HomeMy WebLinkAboutBuilding Permit 99-0954
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- 'i QItrtificatt nf (@rrnpaury l,f: (
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CITY OF PRIOR LAKE . {,,~
J)epartment of ~uil~ing 3Jn~pedion ~~ '~
J~ Final Permitted D Conditional C.O. Expire-
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 ordirumces of the
City of Prior Lake regulating building construction or use. For the following: .
SINGLE FAMILY 99-954
Use Classificatir'~
Rldg. Permit Nn
Occupancy Type
R3
VN
N/A
R1 .
Type Construction
Fire Zone
Zoning District
Legal Dcscriptior
L7, B1, Maple Hill 2nd Addition
,
14047 Bluebird Trail
Owner of Building ~ite Address
Keyland Homes, 17021 Fish Pt. Rd., Prior Lake, MN 55372
Contractor's Name &: Addr-....
Dale:
Robert D. Hutchins ~,
() jluihlingp.ffiCiaI
'11 I'! It!)
rity Planner
Dale:
.Tenni Tovar
'7,/9 .00 4. T:
/404-7 ..BLues/,e.O
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED '
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING fRJ
o INSULATION /' .
'I!!ll FINAL
o SITE INSPECTIO)i-/
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SOD/-nec&
/
6-.u>~~./.
...a/ '. .... ... . .
/ .-.~,:..,.".,..-.
.,_~rr';>~.,~," '.. .-
T..!!<./'.
~ ~
DATE TIME
CJ'l.q54---
o EXlGRADtFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~.~
/-
:xc WORK SATISFACTORY. PROCEEO
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 & SAFETY/
INSNQTl
II
-...----.---...-- _...._-----~.,_._--------_._--
, ,
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
pft;
TIME
SCHEDULED
ADDRESS Ift1f7
';IItGl/:r~ 7?
CONTR. ~/ hL.._<
PERMIT NO. 11- 1>"7-
OWNER
PHONE NO.
o FOOTING
o FOUND ION
OF G
o ULATION
FINAL
o SITE INSPECTION
~D/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Pau/l/-.e.
I,if" /$
-4~
Ak~?
~ K../
c:;/~
A-7/"h
/ / /
yr5IP
!III 1/ ~ Q l' d (~('rl!..h .>;a1 ""''''/ k_ g-ffk
/lad ./p 1-e ryla ("Pc(
-------
TIS FACTORY. PROCEED
o RECT ACTION AND PROCEED
CORRECT WO K, CALL FO REINSPECTION BEFORE COVERING
V~
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~;17
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
DFRA
DILATION
FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~
d@~~r/ .7;
CONTR. --i:5'/~ A~tf?..>
PER",,'T NO. 9' J- 9~~
o PLUMBING RI ~RAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
~,. ~~/" /J~~~ /fl-fL7.rt2J/t"'''o/'''''''*
a/J' .~, f~- "~frr7 //ht"' -
I/t; L/d"'l!l9&f f'~".r~"'. >;;fr~o& &-../c;
'.m.t.tr-l .v /iI"-,h~/ -
) .
liur~k y ,c /7r
. ----
...-/
FACTORY, PROCEED
ECT ACTION AND PROCEED
CORRECT WORK, CA~SPECTION BEFORE COVERING
Inspector: ~/t. uwner/Contr: '
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II r----.-.'..
INSNOTl
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I'IPI7
Alut! ;';roi
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
~F G
o ULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/J<t~vI
rr;; l1';d
5,#/4Lia.Jk.. ~.../<^
,/
~
./
~,-
/'
~;iM TIME
~r'/
(;Y!rJAfr( /IHh~j"
?7- 70/
~RADtFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
A'4V~
be~AI\.
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL E EINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II T..-----
I!'tltI'?f Z '()()
/4047 eGU5S/,.eL)
h';'fl- = 0> it.:~~
C_ "C 6. <II 7-{-~
vor<;.J- o~ ------
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~INAL tJ;:r
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
A XPLUMBING FINAL
A )iCMECH FINAL
COMMENTS:
rv h~ F ~;~l,\~
Gl SCJJ.. ~ ~ f'^ Y' ~
G ~t1
<;: ~ SUd-
1#~l.Y S,J-.< .. ~.ck- v~
~~~U
No,) f::c....
