\".": /i!~,,'t;
$ 35.50 TOTAL >., ..,.,.;'Mi~;"t:':~\lt>
Fee for either sewer .!ll: water indiVidually 1s $20.00 .plU&(:\t~
$ .50 surcharge. , .. :. .,.'.i1~.'..
Sewer and water permits issued for new construction l11\,1li1t:,,, be':'I'~:~:'
recorded on the buildin~ permit card at thI;J time ot, : les\lance 'c". .
to insu~e that no dup11cate sewer and water permits~ta~e), ,
issued. . . i:~...n-\ ..' ...' ,~~~,v' ("i1~\ ,
:. ""~!.~c'~' ,.",,<...,.~~, '."l!;!
Wik:;'.,,'DM'E PAID AMoui:'T~. ~.aOe.~ :;).~;~.'::"l;;:.~\~~~>..
,~; :;, " REC' D ~\\J>t;' i, ....}~>i!;!,.~.>:~l~~'!..
.J,,~m'" '1~.~li%,@~it4!{t'<~,
~ ~ 16200 Eagle Creek Av. S.E., Prior Lake, Minnesola 55372/ Ph. (612) 447~230 I P~,<612. . ~. ;f
~~. An Equal Opportunity Employer ' Ii~'~~~ ;<,: 'j": 'ilf~-:, t-o!~I:' '~
~~ ,'-" :.~, :r;l<M . ,I. '. ~.iw~" '~J'. ,
Ii,::f ":>, ~l ';' ( . I~):-.i. ,
~ ,":i..'
1.. Estimated. length of wattlr
.;i;.!.~~~\');he of water service_J
::'~"~:~ " ,';~';,:~,.,;::'~'
rt>O!;"!itionof any coup1 inqs
".:'ili!':;. . .
',~~,!plllOf $ewer pipe. ABS
.~ ,.,~l-." ,
,'Estimated length of sewE;r
,.' ,,".' ,
BLANKS:
45--'
(if
required) .
*.
.
I II
97- 8tJq
..<
0.
?"-
fT)
fT)
o
z:
Supply Openings
Il,
~
RllUm Openings
Input ,~ . \\ \{:)
Output \ \ . \)\\0
0::
H
a:
o ~~~Ed[
0:: .
~
W
E
\'\.\0
OIIler Dllvices
Clm.
TYPE OF WORK
.~
E
a:
~
N
en
A1temlons
Repair
Est Cost $
Replecemant
Est Comp. Dale
~5hf\~
New Construction
C\ ~ - Bra,!
. Building Permit
en
en
en
..<
.....-::;;;---
t'J>.\O~~\'\'
,eU\\.O\NG ~~p .
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEES $
.50
en
0.
W
U1
- -.... ..~ ~-
~
'..l'..~.
,",,_I. .;~...~
. ...-;ua -. ru&- L"_
..- CIty
3. Ymlaw - CtmtracIar:
rvPE OF STRUCTURE
Single Family .X
Commeroial
. Two-Family .
Induslrial
..~ . HEATING APPUCAOON I PERMIT
~.. ~. q.1{ <\. PIO' 2.5'-342 - 004-0
Sh~di_\S' D Si A'O~" \. ("MtJ.. \-;..-~l\. R/Sf)
. . ,
1aI L/ BJoc:k I Addlion ;If!ASP8E.€R.,; /</n66 ;3-"0
. ewn:;::;ame C"\\\->-~ {.\~~ l\'t \-\\)"/'I\~.)
Address '" <\ OS \ \\... ,,\~-\"" ",~... \. ) ~ y &.4.(..
Healing Conlral:ltlr 5" \~ ~\,.... ~ Y\ \.. .
Add~ess \ \n tI, ~ t\ '\.l L. \ l o~ ~ V l lJr; V"' ~ I.1"Jlt.
Tellfl/lGne' . '" "'~ - v. \ ~'-\ Rsmember 10 edelthe Stale Sun:harge on the bottom oIthle Ilpplklation.
Fum_~Makd Moder \::...." I'\~-~ ~ ~-TYPE OF SYslm ______~n_ - Th& price at ~UI heali~1l ~;';'i' i;;;;I~~~;" ~~~~~d one lnaJ inspection.
'. . Warm Air Planlll . ,
Model Sia ~l, h. "I 0 G-:l.1.. <l.. '1.1 -, 0 Q. Gravity Additional Inlpedlons win ba biled AI $35.00 each.
Conn. Load S ~ ~ S 1 Mechanl';"ll. X MOUlHt Healing Test RllCClrd IllUIl be slllmilled wllh Il!illlIlIlg IWIIlil nwnMr before build.
.1 S II AI, CondttlonJng X. ing cartificale 01 . ...,~ '1Cy will be issued.
