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HomeMy WebLinkAboutBuilding Permit 99-1001 '"l!jj:""'''''''~' ~ ('C" ~,.,;olIl: '~P"'1t" 1\-~,:.'r -~:,,,:,~, QI:trtifirate at ~(mpanry CITY OF PRIOR LAKE jDepartment of .uillling Jn~pection AFinal Permitted 0 Conditional C.O. Expires 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 Oassificatiol'l SINGLE FAMILY Bldg. Permit Nn 99-1001 R3 Occupancy Type Type Construction VN Fire Zone N/A Zoning District R1 .. 1.6, B2, KNOB HILL THIRD ADDITION Legal Descnptlon Owner ofBuiJding ~iteAddress 4'i~'i HUMMINGBIRD TRAIL ContraclOr's Namc & Address MW JOHNSON, 17645 JUNIPER PATH. LAKEVILLE, MN 55044 .:./ JENNI TOVAR Date: Date: CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 4- 5 3 5 ~ t ThLr- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION AD PLUMBING RI o MECH RI ~TER HOOKUP "- c::[:>&wER HOOKUP ..... 0 PLUMBING FINAL o MECH FINAL COMMENTS: z-t;' .~~ ;J;' ~ k ---bY~ ~^-- ~. ~~ +- I\Acvvk ~ ~ S(yeJA- ErOSI!.JV' ~ . r/~_ ~ ~rJrvt/ (; TIME " .-/) 'fq- I (Ji) I o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASllNE AIR TST o L\c !I've ~Fr~ - No ~Vr A /YL- C)/,tL./ Inspector: OwnerlContr: T E NEXT INSPECTION 24 HOURS IN ADVANCE. CAll CODE INSNon II ~ ~Il - ho (T\r,~j1k I I CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 4535.. 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 AD WATER HOOKUP o SEWER HOOKUP 'II( PLUMBING FINAL /[] MECH FINAL AOMMENTS: ,,\ (U ~ +~ (~~ ~[P/l B ~4-tA. b~ ~lt..12 ~- DATE TIME # Z;OO A. (J qq-IOOI o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o \~ \~ P ~ /h r J., Y< t- ('~ _ "1' n t ~1 f L1rVJ \~~ Owner/Contr: CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE. ~DE REQ.l UIREME1rs ARE FOR YOUR PERSONAL HEALTH & SAFETY! ~ / '"'"0" I r -----_.__._----~~--_. I I DATE TIME CITY OF PRIOR LAKE ~ INSPECTION NOTICE SCHEDULED Z:36 ADDRESS 4535 Sk I OWNER CONTR. PHONE NO. PERMIT NO. 19-/()(J/ o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL o FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST o SITE INSPECTION ,)(MECH FINAL 0 COMMENTS: ~./# r;f1t ~ dn-trt___ h l' ./ ---f2) JZr~ A~ X'WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: ,/J''z0, Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! f/VSNOTJ II I I CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 1-/H.[pa /1:-10 OWNER ~LJ CONTR.V PERMIT NO. qq-_~ ~60\ ADDRESS 4- 5 3; PHONE NO. o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION ~ 0 MECH RI 0 COMPLAINT o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI D,INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL V'-' clNAL 0 PLUMBING FINAA.. 0 GASLINE AIR TST o SITE INSPECTION ~ECH FINAL,. 0 .cOMMENTS: f/PoTw Door ~.