HomeMy WebLinkAboutBuilding Permit 99-0903
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~ ~; i QLtrtifiratt nf <mrrupancy . ,i4
J}: CITY OF PRIOR LAKE rl~~
_~~! mepartment of lSuturing .Jn~pection . t~J41
f~~i ~inal Permitted D Conditional C.O. Expires - b.-...:
-t' This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
-P.':~ 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:
~'~ Single Family 99-903
;i Use Classificatiol'l Bldg. Pennit Nn
,l>
-.
'-,k' .,',....,.c,~',.~ .#j '-~.-;a;;.~~""--~~
~-...._,."....
JWII!"i~. '>or
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*
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Occupancy Type
R3
Type Construction VN
Fire Zone
N/A
7.oning District
PUD
___ ,I
/ 1'7) I t...-
o
Legal Descripti,,"
L3. B2. The Wilds Second Addition
Owner of Building
~,te Address
15205 Wood Duck
'IJr~ve
Contractor's Name & Addrl"'C1" Ratzlaff Homes. P.O.
Robert D. Hutchins~
/ ()Biq?:;;ial
1135. Lakeville. MN
rity Planner
Jenni Tovar
Date:
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1 '52 0 S;
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED q~Z1..qq I: 'SO
k'1,oo ])u..C.IL \"IL
CONTR.
PERMIT NO.
'19 -903
o PLUMBING RI
~D MECHRI
"X WATER HOOKUP
,If SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: 33' .b....o.,l)"Qg 40 - '1" f11!~,
~ tTh--
I" ~((I!.N n ,,~ I'~ _33'~n
,'30'~. .M)/~ - f~ h'h. - a..;I-.
...,t?.A.-,....t- ~ (1~~~ .d-"o-.J)-~
, . I
If) !RA/~ ~ l):J' +~ q f:!L-~
~ I'~"s'r -t. 1tJ-e ~ ~.
0) ~~~-, ~ .>'l. ~~ ~,..jJ.. "l...,OF"
~D~~~ _ /'" 'I
fi?:) /lPPLn- ~x
/
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
II
~----~~---~~. ..-..-.-.-.-.-.".-----..-----".......---.--------
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 1S2.o.:; vJoo1 ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
AD WATER HOOKUP
~EWER HOOKUP
~LUMBING FINAL
A/" MECH FINAL
COMMENTS:
9\ ~ "
~ ;;::;: ~r~__
~ ~s~ {.AY>C<' ~
)(,Jl VnAj ~
I I fr
(~PA.WL~
{eLeNt.rJ..
v
I. L~7~~
'~
/J:b.
9'1-Qo3
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1\ .
~:- (/...f) ~ '1tte-u..c>~r.t:l"
OWner/Contr:
o ~ SATISFACTORY, PROCEED
~v"RECT A T AND PROCEED
o CORRECT W RK, LL FOR REINSPECTION BEFORE COVERING
CALL
~
()'( <if
-k.;;-
Inspector:
E NEXT INSPECTION 24 HOURS IN ADVANCE,.
INSNOTl
ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
S~HEDULED 10 -1-aO II ' T
/SJ{)O.-j LJocx!duc./c
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~. +-1
---
-
~ l~ t.A-'
4- .9)-"'1--" ~
--
(g;Z:i:' ..
Q9-9ce
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
QO"J. _,
.~.~-"-~
-~~- .._~
F~~, ")
tI .../
--
~ 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.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I r
<;IT'( OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
('/1.'/00
,
ADDRESS /52.05 1A.loo6b....u<. ValvE...
OWNER CONTR. K4.,-Zt....FF' C''',,",ST:
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
)Ii( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
{.''''''^ES AQJO;. t1c<-EPm"" .._
~lJflt\B""'" O~
I1t4JII1T"II/1J lP.oSk1.J (!.,.rn,GL utJ"rt,
~-rO:1
XEXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~"'~
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~........ ... ~_ n'tifler/C~tr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I r
~~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.QATF I=IFr.FIVFn
7/2&/<77
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE/A~~~ I A 'oolJ D. u' 1/ ...;-/ I
?~ VYI '-.+- ""'~\'e' -/ ra i
3. LEGAL DESCRIPTION
,3
ADDITION ..,-- J.U: \1-11 LnS
1-
') ~ bl!l
PID 2.5-323-024-(')
(T?1. No.)
l*"/1.-)
'W7~o Hvl::llolLE- ~~IUf Cf85-LfI1~
Re-roofing CJ Porch 0
Re-siding 0 Finish Basement a
Rbt-'1--LA-~ loN t;.T.
