HomeMy WebLinkAboutBuilding Permit 99-1032
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~'1;! Q[trtifirQu at ~rmpanry ~4
\~i CITY OF PRIOR LAKE~~;
,}. 1JBtpartmtnt of ~uilbing 3Jn~ptttion ;~IJ
~~~' [!(Final Permitted 0 Conditional C.O. Expires ';:.lIi-l
-I 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:
~
,,' i Use CJassificatil''''' Sine:le Famil v Rldg. Permit Nfl, 99-1032
-
Occupancy Type
R3
N/A
Zoning District PUD
VN
Type Construction
Fire Zone
at .. L36, B1, The Wilds Third Addition
Leg Descnptlon
15177 Wood Duck T<ail N.W.
Owner of Building
~ite Address
Contractor's Name & Address Thorson Homes, 4466 Wedgewood Dr.. Eagan, HN 5512.3
Date:
Robert D. Hutchins
Buijdi...Official
,//) f/ .>1,.0
/'-'~
'-.--/
Jenni Tovar
rity Planner
Dale:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
9I'NSULA TION .1.':\
-t; ~INAL ~
o SITE INSPECTION
""''"'" ~~
W.w~ ~
CONTR.
PERMIT NO.
~.- ~ ~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~_PLUMBING FINAL
IJ$)"" MECH FINAL
COMMENTSm~ ~ ~~ ~
~ ok, &e ~:..,...;,. W 7~ co.J- ~
&5 ~ oi ~ .- r ~,(!f) /W.I(
~ ~-#__ ~JiJr1., ~'t-e
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(I~ ~, T.~,n, /4fl
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rl~Q;)f-. ("W. - ";/1/1=, ~. G/lf/tJO
TIME
Cj./llt)
4<J-ID3Z
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(~-
~~,~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
j:<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/
INSHOT!
I I ._. ,.--""'"T'._"...._...._--~._.__._..__.~._,.._..,~.._---~.--,.-..--------~~--------..-.- .-.-.----..~~.-._.--,---.-.-.-.---- -- --..-----
AOOIIEH
OCCUP"'Nt
It~AT LOSS
SOLO !lY
Ehctflcal Wet" 8,
TYPE OF HEA T
HOUSE ilEA TlNG
/ ~ 7 7 r J ) I")py'( /,L,.;? '77'
TE~l:(URD ~
, ,k,.b-
n, --'-':fIGx.,,, CITY
nWHEP '77,d~_ ~c<J
SUBURB
0.1. TE HTO. 1>lIT.
KI..",I'''' rr,..,c.
4/-J?-OO
OAl::::::.-F"''--
INSTALLED IIY Y/""H' ~c
Gu LI.._ 8, /CI;~,/r*' ""'-i,Ar'
.. _ STEA" _SPACE HTR. _UNIT Hnt. _OTH!R
CONVUSION
.....KE
Mod,1
Sow,.1
INPUT
G"'S DESIGN
/"",....,,,,_v
)(CfLd-l-~:? /4 -/:::1(':>-:1
c.. ~qq #1 - ,.., ('.577
/~....-v> .kh-./L.-.
-----
,
MAK! OF BURNU
Me,,'
. lTU II."...
MAKE OF FURNArc
14.4.' .
--
..-----.
-----
~
THEII1f8rft'f"'tf
V.f.. 1./ It,..,.,, ~c,.-
, '
LI...lt ~ C'......../J c;....':;,'..r-
, ....--.
li....it s..",",. -X"X'~
rF.,. 5."1"" """.-H",.{
Pilo' T,~ ~-r-;r
PII.t Mele.
Pil.. Mod.1
P II., 11",,1".
L..., CuI Oil
CONTIIOLS
HnIPI~
Va"' S,.. .
/'
L<
KINO OF LINER SIZI! NONE
Dr.h H..41 I~ R.."t..., ;1"7C"">T:r..... J
Fill... S,.. /C,( 2r--y, ....u..... /
o.l..ne, Lece..... I".'M ~ 0ut.1..
0".._, C.........I.. Ap-f,.,/L4'C"/', j
v
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s..... 1_. ~
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0.- Pr...",. ~
W.rln.
T.., T..