~ ot.L- W ~\V\3\ 'Pe-v- G~~.'vI~. d.a.tJ-r {7J 2h1 illY\&. -\yU;; ~ ~f ~ \~ ~aV'd.. .5tM. {.Qrf -5Y'r\l(WC ~ /W DroS;llY\ ~~. Vj6) ~ ~~vmY\ oe1r~ ./lIP) ili.c..uh ~ ~'" ~ ~ J(t-rc-J'~~UU-~V(~JI +- in ~ ~os.+ . /)~ ex. (.t\Y\uve...fv ". .. ~f\ -b- Acu.ss~ [.2). g lJll0lc . ~ ~ t-z.-v~ \;l) ~ ~ ~su.cA- L-;-J.,. . I~ n~lJ,,,, tJ t't\r,~1- +es.r o WORKSA'irJFACTORY, PROCEED ~c RREC AC ION AND PEED ORRE T W ,A FOR REINSPECTION BEFORE OVERING ,- Inspector: '\" ~ ner/Contr: CALL t7-9r FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE R~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTJ II I I CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS A:535 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~ o ULATION FINAL ~EINSPECT SCHEDULED \-\ lLvt\W\ . '1;, b 0' J CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: Strr .P - ,;)- ~_" 4"'1 lul7it"") ~ - _tl J.. i- ~ Ct1j tJ ~ "...- .P DA-e ~;g2 TIME Ar ~- tOo I o EXlGRADfFlLLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o -fi:;;. ~ Id~ -- I' ~ (- {~ ~I:I.IJ. 64 "- - - )tI WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :S:::O~ECT WO~R REINS::::/::::FORE COVERING " CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! , , INSNOTl I I CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED 6/lz-!QCj DIREcnONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Pleas. Print or Typ. and sign at bottom) 12. SITE ADDRESS <-IS 3'" H'-A"""""'.~ hir--d IY'4r I 3. LEGAL DESCRIPTION - (, 1. White 2. Pink 3. Yellow File City / APfJitant Permit No. , i 97-100/ 1. DATE 7/~l/q1 t& BUILDING INFORMATION 11. SIZE OF STRUCTURE (He91l) (Width) . !:Ie.. <<;'<./ 12. NO. OF SCRIES (Depth) ..,..., PID .2-5-3'-1Q- 012--0 LOT ;J ADDITION IL......,l.,h', I I BLOCK :Q.~ 13. TYPE OF CONSTRUCTION /o.kuJ 11" W'-L 14. FLOOR AREA APPORTIONMENT USE 14. OWNER (Name) (Address) (Tel. No.) H I~ J .:\",1-"", ,,,'" IJc.'-l.r SL."'-:~ p,.,~ x-')..-17.lo IS. ARCHITECT (Name) (Add~ress) t:./T:-~:~p (Tel. No.) 16. BUILDER (NL.) (Addr ss) (T) No.) 15. NUMBER OF OCCUPANTS O!jloSEATS ~ ~ OCCUPANTS So ":'IlL H::_1 "_ 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 SEATS New Constructlo~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE Chlmn.y LI Mise Il?O uD 0 18. PROPERTY AR. EAORACRES 19. PR7~lMENSIONS Il.{;l' 1'0. CULVERT SIZE 17. COMPLETION bATE Sq. Fl. J.:}. rDO Width D.pth E V.s No I;J-O (:ole,!.\ ~ c1i!= I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authoriz&! 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 bulldl~ia~ can revOke~iS ~it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X---fi:j(j~ .Jl.J...QJ '/;;LJ 1"77 ~v-e...... Signa license No. Dale SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Side "ok BUILDING DEPARTMENT VALUATION Side MATERIAL FILED WITH APPLlCA nON SOIL TESTS 0 ENERGY DATA 0 PILING LOGS LI PERCOLATION TESTS LI USt: OF BUILDING OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 1 P(), /Jf'>c), Ol!