HomeMy WebLinkAboutBuilding Permit 99-1046
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CITY OF PRIOR LAKE
~tpZtrfmtnf of ~uilMng ~nsptdiou
6(Final Permitted D 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 fallowing:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
99-1046
Occupancy Type
R3
Type Construction VN
Fire Zone
Zoning District
R1
Legal Description
LOT 19, BLOCK 2, MAPLE HILL 2ND ADDITION
Owner of Buildine:
Site Address
14172 HUMMINGBIRD CT
Contractor's Name & Address CARABE9*\ HOMES, INC
ROBERT D HUTCHINS / ~ City Plannp, DON RYE
I Build~"I\ Official '--7/ }
~ ~ +nU ~
/
/
/
/
D~ATI Y,PROC D
o CORRECT OCEED
o CORREC WORK, CA L FOR REINSPECTION BEFORE COVERING
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTIO
co
/ '-.
~ I\~
CODE
II
SCHEDULED
lATE
7 14-/Do
4:"0
TIME
/41 7 z.. ~~ 81)
CONTR.
PERMIT NO.
*i-I(Uf 6
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
N\:II rU"AL ~SLlNE AIR TST
o MECH FINAL 0 ~
0(:> .j T:z~Cc:. ')
-~
~ -
[' ~ _L~/L~
"--- ------~ .~~
(/' r~~ ~
\ ~,,<c:,-
""
"---
~---.-
-
,
~
-------
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
, ,
ADDRESS
-L'I(7~
?j;!m TIME
JlIJ/'/JI1 ilfj/J//'~ I'-t,
CONTR. _~rdg,e("'_ I/z;~e 5
PERMIT NO. -.2:J-It1'ft,
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
D PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D MECH FINAL
~ EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~I?2Ai#f_
.-J
('v r);~Y
,-<;; ~
-
/.> ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~~ontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II
-,-
, .
DATE TIME
CITY OF PRIOR LAKE _L /L""
INSPECTION NOTICE SCHEDULED ':f/$:7 L/:.s.tI;
ADDRESS I4n2-~ ,Ht.//-1M/NG8/12D C-r
OWNER CONTR.
PHONE NO.
PERMIT NO.
q9-lo~~
@k-FOOTING
FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~ .r~ '0 PLUMBING RI
r-- ~MECH RI
WATER HOOKUP
EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: (1) ~ -......:I--..d;;:/~ '^I' ./.,.,
~.
v ~ iff:) ftle... - LfL(' -h. _~
48' } /I ('1rflA~ ~e. 'tJC rr /,~-;-' ..~ "'-'
~ t. ~/I c- I' .
~_ i/ K>'- -<.-1 .._.iJ~ _ "~ L<flrO
/ ."
/t1'}v - 01..... - ~ ;, LJ .,..1_'
0>> ~ --LV ~ ~
..11~ aA_ ~ ~~ b~
I - , P' '
U~"'_'-~_ ~'... </.... ~ 'd'. ,
p~~ An- . ~ ()..... 'L.)
.;I,; ) 1R-
~
f&rL ,~ ,:.. ~~ ~J-€A...e~
-ti&- Q., ~ ~~ - ~~. /
~ ~-jd wr;o ,o.,..d":"" ~-~ ~
~ - 61.- -ftl.> iJe:eJ..4.:.i?f.
WORK SATISFACTORY, PROCEED f)
o CORRECT ACTION AND PROCEED
o CORRECT W?l~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ .{ " Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
l/VSNOTJ
II
-.-.---,------
ADDRESS
/4/72
DATE TIME
SCHEDULED l/c//C17 4 :dU
If i/ 111'1 ( rJ6f ~l..€L) C2- I.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CfC; - (04-0
o FOOTING
o FOUNDATION
o FRAMING A
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
X PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
c.:;? AIl-t-
~
rz.-. r 1-14'16'-<./\
/-?~
/
LMn
o CORRECT AC 0
o CORRECT
Inspector: \ I Owner/Contr:
CALL 447-*",0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
II
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~EWER HOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
~\~J..J. (l... ~
_ +rftuAM
_ 40 c...r g S M'7
aGf II itA. Inl... /l
l~~~~
- \.\ t- r 0
W~ vt(v~
+t., 1+
cte
Inspector: Owner/Contr:
CALL 447.98~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUl ME TS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
111--
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
~ 2:uV
/4-/12- flrJl1MI N41311ZO ~
SCHEDULED
CONTR.