7. TYPE OF WORK Fireplace 0
New Construction)Q. Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. I Bcoo Widthl:)~,1. V: Depth Nl, qc, Ves ~
I hereby certify that I have fumlshedinformatlon 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
buildin official can ravo permit r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
--- 'l'-<'l~C;. 7' Ul,e;e;
license No. Date
LOT
BLOCK
4. OWNER
(Address)
(Name)
5. ARCHITECT
(Address)
(Name)
6. BUILDER
(Name)
(Address)
Septic 0
Addition 0
Deck 0
Finish Attic 0
x
1. DATE
1/1()fN
PUD
(Tel. No.)
(Tel. No.)
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING ~
.sf='D
\Cj"'\,...,..- =
TYPE OF CONSTRUCTION: I II III IV (Q
Occupancy Group A B E F HIM tJj' S U
Division 1 2 g 4
Permit Fee ,.,uuuuuuu.ummuuu'.' $ 1,3(. ':l ,~'5'
~~". <..(L,
1''1.$0
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ...11.~1?3........ ~
Mechanical Permit Fee 11:::.f!!:2........ $
Sewer & Water Permit ...1!.-!f/!.f?....... $
e Permit mCf'l-!!lt!2.,uw $
~119~~
~J
(Of') ,V6
Inn ,0D
'3S' . c;-o
<!O.VO
Th"
Issued
Side
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No,
C/C1-9122,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H?l (:?;~)
12. NO. OF STORIES
(JfJE
13. TYPE OF CONS}AUCTlqN
U}IJ(}!l ~e (f{~)
14. FLOOR AREA APPORTIONMENT USE
1161'" Uvrh~
L-,q/~Id I G"J'IlCN.,~
(Depth)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. CO~1~,g~f2TE
MATERIAL FILED WITH APPUCA TION
SOIL TESTS Ll ENERGV DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS Ll SETS
SURVEV Ll COPIES
PLOT PLAN Ll
Amount Brought Forward .................. $
Pall< Support Fee muuuuuwwuuuu $ p;l. SI') . t'O
SAC UUUUWUUUU'umuuuuumu, $_1 r~ o:;n .J::::2!?L
Collective Street Fee ....................... $
Sewer Tap ................................... $
.'"'--.------~-"....._,.._.._._.----
24 hour notice for all inspections 447.9850
.
In
Pressure Reducer ... '...................... $
Meter Horn ... ............. .... ............... $
Water Meter ".\.~~.......................... $ '2 Sf). C) r)
Sewer & Water Connection Fee ........... $_' [ ~ ~(').. ~fT)
Water Tower Fee ........................... $ . t""J f) ti .. """0
Water Tap ................................... $
Builder's Deposit ............................ $ l ~ ,lC:} n,., . OCJ
Other ......................................... $
Total Due """""""""""_Uum $ ~ 2- 4-0.1 \
Paid Pj 2.41/- 7/ Receipt No. SC;-8s-Z:,
Date EA/i,/Qf BY~
in the above application and ..~., ,,."",/ing documents is in accordance with the City Zoning Ordi~ance and may proceed's requested. This document when
utes a mpora<y ceil ~71f4mPliance aod allow, co","uction to commence. Befora occupancy, a Certmcate of Occupancy must be i...uod.
Datt Special Conditions ~ any
In. en
..
- .,'......- -,--~ --~--
,.
/ S-"zpS-
Job Address ,;~~~;__r.:;;; A~
Heating Contractor Controlled Air
Name of Tester b/R<'
Date //r/-.q<;
-
Percent 02 <<-I
Percent CO2 7.Z.
Percent CO .........::;,..-.
Stack Temp. 3'-h~
II
II
~~
9CJ- Q03
Th. ("fnlrr of Ihr L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D~PARTMENT CH!;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
RATZLAFF e-ON677C..