> SETS COPIES Sewer Tap ................................... $ License Check Fee ......tt................ $ Pressure Reducer .~.................. $ Meter Horn ................................... $ Water Meter ................................. $-L:lI::" L (9-~ Sewer & Water Connection Fee ........... $-1_ '200 . ~n WaterTowerFee ........................... $ . 719'" .t=)-" Water Tap ................................... $ Build.rs D.posit ............................ $--'.,../')0('), r~Q Other ......................................... $ . Total Du. .............................. $ -,G( ;.!.~. ~ Pood ')C}?- <I ell, R.ce~DtN 3(" 2-/0 _ Oat. 4'/;5/io/ By ! j{ fy that the request in the above application and accompanymg documents IS In accordance with the City Zomng Ordlnanct and may proceed requested. This document when ner stitutes a terJ1Xlrary Ce~ ZZonlng compliance and allows construction to commence Before occ~ncy, a Certifica of Occupancy must be issued ner ~J Special Conditions Wany _~~D TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F H IRS U Division 1 2 3 4 City: Permit Fee ................................... $ 'ItPJ7,ZS rr;Z/~.7( - 'UJ. DO 1.00 .00 Leo e(j (';;;.D~ ,li,V m.M lPr.oI4~ t1n.rm 0110 Plan Checking Fee ......................... $ State Surcharge ............................. $ _ .f../"...........:.'tl:.l.0L. $ Sor'~R""t~m ..tl!~1:..'l..q~r.'??1 $ _........?..to.!.....tCf.~t(!?.1. $ ~__._~ ...6.f.....rf.~Lq;/. $ ThISC!:i]ti~~.~Buildlng P.nn" When Approved. By 7t>' Dat.!?>-2C;-'ifl Certiflca.te of Occupancy Issued PLANS & SPECS 0 SURVEY 0 PLOT PLAN LI Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... 4' ~t:J .f'Y) 10.9':> .(!)D 'tS.~tS 24 hour notice lor all inspections 447.4230 ,~~,"'~--j';..... "","",~~~-""""",Oi:~:-............-_fIlIJ'lt"""-,,,,. ..".~-,~_....."'V 'l;Wlti1.' -~~....~.,.,.,__ ~ ~ ",.-~.,...--<,,-..,.A- ....._ ~.~~,,:J t~~~X PR~IOJ?;7' .f:: 'f. - rn U . ('.. /. i" ,(. . '- ThrCrnlrrofthf takfCountry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED -'---~ .- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / I , . /' - !..~.-"'-' I i f-'<-_ ~ Accepted Denied ,/ Accepted With Corrections Reviewed By: (J /Jj. J0a-U vV?1 Date: q --1 ~1 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." qq-/oo/ Th~ Crnltr of lh. L.kr Counlry White . Building Canary - Engineering Pink . Planning BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED M W 00HN60N 6/ /2 /qq I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 45.'=15 HUM M IN 6 B/ 1<.0 TR- I Accepted Accepted With Corrections _ J ? ---- Denied Reviewed By: rf! q~~r Date: ~ ZS--"Z-? Comments: J. ~J ~j)jJ /yJCL~Lj lu,~~- "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 ._,._~_.