~
P\b~
(0 +i~
-~~
DATE TIME
C?9 - 954-
o EXlGRADtFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
\?vJ.Q ~I()
/ D
OL^---"
SFACTORY, PROCEED
CTION AND PROCEED
OR ,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 4479860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"-,--^_._------~-~-^-~,.._----_.,._._.. ...-_.__..---.~._._-
CITY OF PRIOR LAKE
INSPECTION NOTICE
,'",'"co, ~
~ L.J k
TIME
/6 :lJ
ADDRESS \4D47
OWNER
CONTR.
PHONE NO.
PERMIT NO. '1'1 -'191
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ECH RI
o FRAMING ATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: J" - Ljt)' '!rt" "K/1 In- ~~ /0'
,......~.~-~W<k>~,
<<' ~ <It) .if' ~. ~~.rft
(f) jJ~ t' ~ ~ 00 ~ f/~
~ L ,..IJ tJrrrL.
(2)Jff('-....~ ~~~~~
~"j;~,
3) ~'J~ ~ -.e-/:"" ..f..-.. CJv'\.o-I2...-. .
~ 1". {/
o ORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEEO
o CORRECT W~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: fj:} ( Owner/Contr:
- t
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNQTJ
I ,
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATE RI;CEIVED
~/6"/99
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. _C;C; -9 54-
. 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
14-04,
3, LEGAL DESCRIPTION
LOT -, BLOCK I
ADDITION MI\"pLE.. \t,LL 1fJE- AcoITIO'H
14, OWNER (Name) (Address) (TeL No,)
15. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
KE.yLAnD IlOZ-1 r16t-\ 'P-r: RD. "SE=. 440 - 940 0
. tIQ~E--~ 'P!z.lOlZ- l-AiL-g.. .~Ax' #t). c;'f05
7. TYPE OF WORK FireplaceCJ SepticLl Deck 0 Re-roofingCl Porch 0
New Construction X Alterations a Addition 0 Finish Attic LJ Ae-siding 0 Finish Basement LJ 16. PROJECT COSTNALUE
Ch;mney 0 M;sc. I '2.:2., 700 -
18. PROPERTY AREA OR Af.RES /9, PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLeTION DATE
Sq, Ft 11.4bo 1f' W;dth Depth Ves (No) 11-14 - <=f\
I hereby certify that hal 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 a~ov . nlion pr perty and that all construction wiff conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi offi, "'f':' r.lsrmn Tor Just cause. Furthermore, I hereby agree th~~the city official or a designee may enter upon the property to pertorm needed inspections.
X. -- -:If' 6S2, . fJ.34"'1
Signature License No. Date
BLuE"6t\2..D ~A\ L-
1. DATE
B-~-~
BUILDING INFORMATION
12/
11. SIZE OF STRUCTURE
(?~ I tp}J:ll
12, NO. OF STORIES 2-
13. \J~ CONSTRUCTION
~E-
14, FLOOR AREA APPORTIONMENT USE
\q~ -zh F,<-Ir'SII~
(~4l1
PID 2..-=;,-346 - ()07- ()
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING --.SF/)
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV /0 -
OccupancyGroup A B E F H I ~ S U
DMsion 1 2 ti? 4
Perm;tFee ....,..............,............... $ I. rJrn. ':2C::-
1';2~.ooc .Or>
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $~ ...f-)C>
Other ......................................... $
Total Due ..,.......,..............,.... $---i47.V.1 \
Pa;d '7~U. '7/ Rece;pt/Gll, :<foOLS
Date ~/Z.:3/qq By {~
T~i' 2~at the ~uest in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce ~nd may proceed at requested. This document when
s' ned r ~~P~es a temporary Cerfj87t?i.~comPI;ance and allows construct;on to commence. Before occupancy, a Certif;cate of Occupancy must be ;ssued. .
City Planner 0 e Special Conditions if any
24 hour notice for all inspections 447-9850
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
(,&;/ .I.n,
~I S()
~
Penalty .................. ..................... $
Plumb;ng Perm;t Fee "'flt /1#-.. $
Mechanical Permit Fee .. . .:-f1.'l1..... $
Sewer & Water Permit .. .r..~'1{f... $
IM.OO
I 0 0 . Or)
!S,s-n
Issued
II
Amount Brought Forward .................. $
Park Support Fee ..,...,..................., $ t:< 9J .1''\(')
SAC '...........,.................,........., $-Lti e;-,.., ,,",'7')
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ..o/~~................ :
f./.,C;,06
Meter Horn .....~___(......................... $
WalerMeler ...lIP......................... $
Sewer & Water Connection Fee ........... $
/2~. ~D
1. '?(X).~
'; /r?0 ("'\0
/
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White - Building
Canary - Engineering
Pink - Planning
TheCenltr of Ihe Lab Counlry
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED. .r
,
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .
i.'__
t/
.--.--
Denied _ j.