II Zb/qq
I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
B~..<"'
/5205 JlVOOD OUGK.- c'r::-:; Y
Accepted
Accepted With Corrections '><
Denied d _
Reviewed By: {~ ~ ~ ~
1/
Date: f!; -'2.- 'i:-- '7
Comments:
~(',J aJl
R (en '2.;;" .j-r~e_:5
.--....
S-d.p('~ I t...-R<>.. ~~
0. ~ ML..1 /.J.,._r~ Jk:c.
~Ll"~ {,.Dr">
u
~I?.w-r.h,-,-J I.,~.
l'\A~
.r-r-aJ--~~
o
"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,"
" ,
"
~,~,!,:,,;,--,,~+-,~;.?~.... r...p>,,-c' , ~ , """~~
,
',,,,4 ,~V," ~,.,""l ,. J "<j>l".,
~\
White - Building
Canary - Engineering
Pink . Planning
The ("rnlrr of thr Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
<- .:.~ '- j~ /
~
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(
,\.:,
..---c"
--f<-
TJ---
Accepted
Accepted With Corrections
x
Denied
O~tJ1 j~
V
it f}(c. Unit L-Wtlh6Tel/lcvrJuch vnifllm vrn SlcUyud,
0( Max cftlV(~a~ widfh - dLf / a;;t" frorerk IArJL
I _.~- v (/
) I -.--.-.
/-'- --~_.-
Date:
1/ A-""1 / Cj l'
., -
Reviewed By:
Comments:
--",-'
"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."
91 - 9(3
White - Building
Canary - Engineering
Pink - Planning
TIM. ('"I!""" or fh, La..... COlullry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
;i-;/ r/7 Z L /-1 F F
;/2&-/11
I '
C C/,,/ ~ --/7< .
APPLICATION RECEIVED.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5205
/. i/{'C' I I
.. V -' ..t-'
Ul'C-K
~.Ir'
Accepted
v
Accepted With Corrections
Denied
Reviewed By: .iJ&~Ed E"'It(''''''''1I1
Date: alslc;,
Comments: .R,,~.F=>: ""u<r Bf: ('''NvE.-lj', 10 "'....D
ALON c.. PI1ItI/IJf'J./;.f':
.
"UTlL.',-", EA~f.Mf~ tots "",uc..rf ,-45
PIt~t:"'t:.,.qC-
DIl'JE~'" CtqIJ
pAlL.,... BE A I"1Ax.,,"'.\J,to1 D& 24 F€..Fr w"fjF: 14., "-rl~
?~oPt:1t TV u,.-E.
.r .......Jc::T(t~cTIO#J \1..r.I::I.Jl:.LE~
"""o~~ .,...." LC-'- F'Rol"1 WOoDD~I/Y
7iid U
,-w L"
II.!",
v..-.Ar.Cl">
c.oAJc.Il€,F Coo\JALK PAIJ~Lc:. "J.-'IL.L- 1!(,
R~LAC.E^ Be.-'
~r= 13....,t.-L)cll-
'P1l I f)1l.. "1""0
+;,.uA<- Sf':^' oF'F_
"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,"
_.~.
. " ''-_~'" ,~. " - --_._--,--."....'.~'r;.~....~~-<_. .,.',.....,..~.."'"""7~_~__. ',-~----,--- -,
II I
-~-\'_.
09-22-99 08: 12 AM FROM FGTN PLG HTG
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: .:;:arn'll~..~ A' ~ "'; .C U.L".
Address: ~u ' p~,
Signature: ~ n . . .
Legal Description: Lot 3 Block Z- Sub rltG WIL.05 21'1t:>
Site Address: \S~t'lS I.-~ "Y.!.-K.. ~(y PuD
Building Pennlt It 9<9 - <;7",..-=3 PID /I z.s ~ _"'" ~ - oz.4--C)
NOTE: This permit will not be processed without complete intonnal/on.
riA I "'RE UNITS
TO 6124474245
y.., C:-,.,.. .r _ ....... c...1I'9
Quantity
:2-
1
.:l
LJ
I
\
I
.3
Type of Fixture
Quantity
POl
I.....
.. Gold
J. TeQa-
PPNo.
....
Cily
-
Q9-C/03
Bath Tub wilh or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 Or 2 compartment sink)
Shower Siall
Sinks
Bar Sink
..3
I
L
\
Phone'
55V24-
Type 01 FlX\Ure
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Baddlow Assembly (RPZ. DolJ)le Checlc, pVB)
Backflow Assembly Test
Lawn Sprinkler
other
$
$
s
$ .50
/"~'O tW?-t/l'1" .