~_._--~._--_._---_._._----"_._-"-_._.".._.-_."._,,_.__.__._._~_._"~_______..,..____A"____ I I -- . .. .~'. " qq-ICOj White . - Building .c~ Canary "- Engineering Pink - Planning T"~ ernl" of 1M Lab Co.....'" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED II".} V~/ s/. j JQHIV6Cf'j /2 / qq { The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: LjS ::s 5 If U /V! Iv/ ( N 6 B / 1<.0 77~ I Accepted ./ Accepted With Corrections Denied Reviewed By: .. W1fLTf:./l.... EwltE..c;.MAAI,v . , Date: 5t./Z3/99 Comments: .J?u",..l" o^1us", B l" 1'0,"0),0(0, . '10 ANO ALDAJ(. 1)n,qIAJ"r_~ ~ f~r/LI r""'l'" f="As.t: oMt:~T"; AS ,^"vC~ ,"s P.t AC'TICAL . No ~.us;-r It \.x.:n .,.u J3r-fhJ/TY j 5 In &.t'_vlt wtf;.l'Ai 20 hE.... of 7M~ "",,"0 ON T'Hf:, \ ~tAft ?l"ln-nD,J 0 ~ r;;LS L(!JI. :5ce: I,,-,F,RMA1">o'" 0,.) ....." RC:~RS. 5,(\.. ^-ja ~o;JsrtlL>c.nQJ.J .. VE">I/t',P'<: ::i:J./.oJL/} ~,.JT"€:.R... -rH/~ I_Dr ,c:-jClo"",, (I AIl.ll.' AC.e: l-I U..L < 'V.R><"JA"> . <:... ,<1""'A~IoI""f:">'-S: I. (.''''..<.. blVlOt: 'AJSI'8Cr,."" 1,'FMI4A'f'M^, Z. G.t~D,.ot, ?"..AJ '1. Efl.Cl~ID.u Co.AJlfto L (\Ar.A~dA~ 'f. Fl2.oSlIu..J ChAJTtt..OL R..4,.J "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 , , ~~ (/9-/Cc'1 TM OUlllI'r 0' lhr uu COllnlry White - Building Canary - Engineering Pink - Planning .B.UILDtNG PERMIT APPLICATION DEfARTM!;NT CHECKLIST NAME OF APPLICANT /IC/'"/f.--<:: 6V C#rlSr;; ~/2 &/c;c; APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4' 4' if &- !5'c. {/675~/c: U ,7L . Accepted ./ Accepted With Corrections Denied .Reviewed By: ~JitL.'n:li. [J4.t~'\"",,~J\J.0 Date: , , ~ I"" Comments: R,,^,oFF r"\u":,."';"'" 13!i: (!o.vvEyC.O To A"-IO ALoNG. DttA,..uAc.C , {' OTIL.,T"Y EAsE ME"N'T5 AS If'\ol"'c...... As PtVlc.ruAL. rnl>Js...Au~TION llFH!,'._~c M16'- Alo"" €..,JrER. "-".f1So LoT' Ffl.o.. I'A((ll.iAf.L Utc-J.5 PMk"wAY. J)........,.,.,.GD ('.....t.R.E.<:: Wllw<' PANtEL.!. , r DA..ooo\AC.E.n 'B'r.....-t'......fh..._'t PA.,." IJt,_,-- J3L t?E:r.>Altl~~Rv T;t~ gtJ'LD~ fh\oll.. 10 hAJAL .s1C:..o....l.~~_ <lEE J~F.Il...,t:lT~,.J ON -ru€ €!-~JE...Il!ir: SlalE "!:u.. Al'Tl'ICHM.f""AJTS ~ I. h.JAL- f-kAOE JA15.PEeTloAJ 1~~oR-MAr-'<LJ,J 2. t:!ltllfj,,,st, PUlAi 3 &051l)"-' L'a.....rt>''- I1<ASvIlE5 tJ. En.DS 'Oill Co ~'11( 10<... nA tV "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." II CITY OF PRIOR LAKE . 16200 ElI9le Creek Av. SO!:. Plrmlt No. C;C; - / 00 I PriOt' Lakll, MN 55372 HEAliNG APPUCATlON I PERMIT Data ,\- '\,-<\(\; . PlOt Z5-3if.Cf- 012-0 S"Adcbss '" 5 ~ S' \\~""M;"\~;-(\ \Y--~ ,\ tel Lot \0 Block d. Addition \\"'" \, \\. \ \ ""\ ~ {\ H DwnlfsNaml. '" W ~ D'n",... r)y--.. AddI&8S \1~~S ~v\,,",~0\- ~"'+\ \....1u~l.llD Hoating Cc_, .\'\. {~ {\, r- ~ Y'\ \. Addrlss \\n"~('" 'W~\t~~vl V{'; V""~I.\K.t, ToIep/Ionel ~'-\~ - \ \:l."'