PERMIT NO.
qt:j-/otlb
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
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o ?~ ~~
GV
E~~.
, /-
s~^~?"c~...f
A'-'~ co
v
7-/-~oo<J
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
XCORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Ar9_
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
II
'--r--'~"'-'~'---'-'--'-'--"---"-"'
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DAIE..flt=r.1=11 rt=n
AUG L 3 i9';:d
Permit No.
I 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 \ Li I 7 2.
3. LEGAL DESCRIPTION
LOT I q BLOCK
rQ..a..~ \ D \-t\ I \
14. R~~ER j.,Name)
CJVJJ)e ~.,.. l rmf. ~\A.'l.Dlo.
15. ARCHITECT
6. BUILDER
ADDITION
(Name)
(Address)
-
(Name)
(Address)
18L-\l.\ \50~
~c... \\ofv\-W I \l\c., ~1')S' loJu..
Septic 0 Deck 0
Addition LJ Finish Attic 0
Fireplace)l(
Alterations 0
1. DATE
o~~ 20 - ~"
~"O 11\,( -t R.. I
s-t.w
11I1\.1
1. White
2. Pink
3. Yellow
File
City
Applicanl
99- /ot./t:,
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF S~RrES
13. TYPE OF CONSTRUCTION
Sil\0.\L fucn. be..-\a.c..h
I 14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
-
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Ll'-ll- 2..4:L '4
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
.,6. PROJECTCOSTNALUE
100,000. CO
,1'7. COMPLETI~ATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Side
City:
~I~q~
~,I
\-\\Anw,,", \ (1 ~ '0" d
2.. PID 25-81../..3 - OZ8-0
2. n~it\ nVl
(Address) (Tel. No.)
\ 51,,14 ~<>-rndr.if. L}40-(oQq I
7. TYPE OF WORK
New Construction~
Chimney a Misc.
lB. 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 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
building ~ can revoke this pe~'t for j~ cause. Furthe. rrnore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X . <:,j..),. ~,.N'Y\O"......, ~ 2.D~c:.,22<n<=:.., {"')R-ZO-c;q
U sture License No. Date
Front
Back
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS /::J ENERGY DATA /::J
PILING LOGS LJ PERCOLATION TESTS LJ
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION J.1.3..llQt2.oo
Water Tap ................................... $
Builder's Deposit ............................ $ I f n~~n_
Other ......................................... $-
Total Due .............................. $
Paid 7(,3 S; 7 I Receipt Nq.
Date q /7 /?q By ~
'iS~' . t u;:'"j.:',::':::,:" applk:ation and aCCOlT1pallying documents is in accoroance with the City Zoning Oroinance and may proceed alfequ_. This document wilen
by C ~~mporary Ce~4'1"COmPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. .
City Planner Date Special Conditions if any
24 hour notice for all inspections 447~9B50
USE OF BUILDING
,!;;t-D
TYPE OF CONSTRUCTION: I II III IV <.l2 -
Occupancy Group A B E F ~ I M (1i1 S U
Division 1 2(i>4 c:;;-
Permit Fee ................................... $ 1,1 O? .7
1/1".<{(,
11 .~()
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee . '1.tt.~. /'? 'f.C::.. $
Mechank:al Permit Fee 1..9..~!~.'I.rf:. $
Sewer & Water Permit ..CJ..9.:-;.IQ.t&?. $
16().~
10(').00
:.so. 50
~. perm~n .....................$ Lln.ro
siB e Your Building Permit When Approved.
By Oat. 8~ ?')-q.91
Certificate of Occlancy
Issued
PlANS & SPECS LJ
SURVEY 0
PLOT PLAN LJ
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ~
Sewer Tap ...................................,~
<;L ,. $
Pressure Reducer ..::fe>.................... $
Meter Hom ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
II
_~..._~~__._.__ .. _..~.___...M . _._.__._.__._____
SETS
COPIES
8 ~ l') . r'('5
I. (')St!).~
qr;.CJo
I 2<;'. ~O
I '2 ()~~
'- ex>.6W
7(,36.71
3"O~(,
..
. - - _. -.