\ ~,\.O\N
Thi, ~( is grut" uPon fit., express c:.gndilion that said
wnaacl:Or. shall comply"ifi all --"r--' with 1he Qfd.i~
.,~_.~. dtl1c'--;:7':....-z;:.:!'.""'f.
, t 9/:Z.2./<?o/ DA"IE
. _ ' ATt1;ST
Call for al nspections 24 hours in advance.
I6Z00 Eagle Creek Av. S.E.. Prior Lake, Minnesota 5537Z H'h; (.6. IZ)~. 7-4230 I FAX (612) 447-4245
. -, .. "':(
. . An Equal Opponunity Employer. .
Water Closet (toilet)
I
, I
__I
II
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% 01 jOb cost, $39.50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
State Surcharge
S99.50
$39.50
GRAND TOTAL
GREEN. fK.E
YELLOW . APPLICA..T
QOLD.CITY
CITY OF PRIOR LAKE NO. qq -Qo3
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: b{2dllu C"-X( -
ADDRESS: 1 (, /I r? :r of>CZJ W /1<---1
SIGNATURE: ~-L, ~
SITE ADDRESS: /.jJoS v..JOOr.> .o"'-C-I< 0/1-.
PHONE:
DATE:
pp-C, 'to(.
<t // /1'1
BLDG. PERMIT # 9f-'1tJ3
PID# 25 -:5 2.$ - 024---0
FILL IN THE BLANKS
1. Estimated length of water service Io
feet.
"
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
pvcX
Cast Iron
5. Estimated length of sewer line
ro
feet.
6. Clean out (if required), located at
structure.
feet
from
==================================================================
BY
your permit when approv:~ I
DATE: 9/ II crr
This
---------
---------
=======================================================
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.
........,' ","
\~:\\ . '. \
AMOUNT PAID d',\O.: ._'
'-C.\...l.~--'
REC'D BY ~\.l\\/'
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~~~ ~l{b" \ tllY OF PRIOR LAKE Me
~ Y.4.. '~ '6200 elgll Crelk Av. S.E. Perml! No.
.. Prlar Lake, MN 55372
'HEAtING APPLICATION' PERMIT
at'>
)'l .~ PIDt z5~32.3- OZ4-()
SII M8re... 1S-.:lLJ~ WrJtJ nd uol( .f"-' t:;' I~.J Ptl D
~ . .' -
Lot .3 2. Addll n I i-DS 2 Nt:>
~n:;:me " I':j./Af~ ~!r~~ p~
AcldrUI 15l0.c~~D nll("~.D 1lJ~~-
He.ling CoOII.c\CII ~.J-\-lo1.OUL6'r~..
Acld,e'l ..:l..l:l( 0 f.alr:,,J QJI2-I FMI'f/Al:'i-n::J, 5502..4-
T'IIP~e ..~l4G.e ~~: Rememb"l~ Stele Sun:hllgll on llu. boUom 01 IlllsIppllcalion.
FUlRlICll Make' Model "'-\'2jl.AJ~ TYPE OF SYSTE....~ The price 01 ~ur heating parmlllncludes Dna ro"llh~n IIld Dna finellnlpldlan.
\Vb lJ3ac.Q'f1f_.' Wa,mAirPlllnls Ai -
Mod.1 Sill Gre".;ly Addilional inspecllons will be bmed al $35.00 eaclI.
Conn, load 'R.1Jf!I) f1j..(Jf/1J M,ecllankal House Healing Tesl RIt<:D,d musl be submil1ed wilh ...., ,"11'"1" lllllDIII 0IIllIIII belace build-
t, ..1.- _~ All CondKlaning Ing ce,uncale 01 occupancy wig be iss..d, . .
Fuel N(i T Flu. SilO _..-. Vent. System ~ '
. ~41.r:UlATlONS ltFOlllR~f) wllh l\\Imbe, olaupply end ,elurn OI"'Ilngs Iisled 1'9'
Supply Openings /1_ HEAliNG OR POWER PLANT Cl f m wllh CFM's per opening. New al,uclures 0' eddnion..end nODI plan wilh ..pply
~ Sleem . . 'i'..'1 nd ,elum 10celiD"s shown, HEAT LOSS CALCULATIONS, PAYMENT AfI)
Relu,n Opening' . I Hol Water . ~ \ -'i ^"PLlCATIONS M^Y BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
, laO Orll - flJ ()OQ Radiallon /N' \ CREEKAVE.S.E.PRIORLAKE,MN55372.