\ . Furn&C8 Mallo & Model c.".....,;.,-'" Medel Slzo ~ ~,,- a'\ I:l Conn. Load 'S ~ ~ '-\ J Fuel. '" tI. \- Flue Size Supply OpInlngs \ ~ ~ s /} lYPE OF SYSTEM Warm Ail P\anIs X Gravity Mechanfcal . Air Cclndttionlng Vent Sy~em HEAlING OR POWER PLANT Steam . HOI W8I8r Radiation Special Devices Relwn Openings lnplll '1'l...a~ 0U1pu\ '""'\ \ . (%C) Ed,. elm.. \ "'''' ~ Otllor Dovices TYPE OF WORK .~. AII11ratfans RlplllC8ment New CcnslNction Repair Est. Cost $ HEATING PERMIT FEE r Est Comp. Ollle S '). t\ '\) "} Building Permtt . o.,l.\- /00/ ~ ft.\O VI\"f\-\ eU\\;.O\NG pe.r.\'-A\\ RllC8ipt . . STATE SURCHARGE . .50 . TOTALPERMfTFEES $ . .:~;. . __e..K,,:;:,....,. -'.. - ~<;!i.i\~.h:'.,. ~;; . ~~fl;.~~:;~-' _. _7- /i,' - -'-:~~'~~.~~::Y~~~': :~~~:~~~ti, ~-,':J '" -~ ':. '.. ,..-'. ':".;.:' ...:.: JVPE OF STRUCTURI; 1.- l.. o..c. 3. Yellow - a", c--w :z o < Single Family X Commercial Multi-family Public Other Two-FemHy Industrial .l> ..... \IJ \IJ \IJ Fee Schedule ..... N ISI .l> "1l 3: Industrial, Commercfal & Multi-Family Residenlial, Heating' AC Residential, Heating Only Residential, Gas Fireplaa> Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64_50 $39.50 $39.50 $39.50 3: 1'1 -i ;0 o D H ;0 Remember 10 add the Stale SUlCharge on the bottom 01 this appflcation. The price or your healinO pennillncludes one rough-in and one rlllal inspection. AdditiDnel inspections will be billed al $35.00 elIch. Houee Heeling Test Record must be submilled willi .".;I~~",.lIItm!l """'''''', before bund. "0 cettific8le ol---'~.-"Y wifl be issued. ~r:AT r,B' r",' <<~n"'~ qCf'llfPC" wilh number 01 supply and I81Um openings Ilal8cI per room with CFM's per opening. New strucIures or addltions send ftoor plan wltIfsupply and retum localIons aIIown_ HEJO' LOSS CALCULATIONS, PAYMENT AND APPLlOOIONS MAY BE MAILED TO THE CIl'Y OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRlOR LAKE, MN 55372. CiIy Hall bueine.. hDUIS are B am. - 4:30 p.m. ALL WORK MUST BE INSPECTED IROUGH-IN AND FINA4 . CALL C1TY HALL 447-G30 I hereby apply lor a mechanical systems permll and I acknowledge thaI the inlormadon above is complete and accurale; thaI the work wHI be in conlolm."ce - with the ordinances and codes of Ihe city and wilh Ihe slale bllildinglmechanical codes; thatlhis fonn does not become a per'!llt until si{lned by Ihe BUILDING OFFICIAL; thallhe work will be in accordance wilh the approved plan in Ihe case of all work which requires review and approval of pi ens. :z o --J \IJ m . J'\\ Vv\..}, u\... \ .~'- AppI.~/~OnalUl8 -<2%t.!~i..; Bl1ifjhll otfical's SlgnalUre "1l _ \ \-~-\~ Date. i 1/4-/q4 Dale ..... ~;~ ~ : . ,-;~.:--.~ : :,~- . . I . ~ :,~'~~-; ::~'!~ : ,_:~ ~~~:~~; ':..:,~". ..~' ~'.