Reviewed By: {J11 ~ Date: pJlt171
Comments: -f li ,/41 axi IYlII/VI dri j/U.-<.JC<..-vl U 1 c1 fh d
.~ (Jrll~-h. Lif\.L I U -
, r"c
Accepted With Corrections
"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."
Sep-14-99 08:10 D&D MECHANICAL INC.
612-890-4650
P.Ol
r". 1:,",...., ,10. I.... c........,
C ITV OF PRIOR LAKE ~. ~;:~. ~~;.""'
PLUMBING PERMIT PP No qC;- 954-
Applicar D + D me..eJl. A-~ r' c..AL Phane:~ 6 - 'i/ d ? g-
Addre';, ? J I J lJ I ~ " "C. S-i- ., ~ tJ ~ ., 5 .'3 "1 8'
Signalu ,: ;(..,t. ' - ~....I.-.- ~
LegallJ scnplion: Lot? Block' SuLJ (YI4p/4. H,"/-d"d.
SileAd, ess: /4D47 8/L<..<!..b,'rd 1/2-. Nt=..
Buildillg 'ermil It 99 - 954 PIO It 2.5 -3<./-3- 007-0
NOTE. 'his permit w,lI nal be processed without complele information.
FIXTURE UNITS
Quantity Type L" , 'xlure
J Bath Tub with or wiltl' Jt shower
I Dishwasher
I FtC'<1f D,:\,"
-3 Lavatory (balhroon I , nk)
I Laundry Tray (1 or 2 :ompartment sink)
2- Shower Stall
2- Sinks
Bar Sink
3 Waler Closet (toilel)
Quantity
TYf'e 01 Fixture
.:;j
I
Rough-ins
Waler Heater
W,llor:.,'III\lll
(
Stand Pipe (wash,ng machine)
Sewage Ejector
Backllow Assembly (RPZ, Double Check. PI/B)
Backflow Assembly Tesl
Lawn Sprinkler
I
Other
z C-L rn".~ L../AJl-
FEE SCHEDULE
Indu,trial. Commercial {, ~ulti-Famjly
(1% 01 job cosl, $39,50' nimum)
Residenli"I, New One & wo Family
Residential, Addilions & Iteralions
SS9.50
$39.50
$
$ !L9, So
GRAND TOTAL
(?'\ ~'
VA.' ~\t)
:s .;6~~RM\' -
\ eU\l.b'(\~
$
.50
$
Slale Surcharge
t 5 permic is gramccJ upon the express condilicn thai said
tractor, shaH comply iOn "II respect! with the ordinal1l.;c.s
I he SI.1te PIUm~ing d lC :l~~tJr':'91t5 Ihereof.
9. /w99_ DATE
"TrEST
all for all kpectiolls 24 hours ill auvallcc,
16200 Eagle Creek Av, S,E" PI r Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 44i-.LI5
An EqUOlI Opportunity Empluyer
II
qq--951
1.-
1. an..
1. Yellow
FlIc
Cll>
,,'"C";... ~.
CITY OF PRIOR LAKE
16200 Ea,gle Creek Av. S.E. Permh NCl.
Prior Lake, MN 55372
HEATlNG APPUCATlON I PERMIT
~~~";;l q~ PID1I 25-343-007-0
Sita Address _ \ \\ 0 VI, J f) \ '" \c h; r--.\.\.\N: .\..
~ LoI , Block l Add~lcn '" C\ YJ 'u. ~,\ \ ':( ~
2 Own81's Name 'Co,~ ""Vt~ \to ~~
Addt8SS. \tC -;:},\ ~.) J h. ft, 6U, Ri 0- It, I (Q .
H..lngConlraClllr ,\'\ (,-'nn ~,,.... -rY'\1c
Address. \ \n tI, 'k t) \..\L \ l U~ ~ V l VI'; vn ~ ldlc
TelePhone1l . ~ \\1- 9,\:l."'-
Furnace Make & Model .c. "'I~n \.--
Model SiD fAY C) "1 C)
Conn. Load SO ~ '-\ \
Fuel N <tr\- Flu. Siu S IJ
...
u: Dale
Supplv Op8n;nlll
Relum Openings
Input~~ :rJS::,
0<
H
cr
o Edr.
0<
f-
\::! elm.