Input . _ lA0ulpul . Spedel Devie.. '( _ \ r
~OAC
99- 903 "
Single FemUy &-~
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TYPE OF WORK
Ed.. .
Clm,
/llJlJ ~
OIhe, Device,
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U1
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...
A1lelalicms
Replacemenl
Eel. Comp. Dale
8u~ PelmU qq - 903
,4;~. /~O
STATE SURCHARGE S ,50'. BUILDI
TOTAL PEJlMITFEES S ~ Rocelpl'
Repair
iJ\
iJ\
"-
...
'"
"-
['-.
CSl
Ell. Oosl S
HEATING PERMIT FEE S
'L
,
""""-'D r~"f&f" r...,... ........
Lo.-
S. Ydl..
ell,
eno.....
TYPE OF STRUCTURE
Commerclsl
Two-Famllv
Indusl1tal
MulU.Fdy
Olher
"
Public
fee Schedule
IndUslrial, Commercltll & MullI.FamllV
Resldenftel, Heallnll" AC
Resldenftel, HeeUnll OnlV
Residenllel, Ga. Fireplace
Residenllal, AddiliDn, e. Ala,allona
ResldenUal, AC Only
1% ot lob cosl (S3IIJiO rilImum)
~lI.lI.IilI.
~~~.
$311.60 - (j
$39.&0
'39,50
Clly Hall busine.. flours ele 8 I.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED lROUGH.1N AND FINAL). CALL CIIY HALL
447-4:130
( he,eby apply lDr a mechenicel syaleml permllend I ecknowledge lIlal the
(nlormellon ebove Is comple'e and accuII'e; Ihellhe wo'" will be In conlormance
wllh Ihe ordinances end code. ollhe clly and with lhe .lale bulldlng/mechenlcal
codes; that \hIs lorm does nol become a permll unlit elgned by lhe BUILDING
OFFIClIAl; thel Ihe work will be In accordance wllh Ihe epproved pl.n In lhe
ces~~~k WI'}'t ,equl,.. review end approval 0're'an8,
IfJ{"diAjIIIJH-=a. \ .ak..ll Y ~
--,. '/~I~ (;70""
~/;3/44
Bulldinn OffU\. STan INfG ' Oal.
PRIOR LAKE
INSPECTION RECORD
if
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Isaoc:;- LJ""",",~ i0ur\t D-'..A..
NATURE OF WORK 1>,1.fll,~ (' .rMd'H}r{...,-.-.f-A-
'USE OF BUILDING ~ l=\')
.PERMIT NO. q::{ - 9CJ3 DATE ISSUED ~ -2. -'7 '7
CONTRACTOR e t1 t-7 l Co. rF ('m-^*.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'"
-
I FOOTING '-,) 1 11-l,-<11
, FOUNDATION (Prior to Backfill) I ft}) ~ 1 I
PLACE NO CONCRETE UNT(ji AB E HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTlq(k) I ~J
FRAMING - \A){.? I /t1'h
INSULATION I ~
ELECTRICAL L
PLUMBING WJ ,jc:-z.-/qy
HEATING (if required) (/)I ~A>'
FIREPLACE Z/ I I
GAS LINE AIR TEST f;2P ,Ioj<>h.,. I
COVER NO WORtf'UNTIL ABOVE HAS BEEN SIGNED
- ~ ~,@) Il&r. I '7~J)7~7't
FINALS
g,'c"
DATE
a; - :2'7 --91
1/9 ~1-qf1
10 -~Tf I
/
GRADING (Prior to Sodding)
BUILDING-(,vo;;JJ 111100 ClJ,\t/~/'i'1
i
ELECTRICAL
PLUMBING
HEATING
/;/z 7/"~
DO NOT OCCUPY
/~ /9 /;~
I .
I /1lJ (1/04(9
I rzy /1 d-'f q
UNTIL AebVE HAS 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
II I
; ~