L.th...., 1..8'. f
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-----
P,...vr. ~ .,C-.....'V('_. P.,ce", CO
,
I,.ut CFH I '::Jf'lr;:::;'; P~u"t 0
Steel.. T.",~. ';_1itJ. CJ~/:r- P.,cen' CO J
:>1<rct 1r.v~'-crf<."L
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
-4-/7~
l1:k)
ADDRESS 15/77
wozA ~ 11-
/
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
~D WERHOOKUP
UMBING FINAL
o MECH FINAL
COMMENTS:
\J~
Ul'(~
(0P~x
A ANI
.~
v
A
t.,A AA A_ "/
r J
/
/
/
//
11- /032.
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
()/;C,
Inspector: Owner/Contr:
CALL 44709.1&0 FOR THE N~XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlR~ FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II
~'_'I,_._...._.~.___".__.__._...,._~_~__.._4___'~__ "~-'--'_._--~'-~--'"-'---"'_.'---~---'""""-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5/77 w()O{) DUe.t:::..
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
A ~ATER HOOKUP
SEWER HOOKUP
A- 0 PLUMBING FINAL
o MECH FINAL
COMMENTSn ~
a ~~M. 40
~,,-.LI ~
rJiJ ~1 - I n/-
lP Vc.
- No
DATE TIME
/t(2.lq~
/:/5
tf?-(032-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
,
M,r,.. J.<.- fp bv~
s.vr #1h.-.
~
Inspector:
Owner/Contr:
CALL <047-9160 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
I I ---,-----
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/S/77
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~ING
o ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
r.; f'4d,'!J
.
1<;
DATE TIME
SCHEDULED ~
fi/a:/ j;J//,~ //'n,,/
CONTR. ~r5H! ~6
PERMIT NO. f7-/tJ3'~
~GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
OK
/
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1(,.!t,/~J b{/dl/ /<;
~
}\o
/
'7
~~
(
./
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WJ7' CA'7 ~~SPECTION BE:,RE COVERING
Inspector: ~ev,,,r:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERsONAL HEALTH & SAFETY!
ll'iSHOf1
I I .._.._~-~_..---_._~"--'----'-_._.~.._._-"---_._--_._.---.--.--.--..-...+---------'"-
AUG I 9 1999 CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit No.
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
/05'177 Woo b bU(!"I(, 7Jf?Rh!_ /1/. a,).
3. LEGAL DESCRIPTION
I 1.DATE
,4~ JtJ. /999
PUD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
,g ~ BLOCK
7i e. dJ.lrI.s d/
/
40101, '/'0../
ADDITION
14. OWNER (Name)
15. ARCHITECT (Name)
16. BUILDER (Name)
-rHo .eS,,"'/ /-/O",.t'f S
7. TYPE OF WORK Fireplace ~
New Constructlo~ Alterations 0
Chimney (] Misc.
(Address)
12. NO. OF STORIES
PID 25-337- ()3f.n- 0
1. While
2. Pink
3. Yellow
File
City
Applicant-------
....-/
w- /032-
[fel. No.)
13. TYPE OF CONSTRUCTION
/f'eu.J
14. FLOOR AREA APPORTIONMENT USE
(Address) [fel, No.)
./
(Address) ~.:> /- ~5'ZI- o6oifJlffi
-r/\{C. 44~t.. ,(,JtEA..I"., <JJ('? A I!.R ~i99dN
Septic 0 Heating LJ Plumbing 0 Reroofing 0 4lporch D
Addition CJ Finish Attic 0 Residing D Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
.6 ::s-~CUPANTS
SEATS
16. ESTIMATED VALUE
17. COMPLETION DATE
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above tioned pro e that all construction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. t am aware that the
:uildin n r ermit for Just cause. Furthermore, I hereby agree tha~' 'ii"l a designee may enter upon the property to perfr,~~~pections.
Ucense No. Date
I SETBACKS: Required
Actual
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING .5 P D
B~k
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a SETS
:)Ide
:)Ide
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVALUATIQN
Total Due .............................. $ P,f'JD4-. 4fo
Paid 6,oo4-,4"k, Receiot,Nr '3G,"lfiC
Dale /0 Ie., / q C; By AfJ1I'---
that the request in the above application and accompanying documents Is in ...~~_.~.:...~... w~h the City Zoning 'Ordj~nce arld may proceed <# requested. This document when
Pia r constitutes a temporary Certific1~ of Zoning compliance and allows construction to commence. Before occupancy, a Certificate.of Occupancy must.be issued.