~., --:~\~ -'i :~k~:-~,-~_,M:t;~~~:~~l~~"~,; FROM WENZEL MECHANICAL 612-452-0367 (MON) 09.20' 99 14: 12/8T. 14: 12/NO, 3561851699 Pili MUll . .u' ftLL~ - ~C~ COLD. CI"T" C!TY OF PRtOR LAKE S~WER AND WATER PE~IT NO. CJt1~/OO / NOTE: , se....er anI! Wa~er contractors must be regis~ered with, the C'ity. APPLICA.NT:.:....lj./J'~ mu,IVI!IJPI4/ PHCNE: &,5/':"~~-/fil,5 AQDRE5S, ,/96'7 JhAH"7"'..eL €AGAA/ 55/2.2.DJ\.TE: '9-;JO":'9'9 SIGNATURE;~;fl'I bf., r.;LliM.JMJ BLDG. PERMIT # ?'9~/OO / SITE ,ADDReSS: L.f53'5~:;;; PID# Z5-31t4- OIZ-O , /(/ FILL IN THE BLANKS 1_ Estimated length of water service feet_ '2. Size of wseer service inchl.es) _ 4 . Type of sewer pipe. ABS PVC \fIIIT\-1 , , fe~O oS,.=",~,\"i ( OING < Iro~eljl\.. 3.. Location of any couplings from structure Cast 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ~========~~===~=========~==~======~=====~======~============~==== This BY' =-==---====~==========~~===c===~=============~============~~~===~= FEES: $ $ S 35.00 _50 35.50 Sewer and ~ater line connection permit. Surcharge TOTAL '" ,Fee for either sewer or water individually is st'.sn plus $ ,50 surcharqe. . Se~er,and water permit$ issued for new construction mUSL be r~cordeQ qn the building permit carQ at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID AMOUNT PAID "u~~,~ f>-\V >j"r. €,?I'J\\' REC'D BY / .1' I"\\NG \' \ ~v(....- RECEIPT # 4629 Dakota St, S,E.. Prior Lake, Minn..ota 55372 I Ph. (612) 447-4230 I Fax (612) 447-4245 AN EqUAL ....,..,......1"11 JMTY EMPLOYER II .. .Permfl# .. '"Job Addrr" .. Heating Contractor "Teslers/Signatur. '"Gas Une Pressurized Inspected "Percent CO2 "Percenl02 Final Inspection , , J .......,.-/ , METRb AIR Q!!! Time PERFORMANCE TEST 6/1% 7,/% .Percent co .Stack Temp. Pounds ~ colD ();)..(" Date PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS LjS~s ltu\M\M1,,~101t-~ n.c.~ \ NATURE OF WORK to.-1Q.U.) Cov..sk,,~~,~ USE OF BUILDING 'S.~~ PERMIT NO. Cf7 - toc)[ DATE ISSUED 8 -Zt;'-9~ CONTRACTOR MIJ .J.I-...." ""- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT - I FOOTING ~) M, C)- 21-11 I FOUNDATION (Prior to Backfill) (tV) I ~ , I 10 -11- 99 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGJ;I - INS SEWER I WATER I SEPTIC Ii}) 10/7 If" FRAMING r I ')I' (I 0J5 INSULATION 1- ELECTRICAL PLUMBING @//.;;J ) /3 / '\ "i HEATING (if required) _ I~ I;;,,) ItJ} 11 FIREPLACE /17 /h/tfO If?/ I fd ,,;;//3/"4 I ~l=t"~--16r'-1 I GfdJ /;y';II!f4 I COVER NO WORK UNTIL A{OVE HAS BEEN SIGNED l WALLBOARD I FINALS . Ci>r- t./zr/ OCJ f?+.. GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL INSPECTOR - ~/ a.I~ Io~ , ~/Julull OVE HAS DATE (2- '27-crQ 9fivM BEEN SIGNED NOTICE ~ This card must be posted near an electrical service cabinet prior to rough-in inspections .n and maintained until all inspections have been approved. On buildings and additions \l \Y 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 " ,