LP Gas ;"""\jiM ~
Job Address IY J~ Urh.",\ .
Heating Contractor :~~~E.INC.
Name of Tester
" Date -G - ~g..-~
, n;":J
. Percent 0,
Percent CO ()
Percent CO 1)
, - -
Stack Temp, ~.~~ t
Pressure ~.5 WC/
Input 17 C; c '-r{-
.
,
,
I d I
"'7'--~~-. -,~-""'-
....... ~<'~'---"~-"~ ~'---.
..
"N' L l' '"" ~ ~ ~.~~
~\
The ("enler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'~., C (_
"
<-'" ',l~
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. J-:,I / /
/ ,'," <,;' / ,. i
Accepted
/'
Denied j
Reviewed By: (1. t){ ;Je/I.(;v.J
''-1
AcceDted With Corrections
Date:
'1 "'-/--17
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."
/~~
c;CJ-IC Lf{;
TH C""ln' of 1M t..ke COUIlIr)'
White - Building
. Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Crlk'r-I(;j E. c.. /-loNE ~
6/2.3/99
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/77_
HVrtN/ N'c:j e/kU
Ci
Accepted
./
Accepted With Corrections
Denied
Reviewed By: t,j""-n<'L FHI?t<:V,,(oJ\JA/
Date: ,j.,iH
.
Comments: Ru..J.ff MuST"" Bt= C<WvE.",EfJ
-r.
AAlfI ,d~Nf..
1)dAINAC.~
~
t)1"1L. T""
F"A<;'f:"MF"IV~
J<l!
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RtAcnCRl._ .
"1ZE t:'t1A.i!~
Ar
rolF:: WfSreJIL '(
, J./"""t<:
Ce<r.>a
SU4UL.O 'E:t!
J.JfDn
I,,:::J A.~
F="'ool
70
J../FLP
rtf/-v,t'1,,_E
r..E
Il~"".....n- <""J/= AtJRIKJI.I<JC. KElG\,)(It€.D
I.J
r,;",
REAli.
Paa"f"/oAj of ~fS LtJr.
510..
Jl'JFo(lrl1Ar'nA' au
~E. RE,JE.A.(~ SID~
Sf'€- ~ME.oJ-r:s: '- F;.oJRL r(l/t,::!t)E JA.J<.e~T'i-D,.j J.JFeRttUfTlI'A\
Z. ~.eAj'J"J~ .z:lAI\l
"3 _ tR..O(IO ~(' .........rra. " , If\.o1 eA!l.oJr1..E~
'I Elto<.n... f."AJrA..t::Jr-
Pu4'"
"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
.-'-
'.: "."..
....""':.......,...
'''''''''':-')'''1''
.'
..... . FK.I!
YELLOW. .plJII . CallT
DOLD . elf" .
"
'>.~~ '
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. qC;-/:?t.jh
NOTE: Sewar and Wa,er
contractors m st
ba registe ad
with the ci y.
SITE ADDRESS:
~...(~
'JI)!O~ ~ uA'VtJ4. ~
,(;:/'~. _ ~_.:.__ . BLDG. PERMIT LJ$(ffb
(J ) ('//7.2...~D# 2-S-34-3-nZ3 -Q
FILL IN THE BLANKS - .
.PHONE:
.' '1: r:;.I:I DATE:
t sl t/f/ d fyo
Q-::J..l#.-f,
APPLICANT:
ADDRESs:
SIGNATURE:
1. Estimated length of water service ~J~ feet.
r/
2. si:/:e of water service I inch(es).
3 .
Location of any couplings
Type of sewer pipe. ABS
from struct~
PVC y"" cast
feet.
Iron
4 .
5. Estimated length of sewer line
i./r feet.
6. Clean out (if requir.,d) , located at
. structure.
feet
f :Jm
=~=~===~~=~~~===~=~~======~~===--===~~=~==~~==~~==~~=:~==Q=== -==~
BY
our permit when approved.
. DATE: C;;4z..ft?9
This
====~=~=~== ====~=~=========~--===~=====================~=== -~==
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permi
surcharge
TOTAL
..
fee for either sewer or water individually is $20.00
$ .50 surcharge.
.. sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issulnce
to insure that no duplicate sewer and water permits are
issued.
,lus
DATE PAID
RECEIPT 11
AMOUNT PAID /-O-:,~O\N~,,~\\ .