A) !Jl,;J;~L11 A-I'A)/l4-r /'(~ tm0.'~ ,lj't~c/ s::.rd;~
PI nar wi e ~ Special Conaitions if any 'U--- - -
24 Hour notice for all inspections 447-42309:00 a.m. . 10:00 a.m.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A BEl H R M
Division 1 234
Permit Fee ................................... $ "1 ~';;l ry . '2. <;;"""
7<77.7/
State Surcharge ............................. $ Rq .00
-" ..P..\~,....,..................... $ /0(') . on
8<eUvmem ...H~.................. $_/ ()(') . oCL
Other .........~..~t0................. S 55'. C;;r,
__ ...Ef.':..................... $ titf .r>O
:i~~;;:tBuildln9 P::II~:27-~'
Certificate of Occuparfk
Plan Checking Fee ......................... $
Issued
/ fr:>(3 . OCX::> _ a>O
.... Ii
o COPI ES
SURVEY
PLOT PLAN 0
COy:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ...............................,... $
Ucense Check Fee ......................... $
Pressure Reducer .................i:t..... $
Meter Hom. ..J.~.(.................. ......... $
Water Meter ..(.~...........,................. $
~Itfl
ql~ptU 0
Deferred
Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ..................,......... $
Other ................................,......., $
P>'5'O .(')D
, I'J "'if) .~
70.00
1...:;0 D6
[2.. BD .C)(:5'
]('j() .(!)~
1,600-00
Single Family
x
o i
~~ ~ II
Coo., ~
Multi-Family \D I
Olher_2
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permil No, qq - / 032-
Prior Lake, MN 55372
TYPE OF STRUCTURE
I Pin.
2. C"rmtPi
J. Yt:llow
HEATING APPLICATION I PERMIT
Dale I.;J, ;:).:). '19 PID' _25- .3:37- iJ.3G,. - 0
Site Address. /..')17 I 1...)00 dl~ -7/; h,,/ PUD
Lol 3(,. Block ~ Addilion Wt<..-DS 3RD
Owners Name ~~C/l/lJf>., 'llu""h)
Address .
HealingConlractor .ULIED FIRESIDE dba FIRESIDE CORNER
Address. 27QO _lL.BJRVIEW~ ROSEVILLE, MN 55113
Telephone # . 651- 63 3 - 2 S61
FIREPLACE
1MnelV> Make & Model'-1J.,il JJ r--JJ,
Model Sile ~X))....{, r
. -
Conn. load.
Fuel (%'S
Flue Size
Supply Openings
Relurn Openings
Input Outpul~7U')"
Edr.
Clm,
TYPE OF SYSTEM
Warm Air Plants
Gravily.
Mechanical
Air Conditioning
Vent SY51em
HEATING OR POWER PLANT
Sleam
Hol Waler
Radiation .
Special Devices
Other Devices
Alteralions
Replacemenl.
TYPE OF WORK
New Conslruclion )0
Repair
Est Camp, Date
/IOJm
Building Perm~ 1/
/ .)-Id.i 199
Esl. Cosl $
HEATING PERMIT FEE $.
STATE SURCHARGE $_
TOTAL PERMIT FEES $
.50
rC/-/032-
/pp.,\O W{T\-\
\ 6U\\.O\NG PERM")
Receipl ,
Two-Family
Induslrial
Commercial
Public
Fee Schedule
W
\D
il
1 % 01 job cost ($39.50 minimum) ."
$99.50 ~.
,
$64.50 ID
$39.50 VI
~.
$39.50 Q.
ID
$39.50 .
n
o
,
J
ID
,
Induslrial, Commercial & Mulli-Family
Residenlial, Healing & AC
Residential, Healing Only
Residenlial, Gas Fireplace
Residenlial, Addilions & Alterations
Residential, AC Only
Remember 10 add the Slale Surcharge on Ihe bonom 01 this application,
The price or your healing permit includes one rough~in and one final inspeclion.
Addilional inspeclions wal be billed al $35,00 each.
House Heating Test Aecord must be submilled wilh buildinn I!l!lIlIiI DIIIIlI1m: belore bu
ing cerlilicate 01 occupancy will be issued_
l::I.ft\I CALCULATIONS RFOllIRFrJ wilh number of supply and return openings listed
room wilh CFM's per opening. New structures or addilions send floor plan with IUppI
and relurn localions 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.
en
....