\~~)
1-:;)
"i{
Output 1\. uOO
TYPE QF STRUCTURE
Single Family X
Commercial
Two,Family
. Induslrial
Public
Muhi-Family
Oilier.
,el
Fee Schedule
Industrial, Commercial &. Multi-Family
ResidenlieJ, Heating &. AC
Residential, Hoetlng Only
ReafdentieJ, Gas Fireplace
Residential, Additions &. AIIerations
Residential, AC Only
1% 01 job~DlII (S39.50 minimum)
$99,50
~.50
$39.50
$39.50
$39.50
Remember to odd ilia State SUn:f1arge on the bottom of this application.
TYPE OF SYSTEM
W81m Alt PIards
. Glavity.
Mechanical .
Air ConditionIng _
Vent. System
HEAliNG OR POWER JOlANT
Steam .
Hot Waler
Radiation
Special Devices
The price of your lleating permft Includes one rough-in and one final inspec1ion.
Add_i1iOllJlr I~olllll/Jjlt be .hired at $35.00 each.
Houae Heating TllIll Reconi must be subm1tted with !lulIll!DlI1IllUtliI ""m"'" belore build-
ing certifioate 01 OCCIlpanay will be Issued.
HEAT "',8' nil' ''-'1'11I.'" RFI'I'":l"" w~h number 01 supply and r8blm openinllS Iieted per
room wlIlI CFM'e per opening. New sllllClures or addhions send boor plan wilIt supplv
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLIcATIONS MAY BE MAILEO TO THE CITY OF PRIOR LAKE, l~OO EAGLE
CREEK.AVE. S.E. PRIOR LAKE, MN 65372.
City HIIII ~eas lIoulS are 8 a.m. - 4:30 porn.
ALL WORk MUST BE INSP!:CTED (ROUGK-lN AND. FINAL) - CALL CITY HALL
447-4230
OIher Device4
T'lPE OFWOAk \.1. I heteby apply for a mechanical svstems permit and I acknowledge1hallhe
~ . AltWa!lona Replacement New ODnlllructlon ~ . informlon abow is complete and accul'Bte; IlIal.1IIe work will ~ i~ conlormance ,
{\] .. - ....... . ., . . - .. wllh lbe.Qrdinance.e .end i:Odes of Ihe city and wllh Ihelllale.bUlldlilgllJlecllanlcal
N &pai, . - ESI. Camp. Dais' codes;1halltlis larmdoes nol become a permll unlil81gned by Ilia BUll-DING
-:', ;_. . '-\\/ ",f>. l1 l\ t?.. OFFICIAL; Ihal1hewark will tie In accordance -willllbe approved plan .In Ihe :
'en . &I. Cost4 1\ C\ ~ Building Parmit . '\ -, - 7'54 , . _ . case 01 .all. work whl~h ,requires review ~d approval (If plane. ' .. . .. ,. ..
en '..' ... '. .-._".' . uu....., ... ..... .... ,. .'.
~ H~:rWGPERMrrFEE' ...---~\O\l'Jrtt?-"^\'t. '~'h -',' ';.,."'--, "~'~-~~Kq
~.St~TESUFlCHARGE.' .. .50 .~~ .\\fn\~G? ..: >. .. '. .~W. i._ . ...] . -.. '.. /. ,Da1he~.':. ~...':
0.. - ,t!l'v''"'''' . . . a. . 'cr . " -
lJj,TDrALPERMfTfEES' .. .Recelpl' ... '....--- "_ ,'~ . . .'7.23/......
~~~\'~'-'~;~D~~'K/>:::~~~~:;~"liI~/.c.,i~}~{~~~~~:r;:Li<::\ ,,~,.,:'..~~~X~0~~:..~;~~~:.::~.\~.;~:~
09/07/99 Tllli 07:49 FAX 6128902753
STOCKER EXCAVATING
Ii!I 003
...... . ......
'YELLOW. APftJC.IIl..,.
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 99- 954-
NOTE: Sewer and Water
contractors m~st
be reqistered
with the City.
.
APPLICANT: DC Mec:hanic:ill/S~Dc:ker Exc:avat:1ng
PHoNE:
890-4241
ADDRESS:
8247 ~t: 125l:~.S:.. sav'!..'JI HN 5ill,LDATE:
SIGNATURE: .t ~ ,.J IM~, BLDG.
SITE ADDRESS: ('-fDt.1~ (){ue..Io\rd T(. ..e/PID# 25-343- 007-0
1-")-"('1
PERMIT iI Q'1-'1Stf-
FILL IN THE BLANKS
1. Estimated length of water service
fe"t'.