F II \ '\I ~ \ Flue Size Vent. S~81.m X
~ ~F.T ro., rot I' l\Trnl\l~ ~FC'lIl~I;'2 with numbe, 01 supply and Illturn openings lIsled per
HEAllNG OR POWER PLANT room with CFM's per opening. New attuclulllS or addttions 8eml tlool plan with llUpply
Sleam and .elum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Hot WlII8r APPLlC~IONS MAY BE MAILECl TO llfE CITY OF PRIOR LAKE, 16200 EAGLE
RadIation CREEK AVE. S.E. PRIOR LAKE, !\AN 553n
Cl'.. ..".J.,.l Oevicet
Fee ~lldula
IndU8lrial. Ccmmercial &. Mutt~Family
Residenla~ Heattng &. AC
Residential. Heating Only
Resldenlal, Gas F1lllplace
Reeldentlel, Addttlohl &. Allerations
Residential, AC Only
City Hall business hours alii 8 a.m. .4:30 p.m.
Mufti.Family
PulJ/ic
Other.
1% 01 Job cost ($39.50 minimum)
. $99.50
$64.50
$39.50
$39.50
$39.50
~
ALL WORK MUST BE INSPECTED (ROUG~N AND FiNAL)- CALL CITY HALL
4474230
I hereby applv lor a mechanical systeml permit and I acknowledge that the
informetlon above is complele anel accurate; Ihallha work will be in conformence
with tha ardinlllnces and code. 01 the city and with Ihe state building/mechanical
codes; Ihat Ihis lorm does not become a permit until signed by the BUILDING
OFFICIAL; that the work wnl be in accordanca with the approved plan In the
casa 0' all work which requires review anel approval 01 plans.
~~~~ ~-~-~~
9~//91
08le
.
CITY OF PRIOR LAKE '~~'~
3. YcUow Applic:w.
PLUMBIN~ PERMIT PPNo. C?9-'F;c'1
Applicant: '1'4t-tlJ J;;) iJ/Jd IlJ::> Phone: ..JM -\3'R5D
Address:_.M-~91J (J,f~kA~.IVLljj~ -Jn~L-....~V1~,y~,~~1:;..W_JL. .....OS::~X'
Signature: )J.AJrt.J.'-t1I .~JJ.,~JJJJ~
. .. if ~ I " If<I'ISP8el!!""Y tfGJCJ4E,
Legal Descnptlon: Lot _ I'\lock V I Sub ~ 1e0 A~A1.
Site Address: H,llSrt /) Pf'A IVlJt> 4 ') ~ RlfSD
Building Permit# 99- ~hq PID # 2.0-1342-- OD4-C
, -
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
l'1M en,... '" 11M Uk. Ca.nn.,.
Quantity Type of Fixture
Z- Bath Tub with or without shower
/ Dishwasher
I Floor Drain
.tJ Lavatory (bathroom sink)
/ Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
/ Sinks
Bar Sink
-.3 Water Closet (toilet)
Quantity
Type of Fixture
-3
I
Rough-ins
Water Heater
Water Softner
/ Stand Pipe (washing machine)
Sewage Ejector
Bacl<flow Assambly (RPZ, Double Check, PVB,
Backflow Assembly Test
Lawn Sprinkler
Other
~p f)LLmD
.
/
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
$
$ 9tJ.5?J
$
$ .50
~.
GRAND TOTAL . $ 1tJt1.tJO.zt
t!"7 PAID WITH
lBUILDING PERMIT
This permit is granted upon the express condition that said
contractor, shall comply fil all respects with the ordinances
of the Stale PI~pe am~dme9[S.thereor.
. 7 z.e/99 DATE
A TIEST
Call for adspectians 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / EA.X (612) 447-4245
An Equal OpportUnity Employer
"
. SITE ADDRESS ISOSt"-f tlrrn. \I'Y'1".C \l--.
. NATURE OF WORK /Je.w Q.-~.
USE OF BUILDING S FD
PERMIT NO. q1-8Ct2~ DATE ISSUED ")-'2(-'1'1
CONTRACTOR M..:\~c:l Q.\~,c.. ~e':>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ INSPECTOR DATE
I FOOTING (t\) .,J(~, ~ ~~~ ! I ~, I CC / ~-1i
, FOUNDATION (Prior to Backfill) ..eft. g-/2LJA 1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
( I sev;;;Gii..'TER) SEPTIC (Nf 0 UGH ~ N S r\^ ~- ~v'tq
IFRA~ 1 '(l) '\/1(, 14t
~F=N~.,~~ATIOf\l (;); .,It ~ 'J -1L ~I~'
._LL~' _ RICAL V
PLUMBING ~ ~ r~~ tt t1.lq~. ;;o"/~I/f\11 Il/'lt.J lAC.
HEATING (if requir\\d) ,\ V \ f\\J -I U' ".,
FIREPLACE I( \, 6IV .?fr. ~~ J-rt1 II A L,
GAS LINE AIR TEST' I 1M I ~/I~ I qq
COVER NO WORK UNTIL ABOVE HAS ~EEN SIGN'ED
I~~~~ I I
FINALS
IJJ t:: I cf2e/n
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
'~1).(p.A.c-/~,
(,/ f C>
UNTIL ABOVE HAS
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.
I
I Jo-OI~-i9j
BEEN SIGNED
1" 1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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