III
l1i j
w I
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) _ CALL CITY HALL W i
~ ,I
III
I hereby apply lor a mechanical systems permil and I acknowledge Ihellhe -I>
information abo'fe is complete and accurale; that rhe work will be in conforms",
with Ihe ordinances and codes 01 the cily and wilh Ihe slale bUilding/mechanil
codes; thaI this form does not become a permit until signed by Ihe BUILDtN
OFFICIAL; Ihatthe work will be in accordence with the approved plan in the
case of all work which requires review and approval 01 plens,
g~)/~
Ap~~~--
BUi~~j's Signa lure
Cily Hall business hours ere 8 a.m. - 4;30 p.m.
447-4230
/~'>>-/<;9
Dale 0
/2./27/QQ ....
Dafe
il
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
'"--"-7
qc;-/CUL--
Pc.y)
Add~ion
Owne(s Name
^...c::. AA1
Address
Heating Contractor l! \ P v f). )./-,c
. -...I
1'"<1'l7~- \\;"--l02.er
.J- A/(1
,
'I'"CllL.r'(
&'. P. S?'"3'-/7
Address
/
Telephone # /,.f 'L~ q.?/ / -l-/!:J../I
Furnace Make & Model L" "',I,.,..{ -'1(fJt'Jf...rl'l..I.YPE OF SYSTEM
vWarm Air Plants '/...
Gravity
Mechanical "-
Air Cond~ioning ~I/n -'-I'IN
Vent. System "2. R.:.-rl L... ~r ,I.
- - "
HEAllNG OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
J 2<- I'lTYJ
/
)/J(J. &<)1'\
Conn. Load
/
Fuel AlA"! '~A-<" Flue Size
" .
<:"
Supply Openings
,::2/')
I I
Return Openings
Input ,2;-",,^ Output~: 000
Edr,
Other Devices
Cfm.
TYPE OF WORK
x
A~erations
Replacement
New Construction
, '-
Repair
..2 ~ J/J ,o'm
C;C;'-/t:=-3Z--
/'"" PAID WITH
1 BUILDING PER:tlIT
Est. Cost $
Est. Comp. Date
~ ,00 Building Perm~ #
qq. ~O
.50
/tJ(J. ~
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES ~
Receipt # -
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commercial
IX
"
Two-Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Public
Multi-Family
Other
1% of jQb-kost ($39,50 minimum)
:::: ~~@J~.P}f[~_
$39,J~!)i NO'V
$39.56~ ' 23 m1
$39.50.
Remember to add the State Surcharge on the bottom ot 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 hlJildina ~ number before build-
ing certificate of occupancy will be issued.
l:I.EAI r.ALr.lJLATION!'> REClIIIRI=n 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.
City Hall business hours are 8 a.m, - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
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 ~ wor~ w~ r )qUireS review and approval of plans,
N V \~~
V ~CJAp.PPIiC""} ~~~Je
-4-1 iUx.:-t______
Builditig Offical's Signature
.
Date
/ / /z 4f?<J
I Date" I
,
.
r.'.' ''''~'~;V.: '~',1""".',..
""".' ,....'f.~:"(...,. ".".. "" >'.~". ;'HilW"..> ,- .". .;. ;:.~~...-. ,",. ~ . _,;'i'l""'..'""i.'....'-:~',.,..-,''l..),.,,,.,~II1l''''''
.,..-.,,~.. .;.._ ~ '"_I."'.,~.l.~ ~~
.
,
.1/ ~::.,__
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct'nlt'rof lht' L.kf Counlry
.BUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, '
/' ,. f
,;,"
j i
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/../
;-......-
Reviewed By:
/
(J jJ'. J~ Date:
A((,: U/1IT rLVnruit wUtJqcfJ
Accepted With Corrections
Accepted
Denied
Comments:
q/;), ;J /1
,
I '
10 Al~ 5:fP~'
y v r
"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 viqlation 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-I032-
Thr ('rnlnof thr L.kr Counlry
White . Building
Canary . Engineering
Pink . Planning
~
BUU.PING PERMIT APPLICATION DEPARTMENT CIiECKLlST
NAME OF APPLICANT 7JfO .eSO tV Ho M 65
APPLICATION RECEIVED Bj/c;,/9'1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5/77 WOOD DUe-t::::- /12-. N.W.