C. , O\N,;l'
REC'D BY \eU\\';
16200 Bagle Creek Av. S.B.. Prior Lake. Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) '147-4245
An Equal Opportunity. Employer
T I
9NI1~^~8X3 NOSNHor
._~._..__. -..-.-..--....-.....-..-.....-....-.,.,
09Z:Z:1SP
EZ::Z:0 8551/811L0
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CITY OF PRIOR LAKE Me
16200 e.gIB creek Av. S.E. Permit No.
Pilar llIke, UN 55312
99-/0fL6
TYPE OF STRUCTURE,
,/ T.....Family
1. 1___
J. YdI_
L"",
c...cw
HEAliNG APPUCATlON I PERMIT
DIIIa 1/') 12c; J Of OJ.
sa Acldre.. / A /12. I-fJ.-. .....:,,' !l.'/'cA
- ~
La! /'1 IlIocIl 2.. Adcrllion /'1~&e /t'/t.-C-
Ownet. Nama c..w...l;....'- L-b_e..~
PID' Z"')-3"?3- OZ-I'l-t')
L-r
2@
12/
AcIdnIss
Healing ec.n_ ...cJrL l ( 'cJ\
Mill.... 7. tLt uJ l1 t; t.f...
1olaphone' ~()- A"DI
Fwnat8 Make & Model ]J...~" r~- 2.1,
Vl..( r-L
c;f-
1^-L
TYPE OF SYSTEM ./
W.,m Air PJants
GI aviIy
Mocharical
Air Condiloning V .
VMI. System if
HEATING OR POWER PLANT
Sl8am
HoI WaJ...
Radio.ion
Spedal Devices
Model Si18 /e-. n,).:J
- ,
Conn. load -4Dt. 4/{,
,
F....l Julilr
Supply Operings
Relum Openir4ls
1.....1 "K:. >>.)
Edr.
Clm. InDo
~(,
Flue Size "~
{,
?
Oulpul' 'O,{)()O
Othe, DlIVas
lYPE OFWOfIK
Abrallons
Replacomenl
Esl. Coo1>>- Dale
r/
N_ Conslludion
Ra....
EsL CasU
HEAD4G PERMIT FEE 1
STATE SURCHARGE I.
TOTAl PEJlMIT FEES I.
((9-/01/0
t>~\~)
eu\,-O\~G .... .
~.'-
DuIUIg PllmU .
.50
~ Family
CommeJCial
MuI.f1omily
IndIslrial
Public
Oher
Fee Schedule
Induslrial, Cornmen:iell MuII~F.miIy
Residanlial, Healing & M;
Resiclenlial, Healing Only
Residential, Gas Fireplaca
Residanlial, Addilions & A1101a~ans
Residenlial, N; Only
1% 01 job CDSI (S39.5ClIllinimum)
199.50
164.50
139.50 '
539.50
539.50
<<;T 2 5 m:3
Remembe, 10 add .he SIaIe Sun:hanJe an Ihe bonom ofllis . . . - ~. ". .
The jlfice 01 your healing "",mil inclJdes 0118 l1HIgh-irl and one linal in.pectiIln.
Adcitional irlspec:1ions wi( be biIed at 135.00 ead\.
House Healing le.l Recotd...... be submiUed wllh ...Irl.... '" ..,,' "' '''I'". 'b8IoIe buid-
ing ce,liIicele 01 occup8l1Cy wi. ba issued.
HEAT CAICIJLATIONS Il"(l\ 1111"" wirh numbe, 01 supply and relum operings rill'" per
room M1h CFU's pili opering. New lbuc:tures 0' . . . ,,'. "-,,, floOI pion M1h S\IpPy
and "'11Im locations shown. HEM LOSS CALCULATIONS, PAYMENT NIID
APPLICATIONS MAY BE MAILED TO TIlE CITY OF PRIOR lAKE. 162110 EAGLE
CREEK AVE. 5.E. PRIOR lAKE. MN 55372.
CUy Hal busn!u hounI an 8 Lm. . 4:30 p.m.
ALL WORK MUST BE INSPECTED lROIlG1t-lN ^",D FINAL) . CAU. crJY "AU.