2. size of water service
inch(es).
3_ Location of any couplings from structure
feet.
4, Type of sewer pipe. ABS
PVC 1<
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structl,1re.
feet
from
==~;~~=~~~----=~~=-------~~~==~===~---_.=====~~-~-=========~.-----~
This apPlicat~~;,$~~es your permit when approved. I-
BY M~. . DATE: 9/7/9;
=====~~~===~==~=*- --=~~--==-~===:_---=======~===-========~
FEES:
$
$
$
35.0.0
.50
35.50
sewer and water line connection permit.
Surcharge
TOTAL
* Fe" 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 buildin~ permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
issued. - /'-" .~
DATE PAID AMOUNT PAI~/",~~Q.~~'
RECEIPT # REC'D BY _,\\\J)\~ /
~-
16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372/ Ph. (612) 4474230 I FAX (612) 447-4245
An Equal Opponunily Employer
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Th~ Crnttr of lht lib Counny
~'l- 954-
White . Building
Canary . Engineering
Pink . Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Y {; !/L /1 /\ U~/C/'I C 5
6/~ /vc;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4047 .0L uE C,//<:,u 7K
Accepted
,/
Accepted With Corrections
~T
'.
Denied
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Reviewed By: J.JIIIL'r~A. f',"lloESMIIINN
Date: '>lltll' /"
Comments: RUNeA= Mu.~
'K'F" rLWvf:vEA -re A~ AutAJG. Dfl.t:JI/JIM€
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1\1"ILIT"i EAsEMENTS. A-~
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Dtt.'uE.uJO'tY
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Be:
A ~A'll"'~ OF
z.~ F~E!r
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'1'W€ P".,PEAT'1'
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'10 FINAL Sl~'" DFF.
SEE IJJF"II.....AT"'oN "N 7"HE Rfoll'"A..€.
'sloE.
.sEE I4~CH"'~.s: t. nNr4L. BIf.t:lOE. IAl.sP&1"IDN JAlF.ltrtlfAriaN Z. a.ilAOIA.JI:' PU4A'
3. fRoslo", CoAlTltOL- ~f:As"e.f"<
4 f"i1.o<,oAJ {!"NTfld.... rtollAJ
"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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q9-954-
White - Building
Canary - Engineering
Pink - Planning
Th~ ernltr of lhr Lakr Counlry
BUILDING PERMIT APPLICATION DEeARTMENT CHECIQJSI
NAME OF APPLICANT ~e VL/7/\/O .HoM65
APPLICATION RECEIVED 8/5/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./404-7 /3/_06L3/R::.O ~.
Accepted
Accepted With Corrections x::
Denied
Reviewed By:~a1/K
Comments:
Date: If - f7-q q
R€y>rJ df! ,,-Ifa'W 1-!c....-f<>-cJ1-s-
"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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PRIOR LAKE
INS'PECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1:1(') 4 7 8fu-p br''''& +,-a.-I:A
NATURE OF WORK k \.." '\, (' c:n---rU
USE OF BUILDING SFI)
PERMIT NO. 4q - crS<-( _ DATE ISSUED 8 _/ ?-9Cj
CONTRACTOR &W a........P~ {-+"",-'-J"
NOTE: THIS IS NOt A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
'FOOTING (A) fl, I 1- 9 - ~ '7
, FOUNDATION (Prior to Backfill) I (/fJ "/I7/f7 I
PLACE NO CONCRETE UNTI1{jBOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC ~ I fu. " 11'Z(-91
FRAMING I tV I )] -} S-'19
INSULATION I (4/),) ~1''''' I
ELECTRICAL i V I
PLUMBING i (/jJ '/lzA1 I
HEATING (if required) i /f;P //Iz.I<, I
FIREPLACE . I I
GAS LINE AIR TEST 1;-,1/ /j/2h 9 I
COVER NO WORK UNTIL ~OVE HAS BEEN SIGNED
, WALLBOARD I I
FINALS
GRADING (Prior to Sodding) I GJe/
BUILDING".t})~ ~+bb CYJ It//l1/4Dt i ... W}/
I ELECTRICAL ' I
PLUMBING I
HEATING I
DO NOT OCCUpy UNTIL ABOVE AS
NOTICE
I ?/3'00
I CJ//9/hD
I ., I I
1'1 1(.r'nfA
I ~ 'If I V}
BEEN SIGNED
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
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