Accepted
Accepted With Corrections :><...-
Denied n a
Reviewed By: V:!.(fJ~ ~ i -
--
Date:
8-27-9"1
Comments:
1, e,~..Q
2., \We
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"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 r
'.-..'..-..T--'..-
1i~1;
QCJ-/632-
Th~ C~"I"~ of Ih" Lab COg,ury
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -/7!u K!5 C /\J. He) /1.// E.~-
APPLICATION RECEIVED S 1/9/9 C;
1/"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5177
I'V OOU DU<2~ T12-. t,J. lJ.
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~FR F~~'AJ~
Date: 9hi91
Comments: R"A/Df"~ i'1v$T BE:
,
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SEE: A7TAc..HM.f:~: J. h,.JAL ~/lADE. IAJs.PE:rTl~^-' IJJFono'HArd'lN
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Y-: EI?DSIDAoJ (!".uT1tor R AAJ
"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--.
1 6 1 2 ,.f;:f
~
'9J173 P.01
.w qS).~4~1 ~lh4:>
JUL-14-00 FRI 01 :46 PM RAY HFlEG PLBG. ~ INC.
"\
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:'
GIN!:.. - "".
"'.LLOW . .&rP\JCAaT
~D . caTf'
Sewer and Water
contractors must
be registereQ
with the city_
APPLICANT: ~mrYLL t.. ~ ~!~PHONE(.w~e~-"oq;)....
ADDRESS:3).'>(p--f!..u;uu.- AI, 25. fl'V\-h'I'~ATE: 1-14-00
'1Jn. ..".= ..D I ~ ~'2-~
SIGNATURE:~~ l (""") BLDG. PERMIT #~;l...
SITE ADDRESS: 1S'ITl- W ,mUOLlf'. ,J,W. PID,
'f)"::,'\J
\.
~\.. \
CITY OF PRIOR LARE
SEWER AND WATER PERMIT
NOTE:
NO .23.:::../{}3a
--
FILL IN THE BLANKS
1.
Estimated length of water
\11
Size of water service
service (,,0
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-.-S{) feet.
6. Clean o~t (if required), located at
struct~re.
feet
from
=:=~=~~~____________~_=~=~===~~=====__=~~==========~~~~===~==~g~~a
~
your permit
, .~
when approved_
DATE: '"7 / I St' / 07J
I I
-------~--~-----------==~~=-=~====~--------~~~~~-=
$
$
$
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 buildin~ permit card at the time of issuance
to insure that no dupl~cate sewer and water permits are
DATEi::~:d . ./ <\V ~Gi~"'tt AMOUNT PAID /
RECEI PT # ./ .....\~ REC' 0 BY ./
/" '3\.11"- /
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesola 55372/ Ph. (612) 447-4230/ FAX (612) 447.4245
An Equal Opportunity Employer
, ,
PRIOR LAKE
I
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
,
SITE ADDRESS -151'7'7 '^ wY9.. Dvc.~ "\"h
NATURE OF WORK 1\1"...\ G-t">\d.
USE OF BUILDING Sf:::'D
PERMIT NO. '1'1-103"2- DATE ISSUED 8-2'7-'1-. "1
CONTRACTQR ~~ HOlNlp,,- T:--r _
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
I FOOTING(~) ~,I /1\-;r(17
I FOUNDATION (Prior to Backfill)m I fJ;;., I If)' 20' ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC Yf) /<je..,j'f'J
FRAMING f' P /3
INSULATION jJ'Ji
ELECTRICAL f 1/
PLUMBING illS tIP l/tI/4o 2hz. O~_
HEATING (if requirld) if )) }/Jz../o()
FIREPLACE . 7J / /s /dD
GAS LINE AIR TEST lfz-c ~ (S 1-1. t.
COVER NO WORK UNTIL~ABOVE HAS BEEN SIGNED
,~..IL _JJ"L I I
FINALS
GRADING (Prior to Sodding). r-:,'r;.. j. '-tf,(f'U
BUILDING l.t.O. 'li2.f ~'1'5/~ ~ fJ/afi Id-D 11J!1
ELECTRICAL . I ( ~ f./':/
PLUMBING (~/) 4)J7111/
HEATING L7 (~< '7IJ </1 fJ'D
..
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabhlet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
wh~re no service cabinet is available, card shall be placed near main entrance.
INSPECTOR
OATE
/.20.00
/ . 1.4 .() ()
ct,l1~uJ
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II I j