447-4230
I hereby apply lor a mechanical syslems permil and I aelln_ledge IhlIllhe
;nfo,mallon allow is complele and accurate; Ihallha work will ba .. conlorman..
with the ordinances and coda_ Df Iha city and wilh lhe "ala bull....glrnech8llicll
codes; thallhi_ Io,m doe. nol become a permil unlil _Igned by he BUILDING
OFFICIA~ 'hallha WDrk will be In accordance with the approved plan In I>e
ca'~:ZZ:1:jre21 and app.ov~ 01 PJ-;;/'L C) lac,
r ~~/ Dale
~ {/ J--f/ YY JZ- / tJ/,?J/jqq
, 0&I0i
r"" l>lIiCeTe S\gNII..e
,
CITY OF PRIOR LAKE
PLUMIJING PERMn-
ApplIcant: t:5c.heier ""umb(~
Ad~: ~ria,", Qirckl Sf
Signature; ~ /))1jj.
Legal O..~lIon: L.ot / Cf ~Iocx 2-
SIte Add....: \ 41 ") L. ~u.",~~ ~ _
BullGt"gPMTIIt, Cfq'-/ f/J _PIO'2.5-,"3/f3-0;u:z,-o
NOTE: T1'I/8 pennll wtIll10t lie PlllCauact lIWiU'Ioul Clomplete inlorrnation.
FIXTURE UNITS
I. 110. Plio
1- llolO Cl)'
),,..... -.,;l_
PPNo. 9CJ-1046
,""one: Y4 '1-10'7 34
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Sub ~API~ ,<.!/LL- 2 Nf:)
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Type of Fbfture
,~
Type 01 Filftu,.
ealh TI<I) WIIIl or wlltlout 1,,-,
~
Rough-ins
2..
DWlwuher , Water H.at.r
-
Floor Drain I Wal.r Soltner
-
Lavatory (be"'roorn sink) J Stand Pipe (W""ing
Lau"dry Tray (1 or 2 campa " , "lInk) Sewage Ej....,or
Sho_r SIalI ~kIIow -'saembly (RPt.
Slnlw Saek1low Assembly Te
Ba, Sl"k lawn Sprtnkler
Watar Cloaat (Iollal) Other
m.c:hine)
Cauble Cneck, ?v8)
51
.... 8CHI!DUL2
InUtrIaI, Commercia' , "''''''-FMlUy
(1% 0' job coet.I38.50 mI"'lI'IUm)
Fleelde"lIa1, N_ On. & Two FMll/)'
R..,dllmIa., Addlllant & Allaratlo".
State SU~r;a
$
S
$
S .50
GRAND TOTAl.. $
Tbia ~. II PM'''' ...... lIIol ~_ <ondiliOft till' Mid
_lar. sII.IlJ .....p1l! . I ....,.... .;dl lhc anlillUlc..
of lhc -- ............ _, . Ibct....r.
9'9 DAn
A T11!ST
C&lllbr all........ 24 houn in 1Id_.
16200 Ea,Je Creek Av. S.E., Prior Lab. Minnesora '5372/ Ph. (612) 447-4230 I FAX (612) 447-4245
Aa Equal OppaftUaiey Ernplo,er
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~7 8m,^w\"""ln ,\1-<"1 \;../'LJ
NATURE OF WORK -1.}P\,' (\6\/'c::..l...V~.\.....,.."
USE OF BUILDING 'SFl"\
PERMIT NO. o/r- (oc.LG
CONTRACTOR .co.,..,., \~ a,. ~_. A
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING veo;::" V)/ //IM'1 Vl:7J INWOR I 'f l'i D~:;
I FOUNDATION (Prior to ~aCkfill)(R) vl(e./ ~, '~.A-tlr-1''11 0-;;?3~99
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
4V (h,
~,f)2-/f1
fJO ///;fo/tP";
DATE ISSUED
B-LiJiJ!
f)) /,fsr/o11.
if}} //ft,h1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1/1Mlt~~ I I
FINM-S
lfl~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
1-';N-J1
GRADING (Prior to Sodding)
BUILDING ~ () 1-1, J.ocO \\I"
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
T~lis 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
w;ere no service cabinet is available, card shall be placed near main entrance.
f7f} 11/2<1/'11
V
Or
(/7) l/ )~/iJ
1/
-/ 11~ UV
,/1 "1 {)l)
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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